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HomeMy WebLinkAboutUntitled _. Y , TOWN OF YARMOUTH RECEIV - ,,z 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 "61111N e 'S HIGHWAY HISTORIC DISTRICT COMMITTEE YARMOUTH OLD KING'S HIGHWAY__ 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 Appl : Indicate type of Building: © Commercial —I Residential 1) Exterior Buildin Construction: 7" New Building Fl Addition ■A Iterations I Reroof n Garage Shed Solar Panels Other: 2) Exterior Painting: Siding Shutters 0 Doors Trim UOther: NRiu 2A L- 3) Signs/Billboards: 1 ] New Sin Change to Existing Sign 4) Miscellaneous Structures: Fence Wall DFlagpole 1-1 Pool IIOther: Please type or print legibly: p �/ Address of proposed work: !L3 �DU7a' 6- 1 /42 KOu%/{J�2 i Map/Lot# /Y-3/SP Owner(s): I ALC CJ M Dl`l Phone#: All applications mustqbe submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: /.ob /'•1a',A) .- )14/Zd1OL TI-i t o2r MA o26 7--/ Year built: t Email: 0RMOti1,.&Livoz.s'a C1/1(,¢S�4r Preferred notification method: 0 Phone © Email Agent/contractor: M))g.: Pi riE\) /4L _Phone#: sok' 2V) 772 I Mailing Address: -P016k 12SC✓ $D,AZ.foi :74 ! iM Y 621Z 11 Email: KM 4'CKC f-1 CAt 0 MC.. Gott Preferred notification method: El Phone 12 Email Description of Proposed Work: 6O//517ZiA T /k 7 ► -r '&"IM PAPA (2.42 Signed (Owneragent):or a ent : A `��'`"'`- Date: 6 -7-A',2. I > Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.) > 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. > 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: Approved Approved with Modifications Denied Rcvd Date: Reason for Denial: Amount Cash/CK#: Signed: Rcvd by: _ 45 Days: Date Signed: 1 APPLICATION#: GENERAL SPECIFICATION SHEET Project Address: ire,ti- 64 >flo J tf Fe,2 r FOUNDATION: Material: � o�Gf STI g Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: A6 LY /iiAL-fic--Pitch (7/12 min) 2 Height to Ridge: 2_ / `' TtAnaL n 7 SIDING: Material/Style: Front: N1 L)Ae J L�C42 Sides/Rear: INS X14/tiA) RA1? COLOR CHIPS Color: Front: 1 nJE, RAgA.) 2.5o/4!zb Sides/Rear: ntJc ,;?4 z1() kD4-R2� TRIM: All windows & doors to be trimmed with: lx 4 1x5 (Circle one.) Material: N c Color: A/A-7v, '',q L �/21rX DOORS: Qty: 2- Material: I-lex , 1 5/'2--...EL Color: 3i;,47_4(._� Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: Material: Color: rU DOORS: Qty: 2 Mat'I: 7r-1.0 Style: Sc/A Color: %Vlriri/ML WINDOWS: Qty/side:: Front: Left: 3 Right: 3 Rear: Color: Manufacturer/Series: -STA FrdQkA-1)/31Aj Material: Grilles (Require) Pattern (6/6, 2/1, etc.) 3 `/ Grille Type: True Divided Lite: n Snap-In: Between Glass: ® Permanently Applied: =Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'l: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Matt: 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: LIGHTS: Qty: 3 Style: l-E-L Color: 31?-aWAti Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: ??.V?e_s 5r1 A '5 t i £!CC i,,c/, C-I?c^ 7-4-(T ,c)l-(f 1LL`L` Cr74-67- °-10 % Io 10 IS t ` ti SHS`( i; . }6ZI• w Z;gt).S t Ei'z L Si YAeZ 2-General APPLICATION#: