23-A002 1A Walnut Street ApprovedTOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
ECEIVCD Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD K NG'S HIGHWAY HISTORIC DISTRICT COMMITTEE
DEC 21 ZOL i
YANIVIWI r: ' APPLICATION FOR
KINGS 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 c_ opies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEME TAIL 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) Sign *neous
boards: New Sign Change to Existing Sign
4) Misc Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly: � W�1 �
Address of proposed work: A rru 1 /r<"�` 1 _ Map/Lot# qj� 3 0
Owner(s): T-Ipw
Phone #:
All applications must be submitted by owher or accompanied by letter from owner approving submittal of application.
Mailing address: Year built:
Email:
Agent/contractor:
Mailing Address: W ft(PUffif VAD
Email: 60IM6Hf
Description of Proposed Work:
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Signed (Owner or agent):
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_=d notification method:: Phone Email
0y��ld" Phone #: g 71T110 /19
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VfrfPreferred notification method: Phone V Email
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Date: le, t io � !/
➢ Ownerlcontractorlagent is awa"at a permit is required from the Building Department. (Check other departments, also.)
➢ If application is approved, approval is subject to a 1 0-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 L46, 0
Cash/CK #: 3(v O
Rcvd by: Li 5-
45 Days:
Date Signed: q 03
Approved
Reason for Denial:
Approved with Modifications Denied
TOWN 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
MaplLot 6 C/A # 0 Approvai Date: 02
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: ` 1
APPROVE
JAN 0 9 2023
Y Ahllviuu "t.
Signed: _ ;
(Owner/Contractor/Agent)
� Signed. "
(Chairman, Old King's Highway Committee)
H QKH COMMITTEEIApplication Formsl5taternant of Understanding 2015.docx
Updated 1212015
GENERAL SPECIFICATION SHEET
ddress:
FOUNDATION: Material:
CHI EY: Material/Color:
ROOF: Material r M Pitch (7112 min) 5� Height to Ridge: Color: S
SIDING: Material/Style: Front:- �J€1jidS Sides/Rear: COLOR CHIPS
Color: Front: i�jwE V Sides/Rear:
TRIM: All windows & doors to be trimmed with: 01x41x5 (Circle one.}
Material: - 'yV LZ
Mtry
DOORS: Qty: erial:
t
Style/Size (if not listed/shown on elevations):
STORMpORS: Qty:.
GARAGIXOORS: Qty
Material:
MatT
Exposure (Not to exceed 18"):
ex
GUTTERS: Material/Color: r L'l,S77u�
Style:
•• i
Color:
Color:
WINDOWS: Qtvlside:: Front: f,� Left: Right: Rear
Manufacturer/Series: — 1 � 604- Material:
Grilles (Required): Pattern 616 2/1, etc.) Z Grille Type: True Divided Lite:
Snap -In: lie een Glass: Permanently Applied: Exterior Interior
STORM WKDOWS: Qty: Material:
SHUTTERS: MatT.
SKYLIIGj9TS: Qty
Style: Paneled Louvered
Fixed Vented Size
DhK: Size: Decking Mat'I:
Raiiling MatT. Style
WALLS ENCES* (Max 6' height): Height:
Styl 4 Color:
(Show runn' g footage & location on plot plan.)
UTILITY ME S/HVAC UNITS: Location:
LIGQty: Style:
7
LOCatlon(S):
LIGHT OSTS: Qty: _
Location(s):
Additional information:
Material:
MatT
Color:
Color:
Color:
Color:
Color:
RECEIVED
DEC 212022
YARMOU"+,
Color: dLD KIJ�lG'S Hl( iF
Color:
v � NYC
APPROVED
JAN o 9 2023
YARIVIODUi H
*'Finished side of fence must face out from fenced in area.
Screening:
Color:
Color:
2-General
APPLICATION #: -Atgl
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: Yty1
Property Address/Location: S-hWi-
Hearing Date: I qj,23
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. 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
DEC 21 2022
r Artfvrvv i r,.
OLD KING'S HIGHWAY s
APPROVED".
JAN 0 9 2023
YAHMOU f+,
Application #:
8.2018 3
961 31 1 1
LHOMMEDIEU MATTHEW JR
2A MAGNOLIA RD
YARMOUTH PORT, MA 02675
961 4/ 1 1
HULTEN MARC R
HULTEN LAURIE
2B MAGNOLIA RD
YARMOUTH PORT, MA 02675
961 311 1 1
FOYNES PETER J TRS
FOYNES FRANCES G TRS
I WALNUT ST
YARMOUTH PORT, MA 02675
961 301 1 1
FIORE EDWARD J TRS
EJF REVOCABLE TRUST
17 OAKRIDGE RD
HOLLISTON , MA 01746
961 341 1 1
YARMOUTH HOUSING AUTHORITY
534 WINSLOW GRAY RD
SOUTH YARMOUTH, MA 02664
961 291 1 1
ORPEN LOREN P
27 GOLDENROD LN,
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at
1A Walnut 5t., Yarmouth Port, MA 02675
Assessors Map 96, Lot 30
Andy M9chado, Director of Assessing
December 27, 2022
APPR6VEp
JAN 0 9 2023
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