HomeMy WebLinkAbout21-A067 WITHDRAWN 3 INN
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TOWN OF YARMOUTH
1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
� ��� =� Telephone(508)398-2231 Ext.1292 Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION WITHDRAWAL FORM
I(print name) �,�
�� C2r1. t\nT 7 i herby withdraw the following Application(s)
(Applicant/Owner/Agent)
relating to <SS (-)., 1At'n \l, il, r .•
(Project Address)
Check all that apply: 1
']Certificate of Appropriateness /�)�i V 6 4 Submitted on I\Q t'2-6)- l _
Approved on: cJ I \Q 1 aol. ‘
O Certificate of Exemption# Submitted on
Approved on:
O Certificate of Demolition# Submitted on
Approved on:
Signed 0._ Date:
(Applicant/Ownr Agent)
TOWN OF YARMOUTH
I 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451
Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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 COpleS OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION.
Check All Categories That Apply Indicate type of Building: Commercial - :
•
1)Exterior Building Construction: New Building ElAdditionerations R r. _LVED
Shed Solar Panels n• Other:()•>tl ALLA
APR 1 9 2021
2)Exterior Painting: Siding f Shutters Fl Doors F}trim IIOther.
} Y"AHMOI,i i ri
3)Signs/Billboards: Fl New i n Change to Exi ting Sign OLD KING'S HIGHWAY
4)Miscellaneous Structures: Fence Wall Flagpole nPool IIOther:
Please type or print legibly:
Address of proposed work: --4)`") (�L Y t,,c'Y-E.. Map/Lot# ) I 1
Owner(s): ` (• J Phone#: ,�( •`�'aq
All application must be subm ed by owJ.r or accompanied by letter from owner approving submittal of application.
Mailing address: .1)S-- Oak_ Cr1 Nr., L !, - Year built
Email: L Ct274t\71.0- Preferred notification method: E Phone Email
Agent/contractor: kJJNtinQNI Phone#:L(6( 4C&O''i(J
Mailing Address: 16 t,V2 1 C+-4Ar.kri ?'T
Email:`�-tegNtkUr Cot-1 Preferred notification method: Phone ZI Email
Description of Proposed Work:
L\ �UV� tom.)\►�4L^
Signed(Owner or agent): ,� � � Date: `4 `lq• Q61,
Owner/contractodagent 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.
D 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)/l 12 l Reason for Denial:
Amount
Cash/CK#:
Signed:
Rcvd by:( ._... .
45 Oays: —
Date Signed:
1 -A
APPLICATION#:
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: Material: 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. L.," Color: AA-NA t)
Manufacturer/Series: �v is>l �) NYlito-Xj tt4r1 Material: C LLact�- I
Grilles (Required` Pattern(6/6,2/1,etc.) _ Grille Type:True Divided Llte:_
Snap-In: Between Glass: T Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Merl: Style:Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I:_
Railing Mat'l: Style: _ Color:
WALLS/FENCES•(Max 6'height): Height: Marl:
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#:
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TOWN OF YARMOUTH
1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 026644451
Telephone(508)398-2231 Ext.1292 Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION WITHDRAWAL FORM
I(print name) 1(`,1 C....al- t\c„7,-Z t herby withdraw the following Application(s)
(Applicant/Owner/Agent)
relating to _,-)S- ()L4, (APN -J \ e
(Project Address)'
Check all that apply:
Certificate of Appropriateness#!`- ) i L.,6)1- Submitted on
Approved on:
❑ Certificate of Exemption# Submitted on
Approved on:
❑ Certificate of Demolition# Submitted on
Approved on:
Signed: 0(-- d Date: `-k /0-11 ( ti
g(Applicant/Own A ent)