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21-A165 9 Loch Rannoch
TOWN OF YARMOUTH Ve r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 /" - OCT 2 5 2421 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 YA0Ah OLD KING'S HIGHWAY HISTORIC DISTRICT CO 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 Buildin Construction: New Building o Addition Iterations Reroof nGarage Shed Solar Panels Other: 2) Exterior Painting: Siding 0 Doors frim nOther: 3) Signs/Billboards: Nen1%,FenceWall nge to Existing Sign 4) Miscellaneous Structures: IIFlagpole nPool II Other: Please type or print legibly: `` Q C_ 9 —C6 C� -6 Address of proposed work: Q L r} L h t.. C v., i� C_ _ Map/Lot # Description of Proposed Work: t - .0 , IL 1 11I-- Owner(s) + -4 Phone #: 6c, & 1 /2-ct( 2-(y41 All applications must be submitted by ownerbr accompanied by letter from _Co owner approving submittal of application. Mailing address: "'9G CDG 14�_d Year built: l 9 y} Email: l__ S a c V _ Preferred notification method: 11 Phone © Email Signed (Owner Agent/contractor: _ e .1 1t`V- _ Phone* Mailing Address: )(Do ���,,., r�,, l�yc�L\�� / V ) a/ Email: j i Y� :Ar,; ,r Q C_ 9 —C6 ! Preferred notification method: Phone Email _)'Le !t;LA - 1n1, Description of Proposed Work: �� x-2Zi t L. C- exfie�'�'�J y V\ �V'% 1-0C Wk W •Nc)J-"/ Signed (Owner or agent): tom-^ Date: % Z S ZC7 1 Ownerlcontractor/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:�I Amoi.3W WOLF) Cash/CK #:3typ Rcvd by: _ L 45 Days: Date Signed: Approved Approved with Modifications Denied Reason for Denial: Signed: APPLICATION #: -;n- A 1 t, 5 Y TOWN OF YARMOUTH 4 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE WAIVER OF 45 -DAY DETERMINATION ECEiVED OCT 2 5 2021 YMWOUTh 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-Aleetings, Hearings, Timefor r Making Determinations "As soon cis convenient after such public heeiring; but in any event tii°Rhin forty-five (��) clays after the filing of apIketition, or ivithin .such .fiirther time cis the applieant 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): —< i/i✓4 r t Applicant/Agent signature: Date: m a5 - Application #: Application#: o � I�S 312020 GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: v P,`Cf? Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: Wh ROOF: Material c: St: 6'6 � Pitch (7112 min) Height to Ridge: 1 Z Color: SIDING: Material/Style: Front: Sides/Rear: 4 i-+ . Ce Jelr-1 he k e5 COLOR CHIPS Color: Front: Sides/Rear: TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one. - `ECL=jV . j Material � E� Color; � 1 e V OCT 2 2021 DOORS: Qty: 1, Material: Color: , YARMOU-1-H Style/Size (if not listed/shown on elevations): 41 OLD KING'S HIGHWAY STORM DOORS: Qty: Material: Color: GARAGE DOORS: Qty: Mat'I: Style: Color: WINDOWS: Qtylside:: Front: Left: Right: Rear: 2. Color: _14A4E Manufacturer/Series: e V ° V.. Material 14'11 Grilles (Required)- Pattern (616, 211, etc.) f 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: WALLSIFENCES* (Max 6' height): Height: � Mat'I: Style: Color: (Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERSIHVAC UNITS: Location: LIGHTS: Qty: Style: Location(s): LIGHT POSTS: Qty: Material.- Location(s): aterial:Location(s): Additional information: Screening: Color: Color: 2 -General `- A I U5 APPLICATION #: ;it� TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE RE^E"� ABUTTERS' LIST OCT 2 5 2g2i OLDYAHMOUI-H KfdVG'S HfGH Applicant's (Owner) Name: 1%i vl-ra' r Property Address/Location: 0�h J � Hearing Date: 1 i 2t 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 onl . 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. Yarmouth.ma. us Map Number Lot Number Applicant Information Abutter Information: 141 (00, 04 t0 ! . Ll 1 S,!l 141 & Ll iN1 �2 Application #: 2 � 8.2018 3 REC��1� p 0.. TOWN OF YARMOUTH 0 OCT 2 5 2021 WA ° � OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 QLD KING'S HIGHWAy Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at I I L J C h a r)v) Lt- , Map/Lot . 1 Ll 3 C/A # c- Approval Date: certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop -work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. Date: Signed: Signed: HA0KH OOMMITTEE1Application FormslStatement of Understanding 2015.docx Updated 1212015 (Owner/Contractor/Agent) (Chairman, Old King's Highway Committee) w RECEIVED ! --- �.. OCT 252021 ' _ --T _i_ ---- - _ - --.- -_ -. _� __------ -- - 10 173 3 .af OLD KINGS HIGHWAY ti V t O �j Z 46 _ r Ita s zc.-7L Z C2 t I� d f o� PLOT PL A N. - rHE STRUCTURES SHOWN WERE r o LOCATED ON THE GROUND N ON MASS. rH/S SKETCH /S FOR PLOT .PLAN PURPOSES ONLY AND SHOULD ' I9 ¢ I = o • NOT BE USED FOR ANY OTHER PU OSE. LZ .�` — ;Tv 14'x` '•a„\ � _ - ., ��-Z�_�a : � CAPE C D SURVEY REGISTERED LAND. SURVEYOR �" FRANX } �, 3 No 29969 CONSULTANTS 3261 MAIN ST/ROUT PROJECT No.'—C3 - /z& s-_4 � 0z '0 's, gARNSTABL VILLAGE. MA 2634 �rrrti f,, (6171 362-A1. -4 [� d(o v- h 17 L.cv,r z S C4 IL nom, uh 3 IV! dd T r -T- ,;Z) Z` c cz-. � O � ash THE STRucruRES SHOWN WERE LOCATED ON THE GROUND ON r_ ?_ / z THIS 5KETCH '/S FOR PLOT .PLAN PURPOSES ONLY AND SHOULD NOT BE USED FOR ANY OTHER PU OSE. -REGIS TERED L A ND./ SUR VE YOR PROJECT NO.' -U3 - JzG S -oz OCT 2 5 2021 s �• Yh1t ifV10U I i i - 0CD`fl WWW 0 / 7 Batt PT. +i'e�p � ZL•7Z , s_ J PZ- dT PLAN � `6NG .� du 'Al MASS. C.CAPE C FRANC M II SURVEY 1vHItltiG -- Z CONS U LTANTS 3261 MAIN ST/ROUTE 6A ;; ;;,,..•� BARNSTABL6 VILLAGE. MA nas-qn 1Ci71 own Hann OCT -2 5 2021 Q' YAHiVLUTAx_ _-- -- ..--._.DRIit1G'S HIGHWAY h X17 f V • :moi � Z Tep FAoj. ,` w p I felt PT. +�awa s ,Z4,7Z \ 4 o l - _ PLOT PLAN THE STRUCTURES SHOWN WERE LOCATED ON THE GROUND ON THIS SKETCH IS FOR PLOT .PLAN PURPOSES ONLY AND SHOU_ LD L7�-� z ,f �,o . � ,19 Q t _ � NOT BE USED FOR ANY OTHER PU OSE. C. CAPE C D SURVEY REGISTERED LAND- ."H��" SURVEYOR ? " ITTFRANK V CONSULTANTS u Na 2SoS9 � 3261 MAi'V SUROUTE 6A PROJECT N0.' -u3 - BARNSTABL� VILLAGE, MA 02630 dVO R CEIVE D - - ,� Q• CT 2 5 2021 10 (Q Mlvl10U r I ��3• G'S"HIGH AY � � � jr• 'tom � `�dd'� $�/ � _� / ' OM1• � � S / , I • �K Top Fir. s, aj• 0 3 w p Batt PT. Zs.p s 2G.7i 2! k �S. - _ PLOT PL AN THE STRUCTURES SHOWN WERE LOCATED ON THE GROUND N ON fir. ?/ q Q I �+ • .� vu I � � !�7 � til �7 . THIS' SKETCH '/S FOR PLOT PLAY PURPOSES ONLY AND SHOULD ,��-� z s , 19 • _ �,o . NOT BE USED FOR ANY OTHER PU OSE. CAPE C D SURVEY REGISTERED LAND.,-' SURVEYOR f�atix^ _ 3 u�H}9 CONSULTANTS 3261 MAIN ST. /ROUTE 6A :J- �;,,�,,. BARNSTABL1�i VILLAGE, MA 02630