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22-A134 143 Route 6A Approved
°�Y TOWN OF YARMOUTH s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 V�� Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 NOV !OLD%KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE YARMOU"r: 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 Other: 2) Exterior Painting: Siding Shutters Doors _Trim Other: 3) Signs/Billboards: V/New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: Please type or print legibly: ++ Address of proposed work: /� 1'� Map/Lot # l Owner(s): \:M -DA L Phone#: - 01'' All applications must be submitted by owner or accompanied by letterfrom owner approving submittal of application. Mailing address: Year built: Email: !�R-� 0C-T�r����l r 1� fi 1 Preferred notification method: Agent/contractor: Mailing Address: Email: Description of Proposed Work: Phone #: Phone Email Preferred notification method: Phone Email �WtO&f ow agent): or Owner Signed a : Date: g ( 9 ) ➢ Owner/contractorlagent 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 dZ� Gta CasWCK#: Rcvd by: L, S, 45 Days: Approved Reason for Denial_ Date Signed: 1 ;1l rx ze) ;9 Approved with Modifications Denied 1 APPLICATION #: �� }0 4 Y� TOWN OF YARMOUTH 0 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 -5 g2ov + Map/Lot �� �Ly C/A # 9Z;1"A13 L/ Approval Date: ►�� �� 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. Date: l—/%/2- /202Z APPROVED DEC 12 2022 YARMOU- H Signed: (Owner/Contractor/Agent) Signed: (Chairman, Id King's Highway Committee) HAOKH COMMITTEE�Application FormslSlatemenl of Understanding 2015,docx Updated 12f2015 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: �&N %/�,A I Property Address/Location: I L1 3 eM-e CA Hearing Date: 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: ECEIVED NOV 17 2022 Y AhivlW APPROVED DEC 12 2022 YARi �UuurHWAY pip 4 s'/ �2 pq CIP10 10D35_D4_ 1 _2�7 qq Z!- pip l q3a l Application #: a?_A1 3Y 8.2018 3 SIGN SPECIFICATION SHEET Project Address: Year Built: Check one: �New Sign _____[��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 Freestandina Sians: Style of signboard: b Material: W 0 t Size: 4 >( l U h Color(s): J" Uj I R,� w Lettering: Style Color(s): 1,1t}� ►'�{% Posts: Material wtn Color(s): --a 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: —14/—Yes No Type/placement of lighting: Screening of Lights: Additional information: ks—) IN6 COLOR CHIPS ECEIVED NOV 1 7 2022 YARMOU"i rr APPROVED DEC 12 2022 YARMOUTH 2-Sign APPLICATION #: -,gl3q 1221 341 I 1 ZUCCALA VINCENT J Please use this na sl ture to certify this list of properties ZUCCALA TARYN R g p 1130 UNION ST directly abutting and across the street from the parcel located at: MANCHESTER , NH 03104 143 Route 6A, Yarmouth Port, MA 02675 1221 1291 C21 ! Assessors Map 122, Lot 128 CLARK CHARLES 139 ROUTE 6A UNIT 2 Andy Ma ado, Director of Assessing YARMOUTH PORT, MA 02675-1713 November 23, 2022 1221 128! 1 1 ROYAL CAROL WELD CIO DAVID STEVEN 143 ROUTE 6A, YARMOUTH PORT, MA 02675 1221 1301 1 ! LINK JUDITH A 18 NORTH SANDYSIDE LN YARMOUTH PORT, MA 02675 1221 127/ ! 1 RECE . ED TATIBOUET JANE B TRS 2929 PONI MOI RD NOV 2 3 2022 HONOLULU , HI 96815 i�Kv�OUi ri - 1221 351 ! 1 WITTE PHILIP & SUSAN PO BOX 103 YARMOUTH PORT, MA 02675 1221 1291 C11 CLARK JON 101 TURNER AVE ENCINITAS , CA 92024 1221 1291 C31 ! CLARK GORDON III 141 ROUTE 6A UNIT 3 YARMOUTH PORT, MA 02675-1713 DEC 12 2022 YARMOUTH �;PAi 3V 11/17/22, 10:32 AM abouttlank 143 Route 6A 122.37 ROUTE 6A 122.40 I '— 1.22?119 uU 5 LU W122.128 ■ , w 122.129C z 122,127 . 122.120 g z 122.125 122.122 122.121ILI i ' 122.123C z O z 122,118 122.130 Novembai 17. 2022 1 1.128 4 37.5 75 i son 0 26 qp sn RE' a��1< l!�® rr3 a+�s.:re ve-an �n mc:eaq:aL•o;ael •xaann3 aw.�rca:ara 4 i#/ `` Po Fea 5f Ee ae'a4Tr' NOV 1 7 2022 OLD KINGS HIGHWAY APPROVED DEC 12 2022 _ Y�1RiVl )U , H about:blank 111 TOWN OF YARMOUTH BUILDING DEP, 1146 Route 28, South SIGN Date 10- Application A MA 02664 508-398-2231 APPLICATION RECEIVED E I V E D NOV 17 2D22 BUIL6[NG DEPARTMENT Ye t No. NOV ,2 aInAructions � YAni'viou I i . 1) Applicant shall complete both sides of application. I QLQ KING'S HIGHWAY �l� FI 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 81/2"x I I" 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#] 43 ROUTE 6A, YARMOUTH PORT, MA 02775 Business Owner Phone: Business Z3 ' 3 Home Name of Building Owner Sriyed )D"ih Phone 0`'Si� Builder .. __ g Sign Materials Sign Builder Address _It Prone � b si I/ Singly Occupied Building __.x Business Center Internal Light External Light x $ °' K 13 H Freestandin i n Size: _;!. SIGN ON EXISTING POST Attached Sign Size: Temporary Sian Size; Dates: YARMOLP'H ; Please complete ;v,A1 JY F other side of Sign Permit Application 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 OwnerAuthorization: I hereby authorize the applicant to act on my behalf in all matters related to l] �6, 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 RECEIVED N 0 v 17 2022 { hniaiOU J r, DEC 12 2022 YHriiLiv'U ; 3v NOV 17 2022 18" x 18" 1APPROVED DEC 12 2022 Wcc72=File Name: _ VE DESiGi l IS TFiE PRO€�ERTY OF GAPE MEMO- SIGNS 103 ENTERPRISE 1. • BE DUPLICATED OFt USED WITHQEIT EX3'RI SS VV€iITTEN GONS 0i i0• f � Ir 1) ( 01 cn m Z F1 D Lamn /} m � . - c0 CD � C� rm m m 0 C cu G� © _ _ z _ D -� Go m r� .1 rz z cz-) o cI i " v -� -D C z o �] Ln o m C)o ��z °�jy0� N y� om 00 z Z c�•l D rer 19- O �9 • 'QT m > p C) sS" stS,, AC9 �] LIy z m y 9yQ F B�� �3g D m ,� z Q z x � FF� S j, 32\ -< m cn p m m 0 z O p D ;;Q Oq Q -Ti L9 M O— S N D � N m f� C C4o.20. �0, M mD O 'm—O z z z � 3g¢o'' �9J D --i r-u m -i m m � O - ao C, z 7r, cn -�� rQ OD N '� ! 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