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21-A159 3 Old Salt Lane APPROVEDRECOVED I oc > >021 �Yygh TOWN OF YARMOUTH f 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 LOLDKING'S HlGHU4 Telephone (508) 396-2231 Ext. 1292 -Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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 GOPieS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That A 1 Indicate type of Building: Commercial Residential 1) Exterior Buildin Construction New Building n Addition Iterations Reroof IIGarage IIShed Solar Panels Other: 2) Exterior Painting: IISiding Shutters II Doors rim Other: 3) Signs/Billboards: n NeffencWall Change to Existing Sign 4) Miscellaneous Structures: Flagpole Pool IIOther: Please type or print legibly: Address of proposed work: r1r ( Map/Lot # Owner(s): (-ILXW_ 3 , to QLV_ 1e_�_" Phone #: a)q - TJ -i - Z`3iq All applicatiaAs mu�s��tk tbe submitted by owner or accompanied by letter from owner approving submittalofapplication, Mailing address: ( (d 2`rI 1y 6d,1� t ei� ST. 1`t Y( Ialtz I, `�} ZzZV t Year built: 16 7 2, C[�(Y) Preferred notification method El Phone Emaif Agent/contractor: .]LO-}{'U,")k CLs Pt1,�Jj �'��/�T _ Phone Mailing Address: —f 'i k it un 1(Y1 (}fru �_��referred notification method: Ph al Description of Proposed Work: ,poi) vw Ct exkwixj cv.cv cu1Q �Xi_rIc a_)c! I SC+ of c e_(t - si cl i n i ; _1►N ; (YJi0t J af) d 7 -ex t,:_r l o r dci o r-, Signed (Owner or agent). �l �i ,(� Date: 0 ) 2-1 Dwnerlcontractor/agent is aware ;hal 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 shalt be later All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections. r -or iiammazee use ont, Rcvd Date: 10J19 '71 Amount Cash CK 9 Rcvd by- cvd � 45 Days: Date S gned: % 1 AL Approved Approved with _Modifications Denied Reason for Denial: _ S� N11 a s zort igned: i' cr � YARivlGivl t h -i APPLICATION #: NO OSE Y�ry TOWN OF YARMOUTH X�FR(VED „ x OLD KING'S HIGHWAY HISTORIC DISTRICT COM NOV 0 8 2021 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02661-4451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 YARMOUTH STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at _2? Q d 5 a i -F Lvwe, Map/Lot j Lf C/A # - Approval Date: # 1 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 4,. .� u_ I have read and understand the above statements. YARMOUT,H /'r1X(ra'S Eti .,�...HIGI-t1 Date: Signed: (Owner/Contractor/Agent) Signed: (Chairman, Old Ding's Highway Committee) HACKH COMMITTMApplicalion FormslStatement of Understanding 2015.doex Updated 1212015 .) A\Sq n TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 RECEIVED OCT 19 2021 YAhiwuU I i -i OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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 Catectories That A I Indicate type of Building:Commer cial Residential 1) Exterior Buildin Construction: New Building II Addition Iterations Reroof OGarage Shed Solar Panels Other: 2) Exterior Painting: IISiding Shutters 0 Doors ❑i'rim Other: _ 3) Signs/Billboards: II New Si n Change to Existing Sign 4) Miscellaneous Structures: Fence Wall IIFlagpole opool II Please type or print legibly: Other: Address of prrroprro''s��edd� work: ``� � ] 1(1: �G 'iY' �Y1 PCJ' MaplLot # Owner(s): L:ict-4C_ 5 - N& Oc e' ` pi Phone #:..09-1 J __16W All applicati s must be submitted by onwner or accompanied by letter from owner approving submittalofapplication. Mailing address: I (o 2y N i arf, e(d 9+. j-tyl 1± W, Vig Zz-z o'% Year built: Ig -12 /� Email: � ���e �W "X' ,k i , CC") Preferred notification method: ❑ Phone I� t Email Agent/contractor: P� ?YL.P�ZQ. � C3YY1�. COir'� ri[ 1 _ Phone #: Mailing Address: 1111 SUUAT) UT 1 t' U(15 K17 , I5rDAYLs.ttC1(4 M(-1 02,L604 _ Email: ,prfa %Q,nxcliL , MWDF:,{!Xj0 Qftyu 1'19ref rred notification method: 11 Phone Email Description of Proposed Work: �emogoA 0 ex(W1 9 dQd.' aw pedio 0 -Id bo, 16 n.w. R-qIc_cz 4 s 0 Civ" siiaing, 'I N ir-dow 0—n6 2 -ext nor- d4Dr-, Signed (Owner or agent): 44400& y t/ Date: l Dl li l'ZI > Ownerlcontractortagent 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 tater. All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections. Rcvd Date: AL Amount Cash/CK #: Rcvd by: 45 Days: Date Signed: Approved Approved with _Modifications Reason for Denial_ Signed: Denied NOV 0 8 21 Yi �s .. f APPLICATION#: 2-1—A159 TOWN OF YARMOUTH 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 RECEIVED OCT 19 2021 YARMOUTH OLD KING'S HIGHWAY The applicant/applicanCs agent understands and agrees that due to the current declared National and State public health emergencies the detennination 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 (455) days after the filing of application, or tivithin such Jurlher tune 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); -nn-. 1 � Applicant/Agent signature: Date- Date: r Tip 6 k 6 ED Nov 0 8 2021 YARMOu H Application #: —21--A159 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMM RGCEI p OCT 19 2021 YAhj,vjuu i r ABUTTERS' LIST Applicant's (Owner) Name: �qAe -5' -i-Ni,)Ck�e" Property Address/Location: '�) (A S0.\IN Ly1 , y GMC M0\3 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.yarmouth.ma.us Map Number Lot Number Applicant Information: 1140 Abutter Information: 8.2018 140 5 f I LAC) ,e NOV 0 LD K_1N Hl1� Application #: X21--lr)q P FOUNDATION: Material: CHIMNEY: Material/Color: RECEIVED GENERAL SPECIFICATION SHEET Exposure (Not to exceed 18"): GUTTERS: Material/Color: OCT 19 2021 YARMUUTH ROOF. Material: Pitch Height to Ridge: Color: SIDING: Material/Style: Front: �1(�1 �(7/12min) (' CC.VZJt'Sides/Rear: Wntke ce" COLOR CHIPS Color. Front: ^nLb3c" SideslRear:.__('QQ_CCkA plotCr' CL -m .c w TRIM: All windows & doors to be trimmed with: 1x 4 x5 (Circle one.) Material: �.@'�2 Color: _ V "'Af_, DOORS: Qty: 'I Material: Color: LOn�N4 G Style/Size (if not listed/shown on elevations): The"y\cLi Yu sr(=w) Sj(-y - t5 ID ZJ � �� X Dat � STORM DOORS: Qty: �- Material: ClXlWf)UM Color: Style: Color: GARAGE DOORS: Qty: Mat'I: WINDOWS: Qtylside:: Front: Left: Right: Rear: ,�- Color: Manufacturer/Series: \"1�eNS C\"d&\C . __ Material: Y 1Y'iJ Grilles (Required : Pattern (616, 2t1, etc.) n� Grille Type: True Divided Lite: Snap -In: �� Between Glass: Permanently Applied: =Exterior Interior STORM WINDOWS: Qty: Material: SHUTTERS: Mat'I: Color: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: 160 SC) �'} Decking MatT CMQMS�-t-P_ Color: �e . " Railing Mat'I: CQMQC L\\e, Style:Cl0`$1C_A IT)n(\k Color: WALLSIFENCES* (Max W height): Height: Mat'I: Style: Color: (Show running footage & location on plot plan.) `Finished side of fence must face out from UTILITY METERS/HVAC UNITS: Location: LIGHTS: Qty: Style: Location(s): LIGHT POSTS: Qty: _ Location(s): Material: Screening: Color: Calor: d in area.";. :LVED NOV 0 S 2021 Additional information: �3f0 SQ i l %. _NQ JAClket OA : Ev46(_bk%)C �UCr _. WWI. ,. IPQi l gck.nNce 't&4 2 -General APPLICATION #: 0 0 N 15`-0"Pli AppROVED NOV 0 S 2021 YARMOUTH RIECIE-1-V-,E-D ICT 1 9 2021 YAHMOU-r8 NOV 0 8 2021 Y A R iV,, CQ 1 - � I K!, f .: 2 113 H 13 t 4 VII E t E-1 -VI E -D OCT 1 9 2021 ,YAtNovrh ---------- P-T -.771 NOV 0 9 2021 YARMOUTH OCT 1 9 2021 YARMO(j7-H nuc t-�tiG4~41 I i� MM7 i� .� s -v w 0 0 U LL. RWEIuE-o OCT 19 2021 S'S NOV 0 8 2021 YARN-1rl Ur; i IMG-2340.jpg 10/19/21, 10:17 AM -D2c�ur� 4w berTed AZEK> Harvest Collection° Tie in traditional, cathedral wood grain patterns and a soft, solid color palette when using boards from this classic TimberTech AZEK collection. • Most advanced po}ymer material in the cap and core is inherently impervious to moisture 'v • Boards won't grow mold, rot, splinter, crack, or warp 5O nna YEAR Alloy Armour Technology" in cap combats fading and staining 4 Low -maintenance -never requires sanding or stainingm • Contains up to 54% recycled material a'�• iAPP��� C LI�ETibl `� pOcymm � WE'RE GOING GREED €R UMff ED, atThe inside core color of your actual deck boards may not match this sample exactly, due to the inclusion of recycled material in the product. TimberTech.com https://mai1.google.com/mai1/u/O/?ogbI 0V 2021 H C( -_H AY Page 1 of 1 Ma . V|NYL W|N UOWS ��, ®- •«=f-$� I�-f/fƒ�/f% V|NYL W|N UOWS 1401 71 1 1 FREEMAN MARTHA LOUISE (LIFE EST) Please use this signature to certify this list of properties BERGESEN WILLIAM (REMAIN) directly abutting and across the street from the parcel located at: 14 ROCHELLE RD LARCHMONT , NY 10538 3 Old Salt Ln., Yarmouth Port, MA 02675 Assessors Map 140, Lot 6 1401 11 1 1 TOWN OF YARMOUTH And M hado, Director of Assessing 1146 ROUTE 28 y g SOUTH YARMOUTH, MA 02664-4463 October 20, 2021 1401 171 1 1 TOWN OF YARMOUTH COMMISSION CONSERVATION 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664-4463 1401 61 1 1 MUCKLEROY JACK GAGE MUCKLEROY T B& FLATT R N& N C �\ 1624 N GARFIELD ST ARLINGTON, VA 22201 1401 51 1 1 \� FRIO JOSEPH M JR FRIO DEBRA J \ r} 7 IVANHOE LN r \\}( ANDOVER, MA 01$10 NOV 0 8 2021 �1-A 1-5- 1 91-A 1.5'1 A �a Q A o i n � i y i i i i O O ap �► N - � Ln i N W 91-A 1.5'1 �a A o W n � y t=' i i O Ln i W 04 J A i r � �I _. ca _ $41 Co NOV 0 8 2021 N N 00 co 0o w - i A QD .a A r 4 � 91-A 1.5'1 �a A o n y t=' Ln i W N r �I _. ca _ NOV 0 8 2021 N N 00 co 0o w - QD .a A � 01 i 91-A 1.5'1 O Z J w z J r+ ) \ r� CD \z O X00 h W \\ U w 0 ::1 \ O N o�- �oa � J � 00 0 X Q LY Z N (.9 �- \ LLP LJ I < (n m Q cn 0o n 0 W w O 0- O � W \ 0 �d LLJ o LL - CL a = m a U� ��V JCaSW zuj o T CLCD 0 o wo o O�trpw<>-w0 � o Q1Uii=W] Baa 00 F z C w CD w Z�Y�O <C) cn3o�u Lo I- oo�0a¢¢ �Lda:mom Ir (L F -Q Ln Q Q � � IL LLI � CL M X T U UJ pry Q� O 3 N LLJ `t "0d�w1m ¢ N7 o am W \ 0 �d LLJ o LL - CL a = m 7 U� ��V JCaSW zuj o T CLCD � _ O�trpw<>-w0 J o O�wp�O O� �a r� P I I CD w co � cn3o�u Lo I- oo�0a¢¢ �Lda:mom QO \ 0 3av, o � QUS XLU � � C4 O )_ OO N T U UJ O Z L) `t "0d�w1m U a O o am W \ 0 C3 O J_ U ii 0 Z 0 2 o LL- z 0 Q LLJ o LL - CL a = m 7 U� ��V JCaSW zuj L!w w w 0 a mIL W O�trpw<>-w0 J o O�wp�O O� a z CD w �J = = 0 11) W �n QO \ 0 3av, o � c I OW O z LLI z O N W �- Q U U o am �_ o m og(nZ� V) Q I— -I w _j V L LI I` D H O W Z 0 W Z O LLI .H CL' as ll� oma3 _ ¢ � J � V) ft�umJLLj7Q� onoZ p V) � --3m Y J of a Q CYww om U a s �3-WV)w � U a� Y �i�(~n��3��1j � c"0�� W z< DOLLJ w0 Qz1 H 0_LLJ Xa L U x = zm �w m ZrL Cp o D J cpcli � N mw4. 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