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21-A158 Application
°YYo TOWN OF YARMOUTH °x 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 �1r -� — Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836 r ,y�'lrvrvU ! H l OLD KING'S HIGHWAY HISTORIC DISTRICT COMHfGHWav 1 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 App I : Indicate type of Building: Commercial Residential 1) Exterior Buildin Construction:J New Building 0 Addition Iterations Reroof DGarage Shed Solar Panels Other: 2) Exterior Painting: IISiding Shutters 0 Doors []Trim IIOther: 3) Signs/Billboards: n New Si Change to Existing Sign 4) Miscellaneous Structures: Fence Wall OFlagpole IIPool IIOther: Please type or print legibly:'t4 �/� Address of proposed work: �' Y i Map/Lot # ¢ �7 r� Owner(s): C1 S Y �- Phone #:�' J� All applications must be submitted by owner or accompanied by letter from owner approving submittal of plication. Mailing address: Y � OUP7 Year built: /Af C' Email: � t l." Preferred notification method: Phone Email 1 Agent/contracto . -, Phone #: x1' 32I S q q Z Mailing Address: S `4' J QUICz U ip Ll Email: Ph Preferred notification method: 11 Phone 1:1 Email Description of Proposed Work:C Aa "A 01-V 44ala C1� -!Y-by) -T ebm s�s , c `Nc .�� �tItN � cls b 3App, ►�� �� V\1 c a C()sS u�,�CICC� AO G S � CVV Ut a- ( + �� �a CI -aC+a o� Lo o_' I b x -4 pa)L Signed (Owner or agent): Date: M D I Ownerlcontractorlagent is aware t a permit is required from the Building Department. (Check other departments, also.) If application is approved, approva "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 �D Cash1CK #: Rcvd by: 45 Days Date Signed: Approved Reason for Denial: Signed: Approved with Modifications Denied APPLICATION #: 21 - A-IfC) Proiect Address: FOUNDATION: Material: CHIMNEY: Material/Color: ROOF: Material: SIDING: Material/Style: Front: Color: Front: GENERAL SPECIFICATION SHEET Exposure (Not to GUTTERS: Material/Color: itch (7112 min) Height to Ridge: TRIM: All windows & doors to be trimmed with: Material: Sides/Rear: Sides/Rear: 1x4 1x5 (Circleone.) Color: DOORS: Qty: Material: Calor: Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: Material: Color: GARAGE DOORS: Qty: MatT Style: Color: WINDOWS: t !side:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite: Snap -In: _n Between Glass'= Permanently Applied: =Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'!: Style: Paneled Louvered Color: E ti -v D OCT 19 2021 '�'kA;vrOUi r -r Color: COLOR CHIPS SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'I: Color: Railing Mat'I: Style: Color: WALLSIFENCES* (Max 6' height): Height: Mat'I: OC,_aY ©MI.104A Style: Woo, V4�Lt Color: (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 #: 1 — TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE F §(RR VF6 I OCT 19 2021 ABUTTERS' LIST I YAhiviOU'i r Applicant's (Owner) Name:1��� Property Address/Location: 1 Hearing Date: I) 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 Application #: 21— h Lc-% When you're searching for a great value in an elegant fence, Colonial Aluminum' provides you a wide variety of styles to choose from. Their lasting beauty and eGSY installation are combined with quality construction and outstanding durability. win- t AI Colonial Panels &Gates "PRO 0 Panels Gates ff' Arch Git-s Al • , e Y ' 4 ' ' , } — h RJB. PL 10 .. WN AP tS �R Y� '� s � 'kr�' •i♦ Is p C,r� � /Rte C%FD OCT 1 9 2021 �'� � ���' f y'+fie' �• �. is a�. $,46% w k• f 7 i r t��ri �Ole. ECEjVj- OCT 1 9 2021 Y�l�trv'OU i h )LD KI --NG HIGHWAY RFCF-IVEp c OCT 19 2021 YAFImOu i I'; F—ID acs Zazl i