HomeMy WebLinkAbout22-A050 10 Belvedere TerrRECEIVE TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
MAS 2 8 2022
"� Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
OLD KI G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YAiliviou i Fi
OLD 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:ComMer rinof
Residential
1) Exterior Buildin Construction: New Building 0 Addition Iterations DGarage
Shed In Solar Panels Other;
2) Exterior Painting: 2siding fv Shutters ErDoors 13Trim Other:
3) Signs/Billboards: 0 New Si Change to Existing Sign
4) Miscellaneous Structures: New
Wall IIFlagpole
nPool Other:
Please type or print legibly: ff�� /
Address of proposed work: C (� ` tf t2 1 v-
eva-u, C1k-MCizloci-l- Map/Lot # 1 3�2 /f
Owner s -- 1 `� V ��%. Y it n S e i-�
{) fi _ Phone #:�5
All applications Must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: itovie 6L.5 et Year built: �l '
Email: I i 0 h 1,16 e-) r) (% Q I -VI t C' f: VVI Preferred notification method: �_ Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email: Preferred notification method Phone _Email
Description of Proposed Work:
Ir
ph-i--e-t, -., /",-ft e rs ,
Signed (Owner or agent): l5 r7' -Tu. W, 4G k,,k-=L_-if
Date:
14 -
Ownerlcontractortagent 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.
r 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 MIDST be available on-site for framing & final inspections.
Rcvd Date: 3��rr) a �y,7
Amount ;75 G&
Cash/CK
Rcvd by: L S
45 days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
EL2O?2
MABUTTERS' LIST
YD Kcaner) Name:
Property Address/Location: to Y,3e 1 1%ectef� �e I(j .
Hearing Date: L1I ]1)�j a -X
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
Map Number Lot Number
Applicant Information
Abutter Information:
Application #: _ ;9-AV5__b
8.2018 3
Cl I
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&V
1-41
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Application #: _ ;9-AV5__b
8.2018 3
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GENERAL SPECIFICATION SHEET
Project Address: jO
4-rW a t OUh fi rf
FOUNDATION: Material:
CHIMNEY: Material/Color:
ROOF: Material:
SIDING: Material/Style: Front: J "LJ 4'd el&p
* .r ee . , - A /. ___!.1 r. A
Color: Front: /
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
(7/12 min) Height to Ridge: Color:
. ems?
6C AV'A _ Sides/Rear: Wbecj el board Ca R CHIPS
TRIM: All windows t
Material: y
DOORS: Qty: I
Style/Size (if not listed.
STORM DOORS: Qty:
GARAGE DOORS: Qt
WINDOWS: Qty/side::
Manufacturer/Series.
Grilles (Required . Patter
Snap -in:_
STORM WINDOWS:
SHUTTERS: Mat I:
SKYLIGHTS: Qty:____
DECK: Size:
Railing Mat'I:_
WALLS/FENCES- (Ma
Style:
(Show running foota
UTILITY METERS/HV
LIGHTS: Qty:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
2 -General / 1Vb—b
APPLICATION #:
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to Relvecdcre, Ti'roee - #l -r om f .4a ee6 Soa lle)
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6p-sfi s id e,
side. (Porti o m )
(wh r to 9Q rrtg,e 400es)
MwASidc (por*sh�
Fear Viet �,-v.