22-A023 10 Lookout Road ApprovedRECEIVErA& TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
FEB 0 9 202Z Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
YAR;gj T. KI�'S HIGHWAY HISTORIC DISTRICT COMMITTEE
QLD KING'S HIGHWAY 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 Build' Construction: / New Building � Addition Iterations Reroof IIGarage
Shed Solar Panels V Other: Windows►'
2) Exterior Painting: 7 Siding Shutters JO Doors ❑Trim IIOther: 2Q22
3) Signs/Billboards: ❑ New Si n Change to Existing Sign
YARMOUTH
4) Miscellaneous Structures: Fence Wall IIFlagpole IIPool IIOther: 414WAV
Please type or print legibly:
Address of proposed work: 10 Lookout Rd, Yarmouth Port, MA, 02675 MaplLot # 141.64
Owner(s): Mike Jarvis Phone #:508-733-2856
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 10 LOOKOUT RD, YARMOUTHPORT, MA, 02675 Year built: 1971
Email: DREAMHILLC@MAIL.COM
Agent/contractor: ALEXEY LEBEDEV
Preferred notification method: Phone Email
Phone #: 774-208-3589
Mailing Address: 7 WINDSOR RD, SANDWICH, MA, 02563
Email: DREAMHILLC@MAIL.COM Preferred notification method: Phone _Email
Description of Proposed Work:
BUILD GARAGE DOORMER, REPLACE ALL WINDOWS WITH HARVEY CLASSIC VINYL 2 OVER 0,
2 Velux Skylights (on a back, not visible from the street), all new AZEK trim white, replace the roof with the
same color "Weathered Wood".
Signed (Owner or agent):
,."ARNOl f OWN GLER
Date: 2/1/2022
Owner/contractor/agent is aware that a permit is re fired torn the Building Department. (Check other departments, also.)
If application is approved, approval is subject to a 10 ppeal 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.
r All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections.
Rcvd Date:
Amount �V'1 tJb
CashlCK #:�f
Rcvd by: 11-5.
45 Days:
Approved Approved with ✓Modifications Denied
Reason for Denial_
Date Signed:- z 2
1 APPLICATION #: _ 2
°�Y 0 TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02654-4451
Telephone (508) 398-2231 Ext, 1292 Fax (508) 398-0836 FEB 2 8 2022
STATEMENT OF UNDERSTANDING CII YAfii�ViUUT11
KING 5 H)GHWAY
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at 10 L,OOV-LLA" lam:
Map/Lot4 CIA # ,�-� Approval Date: �1� k�
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 have read and understand the above
Date: ;2, f Z o 2 Z_
r/Contractor/Agent)
Signed:
(Chairman, Old'King's Highway Committee)
HAOKH COMMITTEEApplication Forms\StatamLnt of Understanding 2015.docx
Updated 1212015
GENERAL SPECIFICATION SHEET
Proiect Address:
FOUNDATION: Material: Concrete Exposure (Not to exceed 18"): less then 18
CHIMNEY: Material/Color: brick/red GUTTERS: Material/Color:aluminum/White
ROOF: Material: asphalt Pitch (7112 min)8/12 Height to Ridge: 30 Color: brown
SIDING: Material/Style: Front: white Cedar/shingles Sides/Rear: white cedar/shingles COLOR CHIPS
Color: Front: natural Sides/Rear: natural
TRIM: All windows & doors to be trimmed with
Material: AZEK
DOORS: Qty: 1 Material: Vinyl Color: White
Style/Size (if not listed/shown on elevations): Patio door On a back
1x4 1x5 (Circle one.)
Color: white
STORM DOORS: Qty: 0 Material: Color:
GARAGE DOORS: Qty: 1 MatT aluminum Style: Shaker color: White
WINDOWS: !side:: Front: 4 Left: 5 Right: 6 Rear: 12 Color: White
Manufacturer/Series: Harvey / Classic Material: vinyl
ECEIVED-
FEB 0 9 2022
YAHIviuu-i r;
Grilles (Require : Pattern (6/6, 211, etc.) 210 Grille Tvoe: Prue Divided Lite: �^
Snap -In: Between Glass: = Permanently Applied: =Exterior =Interior
A P P Iml 0 V E�
STORM WINDOWS: Qty: 0 Material: Color:
existing FEB 2 8 2022
SHUTTERS: Mat'I: Style: Paneled Louvered Color:
YARMOUTH
SKYLIGHTS: Qty: 2 Fixed 2 Vented Size M06 Color: brown OLD KING'S HIGI` IWAY
DECK: Size: existing Decking Maxi: PT Color: natural
Railing MatT PT Style: standart Color: natural
WALLS/FENCES* (Max 6' height): Height: MatT
Style: none Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: basement Screening:
LIGHTS: Qty: existing Style: Color:
Location(s):
LIGHT POSTS: Qty: none
Location(s):
Additional information:
Material:
Color:
2 -General m
APPLICATION #: , ��-e
TOWN OF YARMOUTH RE-CEIVE6
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext: 1292 Fax (508) 398-0836 FEB 0 9 2022
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE YAHMU- U7 H
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 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.
App I icant/Agent Name (please print):r lxey Lebe V
(0�
Applicant/Agent signature: 4 Date:2/1 /2022
Approl"Ir"OvOi
FEB 2 S 2022
Application #: 22-2-3
3/2020
YARIViUUI-H
Zlr,I sic+ i , - .
TOWN OF YARMOUTH i RFS IVED
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Applicant's (Owner) Name:
Property Address/Location:
ABUTTERS' LIST
Mike Jarvis
10 Lookout rd, Yarmouthport
Hearing Date: 91--f 4��
FEB 0 9 2022
YARMO-j'i t-.
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
Map Number Lot Number
Applicant Information: 141 64
Abutter Information:
8.2018
141
66
141
65
V
141
34
✓
141
63
✓
FEB
Y '
OLD KiiVG'S HI
Application #: 2,>-)�a3
FED
:022
H
3dkVAY
141/ 641 1
JARVIS MICHAEL
JARVIS LINDA
110 CLUBHOUSE LN
NORTHBRIDGE , MA 01534
1411 631 1 I
EKHOLM ROBERT V TRS & MARGARET
A
EKHOLM FAMILY TRUST
16 LOOKOUT RD
YARMOUTH PORT , MA 02675
1411 341 1 1
ARPANO MICHAEL TRS
ARPANO SHARON TRS
5 LOOKOUT RD
YARMOUTH PORT, MA 02675
141/ 661 ! 1
YARMOUTH CONSERVATION TRUST
P O BOX 376
YARMOUTH PORT, MA 02675
1411 651 ! 1
GIBBONS ROBERT B
GIBBONS MARY R
60 WALNUT ST
CLINTON, MA 01510
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
10 Lookout Rd.,Yarmouth Port, MA 02675
Assessors Map 141, Lot 64
Andy Mlkhado, Director of Assessing
February 9, 2022
RECEIVED
FEB 0 9 2022
YARMOUTh
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