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21-A126
_0 TOWN OF YARMOUTH & �" 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 - Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 `2- 2:2:9 R.i7C 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 Copies OF SPEC SHEET(S), ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That Appl : Indicate type of Building: 0 Commercial Residential 1) Exterior Buildijia Construction: New Building Addition M.IterationsReroof['Garage ✓ Shed Solar Panels Other: I RECEIVED 2) Exterior Painting: LV JSiding nShutters Id I Doors I Trim ,Other: • : 1 3) Signs/Billboards: fi New Sign Change to Existing Sign r -1r IVtOu 1 h 4) Miscellaneous Structures: Fence Wall ['Flagpole Pool 0th-r: . • - . . A ,Y Please type or print legibly: I APPROVED! Address of proposed work: 125 Route 6A Map/Lot# 121/85&86- 122/2 AUG - 9 2021 Owner(s): PJ Nyberg Family Realty trust-See Letter ' Phone#: All applications must be submitted by owner or accompanied I A NIUU H owne approving submittal of application. OLD KING'S HIGHWAY 1948/ 1977 Mailing address: Year built: Email: roger@capewideconstruction.com Preferred notification method: Phone El Email Agent/contractor: Capewide Construction, Inc- Roger F. Brooks Phone#: 508-477-0353 Mailing Address: 53 Mercantile Way. #6, Mashpee, MA 02649 Email: roger@capewideconstruction.com Preferred notification method: F Phone IN Email Description of Proposed Work: Adaptive re-use of existing office (former bank) building for new doctors offices. Restore front (Rte. 6A side) entrance with new stairs & railings, removing side stairs & railings. Keep existing details rehab/repair as needed. Remove existing thru wall AC units & install new on roof similiar to existing. Existing garage to be replaced with new building per plan to match detail & height w/ small addition to be used as office area Roger F. Brooks Digitally signed by Roger F.Brooks Signed(Owner or agent): g Date:2021.07.19 13:47:41-04'00' Date: ➢ 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. y 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 \i'Aç9\ W.MeS Amount �\ Ob.00 �Cash/CK#:Saf' v ' 1 n��� Signed: Vi Rcvd by: /02,.,. i''' \ 45 Days: % tw`(v0_S Tvz6---ca •T WA-- � ,,Q � 61 - i OY�c� W `-1�GVedL Date Signed: b 1 APPLICATION#: of `—Pc 16" 3=0`.1'"44, TOWN OF YARMOUTH s 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 copies OF SPEC SHEET(S), ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That Appl : Indicate type of Building: 0 Commercial Residential 1) Exterior Building Construction: New Building Addition ■ Iterations Reroof U Gara•e Shed Solar Panels Other: RECEIVED 2) Exterior Painting: LV 1Siding _ Shutters _1__ Doors 1 Trim IIOther: • : , 3) Signs/Billboards: [1 New Sin - Change to Existing Sign vwul H 4) Miscellaneous Structures: Fence Wall UFlagpole Pool IIOth:r: . • �Y Please type or print legibly: Address of proposed work: 125 Route 6A Map/Lot# 121/85&86- 122/2 Owner(s): PJ Nyberg Family Realty trust-See Letter Phone#: All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: Year built: 1948/ 1977 Email: roger@capewideconstruction.com Preferred notification method: I nI Phone 1 Email Agent/contractor: Capewide Construction, Inc- Roger F. Brooks _Phone#: 508-477-0353 Mailing Address: 53 Mercantile Way. #6, Mashpee, MA 02649 Email: roger@capewideconstruction.com Preferred notification method: Phone 1 Email Description of Proposed Work: Adaptive re-use of existing office (former bank) building for new doctors offices. Restore front (Rte. 6A side) entrance with new stairs & railings, removing side stairs & railings. Keep existing details rehab/repair as needed. Remove existing thru wall AC units & install new on roof similiar to existing. Existing garage to be replaced with new building per plan to match detail & height w/ small addition to be used as office area Roger F. Brooks Digitally signed by Roger F.Brooks Signed(Owner or agent): 9 Date:2021.07.19 13:47:41-04'00' Date: ➢ 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#: TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Urology Associates of Cape Cod, P.C. Property Address/Location: 1 25 Route 6A, Yarmouth Hearing Date: 8/9/2 1 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: 121 85 & 86 122 2 Abutter Information: Application #: 3 8.2018 TOWN OF YARMOUTH `u 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 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 he scheduled as soon as the situation allows. Applicant/Agent Name (please print): Urology Associates of Cape Cod, P.C. ROGER Brooks Digitally signed by ROGER Brooks Applicant/Agent signature: Date:zoz�.o�.z� �a:sz:za-oaoo Date: Application#: 3/2020 GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: concrete Exposure (Not to exceed 18"): existing CHIMNEY: Material/Color: brick/red GUTTERS: Material/Color:aluminum/white ROOF: Material: asphalt and rubber Pitch (7/12 min)existing Height to Ridge: existing Color dark gray SIDING: Material/Style: Front: wood/clapboard Sides/Rear: white cedar COLOR CHIPS Color: Front: white Sides/Rear: white TRIM: All windows &doors to be trimmed with: 1x4 1x5 (Circle one.) Material: PVC/Painted Color: white DOORS: Qty: 3 Material: metal/fiberglass Color white Style/Size(if not listed/shown on elevations): front STORM DOORS: Qty: Material: na Color: na GARAGE DOORS: Qty: 0 Mat'I: na Style: na Color: na white match existing WINDOWS: Qtv/side:: Front: Left: Right: Rear: Color Manufacturer/Series: Harvey MIAT(1 e IS ilJc+ Material: Vinyl Grilles (Required): Pattern (6/6, 2/1,etc.) 8/12 Grille Type: True Divided Lite: Snap-In: I J Between Glass: _✓ I Permanently Applied: Exterior Interior STORM WINDOWS: Qty: 0 Material: na Color: na SHUTTERS: Mat'I: Vinyl existing Style: Paneled Louvered X Color: Black SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size:9'6"x12' Decking Mat'I: PT Color: natural Railing Mat'I:steel Style: ramp rails/steel posts Color: black WALLS/FENCES*(Max 6'height): Height: 2.i Mat'I: cS''IDtJ. Style: a0-'/— ke,(OGA1 s, Color: (Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: HVAC roof&electric SE side Screening: plantings LIGHTS: Qty: 8 wall packs Style: see spec sheet Color: black Location(s): N/S/E/W elevations LIGHT POSTS: Qty: 10 0 Material: alumimnum see spec sheet Color: black Location(s): see site plan Additional information: east side- Drive thru roof/window to be removed, (2) new windows installed in place west side-remove (1)existing window and infill.front entry-remove existing (2)side doors, stairs&ramps. Install new windows in place of the doors 2-General APPLICATION#: SIGN SPECIFICATION SHEET Project Address: I 2.5 IRa..A.TE. 6/1)\ Year Built: 19118/177 Check one: �I New Sign Addition/Alteration to Existing Sign COLOR CHIPS I V I Freestanding _1 Affixed to Building For Affixed Signs: Style of mounting fixture: direct Color: black Size of sign: 12 S.F. Material: wood Lettering: Style block Color(s): black and white 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: ladder Material: PVC Size: 48" x 72" Color(s): black Lettering: Style times new roman Color(s): white Posts: Material PVC/Vinyl Color(s): white Height to crossbar(not to exceed 6'): 72" Single-faced: Double-faced: X 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: El Yes I No Type/placement of lighting: ground mounted Screening of Lights: plantings Additional information: 2-Sign APPLICATION#: --- 1,, l c r '. ' %q\ \ \\ \ \\ƒ 2 2< : a ; t} { • - | C {;\» ; ..5 : ' I : { \ >~ %. . i . \, \ri li'» \. .«yam " \ : \ \ > } ; ~ Mil ' ` © » \2 - .. . 4' / [ 1 4\ / . .-..- _ � ! § . r %y.11 I. - ° , 2 2 . / / < •crs . : yf \4'P X \` k ! 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',1;!:'it ..,.. .•', .. „ le or i / /991i. , ,,,,.._ .,- ... -,.— ' •--. * ‘, ‘,.... . k•:, A. . . . •4 i ,- .. . . • , . ., 9 1 - -_--- .... • c."i ,., ....4, 'ii :i t • 100 i ,i--..• ' 1. ,- i • ,. • • • , . ...... ... ,. , .....„ ' ' 14.',-.4• 1'; ,,•, __ .. ._ p •,.. . . ....• . , ,,,, ,,, _. • . - , _..,,.......„,..,...... ..,- „- , ' • ' ..... . - - . .,- . ....._____ . . , . . . 1 • , - .., .- I ri-0.... ... . ,..., ... 121/ 75/ / / BERRY NANCY E Please use this signature to certify this list of properties PO BOX 82 directly abutting and across the street from the parcel located at: ANDOVER , MA 01810 125 Route 6A, Yarmouth Port, MA 02675 Assessors Map 121, Lot 85 122/ 32/ / / BACK 40 REAL ESTATE LLC 134 ROUTE 6A Andy Mgchado, Director of Assessing YARMOUTH PORT, MA 02675 7/23/21 121/ 85/ / / PJ NYBERG FMLY LTD PTNSHP PO BOX 1528 SOUTH DENNIS , MA 02660 122/ 2/ / / PJ NYBERG FAMILY LTD PTNSHP PO BOX 1528 SOUTH DENNIS , MA 02660 121/ 86/ / / PJ NYBERG FAMILY LTD PTNSHP PO BOX 1528 SOUTH DENNIS , MA 02660 122/ 1/ / / KNAPIK GLENN TRS KNAPIK MONETTE TRS 19 NORTH SANDYSIDE LN YARMOUTH PORT, MA 02675 121/ 76/ / / HEWLETT ELISABETH B C/O ELISABETH HEWLETT LESSIG 1 GINGERBREAD LN YARMOUTH PORT, MA 02675-1110 a\RA- 1 /2o