HomeMy WebLinkAbout22-A111 1 Jibstay Roadc TOWN OF YARMOUTH
RECEIVE
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
SEP 3 OW KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
KING S 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 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 I Indicate type of Building:a
Commercial ^ Residential
1) Exterior Buildin Construction: New Building Jl Additionerations Reroof DGarage
,Shed Solar Panels Other:
2) Exterior Painting: IISiding Shutters F]Doors Drim nOther:
3) Signs/Billboards: 0 New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall OFlagpole nPool IIOther: 5 (A e
Please type or print legibly: d
Address of proposed work: r�s Map/L.ot # ZSh+�
Owner(s): Phone M ,) 9- Ow
All applications must be submitted by owner or accompanied by letter from owner approving submittal of appllcation.
Mailing address: J < t0� � /�(� r'QYJ Year built: !
r _ �} v7�
Email: I rJ�.t ferrel notification method:FO_ Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email: r f`Gt'k"Q Preferred notification method: Phone _Email
Description of Proposed Work:
,7va,0 s ld ,em ked CwIL,4 a P—+, PI -elyy tv('6 1'�&A
/Vb-1WSfb W
Signed (Owner or agent):
Date: �// (A / 2 2
Ownerlcontraclodagent is aware that a Oermit is required from the Building Department. (Check other departments, also.)
r 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 Dale:
Amount
Cash1CK �_
Rcvd by:
45 Days:
Date Signed:
Approved Approved with _Modifications Denied
Reason for Denial:
Signed:
APPLICATION #:
GENERAL SPECIFICATION SHEET
Project Address: [ /2, O c
FOUNDATION: Material:
CHIMNEY: Material/Color:
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
ROOF: Material: a ?-Height to Ridge: ! Color:
SIDING: Material/Style: Front: LA4PSides/Rearpo e COLOR CHIPS
Color: Front: I ri%t� dlti,fi4ex15# SideslRear: r1 a1y` ^�
TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circleone.)
Material: — PV 6 Color: IA Ak t t-rC
DOORS: Qty: �_ Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
Color:
Style: Color:
WINDOWS: Qt- _y/side:: Front: _Q_ Left: __0_ Right: 0 Fear: D Color:
Manufacturer/Series:
Material:
Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: I— Between Glass: Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty:
SHUTTERS: MatT
Material:
Style: Paneled Louvered
SKYLIGHTS: Qty: Fixed Vented Size
DECK: Size: Decking Mat'
Railing Mat'!:
WALLS/FENCES* (Max W height): Height:
Style:
Mat' I:
Color:
Color:
Color:
Color:
Calor:
SEP 19 2022
1 n �ARMOUTi-r
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:
LIGHTS: Qty: �� Style:
Location(s):
LIGHT POSTS: Qty: -
Location(s):
Additional information:
Material:
Screening:
Color:
Color:
2 -General ++ j
APPLICATION #: �4f1 +
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: 1,1, It"g4
Property Address/Location: S��sC�CpC�
Hearing Date: U Z Z 2—
Notices
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 May 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
Applicant Information:
Abutter Information:
ECE
SEP 19 2022
YARMOl3 fr',
8.2018
Map Number Lot Number
Application #: d;, -A1 l l
1 Z�
/ n Z ✓
! �-S
1 � to ✓
MgFgr
Application #: d;, -A1 l l
9119/22, 9:02 AM
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1 Jibstay Road
vp-
134.136 134.127 134.129
1.135
�aO� 125.105 !34.128
�� 125.107
125 \-VA
125:45
-8 1-25A06
125106
125.110
96 125.103 �_ 0125.111
125.102 �EN 125.112
125.10E 125.113
125.114
125.115 125.119
125.1!6
125.117
September 19, 2022
RECEIVED
SEP 19 2022
YARMOU'f r,
OLD KING'S HIGHWAY
11.128
0 37.5 75 150 R
0 10 20 40m
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TOWN OF YARMOUTH
1145 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,f n•ther 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 prAt): 6d S L/:
Applicant/Agent signature:
RECEIVED
SEP 19 2022
YAHMOUn
312020
Application #
Date:
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