HomeMy WebLinkAbout22-A094 19 Wadsworth LaneRECEI TOWN OF YARMOUTH
i 1146 ROUTE 28. SOUTH YARMOUTH, MA 02664-4451
AUG 01 2022 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
YARMOUT1 D ING'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, & SUPPLEME TAL INFORMATION.
Check All Categories That Ap I Indicate type of ilding: Commercial?Reroof
Residential
1) Exterior Build[]Solar
Construction: New Building Addition Iterations Garage
Shed Panels Other:
2) Exterior Painting: Zsiding Shutters L._.l Doorsrim IIOther.
3) Signs/Billboards: .II New Sin Change to Existing Sign
4) Miscellaneous Structures: Fence Wall OFlagpole
Please type or print legibly:
Address of proposed work: m_LJApstmr tf' Lw) --'
Owner(s) 3 bhn T N=ltr- r'0f oy_—
All applications must be submitted by owner or accompa
IIPool Other:
S
05 �r� t n�71
Map/Lot # !
Phone # Joe 23 6234
er from owner approving submittal of application.
Mailing address _ 1�, Q a+iC Year built:
Emai its 1. -ca" Preferred notification method. 1-1 Phone 12�Email
Agent/ccntractor:Se Phone ft
Mailing Address
Email: Preferred notification method Phone Email
Description of Proposed Work: W yy t to -SIP G
2. bu;I�
A A
Signed (Owner or
Date: ;X — 31— 2.1
Ownerlcontractorfagent is aware shat 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( f +,
v
Amount L40,
Cash/CK
Rcvd by 5'
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial
Signed.
APPLICATION # P -A " q
GENERAL SPECIFICAT
HEFT
FOUNDATION: Material: CSt'1r Exposure (Not to exceed 18"):
CHIMNEY: Material/Calor: 1.N GUTTERS: Material/Color: A L i whT
/ . j
ROOF: Material: lQ Pitch (7112 min) 0 Z Height to Ridge: 2 2 ^'olor: A, l etioo
SIDING: Material/Style: Front.-Mides/Rear:A[ e COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed
with 1 x 4 1x5 (Circle one.)
Material:Z �/e. _ Color: W 417_
DOORS: Qty: C5 Material:
Color:
Style/Size (if not listedlshown on elevations): _6e;L" tors Sem �1 G S
STORM DOORS: Qty: _ Material Coloj
GARAGE DOORS: Qty: Mat'I. Style T ) C Color:
. W�Q
WINDOWS: Qt /side: Front r Left: Right: Rear: _-_!�_ Color:
Manufacturer/SeriesC) c5d 6.__.�Etaterial
Grilles (Required atter 211, etc.) Grille Type: True Divided Lite:
Snap-ln: �µsm�een Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: 0_ Material:
SHUTTERS: Mat'L .42af- Style: Paneled
SKYLIGHTS: Qty:_ Fixed Vented
Louvered
Size
DECK: Size: D king Mat'I:
Railing Mat'I Style:
WALLS/FENCES" (Max 6` eight): Height: AW MatT
n
k Platinum Gray
am_G f r4
Color:
Color: L ,see PF
Calor,
Color:
Color:
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: AJ4 Screening:
LIGHTS: Qty: �` Style: Color:
Location(s)
LIGHT POSTS: Qty:
Location(s):
Additional information:
Material:
CEI M ED
01 2022
2 -General
APPLICATION #
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: f V
Property Address/Location:
Hearing Date: '81"Mxt-
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 Ofd King's
Highway Department page on the Town website: www,varmouth.ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
RECRVED
AUG 0 12922
YAHIV1OU'l r�
8,2018
Application ##: gp,/ y "
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`7-':r
_
Application ##: gp,/ y "
' TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext, 1292 Fax (508) 398-0836
OLD KING'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.
Applicant/Agent Name (please print : -JC
Applicant/Agent signature:
312020
Date: — / —;?-2
RECEIVED
AUG 01 2022
YARMOUTH
Application #: 60—
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