HomeMy WebLinkAbout23-A005 1014 Route 6ATOWN OF YARMOUTH
° s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
ECEIVE Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
JAN Q�AXI G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARMjOUTi-, APPLICATION FOR
D 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 SHEETS?, ELEVATIONS, PHOTOS, 8� SUPPLEME AL INFORMATION.
Check All Categories That A I Indicate type of Building: Commercial Residential
1) Exterior BuildM
Construction:JNew Building Addition Iterations ReroofDGarage
Shed Solar Panels Other:
2) Exterior Painting: RSiding Shutters II Doors ❑Trim IIOther:
3) Signs/Billboards: 7 New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole IIPool IIOther:
Please type or print legibly: Address of proposed work: ;%&e
.2 53� S�J?Tir•MaplLot # s !/.7-7
Owner(s): 7h)--? Phone* w-! 7- 7,FayyGS'
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: S_4zne Year built:
Email: 7K5An6. rl7Bc�,4n�aoJ�Qis�rg.'�•�"___ Preferred notification method: �^ Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email: Preferred notification method: 1:1Phone _Email
Description of Proposed Work:
U.-� $. da �,,F%�,.�o �7 J�i✓1 LI t?S-�' `PiaD �
Signed (Owner or agent):
Date: 1,,/— / -
➢ Ownerlcontractor/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.
For Committee use only:
Rcvd Date: I 41 a�
Amount dZY' U
Cash/CK #: a 0
Rcvd by: b, i
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial_
Signed:
APPLICATION M 3� �J
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material:
SIDING: Material/Style: Front:
Color: Front:
Pitch (7/12 min) Height to Ridge: Color:
_ Sides/Rear:
Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: MatT Style: Color: R
WINDOWS: Qtv/side:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite:
Snap -in: M Between Glass: J= Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT
Style: Paneled Louvered Color:
COLOR CHIPS
ECEIVED
JAN 1 0 2023
r4rV1UU_1`h
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color!
Railing MatT Style: Color:
WALLSIFENCES* (Max 6' height): Height: J`� y MatT
Style: 3- IRA:! )C;;4ce Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General -&��
APPLICATION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: AVI C z a �fa�Yl
Property Address/Location: i V f L-/ &.A
Hearing Date: - j 13123
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.
!Vote: 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
JAN 10 2023
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Begin forwarded message:
From John Callahan ycaWmi@nbketnney.com>
Date: January 9, 2023 at 9:49.00 AM EST
To: JohnC.Mechanical grmicom
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