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22-A098 37 Union Street
ECEIVED s�°F�Y^Rs, TOWN OF YARMOUTH F s 1146 ROUTE 28. SOUTH YARMOUTH. MA 02664-4451 AUG 17 2022 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 r ,iAA1k)JQLD �-ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE n sari rl.q 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 descr€bed below & on plans drawings, photographs & other supplemental info accompanying this application. PLEASE SUBMIT 4 co(ies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, 8, SUPPLEME FAL INFORMATION. Check All Categories That A I Indicate type of Building: Commercial Residential 1) Exterior Buildin Construction."Other: New Building Addition Iterations Reroof nGarage Shed Solar Panels 2) Exterior Painting: Siding Shutters l l Doors ❑Trim IIOther. 3) Signs/Billboards: 0 New Si n Change to Existing Sign 4) Miscellaneous Structures: Fence Wall IIFlagpole IIPool nOther: Please type or print legibly. 4 Address of proposed work: al UY11"it'-N .5; -WE t, 4`17MD A AlCk Map/Lot # l 2N v ' Owners) o me ��YO ce, Phone #: DO ' g All applicat ns must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 3:� n t tvi � i'� WAX d ti yYfYY1A+-1(� tiff Year built 2.088 i Email: r0 ( 'q c' q% (' CbM Preferred notification method Phone H Email Agent/contractor Phone #: Mailing Address: Email Preferred notification method: Phone Email Description of Proposed Work: .JyJ 5AZ 1I 1000Gt- aCV053 07F M54 - Signed (Owner or agent) Date: Q'R . I '�'• 27— Ownerlconlracloflagenl is aware that a permit is required from the Building Departmenl. (Check other departments. also l If application is approved, approval is subject to a 10 -day appeal period required by the Act. This cenif€cate 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: � 7',2 Amount 40' to Cash/CK #: t Rcvd by L" 5, 46 Days. Date Signed: Approved Approved with Modifications Denied Reason for Denial= Signed. APPLICATION # ?>—* r 8- GENERAL SPECIFICATION SHEET Project -Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Calor: GUTTERS: Material/Color. ROOF: Material: Pitch (7112 min) Height to Ridge: Calor: SIDING: Material/Style: Front: Color: Front: _ Sides/Rear: Sides/Rear: TRIM: All windows & doors to be trimmed with: 1 x 4 1x5 (Circle one.) Material: Color DOORS: Qty: Material: Color: Style/Size (if not listed/shown on elevations): STORM DOORS: Qty' Material Color: GARAGE DOORS: Qty: MatT Style: Color: WINDOWS: Qtylside: Front: Left. Right Rear: Color: Manufacturer/Series Material Grilles {Required . Pattern (6/6.2/1 etc.) Grille Type: True Divided Lite: Snap -In: � Between Glass:= Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat 1: Style: Paneled Louvered Color COLOR CHIPS ECR E) AUG 17 2022 rAHivjou i h SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking MatT Color: Railing Mat'I Style: Color. WALLSIFENCES` (Max 6' height): Height: 6a , MatT Style: PA-4� k'-(� Color tkXV3 � (Show running footage & location on plot plan.) inished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style Calor: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s) Additional information: 2 -General APPLICATION #. p TOWN OF YARMOUTH C H 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 F` Telepho©e (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 fling 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): RoJJoe. Applicant/Agent signature: - —Date:—DS • 0- .2zl RFS ivF-D AUG 17 2022 YAF1(4��J� I �s <ING'S H H—WM` 3!2020 Application #: ��' W TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name. 001 0_ 6 VVW_ Property Address/Location: 3:7 tMtAl) Hearing Date:g1?21 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.ya.rmouth.ma.us Map Number Lot Number Applicant Information: Abutter Information: RECFIVFD AUG 17 2012 Application #: 2.>-- k 8.2018 3 4-0 C 0 c D ti a. 00 0 (V N N h m N N N 7 4 AUG 17 2022 ^ .YHhmOu-j r, 2,-)-MS- cc ` JMV 17 U �,7 L N � a vj r u� NIL ai r VO w N N N 7 4 AUG 17 2022 ^ .YHhmOu-j r, 2,-)-MS- cc ` JMV a § § m ECE|VED AUG 172022 YAHMUu11 k� � |) (� \� {� ® i rN /8 �}\� ■ m s k §J$ ECE|VED AUG 172022 YAHMUu11