HomeMy WebLinkAbout21-A167 40 Mayflower Terrace Approved=aE Y.yO TOWN OF YARMOUTH
r„ x 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836 RECWV�
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI i EE�,U, 0 4 2021
APPLICATION FOR rHtiry tji� r r,
CERTIFICATE OF APPROPRIATENESS LO—L scING
s'HIGHWAY
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 pians, 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 X— Residential
1) Exterior Buildin Construction: New Building Addition Iterations Reroof IIGarage
Shed nSolar Panels Other: AR )ln 4 -s IW ERR
2) Exterior Painting: Siding OShutters 0 Doors ❑Trim IIOther: 1 4qoi_ 0: 1'7 R._�
3) Signs/Billboards: n New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall IIFlagpole IIPool Other.
Please type or print legibly:
Address of proposed work: AD tN wee- Map/Lot # C)/3
3
Owner(s): LS Phone M
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: T2\"LT'P\'t4-Ak\4A OR,� aU\N(,kA \W O -\I) Year built: \1\5
Email: �-[ E ISE C; CLOTAC_R5`C. N IE -V Preferred notification method: 11 Phone 10 t Email
Agent/contractor:-� I� RC�,�s ��[ �C'C�i ��-\1L '[cad l , _ Phone #:
Mailing Address: 2JgA S
Email: 0— C -O Preferred notification method:
Description of Proposed Work:
NES 0 O6AINOQi P �70RM��25 ! N1~ ROQF W! IZ
lV �R Yz S\`A, 1�0 1po Qx- E"Q
Signed (Owner or agent):
L._J Phone I�' I Email
Date:
Ownerlcontractcdagent is awar that a is requifro the Building Department. (Check other departments, also.)
If application is approved, approval is subject to a 14 -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 ❑ate:,, I t'�Y�
Amount `� V 10
CashICK #:.-y�j
Rcvd by:
45 pays:
►Approved
Reason for Denial:
Signed:
Date Signed: / L1/3 2-02
Approved with Modifications
APPROVED
i
1 APPLICATION #: �1- 1`t 1 to )
*40-t TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1 146 ROUTE 28. SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
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 C) rn &4-Y' `-Riya6e—
Map/Lot 110)33 C/A # 31-A Approval Date:
I 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,
APPROVED
I have read and understand the above statements. DEC 13 2021
Date: Signed:
(Own Contr r/Agent)
Signed: (17 65' Z4!
(Chairman, Old Ki g's Highway Committee)
HAOKH COMMITTMApplication FarmslStatemenl of Understanding 2015.docx
Updated 12/2015
Proiect Address:
FOUNDATION: Material:
GENERAL SPECIFICATION SHEET
[]
Exposure (Not to exceed A 4 2421
CHIMNEY: Material/Color: GUTTERS: MateriallColor:YAHNiUU`I H �NAV
'* -
ROOF: Material: , G,�na�� Pitch (71'32 min) EUS OL � -Height to Ridge:— Color: WQ'VINVO tR wo09
SIDING: Material/Style: Front: " W ,��t�,�rz_ Sides/Rear: WC, COLOR CHIPS
Color: Front: G Y. TLN In SideslRear: by �t-'Cy L_
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: kVEV, Color: *jiAyIS
DOORS: Qty: Material: 5 _ Color: W IA4 \-s
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
Color:
GARAGE DOORS: Qty: MatT Style: C l Color:
WINDOWS: Qtvlside:: Front: _a Left: -�,- flight: -It-- Rear: 1 Color: L,,� \'L t
Manufacturer/Series: Material:
Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: =Exterior J=Llnterior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color: cmc l
APPROVES
DEC 13 2021
YARMOUTH
Leimr--C I41ril-tVW-'f
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: '�4 Decking MatT -La-Y.- Color: r my tal
Railing MatT C4�o\t, 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: -
Location(s):
Additional information:
Material:
Screening:
Color:
Color:
2 -General
APPLICATION ##:
TOWN OF YARMOUTH c
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE RECEIVC®
NOV 0 4 2021
ABUTTERS' LIST j YARNiOU-i h
Applicant's (Owner) Name: ,�)w
Property Address/Location: u
Hearing Date:_ k
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.yarrnouth.ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
ISD
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