21-A061 APPROVED TOWN OF YARMOUTH
\'!",t,.4-:
1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451 '21A(]R2 ,, e•52 "Rid.C
APR 26, 2021 Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
OLD KING'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 Apply; Indicate type of Building: Commercial Residential
1)Exterior Buildin Construction: I New Building - Addition Iterations I Reroof I 1 Garage
Shed Solar Panels V Other:
2)Exterior Painting: Siding ^Shutters Doors LTrim Other:
3)Signs/Billboards: New Sign [ 1 Change to xisting Sign
4)Miscellaneous Structures: liFence (Wall Flagpole (Pool UOther:
Please type or print legibly:
Address of proposed work: 1L--`-_ ,kr It k_ Map/Lot# 11-1 l _
Owner(s): 1 ` �
� 1� Phone#: t11 • f)�tX 0
All applications must be submitted by owner or accompanied by letter from owner approving submittal o application.
Mailing address: 't4\-\t _ - _ _ _ Year built \ ' _
Email: tir<fiL►et,rrn( 1(e1 i7c ,- cv, Preferred notification method: s Phone Email
Agent/contractor: --K"-i-\\-'1....""4.8\ b.1a _ ! f� - Phone#: ;
-
Mailing Address: tot L2 11. Py‘ r St-,1Ato,C �c_� \`' 1 , t I
Email:''.)0_2,..6,k‘G�, �t,N1 Str1EC ,LL4-1 Preferred notification method: Phone Email
Description of Proposed Work:
tVek?.4.-ti"� C %\ e \u CAbba t (‘ ) c Acxb1c._ F�L;t.r LvvrtciN,..Y aryl (. t
C &It-i jr! r\-- InC�\t'
Signed(Owner or agent): _ Date: I b , l )\
> 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: n Approved Approved with Modifications Denied
n�\ 2
Rcvd Date 3111 N.{ \ Reason for Denial,. Applicant shall seek OKH approval for any changes
--- ___--Amount to these plans prior to the change
Cash/CK k.
��) � Signed: being incorporated into the project.
Rcvd by: lJ "— -- -
APPROVED BY:
45 Days:
— _ Richard Gegenwarth
Robert Wilkins
Date Signed
Paula Morrison
Rosemary Nichqlls � (---A0APPLICATION#
o1 TOWN OF YARMOUTH
C; c 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
Telephone(508)398-2231 Ext.1292 Fax(508)398-0836
a
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared
National and State public health emergencies the determination of our Application for a
Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the
filing of such application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 Meetings,Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (45) days
after the filing of application, or within such further time as the applicant shall allow in
writing, the Committee shall make a determination on the application."
Applicant understands that the review of this application will be scheduled as soon as the
situation allows.
Applicant/Agent Name(please print): NIiA 0�k?A to Z z 1
Applicant/Agent signature: Op,iaL
- Date:f l ,
Application #: 0 I AO i
3/2020
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:
SIDING: Material/Style: Front: _ Sides/Rear: COLOR CHIPS
Color:Front: Sides/Rear:
TRIM: All windows&doors to be trimmed with: lx 4 1x5 (Circle one.)
Material: Color:
DOORS:, Qty: i Material: c.-t ty)av)c Color:
Style/Size(if not listed/shown on elevations): . •
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'l: Style: Color:
WINDOWS:Qty/side:: Front: Left: Right: Rear: Color: HAL
Manufacturer/Series: rlNlwv's\ f(cv Material: V tQN.y.
Grilles(Required )Pattern(6/6,2/1,etc.) Grille Type:True Divided Lite:
Snap-In: ( Between Glass:n Permanently Applied: =Exterior Dinterior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'l: Style:Paneled Louvered Color: _
SKYLIGHTS: Qty: Fixed Vented Size Color:
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:
LIGHTS: Qty: _ Style: Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s): _
Additional information:
2-General
APPLICATION#:
SIGN SPECIFICATION SHEET
Proiect Address: Year Built:
Check one: ❑ New Sign ❑ Addition/Alteration to Existing Sign COLOR CHIPS
❑ Freestanding Affixed to Building
For Affixed Signs:
Style of mounting fixture: Color
Size of sign: Material
Lettering: Style Color(s):
Please note sign placement on elevation(s)and attach full-color mockup(s)of proposed
sign(s)including artwork and colors.
For Freestanding Signs:
Style of signboard: Material:
Size: _ Color(s):
Lettering: Style Color(s):
Posts: Material Color(s):
Height to crossbar(not to exceed 6'): Single-faced: Double-faced:
Please note sign placement on plot plan and attach full-color mockup(s)of proposed
sign(s) including artwork and colors.
For All Signs:
Lighted: ❑ Yes No
Type/placement of lighting:
Screening of Lights:
Additional information:
2-Sign
APPLICATION#:
Itemized Order Receipt
dba:Renewal By Andersen of Southern New England Robert Kelly
Legal Name:Southern New England Windows,LLC 145 Pine St.
RENEWAL RI#36079, MA#173245,CT#0634555, Lead Firm#1237 Yarmouthport,MA 02675
byANDERSEN 10 Reservoir Rd I Smithfield,RI 02917 H:(508)737-8000
mammal=mate
Phone:401-349-1384 I Fax:401-633-6602 I sales@renewalsne.com
ID#: ROOM: DETAILS:
Misc: Misc, TO CONSTRUCTION DEPARTMENT:, **THIS IS A
REVISED CONTRACT(ORIGINALLY DATED 3/3/21**AIL UNITS
THAT REQUIRE NEW INTERIOR/EXTERIOR TRIM WILL HAVE 2.5"
COLONIAL(PRIMED PINE) IN/AZEK OUT; PATIO DOOR TO ALSO
HAVE NEW OAK TRANSITION(UNFINISHED)
Misc: Misc, THANK YOU!, As a reminder, it is the customer's
responsibility to do any painting, staining or touch up work
after installation. We appreciate your business and look
forward to exceeding your expectations.
Misc: Misc, PERMIT, Customer has paid for Renewal by
Andersen to secure a building permit for their project. Permit
fees are non-refundable once Renewal By Andersen applies for
a permit-YARMOUTH, MA($50 FLAT FEE)
Misc: Misc, HISTORIC APPROVAL NEEDED, Job will need
historic approval for installation, delays may impact estimated
installation date.
101 KIT/DIN Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern: All Sash: Colonial 2w x 1h, Misc: NEW
Int. STANDARD Casing - Pine, 2.5" or 3.5', colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing- Composite (Bright White), Picture
Frame or Traditional, Includes sill nose.
UPDATED: 03/25/21
Page 3/ 9
s \
.44, Itemized Order Receipt
dba:Renewal By Andersen of Southern New England Robert Kelly
Legal Name:Southern New England Windows,LLC 145 Pine St.
RENEWAL RI#36079, MA#173245,CT#0634555, Lead Firm#1237 Yarmouthport,MA 02675
brANDERSEN 10 Reservoir Rd I Smithfield,RI 02917 H:(508)737-8000
wSEM 111E0ramuvvu.ar
Phone:401-349-1384 I Fax 401-633-6602 I sales®renewalsne.com
ID#: ROOM: DETAILS:
102 A LIV Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern:All Sash: Colonial 2w x 1h, Misc: NEW
lnt. STANDARD Casing - Pine, 2.5" or 3.5", colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing - Composite (Bright White), Picture
Frame or Traditional, Includes sill nose.
UPDATED: 03/25/21
Page 4 / 9
= Itemized Order Receipt
dba:Renewal ByAndersen of Southern New England Sl Robert Kelly
• Legal Name:Southern New England Windows,LLC 145 Pine St.
E N E WA L RI#36079, MA#173245,CT#0634555, Lead Firm#1237 Yarmouthport,MA 02675
'ANDERSEN
1011111M1 Home 10 Reservoir Rd I Smithfield,RI 02917 H:(508)737-8000
con
Phone:401-349-1384 I Fax:401-633-6602 I sales@renewalsne.com
• ROOM: DETAILS:
2 B LIV Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern:All Sash: Colonial 2w x lh, Misc: NEW
Int. STANDARD Casing Pine, 2.5' or 3.5', colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing - Composite (Bright White), Picture
Frame or Traditional, Includes sill nose., Convert a Bay or Bow
to a Flat Unit, Rework soffit and siding for bay/bow conversion
to a flat window., Lower or Build In Opening, Includes exterior
siding rework, framing, drywall, one coat of mud & tape.
Customer is responsible for the cost of removing, or
relocating, any hidden utilities in the enclosed wall;
**ENCLOSE CENTER OF EXISTING R.O. (APPROX. A 25" x 57"
AREA)W/DB UNITS (APPROX. 40" x 57")ON EITHER SIDE**,
Bay roof removal/repair, CUT BACK/RECONFIGURE EXISTING
BAY ROOF DUE TO STRUCTURAL LIMITATIONS WITH EXISTING
BAY; INCLUDES NEW ROOF SHINGLES, FACIA, AND SOFFIT AS
NEEDED
UPDATED: 0 3/25/2 1
Page 5 / 9
Itemized Order Receipt
dba:Renewal By Andersen of Southern New England Robert Kelly
Legal Name:Southern New England Windows,LLC 145 Pine St.
RENEWAL RI#36079,MA#173245,CT#0634555, Lead Firm#1237 Yarmouthport,MA 02675
brANDERSfN
1:t4041.ml1ooa ulama: 10 Reservoir Rd I Smithfield,RI 02917 H:(508)737-8000
Phone:401-349-1384 I Fax:401-633-6602 I saleserenewalsne.com
ID#: ROOM: DETAILS:
103 BED 1 Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern: All Sash: Colonial 2w x 1h, Misc: NEW
Ext. Casing -Composite(Bright White), Picture Frame or
Traditional, Includes sill nose., NEW Int. STANDARD Casing -
Pine, 2.5' or 3.5", colonial, clamshell or 1x4 flatstock. Picture
frame or Traditional, stool and apron.
104 BED 1 Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass:All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern: All Sash: Colonial 2w x 1h, Misc: NEW
Int. STANDARD Casing - Pine, 2.5" or 3.5", colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing - Composite (Bright White), Picture
Frame or Traditional, Includes sill nose.
105 BED 2 Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: NEW
Int. STANDARD Casing - Pine, 2.5" or 3.5", colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing - Composite (Bright White), Picture
Frame or Traditional, Includes sill nose.
UPDATED: 03/25/21 Page 6 /9
•
htyItemized Order Receipt
dba:Renewal By Andersen of Southern New England Robert Kelly
Legal Name:Southern New England Windows,LLC 145 Pine St.
RENEWAL RI#36079,MA#173245,CT#0634555, Lead Firm#1237 Yarmouthport,MA 02675
beANDERSEN 70 Reservoir Rd I Smithfield,RI 02917 H:(508)737-8000
Phone:401-349-1384 I Fax:401-633-6602 I sales@renewalsne.com
ID#: ROOM: DETAILS:
106 BED 2 Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass:All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern: All Sash: Colonial 2w x 1h, Misc: NEW
Int. STANDARD Casing - Pine, 2.5' or 3.5', colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing - Composite (Bright White), Picture
Frame or Traditional, Includes sill nose.
107 BATH Window: Double-Hung, 1:1, Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: Sash 1: High Performance,
No Pattern, Sash 2: High Performance, No Pattern, Tempered
Glass, Hardware: Satin Nickel, Screen: Fiberglass, Full Screen,
Grille Style: Grilles Between Glass (GBG), Grille Pattern: All
Sash: Colonial 2w x 1h, Misc: NEW Int STANDARD Casing -
Pine, 2.5' or 3.5", colonial, clamshell or 1x4 flatstock. Picture
frame or Traditional, stool and apron., NEW Ext. Casing -
Composite(Bright White), Picture Frame or Traditional,
Includes sill nose.
108 DIN/PORCH Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Active/
Stationary, Exterior Black, Interior Black, Glass: All Sash:
Tempered High Perf., Hardware: Anvers®, Satin Nickel,
Auxiliary Foot Lock Color Matched, Screen: Gliding, Full
Screen, Grille Style: Grilles Between Glass(GBG), Grille
Pattern: All Sash: Tall Fractional, Misc: None
UPDATED: 03/25/21 Page 7 / 9
Agif itemized Order Receipt
dba:Renewal BytiO
Andersen of Southern New England
RENEWAL Legal Name:Southern New England Windows,LLC
145 Pine St.
brANDER$EN"
WSW
#36079, MA#173245, Robert Kelly
mu muau
„ �a, 10 Reservoir Rd I Smithfield,RI 02917#0634555, Lead Firm#1237
Phone:401.349-1384 I Fax:401-633-6602 I sales®renewalsne.com larmouthpor[,MA 02675
H:(508)737-8000
ID#: ROOM:
DETAILS:
709 LAUNDRY/HALF BATH
Window:Double-Hung, 1:1 Full Frame, Traditional Checkrail,
Exterior Black, Interior Black, Glass: All Sash: High
Performance, No Pattern, Hardware: Satin Nickel, Screen:
Fiberglass, Full Screen, Grille Style: Grilles Between Glass
(GBG), Grille Pattern:All Sash: Colonial 2w x 1h, Misc: NEW
Int. STANDARD Casing - Pine, 2.5" or 3.5", colonial, clamshell
or 1x4 flatstock. Picture frame or Traditional, stool and
apron., NEW Ext. Casing - Composite (Bright White), Picture
Frame or Traditional, Includes sill nose.
112 KIT SINK
Window: Casement, Single, Right, EJ Frame, Exterior Black,
Interior Black, Glass:All Sash: High Performance, No Pattern,
Hardware. Satin Nickel, Corrosion Resistant Hardware,
Screen: TruScene, Full Screen, Grille Style: Grilles Between
Glass(GBG), Grille Pattern: All Sash: Colonial 2w x th, Misc:
NEW Int. STANDARD Casing -Pine, 2.5" or 3.5", colonial,
clamshell or 1x4 flatstock. Picture frame or Traditional, stool
and apron., NEW Ext. Casing- Composite(Bright White),
Picture Frame or Traditional, Includes sill nose., FDL Mimic Rail
- Horizontal, Matches up with GBG and FDL grills only;
**HORIZONTAL MIMIC RAIL ON CENTER TO SIMULATE OTHER
DB UNITS IN PROJECT(2W/1H-BOTH SASHES)**
WINDOWS:10 PATIO DOORS: 1 SPECIALTY:0 MISC:4
Renewal by Andersen is committed to our customers'safety by
complying with the rules and lead-safe work practices specified by the EPA.
UPDATED: 03/25/21
Page 8/9
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114/ 5.1/ / / Please use this signature to certifythis list of properties
CAPE AND ISLANDS COUNCIL BSA g p p
247 WILLOW ST directly abutting and across the street from the parcel located at:
YARMOUTH PORT, MA 02675-1744
145 Pine St., Yarmouth Port, MA 02675
Assessors Map 114, Lot 3
114/ 3/ / / /1)1 �_i�
MOHAN SAMANTHA Andyachado, Director of Assessing
C/O KELLY ROBERT W
145 PINE ST
YARMOUTH PORT , MA 02675
114/ 2/ / /
GOODRICH WALTER H
GOODRICH LOIS E
157 PINE ST
YARMOUTH PORT, MA 02675
114/ 126/ / /
MORLEY DAVID A
MORLEY LEANNA M
2 DUCK POND RD
YARMOUTH PORT, MA 02675
114/ 125/ / /
SWIFT DAVID H
THAPA MAGAR DEB AND SANGMU
146 PINE ST,
YARMOUTH PORT, MA 02675
114/ 4/ / /
DECOST LAURIE A
DECOST F S &C
139 PINE ST
YARMOUTH PORT, MA 02675
So) i 201
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