HomeMy WebLinkAbout22-A105 9 Mohegan LaneTOWN OF YARMOUTH
r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Aub 2 9 2022 Telephone (508) 398-2231 Ext 1292 -Fax (508) 398-0836
.ykRrvicQ�,,D 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 f Indicate type of Building:Commercial x Residentia€
1) Exterior Building Construction: New Building - Addition Iterations Reroof -Garage
Shed 17Solar Panels Other:
2) Exterior Painting: -Siding Shutters 0 Doors Trim -Other:
3) Signs/Billboards: II New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Zt Wall -Flagpole -Pool -Other: tr'tIKIM� Vf
Please type or print legibly: I /
Address of proposed work: 'I MoRE6An L*vve Y,t emovirr,, ' �pfT Map/Lot # M& /-7
Owner(s) tAv% '(.f.{e r LIL6 Di+2ill)0fa1{ _fCUGfjSoIJ Phone# q(653'7 5078
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address. t h10 tF,-6 A-- 4,4,1 a yk,/ o,,,,,4t, LIMA 0167,' Year built: lq 7 t
Email: bell 5-9 hivA IL • Lok, Preferred notification method: Phone � Email
Agent/contractor (C j!o ELpR �t1C c - G4 �C _Phone #: 771 Zr Z- S 3
'ork: tr
tAX4 1!+ Vt d .544tfR5 q la wd- S 10
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4,s r g t o h Sn d r +vt w o', h"Nd s I e pe-+
4— Preferred notification method: I—I Phone
�csflnr ,+:K T (yin G"2 fGCw.ov & E',�r Sf �► j
.+, ffi.� Rrgkr side of dr/vcµ,
-flrw6er
aG�
Signed (Owner or agent)
Date: � Z'+ W Z L
Ownedcontractor/agenl 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 far one year from approval date or upon date of expiration of Building Permil, 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 8 final inspeclions-
Rcvd Date
Amount G�
Cash/CK A
Rcvd by L �+
45 Days:
Date Signed
Approved Approved with Modifications Denied
Reason for Denial.
Signed.
APPLICATION #
GENERAL SPECIFICATION SHEET
Project Address: Mo jfG6hi, 1 *,\e- kr neo ?oc l
FOUNDATION: Material.
Exposure (Not to exceed 18"):
CHIMNEY: Material/Color:
GUTTERS: Material/Color.-
aterial/Color:ROOF:
ROOF:Material: Pitch (7/12 min) Height to Ridge: Calor:
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
Calor:
DOORS: Qty:
■ ECEI M ED
Material:
Color:
Style/Size (if not listed/shown on elevations):
AUG 2 9 2022
STORM DOORS: Qty Material
Color: YARMOU 1 T-
OLD KING'S HIGHWAY
GARAGE DOORS: Qty: Mat'l-
Style: Color:
WINDOWS:Otylside: Front Left: Right Rear Color:
Manufacturer/Series:
Material:
Grilles (Required). Pattern (616. 211. etc.)
Grille Type: True Divided Lite:
Snap -In: �_ Between Glass: F Permanently Applied: =Exterior ,Qinterior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: Mat'I: Style: Paneled
Louvered Color:
SKYLIGHTS: Qty: Fixed Vented
Size Color:
DECK: Size: Decking MatT
Color:
Railing MatT Style:
Color.
WAL !FENCES" (Max 6' height): Height:
I►
MatT _AG o(* +vc (!�Acwr_kC 5)vck f VA the-,rS4L CaO "y
Style: is T kttll
Color:
V/nG IS 51EKt> =deal /�11fh��rFG�+rCt�-
(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:
Location(s)
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
2 -General y�
APPLICATION #: r� � —AN -5-
r kTOWN OF YARMOUTH
w4WE
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT CONUMTTEE
WAIVER OF 45 -DAY DETERMINATION
The app I i cant/appl i cant'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 an), 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 p i t): P_ (A fn
Applicant/Agent signature: Date: 8 zq1z-oz--L-
M-COVED
AUG 2 9 2022
YAi (WUu.
312020
Application #: 29_A10y
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location: oKe6iv, t*v1e Lkrn%a,,N *r/L4A
Hearing Date-- ql ?� t22
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 on[V. 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.us
Map Number _ Lot Number
Applicant Information: 7
Abutter Information:
RECD VED
AUG 2 9 2022
Y AF IWOU i i,
8.201 B
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Application #: _P -AI us -
8129122, 11:07 AM
9 Mohegan Lane
115.137 ✓ 116.16 .PO
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116.12
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1.16.17
36.10 116.97
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116,16 i'16�ii
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116:5 1.16.100 116.96
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115.149 116.102
August 29, 2022
RECFI ED
AUG 2 9 2022
YAhfViUv i t-
OLD KING'S HIGHWAY
1,1,128
0 37.5 75 150 n
0 10 M 40 m
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CERTIF,
ROBERT S
NEW CONSTRUCTION ONLY: ortucE
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SHOWN Ol THIS.PLAN IS LOCATED:':
,REGISTERED
REGISTERED JOE ON THE 6 OUND AS INDICATED IAND:'
CIVI LAND
CONFORMS TO THE -ZONING'. LAWS'
ENGINEERS SURVEYORS DR. BY:
OF.; YARMOUTHf4psS,
CH. BY: /
33' N0. MAIN, ST. 712 MAIN ST ' I -7 I I
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