HomeMy WebLinkAbout22-A014 173 Route 6At_Y TOWN OF YARMOUTH ■
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N s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4'45ECER�F I
Telephone (508) 398-2231 Ext 1292 -Fax (508) 398-0836
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OLD KING'S HIGHWAY HISTORIC DISTRICT COJAN MEE
YARM06 i r,
APPLICATION FOR 1OLD KING'S HICHt,VA
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 Apo I : Indicate type of Building: CommerciaFReroof
Residential
1) Exterior Buildin Construction: w Building Addition iterations OGarage
Shed SIc Other:
2) Exterior Painting. Siding n Doors rim LOther:
3) Signs/Billboards: n NeLIF%encewall
nge to Existing Sign
4) Miscellaneous Structures: IIFlagpole nPool Other:
Please type or print legibly:
Address of proposed work CoAr \ plLot #�_(�2,2. R0 r
Owner(s): ` !.� l � t� e ZI ! V1 Phone #:_ 3_0
All applications ust ''silbmMed by owner or accompanied by letter from owner approving submittal of application.
Mailing address O W G � ti Gf o►, 'ajYear built:
Email:1 �q�r Q.Z4 IC�Qi ._• Preferred notification method: ��]Phhonep Email
Agent/contractor: "Ici,t '—L*" Phone
Mailing Address:
Email
Signed (Owner or agent):
g.4�-x11:4x?I
Preferred notification method: Phone Email
Date:
Y Ownerlcontractorlagent is aware that a(Oermit is required from the Building Department. (Check other departments, also )
Y 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 dale of expiration of Building Permit, whichever date shall be later.
t All new construction will be subject to inspection by OKH OKH-approved plans MIDST be available on-site for framing & final inspections.
Rcvd Date: I ��
Amount Lt CQ
Cash/CK
Rcvd by:
45 Days:
Date Signed
Approved Approved with Modifications Denied
Reason for penial:
Signed:
APPLICATION #: __; 'J" VA_
GENERAL SPECIFICATION SHEET
Proiect Address:
L �
FOUNDATION: Material: __ _� l t 7 _ Exposure (Not to exceed 18"):
CHIMNEY: Material/Color:_yy GUTTERS: Material/Color:
ROOF: Material: IQ 4� Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Lo( Sides/Rear: COLOR CHIPS
Color: Front:. �� _ Sides/Rear: Wda Ck
TRIM: All windows & doors to be trimmed with:_ 4 1x5 (Circle one.)
Material: ( [ OC44— Color:
DOORS: Qty, Material: Color: ��j�� ui 44\, vA–
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty:. Material:
GARAGE DOORS: Qty: MatT
WINDOWS: !side:: Front:
Manufacturer/Series:
Color:
Style: Color:
Left: Right: Rear: Color.
Material:
Grilles (Required : Pattern (6/6,2/1, etc.) Grille Type: True Divided Lite:
Snap -In: — Between Glass: Permanently Applied: =lExterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT
Style: Paneled Louvered
SKYLIGHTS: Qty: Fixed Vented Size
Color:
Color:
Color:
DECK: Size: Decking MatT Color:
Railing Mat'l.
WALLS/FENCES" (Max 6' helght): Height:
Style:
MatT
Color:
ECEIVE- ]
JAN 4 6 2022
YAFili OUI-vi
Style: Color:
(Show running footage & location on plot plan.) "Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: _ Style: Fll Z! 1 Color: _ "90
NZQr
Location(s).-
LIGHT
ocation(s):
LIGHT POSTS: Qty
Location(s):
Material:
Additional information: � t1.1 a &' 1
Color:
2 -General
APPLICATION #: 29 -ANY'
TOWN OF YARMOUTH _
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI7JACNO
IEPY' 6 2022ED
ABUTTERS' LIST
YARMOli'i'r s
OLD KING ;S HIGH
Applicant's (Owner) Name:
Property Address/Location: �G
Hearing Date: 2 /1 V
�
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
Applicant Information:
Abutter Information:
8.2018
Map Number Lot Number
Application #: I
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