HomeMy WebLinkAbout21-A141 ApprovedTOWN OF YARMOUTH YARMOUTH nt°IRSraLERK
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 921
..S? P I —F4=`m2: 1 1 REC
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 A I Indicate type of Building: Commercial S
Residential
:1) Exterior Buildin Construction: New Building 0 Addition Iterations of Garage
Shed E Solar Panels Other:
Exterior Painting: TSiding Shutters n Doors _✓Trim [_]Other:
3) Sign slBillboa rds: _..___L New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall OFlagpole Opool II
Please type or print legibly:
Address of proposed work: 15 Wadsworth Lane
Other:
Map/Lot # 106/75
Owner(s): Thiago Paraguay Phone #:7748366910
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 22 Benjamin Way, West Yarmouth, MA 02673 Year built:
Email: thjago@eastbaycompanies.com Preferred notification method: z Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email:
Description of Proposed Work:
Construction of a single-family dwelling
Signed (Owner or agent):
For
Preferred notification method
Phone-0 Email
Date: 49193191
Own errcontractorlagant is aware that a permit is required from the Buildi fg Department. (Check other departments. also.)
If application is approved, approval is subject to a 10-day appeal penod 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
Rcvd Date U l G5-le2 oZ
Amount
Cash/CK #:
Rcvd by: C�
45 Days:
Date Signed:
V Approved Approved with Modifications
rftA`�
APPLICATION #: Q � Ll
e
GENERAL SPECIFICATION SHEET
Proiect Address:
FOUNDATION: Material: Poured Concrete Exposure (Not to exceed 18'): 8!I
CHIMNEY: Material/Color. n/a GUTTERS: Materlal/Color:Alluminum, White
gmi.aga,Sningles 10112 28 Black
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: MateriaUStyle: Front: A&raClappwdsfCadwShin&s Sides/Rear: Allura Clapboards COLOR CHIPS
Color: Front: White Sides/Rear: Allura Clapboards
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: AZEK Color: White
DOORS: Qty: 5 Material: Fiber Glass Color: Black
Style/Size (if not listedishown on elevations): Six light front door/full View on rear
STORM DOORS: Qty: 1 Material: Alluminurn Color: Black
GARAGE DOORS: Qty: 2 Mat'l: Steel Style: Carriage Color: Black
WINDOWS: Qt Iside:: Front: 12 Left: 7 Right: 8 Rear: 16 Color. Black
Manutacturer/Series: Andersen, 400 Series nnatp�aE Vinyl
Grilles (Required : Pattem (616, 211, etc.) 611 Grille Type: True Divided Lite:
Snap -in: _II Between Glass:= Permanently Applied: IIExterior Ointefior
STORM WINDOWS: Qty: 0 Material: Color:
SHUTTERS: Mat'I: 0 Style: Paneled Louvered Color:
SKYLIGHTS: Qty:0 Fixed
DECK: Size:700 Staff Decking Mat'I
Railing Mat'l:Azek
WALLSIFENCES' (Max 6' helght): Height:
Vented
Azek
Size Color:
Style: traditional
MAT
Color: gray
Color: White
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: Right Side Screening: SChrubs
LIGHTS: Qty: 5 Style: Onion Color Copper
Location(s): At exterior doors
LIGHT POSTS: Qty: 0 Material:
Location(s):
Additional information:
2-General
Color:
APPLICATION #:
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TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (owner) Name: Thiago Paraguay
Property Address/Location: 15 Wadsworth Lane
Hearing Date:
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.varmouth.ma.us
Map Number Lot Number
Applicant Information: 106,107 75
Abutter Information:
8.2018
Application M