HomeMy WebLinkAbout22-A097 29 Pine StreetRECEIVED
AUG 17 2022
KING'S HIGHWAY
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext 1292 -Fax (508) 398-0836
(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, & SUPPLEMENTAL INFORMATION,
Check All Categories That AI Indicate type of Building: Co
0R
mmercial Residential
1) Exterior Buildin Construction: New Building Addition Iterations eroof DGarage
Shed Solar Panels Other:
2) Exterior Painting: FISiding Shutters LJ. Doors Trim Other:
3) Signs/Billboards: 0 New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wal! IIFlagpole IIPool Other:
Please type or print legibly: �} �i
Address of proposed work: 0 I�Pi V vt�.mvt/� ` Map/Lot #
Owner(s): 1 (i'il� I ILA�7
Phone #:_,� CJ�
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
flaMailing/address: � r ` e^ df i /6o_ Year built: 0 0�
Email Ob lim k I' la to (pJ-(har - co'll
Preferred notification methodTZI Phone Email
Agenticontractor: Phone #:
Mailing Address:
Email Preferred notification rnethod7 Phone Email
Description of Proposed Work:
C xivy�(N; i Z_x I I N �).e'(A_
Signed (Owner or agent): �_ _ Date:
Owneflcontfactoriagent 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 appea! 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: 1!�17))L2,
Amount 01,10
Cash1CK #: C 2,.1-h
Rcvd by:
45 Days:
Date Signed:
Approved Approved with _Modifications Denied
Reason for Denial_
Signed:
APPLICATION #: 4��
TOWN OF YARMOUTH
p -t 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 42664-4451
14�&5
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): a,0VW1z1
Applicant/Agent signature:
312020
ECEI lll► ED
AUG 17 2022
YARjviuu's h
Application #: ;P —/00 elel
GENERAL SPECIFICATION SHEET
Proiect Address:
FOUNDATION: Material: Exposure (Not to exceed 1 B"):
Location(s):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge:
Color:
SIDING: Material/Style: Front: Sides/Rear:
COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one.)
Material: Color:
RECEIVED
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color.
GARAGE DOORS: Qty: Mat'l: Style: Color:
WINDOWS: Qtylside:- Front: Left: Right: Rear: Color:
Manufacturer/Series Material:
Grilles (Required : Pattern (618, 211, etc) Grille Type: True Divided Lite: ❑
Snap -In:.- � Between Glass: Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color.-
olor:SHUTTERS:
SHUTTERS:Mat'I: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
J
DECK: Size: Decking MatT ,�1'�'�Sil2e f id�LGf i�1) Color:
Railing Muff Style: Color:
WALLS/FENCES" (Max W height): Height: MatT
Style: Calor:
(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: Color,-
olor:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
2 -General
APPLICATION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: 21,,����
Property Address/Location:
Hearing Date: a�-
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:
Abutter Information:
EGEIVED
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