HomeMy WebLinkAbout21-A154 ApplicationE CEIVED
° Y a TOWN OF YARMOUTH OCT 15 2021
° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 YA.HIAOUTh
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OLD KINGS HIGHWAY HISTORIC DISTRICT COM
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 SHEETS), ELEVATIONS PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That APPI : Indicate type of Building: Commercial Residential
1) Exterior Buildin Construction: Building II Addition It Reroof OGarage
Shed Solar Panels Other: ADD t3r4041 A6or + clxmcp 4Ace
2) Exterior Painting: IISiding Shutters El Doors Trim Other: Give 606r
3) Signs/Billboards: 0 New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall IIFlagpole IIPool IIOther:
Please type or print legibly: �,f
Address of proposed work: 12. �p1`t �� wrm ,A � �� ` ' ' Map/Lot # 121
Owner(s): Tit 11 r° f, _ o C Phone #4- 7 $',S 77 - Ile
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
el
Mailing address: A, e Year built: t L)
Email: SrA fl'"11�I't t W0I If . (c,^ Preferred notification method: ZPhone 1Z Email
Agonticontractor: ad+'t.. �WrGiCPf e� .Zn c _Phone #: `i ��!'��� '7b7 Z-
Mailing Address: I Jr r+ - ii 3 Y 9 eyy7/ S j' h- • Cl "i
Email: GO 0%- Preferred notification method: � I Phone L
I
Description of Pro/posed Work: L
At'- ( o f C' & Ta ki .90 o ,r 'o UL C C ► �(1G�� haM Lo—
/2 !•!/J lc,. G � �1L !� �Y n � %�/. n q� � ��G h. �� G. a v 5 -t
f i�o r F I
Signed (Owner or agent):
Date:
Email
Ownerlconlractor/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.
Rcvd Date:
Amount 9 4-[(�—✓ __
G�CK #:
Rcvd by: ;`
45 Days:
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
1
APPLICATION #: 21
TOWN OF YARMOUTH
o y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE �ECE�v��
WAIVER OF 45-DAY DETERMINATION ACT 15 2021
OLD YARMOUT-H
KINGS HIGHWpy
The app I icant/applic ant'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 franc within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 -Meetings, Hearings, Tune for Making Determinations
"As soon as convenient after such public hearing; but in anv 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): �j i M 6-e- i
Applicant/Agent signature: Date: 90
Application
3i2a2o
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:�✓� S ✓ ���
Property Address/Location:- y�-5 �u� JT ' _ � 0��� rj� ,
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:
150
Application #: 2--t A Jq
8.2018 3
GENERAL SPECIFICATION SHEET
RECO COVE[)
OCT 15 2021
FOUNDATION: Material: Exposure (Not to qxceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
4L KfIVG 5C
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Color: Front:
_ Sides/Rear:
Sides/Rear:
COLOR CHIPS
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material:. _ Color:
DOORS: Qty: 1 Material: e01(0- r Color: ben I a.'t"Jn fjerr'fikfr rge(IF1
Style/Size (if not listed/shown on elevations): fSe,,To �-)
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: Qtv/side:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required : Pattern (616, 2/1, etc.) Grille Type: True Divided Lite:
Snap -In: I— Between Glass: Permanently Applied: =Exterior =Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing MatT Style: Color:
WALLS/FENCES* (Max W height): Height: '3 T l!MatT Ceaja,
style: %rX I't if ckB�' Color: 1",lbiTe [c., SLir�+ ww ���5'reJ
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style: Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
2-General r
APPLICATION #: �� J
Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
GENERAL SPECIFICATION SHEET
Exposure (Not to
GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge
SIDING: Material/Style: Front:
Color: Front:
_ Sides/Rear:
Sides/Rear:
11ECEIVIEu
Cr 5 ZOz1
18" ):
YARMOUTH
t i1NGS k&WAY
Color:
COLOR CHIPS
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: C Cd g- r _ Color: Oeou ter" &60"-E d,-rjfixye rge(. lid<— /g/
Style/Size (if not listed/shown on elevations): TS C"0 h
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'I: Style: Color:
WINDOWS: Qty/side:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required): Pattern (616, 211. etc.) Grille Type: True Divided Lite:
Snap -In: �— Between Glass: Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing MatT Style: Color:
i
WALLSIFENCES* (Max 6' height): Height: '3 $ f MatT Cedar
o r,. • it�.�2
Style: +/L X j ems. %�!`�` Color: W17i C �a5
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General 5 i
APPLICATION #:
Proiect Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
ROOF: Material:
GENERAL SPECIFICATION SHEET
ECEIVE6-1
Exposure (Not to exceed 1 "): "L f 1 b 2021
OLD KfNG'S uTH
GUTTERS: Material/Color: f-lIGNW,
Pitch (7112 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: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: C eO(A-r _ Color: l?{n�ar��n �2 8 1-�Prr �Y rg� • �� /��
Style/Size (if not listedlshown on elevations): TS a_+0 h
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'I: Style: Color:
WINDOWS: Qty/side:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -in: II -- Between Glass: Permanently Applied: =Exterjor Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max 6' height): Height: '.3 .7 t Mat'I: deWaLf—
Style: ,9 1 iiicl�e'G Color: whine Ca5
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General
APPLICATION #: t_
FOUNDATION: Material:
CHIMNEY: Material/Color:
GENERAL SPECIFICATION SHEET
Exposure (Not to
GUTTERS: MateriallColor:
ROOF: Material: Pitch (7112 min) Height to Ridge
SIDING: Material/Style: Front:
Color: Front:
_ Sides/Rear:
Sides/Rear:
C'I D
OC i 15
Color:
COLOR CHIPS
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: C doea r Color: _Oeo7i rn�n E /�2rri �r rg� • �� � /5��
Style/Size (if not listed/shown on elevations): TSC._+h
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'I: Style: Color:
WINDOWS: Qtvlside:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: �_ Between Glass: Permanently Applied: =Exterior =Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'I: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
i t
WALLSIFENCES* (Max 6' height): Height: `3 S MatT Cedar
Style: +%"oc i4"rj,ke-� - - wh%ale [as show.Z
p►'c .�eJ
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: _
Location(s):
Additional information:
Material:
Color:
2-General ZI - 15_q
APPLICATION #:
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RECEIPT DATE No. 742072
RECEIVED FR0,'A
ADDRESS.
FOR --- Al
CHECK
OMONEY
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