HomeMy WebLinkAbout21-A152, V#b
TOWN OF YARMOUTH OCT
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836 1/x
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OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIT
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, & SUPPLEM NTAL INFORMATION.
Check All Categories That A I Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition Iterations Reroof DGarage
Shed F]Solar Panels Other:
2) Exterior Painting: ZSiding Shutters IzDoors lfrim Other:
3) Signs/Billboards: C New Siyn Change to Existing Sign
4) Miscellaneous Structures: F fence Wall OFlagpole IIPool IIOther:
Please type or print legibly:
Address of propose/d� work: or -� �� MaplLot # s v�
Owner(s): T�1C1� �` C` 4 f, f I 8 AO_c i Y� Phone #:� fl 53a — q �J 1
All applications must be submitted by owner accomp ied by letter fromowner
1ownerr approving submittal
all of application.
Mailing address:fj 1 1 1��,[� tJ�Lf� n%a{J 6* �i[Q� " Y� rbui�� f `f ��
Email:�Preferred notification method: �� Phone Email
Agent/contractor. — / Phone #: I ! f/�3 d o6l
Mailing Address: A vv �1 # 7 q N-601
Email: ��C � C She (L)Qt (aI -* C-0/0 Preferred notification method:EF Phone Email
Description of Pro�posed Work:
P& L --ecrolw 6 r(�
Signed (Owner or agent): Ak,' `- Date: I !a 1
Owner/contractorlagent is awar hat a permit is required from the Building Department. ieck 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 dale or upon date of expiration of Building Permit, whichever date shall be later.
;i� All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections.
Rcvd Date: C 11Z�
Amount
Cash
Rcvdb :
cvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION #:2-1 -A 152-
-
oF'YA,�
zo TOWN OF Y RMOUTH
o H 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
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.
AppIicant/Agent Name (please print): ' � {, � (.,-Kr
e4 6�jo
Applicant/Agent signature: Date
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Application #: ;2� =r�j� 7
312020
GENERAL SPECIFICATION SHEET
Proiect Add
e—
FOUNDATION: Material: (26264,y'ZZfZ Exposure (Not to exceed 18"): Lj `J
CHIMNEY: Material/Color: i GUTTERS: Material/Color:A L,yrv, t0.M __W
Material: min ( ) .7 / Height to Ridge: 7�i Color
ROOF: Materia
SIDING: Material/Style: Front: ( Sides/Rear: S11rA�COLOR CHIPS
Color: Front: l + e_-P_ M C),16 Sides/Rear: l/l G{tC.ty
TRIM: All windows & doors to be trimmed with: 1x 4 if (Circle one.)
Material: Color: U...h r (I
DOORS: Qty: _ Material: �-"r -Color: rI5q
Style/Size (if not listed/shown on elevations): ' }C 0
STORM DOORS: Qty: _10— Material: Color:
GARAGE DOORS: Qty: J_ MatT M&tA-,k style: i 1 Color:
WINDOWS: Qty/side:: Front: Left:
Manufacturer/Series:
Right: Rear: Color; LA,>W e
Material:
Grilles (Required : Pattern (616, 211, etc.) b Grille Type: True Divided Lite:
Snap -In: �Between Glass: Permanently Applied: nExterior MInterior
STORM WINDOWS: Qty: 0 Material:
Color:
SHUTTERS: Mat'I: �91,___Style: Paneled Louvered Color:
SKYLIGHTS: Qty:. _ Fixed Vented X_ Size 2 x V Color: LA.,h,
DECK: Size: IV R Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max W height): Height: �& `` Mat'l: LclD7a a
Style: t,7 "u.•��. Color: k2h }vim a,/•0
(Show unnir ng footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: S(Cftee Screening:
LIGHTS: Qty: Style: "it Na"jif [ tjI �,In Color: Dl"I[._.
Location(s): %e. i^
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OC-17 OC-I /
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,TION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location:
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
Applicant Information:
Abutter Information:
8.2018
Map Number Lot Number
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Application #: _ 2� —A] ))'1?
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