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22-A080 9 Belle of the West RdECI11 3= TOWN OF YARMOUTH °r x 1146 ROUTE 28- SOUTH YARMOUTH, MA 02664-4451 JUL 4 5 2022 1 Telephone (508) 398-2231 Ext 1292 -Fax (508) 398-0836 YARMcQi p KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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 BuildingConstruction: New Building 0 Addition Iterations Reroof DGarage Shed OSolar Panels Other: 2) Exterior Painting: Siding Shutters 1 � 1 Doors Trim Other jT &4( -g _ 3) Signs/Billboards: D New Si n Change to Existing Sign 4} Miscellaneous Structures: Fence Wall 0Flagpole Opool L10ther: Please type or print legibly: a n ! Z l/ 2 Address of proposed work 1 ��<<2 Ort IJJ>✓S� ZOO MaplLot # r 3 Owner(s) Phone #:_$M-3S*;L- %7Y7 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address CIC tllil� (A1e57L Q&- Year built 70 S Email. Preferred notification method. Phone Email Agent/contractor Phone #: i 7 -3 r3- rio8� Mailing Address: QOX 344 Yar&ta Pow VL4 4 Oa -675" Email: 6 t cyto f 76 (D Q Ut oo . c,pt, A Preferred notification method: Phone Email Descrip ion f Proposed Work: j --e f1 ?Cf'W W 4 (m))A3 ,I S Signed (Owner or agent) Date. Ownerrconlractorlagenl is aware that permit is required from the Building Department (Check other departments. also ) If application is approved. approval is tubject 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. Ail new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections. Rcvd Date:J r� y Amount `I0• W CashICK # a1)-4 Rcvd by Lf S 1 45 Days: Date Signed: Approved Approved with Modifications Denied Reason for Denial, Signed. APPLICATION # ;R -144v— GENERAL SPECIFICATION SHEET Pro'et ct Address'- .._. FOUNDATION: Material: CHIMNEY: Material/Color: ROOF: Material: Exposure (Not to exceed 18"): GUTTERS: Material/Color: Pitch (7112 min) Height to Ridge: Color: SIDING: Material/Style: Front: Sides/Rear: Color: Front: Sides/Rear: TRIM: All windows & doors to be trimmed with 1x 4 1x5 (Circle one.) Material: PVG Color: 61�114e—' DOORS: Qty: Material. Color: Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: Material: Color: GARAGE DOORS: Qty: MatT j - Style: Color: WINDOWS: Qtylside: Front: � Lett �!� Right: 1 Rear: 1 Color: 15`i,QcL— Manufacturer/Serie& ftnAArQv, HOO Seei<.' _Material Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite: Snap -In: I Between Glass: Permanently Applied: Exterior IDInterior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat]: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color COLOR CHIPS + Fr'LUV85 JUL 06 2022 _r7 u A �MOu f -h DECK: Size: Decking Mat'I: Calor: Railing Mat'I Style: Color: WALLS/FENCES' (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 METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style. Location(s) LIGHT POSTS: Qty: _ Location(s)- Additional information: Material: Color: Color: 2 -General APPLICATION # RECEIVE JUL D 5 2022 �AHNIO1} f t TOWN OF YARMOUTH KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: K.eV\ W.-.41 .5 Property Address/Location: a !vz3+ Act Hearing Date: - 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 Ma 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. wwvr.yarmouth.ma.us Map Number Lot Number Applicant Information: 13Z Abutter Information: 82018 Application #: Y TOWN OF YARMOUTH l� o 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 ' Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD IQNG'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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. 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