HomeMy WebLinkAbout23-A011 9 Embassy Lane°x TOWN OF YARMOUTH
3' 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
C^�Jur Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
JAN OLD2KIN;G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
OLD KAhiINGviU 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 _K Residential
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
Shed Solar Panels Other:
2) Exterior Painting: Siding X Shutters Doors Trim Other:
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly: �^1
Address of proposed work: Cp" UANla Map/Lot #
Owner(s): C VANNUAW OU l,_T Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: - l ", Year built: ��4
Email: C\JN\- lr!hfjCfKl 5!NAC6'*AJ0J Cak Preferred notification method: Phone & Email
Agent/contractor: UANL :Y / e T K. MkgEC�t°5r lk�Z Phone#: 15021 36"L M5
Mailing Address ZQg 1il1i�CT��S QA'C}1y_� iL - M OZu 64
Email: J2V-`Y ��T-G�r�'['�R COINI Preferred notification method: Phone _Email
Description of Proposed Work:
Signed (Owner or agent):
Date:----
➢ Owner/contractodagent is aware t t a permitis_LeqUAd Aqrn the B Iding Department. (Check other departments, also,)
➢ If application is approved, approva a 10-day app'aa4wTod 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: i
Amount Liii r to
Cash1CK #: _ 2 Lf s
Rcvd by: L" 5
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION M ? 3-Ao
GENERAL SPECIFICATION SHEET
Protect Address:
FOUNDATION: Material, CDW_V_y__C_ r1__ Exposure (Not to exceed 18"):
CHIMNEY: Material/Color.- e3'R_ O—E& GUTTERS: Material/Color. AL_L)tA.
ROOF: Material: AiZGV. krsv.%qu1't Pitch (7112 min)
1ELNIgS Height to Ridge:j:5jZj!r. Color:._�Lfk.y�
SIDING: Material/Style: Front: 500E. DVS Sides/Rear:
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x ix5 (Circle one.)
Material: Color: VjN T1
DOORS: Qty: Material: Fr Color: S_ 1,4X41y__
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
Color:
Style: Color:
WINDOWS: Qty/side:: Front: Left: I Right: __Z_ Rear: j Color: kt*k-M
Manufacturer/Series: V le 1U_ D► L_1N�R�j.1j: Material: V I Mj 'L_
Grilles (Required): Pattern (616, 211, etc.) (01 Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: MatT 1! I011L. Style: Paneled Louvered __X_ - Color: q I.P*L�
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing MatT Style: Color:
WALLSIFENCES* (Max W height): Height: MatT
COLOR CHIPS
0
'IN 2 7 2023
rAhja,UU-r r,
VdA, -.._
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: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Screening:
Color:
Color:
2-General
APPLICATION ##: 0772_/")1
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #: o??7 Au
Project Address: 't
Application Received Date: + 12-7 1-,�z3
45 Day Decision Deadline:
FIVER
JAN 2 7 2023
t Ahiwuu i r,
I/We, the undersigned owner, contractor, or agent, do hereby waive the
45-day timeframe for a determination on our application for a Certificate
of Appropriateness/Demolition/Exemption by the Old King's Highway
Historic District Committee for the following project:
Date: 1 24 • Za 2,75 Signed:
Owner
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: C �1 + 5y V
Property Address/Location-
Hearing Date: ]���
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.yarmouth.ma.us
Map Number Lot Number
Applicant Information
Abutter Information:
RECEIVED
G
JAN 2 7 2023
i r'it°titi�JU i f
OLD KINGS FiIGFiW._,
51 LO
Application #. 73 -ADI
8.2018 3
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RECFIVED
JAN 2 7 2023
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1124/23, 2:11 PM
Night Gray Siding i James Hardie
R xfFl)
JAN 2 7 2023
( k%rt1W1'04j 1 t
COLOR TIP
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