HomeMy WebLinkAbout21-A162 ApplicationTOWN OF YARMOUTH RECEIVED
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836 OCT 2 1 2021
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEEARiviou-rl-i
ULU KING'S Hir.,i-
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 Residential
1) Exterior BuildingConstruction: New Building II Addition Iterations Reroof DGarage
Shed Solar Panels Other:
2) Exterior Painting: IISiding O Doors Trim IIOther:
3) Signs/Billboards: II NeL�1%,FernceWall
nge to Existing Sign
4) Miscellaneous Structures: IIFlagpole IIPool nOther:
Please type or print legibly:
Address of proposed work: $85 Route 6A, Yarmouth, MA 02675 Map/Lot # 143/15-1
Owner(s): Gloria Harris phone #- 508-815-9440
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 885 Route 6A, Yarmouth, MA 02675
Email: mailemailtoday@gmaii.com
Agent/contractor: Daniel Kelley/Freedom Forever
Year built: 1965
Preferred notification method: 91 Phone W1 Email
Mailing Address: 135 Robert Treat Paine Dr., Taunton, MA 02780
Phone #: 774-320-5539
Email: permitsma@freedomforever.com Preferred notification method: Phone _Email
Description of Proposed Work:
roof mounted pv solar panels- 4.550KW system- 13 total panels- 100A
Signed (Owner or agent)
Date: 10/19/2021
D Ownerlcontractor/agent is aware that a permit is required frogthe Building Department. (Check other departments, also.)
If application is approved, approval is subject to a 10-day appeal period required by the Act.
'v 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
Cash/CK #:
Rcvd by:
45 Days:
Date Signed
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION #: Q�—AI U 2
Proiect Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
ROOF: Material: Asphalt
RECEIVED
OCT 2 1 2021
YARMOUTH
Exposure (Not to exceed I1 BOLD KING'S HIGHWJ
GUTTERS: Material/Color:
Pitch (7112 min) 30 Height to Ridge: Color: brown/tan
SIDING: Material/Style: Front:
Color: Front:
TRIM: All windows & doors to be trimmed with
Material:
_ Sides/Rear
Sides/Rear:
1x4 1x5 (Circleone.)
Color:
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: Qtylside:: Front: Left Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required): Pattern (6l6, 211, etc.) Grille Type: True Divided Lite:
Snap -In: ^ Between Glass: Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT
SKYLIGHTS: Qty:
Style: Paneled Louvered
Fixed Vented Size
Color. -
Color:
Me] IM;,K$Izll;R
DECK: Size: Decking MatT. Color:
Railing MatT. Style: Color:
WALLSlFENCES* (Max 6' height): Height: n/a MatT
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSlHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General APPLICATION #: 11— I(,L�L
RECEIVED
°FYI TOWN OF YARMOUTH
r�
00 y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
OCT 2 1 2021
YARiVIOU-i H
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
regUired by the Old King's Highway Regional Historic District Act.
SECTION 9 -Meetings, Hearings, Time for Making Determinations
-As soon cis convenient c fter such public hearing; but in anv event within forty-five (4) clays
after the filing qf' application, or within such further time cis 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): Daniel Kelley
Applicant/Agent signature: 49/1 Date:
10/19/2021
Application #: __ �h -��kj2
312020
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE RIECEIVI
OCT 21 2021
ABUTTERS' LIST YAt�VIOU i i,
OLD KING'S HIGHWAY
Applicant's (Owner) Name: Gloria Harris
Property Address/Location: 885 Route 6A, Yarmouth, MA 02675
Hearing Date: 1
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 -
Iy 3
15U
IL43
155
1 y3
1LC3
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169
143
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In
ntertek AUTHORIZATION TO MARK
Total Quality. Assured.
This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s)
Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing
Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing
Report.
This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be
applied only at the location of the Party Authorized To Apply Mark.
Applicant: Unirac, Inc
Manufacturer: Cixi Emeka Aluminum Co. Ltd
1411 Broadway Blvd NE
No. 688 ChaoSheng Road
a
1
Address:
Albuquerque, NM 87102
Address:
Cixi City
Zhejiang
LL
Province 315311
Country:
USA
Country:
China
Contact:
Klaus Nicolaedis
Contact:
Jia Liu
Tom Young
Robin Luo
Lu
0O
, g
Phone:
505-462-2190
Phone:
+86-15267030962
505-843-1418
+86-13621785753
FAX:
NA
FAX:
NA
klaus.nicolaedis@unirac.com
jia.liu@cxymj.com
Email:
toddg@unirac.com
Email:
buwan.luo@cxymj.com
Party Authorized To Apply Mark: Same as Manufacturer
Report Issuing Office: Lake Forest, CA U.S.A.
Control Number: 5003705
Authorized by:
for Dean Davidson, Certificati Xmanager
Us
Qis
Intertek
This document supersedes all previous Authorizations to Mark for the noted Report Number,
This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client. Intertek's responsibility and liability are
limited to the terms and Conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss. expense or damage occasioned
by the use of this Authorization to Mark. Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek's Certification mark is
restricted to the conditions laid out in the agreement and in this Authorization to Mark. Any further use of the Intertek name for the sale or advertisement of the tested material. product or service must
first be approved in writing by Intertek, Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the
agreement. they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect.
Intertek Testing Services NA Inc.
545 East Algonquin Road, Arlington Heights, IL 60005
Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672
Standard(s):
Mounting Systems, Mounting Devices, Clamping/Retention Devices, and Ground Lugs for Use with Flat -
Plate Photovoltaic Modules and Panels [UL 2703: 2015 Ed.1]
Photovoltaic Mounting System, Sun Frame Microrail - Installed Using Unirac Installation Guide, Rev
Product:
PUB2019MAR01 with Annex North Row Extension Installation Guide Rev PUB2019FEB20
Brand Name:
Unirac
Models:
Unirac SFM
ATM for Report 102393982LAX-002
Page 1 of 1
ATM Issued: 9-Apr-2019
ED 16.3.15 {2I}Apr-17) Mandatory
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