HomeMy WebLinkAbout22-A134 143 Route 6A°fro TOWN OF YARMOUTH
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RECE.1146 ROUTE 28, SOUTH YARMOUTH, MA 026644451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
NOV 10LD/KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARMOUTt-' APPLICATION FOR
KING' S HIGHWAY
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 Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed _ Solar Panels _
2) Exterior Painting: Siding _
3) Signs/Billboards: V/New Sign
Other:
Shutters Doors _Trim Other:
Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly: c1.
Address of proposed work: 1'� f Map/Lot # V;1e Owner(s): " -D v " '] Phone #: — L '' 0 `e%
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All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built:
n
Email: �� ��-T(i+�� �i �7 r J� C. J Preferred notification method:
Agent/contractor:
Mailing Address?
Email:
Description of Proposed Work:
Phone #:
Phone Email
Preferred notification method: Phone Email
P $H1 OKf r
Signed (Owner or agent): Date:
I1If7I2Z
➢ Owner/contractor/agent 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 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:
Amount s•
Cash1CK
Rcvd by: G. 5
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
1 APPLICATION#:
SIGN SPECIFICATION SHEET
Project Address: Year Built:
Check one: V"'New Sign
--J,-'-Freestanding
For Affixed Signs:
Style of mounting fixture:
Size of sign:
Lettering: Style
Addition/Alteration to Existing Sign
Affixed to Building
Material:
Color(s):
Color:
Please note sign placement on elevation(s) and attach full -color mockup(s) of proposed
sign(s) including artwork and colors.
For Freestanding Signs:
Style of signboard: �f l ti-y�I b Material: O
Size: 41 i Y- U Color(s): J - of ? Ri-
Lettering: Style Color(s): t,l�ij 1TL%
Posts: Material Color(s): V1I t�-ti�E
Height to crossbar (not to exceed 6'): Single -faced: Double-faced:
Please note sign placement on plot plan and attach full -color mockup(s) of proposed
sign(s) including artwork and colors.
For All Signs:
Lighted: —\./—Yes No
Type/placement of lighting: fy, ,1S j 7 N6
Screening of Lights:
Additional information:
COLOR CHIPS
RECEIVED-
NOV 17 2022
YARMOU., �,
2-Sign
APPLICATION #: -103Y
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: QCM A,
Property Address/Location: 14 3 CEO 6 "4
Hearing Date: ( 9j pi2_:2-
Notices must be sent to the applicant and abutters (including owners of land on any
public or private street or way) whose 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
NOV 17 2022
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Application #: a?400 3�
11117/22, 10:32 AM
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143 Route 6A
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ROIiTE 6A
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TOWN OF YARMOUTH BUILDING DEPAW
1146 Route 28, South Yarmouth, MA 02664 508-398-2231
SIGN PERMIT APPLICATION
1 < < -� RECEIVED
Date 10- Application Acclepted Perr
NOV 1 ;"2?
No.
E I V E D
NOV 17 2022
BUILDING DEPARTMENT
By:
AlaR iant Instructions �%D Q
1) Applicant shall complete both sides of application. OLD KING'S F lgt!W�Y .. 0 4#I 6-3
2) One application form is required for each sign. Each sign will be assigned its own permit number.
3) Applicant shall attach separate 8'/z"x 11" sheets including the following diagrams: A) Design,
dimensions and colors of the proposed sign
B) Freestanding Signs: provide certified plan by a professional land surveyor that describes how the
proposed sign meets the zoning requirements included in Zoning Bylaw 303.5.6 or 303.5.4.2 (as
applicable). A stamped and sealed "as -built" will be required before the permit will be issued.
C) Attached Signs: show length of portion of building frontage that is occupied by applicant.
D) Temporary Signs: show location for sign
4) Sign permits are $40.00 each, payable at the time of application.
Address of proposed sign_--_#143 ROUTE 6A Historic District —O.K.H._
Name of Business for proposed sign STEVEN DAVID, CLINICAL PSYCHOLOGIST
Name of Business owner STEVEN DAVID
Mailing Address of Business owner#143 ROUTE 6A, YARMOUTH PORT, MA 02775
Business Owner Phone: Business 23 ' �j 3 T_ Horne
Name of Building Owner Srf hIJ_
Phone Sign Builder Sign Materials
Sign Builder Address_,
Phone Z Dl
Singly Occupied Building _x Business Center Internal Light External
Light x j V x Is"
Frame standing Stan Size: ,;�xeSIGN ON EXISTING POST
Attached Sign Size:
TemporM Sign Size:
Dates:
Please complete
other si a of Sign Permit Application
All Permits are subject to the approval of the Sign Ins ector
I hereby agree to conform to the provisions of Town of Yarmouth Zoning By-law Section 303 governing sign
construction and installation. I further agree that this sign will not be altered, added to or changed in any way
unless a new permit has been issued. Sign Permits are not valid until the Building Commissioner issues Use
and Occupancy Permits (where applicable). Freestanding sign permits are not valid until the "as -built" from a
professional land surveyor has been received.
Signature of Applicant: Date
Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matters related to
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this sign application. (Signature)
Date
Approved by:
With the following conditions:
I have read and understood the conditions of this Sign Permit listed above:
Date
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