HomeMy WebLinkAbout22-A083 17 Wild Rose TerrTOWN OF YARMOUTH
c
ECEIV r }a 9146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
L6- KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
'(AHivivu I i-, I
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 44 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That AP : Indicate type of Building: CommereReroof
Residential
1) Exterior Buildin Construction: New Building 0 Addition Iterations IDGarage
Shed E Solar Panels Other:
2) Exterior Painting: IISiding Shutters D Doors Trim IIOther:
3) Signs/Billboards: 0 New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall IIFlagpole IIPool Other:
Please type or print legibly:
Address of proposed work: / i T .5Y9rrro�ii /Ylf MaplLot # _ [L9� Z Z
Owner(s): Phone#: g `.�(a7—O��p
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 7 7 W1 /a' T rCcyc- h m�G'fYear built
Email: c>/pr�9�G�D 4Arn a.,??aznl4 r? e� Preferred notification method: 11 Phone L J Email
Agent/contractor:
Mailing Address:
Email
Description of Proposed Work:
Pei 1 � �05 C
Phone #:
Preferred notification method: Phone
Signed (Owner or agent): Date
Ownerlcontractorlagent 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: 2P
Amount a5-iV?
CashICK
Rcvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed
APPLICATION #: ;V 'Po 8-7;
GENERAL SPECIFICATION SHEET
Pro'ect Address: / 7 lo" 6 -
FOUNDATION:
FOUNDATION: Material:
CHIMNEY: Material/Color:
2) -Ut-lGrr?a'o
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min)Height to Ridge: Color
SIDING: Material/Style: Front: Sides/Rear:
Color: Front: Sides/Rear: _ !ftr c/,Y?e_ -
TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
WINDOWS: %y1side:: Front:
ManutacturerlSeries:
Style
COLOR CHIPS
Calor:
3
_ Color:
Color: C-169
Left: Right: Rear: Color:
Material:
HC -169
HC m Benjamin Moore HC
Grilles (Required): Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: - I J Between Glass: = Permanently Applied: =Exterior J=flnterior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color. FWE�C F _1V D
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
JUL a 5 2022
Railing MatT. Style: Color: OLD i<IIHVG11GH1rU
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 METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: -
Location(s):
Additional information:
Material:
Color:
Color:
2 -General
APPLICATION #: /'[�
TOWN OF YARMOUTH
OLD KINI G'S HIGHWAY HISTORIC DISTRICT CON11MITTE
ABUT1 ERS' LIS J'"
Applicant's (Owner) Name: Lel+ -.4 wl,� M' yo -> 0\o(tiyAc)u-
Prupert adrdress/ .cca inn: l ! Y� FG If-o5'e reri
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 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.Lis
Applicant information -
Abutter Information:
0-
JUL 0 5 202?
YkrjiVlUV i f
E 2018
Map Number Lot Number
Application #:"A0k__'
N
wl
O
rn i1
Ci
,1
1-4
rf
�q
Q)
rl
co
7
� II
�rn
a
z
9�
U�
� R
RECEIVED
,JUL 0 5 2022
fAtI QUi
�4
'� ►��I X111 - .: __�
- iLa
i�11{i1i11�llllll
i
f
-
„
r
12
f
lit
f3