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21-A165 9 Loch Rannoch APPROVED
o TOWN OF YARMOUTH ❑ z 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 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 Building Construction: New Building 0 Addition Iterations _LJReroof DGarage Shed 0 Solar Panels Other: 2) Exterior Painting: Siding Shutters W Doors Trim IIOther: 3) Signs/Billboards: New Si n Change to Existing Sign YA Mi 4) Miscellaneous Structures: Fence Wall IIFlagpoleIIPool IIOther: f t,� �; :4 Please type or print legibly: j C� r Address of proposed work: q L d L 4. a CL A Map/Lot # Owner(s): , V1 V�" ; !,A, Phone #:_ 6 %8' '-12-q ( Z&_q All applications must be submitted by ownerebir accompanied by letter from owner approving submittal of application. Mailing address: L DC.v\ ZA Yearbuilt: I Email L— P_ L- vw w/, k L A`3 G imd'JI Preferred notification method: F-1 Phone © Email Agent/contractor: _ ��(„ , ./' Phone #: (c 0,3 Z]q Mailing Address: Q0�_<<y Email: ]Cp ,) ; V% `�I,; ,- Q C 6 waC6!54 � f_ !Preferred notification method: © Phone `Email Description of Proposed Work: z da �[ I 1t. ] • p,•7 -i-• r U d VV, li ,it 0 L j ie � � VN i v- � V`d t A W . 0 d^4/ Jt r�4 C L � is 1-1 J �f e 'k C i"" _\:�$ 0 0 ✓' Signed (Owner or agent): k�' Date: S 2C7 Ownerlcantractor/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. =or Committee use only: V Approved Approved with Modifications Denied Rcvd Date: �or Reason for Denial_ Amou yr t• t Cash/CK #: 3�f -1 , Rcvd by: L_ Signed: _ NOV 2 2021 1 � l 45 Days Yr° l - Date Signed: APPLICATION #: ; i— A 1 t, 5 (g, TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02564-4451 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 1 Lock s2 d )nyi cch Map/Lot 4 Q) b3 _ C/A # 0 -14 1 t�5 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(Generall 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. OV 2d 2021 YAnI OU TH OLD 6iE:VC;'� FllGl ;�,ry Date: l Z Z CD2 Signed: P__ (Owner/Co tractor/Agent) Signed: (Chairman, OI ` King's Highway Committee) HAOKH COMMITTFF1Apphoation FormslStalemenl of Understanding 2015.docx Updated 12/2015 RECEIVED TOWN OF YARMOUTH OCT 25 2021 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 ti`s r� Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 YARMOUTh OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE OLD KING'S HIGHWAY WAIVER OF 45 -DAY DETERMINATION 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 -Meetings, Hearings, Time for Making Determinations "As soon as convenient after such public hearing; but in any event vvithin forty-five (li) dcrys after the .filing of application, oi- vvithin 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): irs f Applicant/Agent signature: Date: 2o 26 ZOZ211 NOV 2 2 2021 YRmi qu-r" Application 9: 021—A 1�5' GENERAL SPECIFICATION SHEET Project Address: ct L �, LG. ✓ ��� t FOUNDATION: Material: Exposure (Not to exceed 18"): r� CHIMNEY: Material/Color: GUTTERS: Material/Calor: 4: ROOF: Material:� 3 Pitch (7112 min) Height to Ridge: 1 L � Color: ✓ r� SIDING: Material/Style: Front: Color: Front: SideslRear: 4 ri . c'e v"1! he K 105 COLOR CHIPS Sides/Rear: TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one. Material: t<_ Color: L,,L,) DOORS: Qty: Material: ` a S S Color: Style/Size (if not listed/shown on elevations): __ e&wc ; ,1 STORM DOORS: Qty: Material: GARAGE DOORS: Qty: MatT. Color: Style: Color: WINDOWS: Qty/side:: Front: Left: Right: Rear: Z Collor: !F Manufacturer/Series: V,. Material: V('PA �/ I Grilles (Required : Pattern (6/6, 211, etc.) f Grille True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior E71interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: MatT. Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking MatT Railing Mat']: Style: WALLS/FENCES* (Max 6' height): Height: Mat'I: Color: Color: ECII D OCT 2 5 2021 YARM OU 7H NOV 2 2 2021 YARMOUTH PirHWAY Style: Color: (Show running footage & location on plot plan.) `Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: LIGHTS: Qty: Style: Location(s): LIGHT POSTS. Qty: Material: Location(s): Additional information: Screening: Color: Color: 2 -General APPLICATION #: D�, A 1 + �5 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE RECEIVED ABUTTERS' LIST OCT 2 5 2021 OL) KINGS HIGF, Applicant's (Owner) Name: UI �CLL r Property Address/Location: C 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 Applicant Information Abutter Information: 8.201 a Map Number Lot Number 191 -7z NOV 22 U Application #: 2 � � ]AY 1491 621 1 1 FREDERICKS DERRY G TRS FREDERICKS F DIANE TRS 110 HOMERS DOCK RD YARMOUTH PORT, MA 02675 1491 631 1 I KNIGHT WILLIAM M KNIGHT LEDA L 9 LOCH RANNOCH WAY YARMOUTH PORT, MA 02675 1491 641 1 1 CONTI LINDA TR WHITNEY REALTY TRUST 29 PHEASANT COVE CIR YARMOUTH PORT, MA 02675 1491 591 1 1 DOWNEY MARY C 840 BRONX RIVER RD BRONXVILLE , NY 10708-7070 149/ 611 1 1 THE JOAN M SHOSTAK FAMILY REALTY C10 DELMONACO DOREEN 120 HOMERS DOCK RD YARMOUTH PORT, MA 02675-1010 1491 721 1 1 MACKECHNIE MATTHEW C MACKECHNIE EDITH M 8 LOCH RANNOCH WAY YARMOUTH PORT, MA 02675.1012 Please use this signature to certify this list of properties directly abutting and across the street from the parcel located at: 9 Loch Rannoch Way, Yarmouth Port, MA 02675 Assessors Map 149, Lot 63 Andy chado, Director of Assessing November 3, 2021 RECEIVED NOV 4 3 2021 kjr fll'41Y1 JW f � � 1 C�LL7 KISH�C2HWAY NOV 2 2 2021 .-�;,A1V?� �TH D w ' . E-H:IG ED 251 -=� -- - -- - -- --- - - -__- Af-1 '8 AY e4 I- 61 6, N 0 �a To O Fes. x Z aj. a 4� Pr. � 0 1 - PLOT PLAN rHE STRUCTURES SHOWN WERE a� LOCATED ON THE GROUND N ON ..� /11.., f MA ss. THIS SKETCH 'IS FOR PLOT .PLAN 1 � PURPOSES ONLY AND SHOULD ��-c z Ig Q I ' = ?a • Nor 6E USED FOR ANY OTHER PU OSE. �.., ��- Z�-tea : o �. -�-CAPE C D SURVEY REGISTERED LAND./ SURVEYOR�vri�r;HITT K �f 3 0 ,�G CONSULTANTS PR y\\��t�s���-��y 3261 MAIN SUROUTE 6A oJECr No. �3 �z s oz •=;,.fi BARNSTABL�' VILLAGE, MA 02630 lie„ 16171 kS , vy 6 L , 'm NOV 22 2021