HomeMy WebLinkAbout22-A022 6 Dauphine DriveTOWN OF YARMOUTH
E—CF i_ ■. E 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292–Fax (508) 398-0836
FEB 0011021(ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YAHMOU i n APPLICATION FOR
iii ' S HIGHWAY
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 E Addition Iterations Reroof DGarage
Shed D Solar Panels Other:
2) Exterior Painting. OSiding Shutters Il Doors []Trim 00ther:
3) Signs/Billboards: n New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall IIFlagpole OPool IIOther:
Please type or print legibly:
Address of proposed work: 10 Dak gy�at� fir. ____ _ _ Map/Lot # 133 r' .3 3.
Owner(s): =TI Qng A- Ca11CLbCtQPhone#: 5CE's-(,cLAI - tODO.'i
All applications rdust be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: la -i 1A
Email: -ham T ay �,m�tl.C��m Preferred notification method: �_ Phone Email
Agent/contractor: Jarn\e Q \r)a Phone #: 505- &5--`74-A
Mailing Address: 1)�i1e.tt kl nd 1'r �x1�r t�� lr�C. , �t(n [`R cxlzs� Ur. tT, 1�,�(�Q )
Email: k. Preferred notification method: Phone ��Email
Descri tion of ro osedWork:
'( iJ Wtx\aCr..t —
&�b1e Int -ng kr. 1t.n�9 � -4 1 beck ar�r�
Signed (Owner or
Date: c;)13 / o? ,;)
Ownedcontractorlagent 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``��.J A-
Amount LI9 0
Cash/CK #:1 W3
Rcvd by: iS.
45 Days:
Date Signed:
Approved Approved with TModifications Denied
Reason for Denial:
Signed:
APPLICATION #:! U7�
YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICANT'S RESPONSIBILITIES & APPLICATION CHECKLIST
APPLICANT'S RESPONSIBILITIES:
1. All applications shall be filed on Commission -approved forms available at Town Hall and on the Town of
Yarmouth website fwww.yarmouth. ma. Lis) An incomplete application can be the basis for rejection or denial
of a filing. If you have any questions concerning your application, please check with the Office Administrator
for clarification.
2. Number of copies: RECEIVE6
Certificate of Appropriateness Application (Front page) _ 1 copy
General andlor sign spec sheet _ 4 copies i LOLD
E8 0 3 2022
Abutters' List (Map & Lot numbers only) _ 1 copy
Elevations (Minimum acceptable scale: 114" = 1') 4 copies AH1 I" i i-,
Plot/Landscaping flans _ 4 copies ING'S HIGHWAY
Color Photos(Front of house & location of proposed work) _ 4 copies
3. General & Sign Specification Sheets:
Materials to be used (including detailed descriptions of size, style, and composition) must be specified. Color
chips for any color other than white are required. The only pre -approved color is white, all othercolorsmust
be approved by the OKH Committee. The only exception is the use of colors that match those already on the
structure and that were previously approved by the OKH Committee. Color photos (see #2 above) are
required; "to match existing" should be noted on specification sheet. If a material is to be left "natural"
(unpainted), please include that information on the spec sheet. Manufacturer's inform ationlbrochures for
windows. doors. garage doors, etc. should be attached. Please note grid pattern and type (snap -in, between
glass, permanently applied, etc.) for windows. Skylights should have a flat, not curved or "bubble", profile.
4. Abutters' Lists:
Map and Lot numbers for properties directly abutting and directly across the street from the work location are
required. 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.
CHECKLIST FOR REQUIRED APPLICATION INFORMATION:
1. New Building Construction (e.g., residence/commercial, shed, freestanding garage, etc.)
a. Certificate of Appropriateness, Specification Sheet, and Abutters' Lists
b. Elevations/drawings of all 4 sides to scale (Minimum scale accepted is 114" = 1')
PLUS:
For new houses or commercial buildings:
Topographical plot plan including new building(s), landscaping, retaining walls, exterior lighting,
and uWity/HVAC hookups.
For sheds and other auxiliary.buildings;
Plot plan & color photos showing location of new building in relation to existing building(s).
Color photos of front of house and location of proposed building.
)Additions/Alterations (e.g., sunroom, attached garage, dormers, vinyl siding, new chimney, stairst
porches/decks, windows/skylights, doors, window boxes, solar panels, lamp posts etc.
a. Certificate of Appropriateness, Specification Sheet, Abutters' List
b. Color photos showing front of building PLUS affected sides.
c. Brochure or manufacturer specification sheet showing type of window, skylight, door, solar panel,
lamp post, etc.
._d. Elevations to scale required for changes to building's "footprint not necessary for windows,
doors, and the like UNLESS the location or size of items on fagade is changing. (Minimum
acceptable scale is 114 = 1')
e. Plot plan showing location of new work relative to existing building(s). (Only required for work
affecting "footprint" of building, e.g., deck addition.)
i� f. For solar panels: An aerial drawing to show the area and layout design
Project Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
GENERAL. SPECIFICATION SHEET
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Calor: Front:
TRIM: All windows & doors to be trimmed with
Material:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
Sides/Rear.-
Sides/Rear!
ides/Rear:Sides/Rear!
1x4 1x5 (Circle one.)
Color:
Cotor:
_
Color:
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: Qty/side:: Front: 5 Left: Right: __^ Rear: Color: 1r,lac5h_
Manufacturer/Series:- e Material: V n
Grilles (Required : Pattern (616, 211, etc.) 3)<9 Grille Tvoe: True Divided Lite: ❑ -
Snap -In: I— Between Glass: Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'l:
Style: Paneled Louvered
Color:
COLOR CHIPS
ECEIVEM
FEB 0 3 2022
YHliiviuuy,-i
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing Mat'l: Style: Color:
WALLS/FENCES" (Max W height): Height: Matt:
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:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2 -General � `�-�
APPLICATION #' P99 1�✓`
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TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST RECEIVED
Applicant's (Owner) Name:
Property Address/Location: U `pr,
Hearing Date: 52 1 aglaa-
FEB 0 3 2022
ld�)j-I r.
in .
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 webslte: www.yarmouth.rna.us
Map Number Lot Number
Applicant Information: k�3 33 1
Abutter Information:
8.2018
133
t336
133 a71
133 0DO
133
Application #: W-N?611
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TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-445 �'F
Telephone (508) 398-2231 Ext, 1292 Fax (508) 398-0836 �J
OLD KING'S HIGHWAY HISTORIC DISTRICT CO E FEB q 2022
WAIVER OF 45-DAY DETERMINATION
Ot O KINGYS HIGHWAY
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 within forty-five (45) days
after the filing of application, or within 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):'pnat\\Oki lcn
Applicant/Agent signaturr4,7 app� Date: , a
Application #:
3/2020