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Home My WebLink About22-A111 1 Jibstay Road ApprovedYARMOUTH TOWN Q �RK TOWN OF YARMOUTH 1220C `3Fm3= 2Ri� RECEIVE xl ,z Telephone ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 (508) 398-2231 Ext. 1292-Fax (508) 398-0836 SEP 1 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE YAHIVIOU i I ; (ING'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: Commercial ] Residential 1) Exterior BuildEinlg Construction: New Building II Addition iterations Reroof DGarage Shed Solar Panels Other: S �� 2) Exterior Painting: IISiding II Doors Drim IIOther: 3) Signs/Billboards: 0 NeMIF%encewall nge to Existing Sign I 4) Miscellaneous Structures: IIFlagpole IIPool IIOther:. Please type or print legibly: _ Address of proposed work; J 1 S Owner(s): K arb 0 5. All applications must be submitted by owner or accompanied by letter Mailing address. Email: Map/Lot # i ZS/1t� Phone #: 5) a � - V o:7 (D owner approving submittal f applica rot n. G "t Year built: [ ' ()2-6 notification method: 0 Phone Email 1 Agent/contractor: Phone #: 6)k -b C'yej� Mailing Address: Email; Preferred notification method: Phone Email Description of Proposed Work; ,--wa,V slvd emOed fwlLA o kf+, PlTel),y /Vb-1wSi6W Signed (Owner or agent): Date: 9 // & / 2 2 Owner/contractor/agent is aware that a Oermit 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. L Approved Approved with Modifications Denied Rcvd Date: AmountJ'D Cash/CK'#: Rcvd by: 45 Days: Date Signed: Z zZ APPLICATION #: 6A®'1-1 t r t 44y� TWTOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398 -2231 Ext.1292 Fax (508) 398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at 1 190 -', Map/Lot I ✓-A 5 03 CIA # ;2__�A I I 1 Approval Date: jU, 191.E I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop -work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. APPROVED Date: Signed: Signed: H\OKH COMM17MRApplicalion Forms\Statement of Understanding 2015.docx OCT 12 2022 (Owner/Co (Chairman, Old King's Highway Committee) Updated 1212015 TOWN OF YARMOUTH p H 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (509) 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; bud in any event within forty-five (45) days after the filing of application, or within such•f ►rther 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): Az� /-,6 a/, S- L/ Applicant/Agent signature: RECEWED S E P 19 2022 YARMOU1 ti 312020 Application # Date: 9 I1, ZZ APPROVED O C T 12 2022 YARMOUTH TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: / 1 /Uf co Property Address/Location: 1 r�� fi-oa � Hearing Date: /U Z �Z 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: RECEIVED SEP 19 2022 Y ARMO�U 1r� APPROVED OCT 12 2022 YARMOUTH l03 ✓ f Z� 1 p 2- ✓ �-S 1 o (D ✓ �r �a5- Application #: 6?,>-A111 8.2018 3 1251 1041 ! 1 LECCESE GEORGE D LECCESE BERNADETTE E KELLY 9 JIBSTAY RD YARMOUTH PORT, MA 02675 1251 951 1 1 ISHAM HAROLD K JR 19 BARNACLE RD, YARMOUTH PORT, MA 02675 1251 1021 1 1 STUCCHI MICHAEL & JANET TRS THE STUCCHI FAMILY TRUST 4 STRAWBERRY LN DRACUT , MA 01826 1251 1031 1 1 LIFTMAN BARBARA S 31 BLITHEWOOD AVE APT 1206 WORCESTER , MA 01655 1251 1061 1 1 RAYMOND GLENN R RAYMOND DONNA J 2 JIBSTAY RD YARMOUTH PORT, MA 02675-2034 Please use this signature to certify this list of properties directly abutting and across the street from the parcel located at: 1 Jibstay Rd., Yarmouth Port, MA 02675 Assessors Map 125, Lot 103 Andy Maebado, Director of Assessing September 23, 2022 RCP Vie SEP 2 3 2022 APPROVED OCT 12 2022 YARMOUTH �;D -10"ii( i 9/19122, 9:02 AM about:blank 1 Jibstay Road 1 134,136 Q 125104 125-103 125. f02 125.10, September 19, 2022 125.1•16 125,117 RECEIVED S E P 19 2022 YARiv10U 1 v, OLD KINGS HIGHWAY Xj 0125.114 1-25.115 r 134,127 y 125.111 125.112 125.113 125.119 1:1,128 0 37.5 75 150 R 0 10 20 40 m •, A�4 OG 03a-COA. \i5]. WLA.R. N xcarnoi. NMS. NLS. Ot NW, Gf03]WY!'W GSA. Geoa d Few. T G:5,w �.T, 'va9 a�G-4—,m $map ]'C pp.'�j SON?:rg na�7IXT)M+] aw'EeC cf [N T�+w4� APPROVED O C r 12 2022 YAAmou,VH ,�p_A 4 t I about:blank 1/1 GENERAL SPECIFICATION SHEET Project Address: j 91 FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: 7 ROOF: Material: 12Pitch (7112 min) Height to Ridge: Color: SIDING: Material/Style: Front: ( Sides/Rear: COLOR CHIPS Color: Front: r ti CX6S� oSideslRear. Ij TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) r� Material:. PV Color: __14k t DOORS: Qty: Material: Color, _I,& I� Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: Material: GARAGE DOORS: Qty: Mat'I: Color: Style: Color: WINDOWS: Qtvlside:: Front: 0 Left: D Right: 0 Rear: -_ Color: Manufacturer/Series: Material: Grilles (Rewired): Pattern (616, 211, etc.) Grille Type: True Divided Lite: Snap -in: _[I Between Glass: Permanently Applied: =Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'l: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: SEP z 9 2022 ! n u'�M4iJTly APPROVED 0 C T 12 2022 ni YgaMouTH I DECK: Size: Decking MatT Color: Railing MatT Style: Color: WALLSIFENCES* (Max W height): Height: Mat'L Style: Color: (Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERSIHVAC UNITS: Location: LIGHTS: Qty: b Style: Location(s): LIGHT POSTS: Qty: _ Location(s): Additional information: Material: Screening: Color.- color. - 2-General �--A-1 ji APPLICATION #: PISNAI Rd apS"1 0 1 JI� ► I D e SEP 19 2o22 �b u A�M0�7�N APPROVED O C T 12 2022 YaRMOUTH 1 -Ai ( I 2022 bail SEP 1 9 2022 011l jlNd HIGHWAY 1yJ6 I m I% lie f AIKI 4 GM '4------------ s: +° �APPROVEDJ Y AR OLD WI 'r a