HomeMy WebLinkAbout21-A143TOWN OF YARMOUTH
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F T 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 SFP 22202,
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COM O � J7 Nrc%,.,,..
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 Cate pries That A I Indicate type of Building: Commercial Residential
1) Exterior Buildin Construction: New Building F] Addition Iterations Reroof DGarage
Shed Solar Panels Other:
2) Exterior Painting. IISiding Shutters O Doors 0rim IIOther:
3) Signs/Billboards: II New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall IIFlagpole IIPool IIOther:
Please type or print legibly: t
Address of proposed work: 2-Li &&A ��� •',T�f�-C�10i�s�1 pOCk Olke� Map/Lot #
Owner(s): 'Sera , ?)It&)- Phone#:
All applications must be submitted by owner or accompaj�d by letter from owner approving submittal of application.
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Mailing address: , 1{[�11� ������ .�� i,Den,nl S � `'"'"YtearObuilt:
Email: (0(1 Preferred notification method: Phone Email
Agent/contractor: _ _ _s_ _ W to ��p1 Lai W si-vilirmf Phone #: ,5bg'(Q 6 -SZO I
Mailing Address:
Email: &W\)e Preferred notification method: Phone Email
Description of PTOPosed Work. C6 n5 . �W,x 1 q0 ` S" bo i &q Con'6-1r'h'�l
p .� �
-7 Co bwrr 10 S eo&) haVti (1 a � C�o,)r a J
2- (V\�O-Y) &a5-r-S., 60YI&�NC L-i 0` XOf>\ E>+U. bui, lda n On&ls �) rX &) 0 -( 3
C t1n v&ov, 100'k,)S t? iXLK Inavl` rVJ a 3ax-a9k char a-r MCLa c1oDC3
Signed (Owner or agent):
Date: 9 _ r._ -z- !
➢ Ownerlcontractorlagent is aware that a permit is requ' the Building Department. (Check other departments, also.)
➢ if application is approved, approval is subject to a ay 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.
Rcvd Date:
Amount -,
CashlCK #:
Rcvd by: _
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION M
TOWN OF Y A R M 0 U T H
y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
N 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 be scheduled as soon as the
situation allows.
Applicant/Agent Name (please print): r6Lh C- Db j
Applicant/Agent signature:=
`MM f
Date: ` -Jrz I
Application #: T- AA
312020
GENERAL SPECIFICATION SHEET
Project Address: AL LASi�
FOUNDATION: Material: Exposure (Not to�� ��e""xceed 18"):
CHIMNEY: MatedaVColor: GUTTERS: Material/Color:_( ;VC fI.d1Mn,UM
ROOF: Material:SW Pitch (7112 min) I Q ', 11,Z Height to Ridge: Z.o Color: IV YIi7e-
y n SI2d Hi-bSh� M
SIDING: Material/Style: le: Front: ?a�u-�1"Q.tl�} S Sides/Rear:
Color: Front: Sides/Rear: AS
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.
Material: Color: Pt\ 4.{r U..N
DOORS: Qty. 20 Material: c� Color:
Style/Size (if not listed/shown_on elevations):
STORM DOORS: Qty: Material: ��"" Color:
GARAGE DOORS: Qty: 10_ Ma�YI SIC" l Style: Color:
WINDOWS: Qty/side:,: Front:_ Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required): Pattern (616, 211, etc.) Grille Tyne: True Divided Lite:
Snap -In: 0— Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: ' Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size
DECK: Size: / Decking Mat'I:
Railing MatT. Style: _
WALLS/FENCES- (Max W height): Height:
Mat'l:
Color:
Color:
Color:
COLOR CHIPS
Style: Color:
(Show running footage & location on plot plan.) "Finished side of fence must face out from fenced in area,
UTILITY METERSIHVAC UNITS: Location: Screening:
l0 F�aod. �-�.i�n anc
LIGHTS: Qty: 20 e i� t Style:. Color: - (111U
Location(s). QL4- 4OLW� x—A COdtd
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2-General
APPLICATION M
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: ic��Of CAs�Nyy\,c
Property Address/Location: Ore
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:
Abutter Information:
8.2018 3
23. Z
Application #: - 2.]: a.�s
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