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TOWN OF YARMOUTH 4-.0 v ED i
" 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ,i
8 Telephone (508) 398-2231 Ext. 1292-Fax(508) 398-0836 �� JUL" ' ��� j'
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OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE , 'f
' ►:D t ::; 43 ru ,I
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended, for proposed work as described below& on plans, drawings, photographs, & other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, &SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial )( Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed _Solar Panels Other: tVuw Ji k It -i V t
2) Exterior Painting: X Siding Shutters Doors P Trim Other:
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: 1 Vf?(�Vi.- �+ /�4t CL- Map/Lot# 1 f r��-
Owner(s): ?at k U; \IY(ti1 ( Phone#: q(6 £ 1 L [ 3
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 1 1 611++`�Lt brt l _ \ (Ji (VI)1/01 fl(I 02- 6Year built: I"l It 1
i di Email: t^(1 ` a(\OA f`(&it k , 1`_(r i� . itll Preferred notification method: X Phone Email
k_ ri� I
Agent/contractor: ��.I�� _ ( V� c m- Cc O L,�� Phone#: l�C��`-T 1 S.:21/
Mailing Address: iLI H ' 1911 - t--u\ \\W M N �)� 72 )
Email: n i lk i(li (,ll'Q VCS 1(111 l (n Preferred notification method: / Phone / Email
Description of Proposed Work:
4001,(___ Uh WiCiU�L WO l l Srl itf1it)ikt'vvWit gltrk1-6'' t D 6'
461lr , i \;V nib "Mn� • /0 / ISigned (Owner o gent): / S�/4 (1 ik..�iOi
Date:
> Owner/contractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
D If application is approved, approval is subject to a 10-day appeal period required by the Act.
This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
Y All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee use only: _ '. proved Approved with Modifications Denied
Rcvd Date: LCi l Cil i 1G. Reason for Denial:
Amount CIS--
T /
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Cash/CK#: 2-S b 3 �i-- ART,O,
t11 11v' Signed: ag/_.,J/ . ._//._ I_/.%l
Rcvd by: 51 / . l
45 Days: 1//c267/9
` v,,r ri,./ A " - OC 2 2019
�2. YARMOUTH
Date Signed: /6/z?/z 9 (.) / >&
o r. ^uWgY
1 1 9 — ADSL;
APPLICATION#:
•
Aov.y,4
`�o TOWN OF YARMOUTH
N r x OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
Telephone(508)398-2231 Ext.1292 Fax(508)398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at 9 Pe9,,00f ,-- ,
Map/Lot 0/..5, &'3 C/A# Approval Date: h!)--, k-ii 9
I certify that I understand the following requirements regarding any changes that may
be required for this project:
In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the filing of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
colors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification to and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writing on the appropriate request form, which may be obtained from the OKH office.
All change approvals must be obtained before incorporating the change into the
project.
If the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop-work order or delaying issuance of an Occupancy Permit or final
inspection approval. RECEeV
I have read and understand the above statements. OCT 2 9 2019
/ o I
Af-P-L
TOWN CLERK
Date: /CS 2I Signed: A,� SOUTH YARMOUTH, MA
(Owner/Contractor/Agent)
4.,..,..,
Signed: (<2 ' )
(Chairman, Old King's Highway Committee)
H:\OKH COMMITTEE\Application Forms\Statement of Understanding 2015.docx
Updated 12/2015
• GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height' to Ridge: Color:
,1 SIDING: Material/Style: Front: `�101 1 Shf V S Sides/Rear: I n I truKeS COLOR CHIPS
Color: Front: S-1-0(11 ) Sides/Rear: .*-
TRIM: All windows & doors to be trimmed with: lx 4 1x5 (Circle one.) UMW W -ttt,OL—
Material: Color:
Oa"( '01i►(`Qs5'Ws
DOORS: Qty: Material: Color: I/
S j i n11 54,Nes
Style/Size (if not listed/shown on elevations): c I►
STORM DOORS: Qty: Material: Color: RECE$ 1ED
GARAGE DOORS: Qty: Mat'I: Style: Color: OCT - 9 M9
WINDOWS: Qty/side:: Front: Left: Right: Rear: Color: YAKIVIOU I f-1
OLD KING'S HIGHWAY
Manufacturer/Series: Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite:
Snap-In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color: APPROVED
SHUTTERS: Mat]: Style: Paneled Louvered-. Color:
YARMOUTH
SKYLIGHTS: Qty: Fixed Vented Size Color: OLD KING'S HIGHWAY
DECK: Size: Decking Mat'l: Color:
Railing Mat'l: Style: Color:
WALLS/FENCES* (Max 6' height): Height: Mat'l:
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: Screening: COVED
OCT 29 2019
LIGHTS: Qty: Style: Color:
TWA! CLERK
Location(s): SOUTH YgRMOUTI-i MA
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2-General . rt • h f1 9O
APPLICATION# ' t1 U
RECEIVED
OCT 21
October 18, 2019
YARIViu
OLD KING'S HIGHWAY
I, Andrea Worrall, am the owner of 9 Pequod Circle. I have submitted an
application to the Historic Commission requesting permission to change/upgrade
the siding of my home to 5" vinyl shakes, color is sterling with white trim.
Upon seeing a sample of the vinyl siding of what I have proposed to install, if you
find this siding acceptable and have no objection, please sign below:
Patti Hartsfield
10 Pequod Circle
q �-'
Peter & Nancy Rutley
16 Pequod Circle A/k/dis� ,
Lauryn Brennan & Justin xa'/ dri-itimAkthtt
Post
27 Pequod Circle RPcE-
tliEz
Kim Anderson 92019
40 Pequod Circle sOU 7-°1/1/A1 E�RK
rrJJ T�
John & Sandra Blanchard Sent letter
44 Pequod Circle
Gregory & Pamela Daubert
160 Union Street Jac" `. 1)at
Valerie Du Bois & Tania Best 7cLie.j2,,,_Th.
166 Union Street
The meeting with the Historic Commission to discuss the proposed siding will be
held at the Town Hall at 7:15pm on October 28. Please feel free to attend this
meeting.
1?' °9�
•
October 18, 2019
John and Sandra Blanchard I RE'CFIVED
256 Maynard Street
()LT 2 R 2019
Feeding Hills, MA 01030 rtryIH
OLD k:;NG'S HIGHWAY
Dear John and Sandy,
I am writing to inform you that I have submitted an application to the Historic
Commission requesting permission to change/upgrade the siding of my home
located at 9 Pequod Circle, Yarmouth Port to 5" vinyl shakes, color is sterling with
white trim.
Upon seeing a sample of the vinyl siding of what I have proposed to install, if you
find this siding acceptable and have no objection, please sign below and return
this letter to me.
John & Sandra Blanchardd9//72-),d
44 Pequod Circle
If you have any questions or concerns, please feel free to contact me at 508-221-
4573. The meeting with the Historic Commission to discuss the proposed siding
will be held at the Town Hall at 7:15pm on October 28. Please feel free to attend
this meeting.
RECEIVED
Sincerely, CO 2g zw9
•
Andrea Worrall
�9„ 0
115.56 ,' 14 115.139"
N
a 115.62.1 a ft e 1 568 115.116 115.120
1 ' 5 115637
11 '$4 115.140
52 44,, * - ,4 -.,
�� 1S64 115.91.2 115141
4 11 54 . '-
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a �= 115.75 �.; '
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•• 1 46 \ 115.74 115282 ,q. a,
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ug , 115I .�``
+� '5.79 00, 115:1~47
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e', 1. 169 115145
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115.2 �cC 11589 J
115.229 ., 115.158 - : 115.156
115.231 � 115.228 N. } a 115. r'}5 t,„�
115.230 y 115.157
9 PEQUOD CIR YARMOUTH PORT, N
MA 02675 �typi,
1 inch = 127 feet 1N�r,( E
s
Data and scale shown on this map are provided for planning and informational purposes only. YARMOUTH (MA) and Vision
Government Solutions are not responsible for any use for other purposes or misuse or misrepresentation of this information. 10/1/2019
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE ECEIVED
OCT - 9 2C;9
ABUTTERS' LIST
'r ArIMUU(r
OLD KING'S HIGHWAY
Applicant's (Owner) Name: M YA Wuved
Property Address/Location: 9
! �.
Hearing Date: / - 2. -f 9
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www.yarmouth.ma.us
Map Number Lot Number
Applicant Information: I )
Abutter Information: ' 1 5
115
IIS 01
lI "✓ 84
73
11 15- 7 `1
I `5 'r
:119
TOOK ; Ui _t ;
SOUTH YI\l7M :,;; ; �
r ! -
Application #:
3
8.2018
•
115/ 73/ / / 115/ 74/ / / 115/ 80/ / /
DAUBERT GREGORY A HARTSFIELD PATTI L / ANDERSON KIMBERLY A
160 UNION ST 10 PEQUOD CIR 40 PEQUOD CIR
YARMOUTH PORT, MA 02675 YARMOUTH PORT, MA 02675 YARMOUTH PORT, MA 02675
115/ 81/ / / 115/ 84/ / / ✓ 115/ 83/ / /
BLANCHARD JOHN F(LIFE EST) DU BOIS VALERIE WORRALL ANDREA J V
256 MAYNARD ST v 166 UNION ST 9 PEQUOD CIR
FEEDING HILLS, MA 01030 YARMOUTH PORT, MA 02675 YARMOUTH PORT, MA 02675
115/ 82/ / / 115/ 75/ / / j
BRENNAN LAURYN RUTLEY W PETER
27 PEQUOD CIR 16 PEQUOD CIR
YARMOUTH PORT, MA 02675 YARMOUTH PORT, MA 02675-1918
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
9 Pequod Cir., Yarmouth Port, MA 02675
Assessors Map 115, Lot 83
44 7ia.cic�/f.
Andy Macho, Director of Assessing
Marc Saravo
RECFnIED
Fall River, MA 02720
1•\
LD KING'S HIGHWAY
RECEIVED
OCT 2 9 2019
TowN
SOUTH yA,L. ERK
MOUTH, MA
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