HomeMy WebLinkAbout23-A015 974 West Yarmouth RoadRECEIVEM
r^n PIAKIN
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
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 Ap : Indicate type of Building: Commercial Residential
1) Exterior Buildin Construction: New Building ik Addition lterations Reroof DGarage
Shed Solar Panels Other.
2) Exterior Painting: IISiding Shutters 0 Doors ❑Trim IlOther. _
3) Signs/Billboards: II New Si n Change to Existing Sign
41 Misce!! n St - � II n
a eous ructures. Fence Wail Flagpole Pool IIOther.
Please type or print legibly: 'p
Address of proposed work: 97 _We5� Y,,e ,. h �� n 1
(� /� MaplLot # /� � F�rcc I �� ��" ��
Owner(s): l.,�MM'4'X/"%' �e�t►t r PQ1 e.5 encL.: Phone #: 5 0 so y (� All applications must be submitted by owner or acconnm anied by letter from owner approving submittal of application.
Mailing address: 7 y �� �� Y4t fr,ti;,,, {'SG ,
Year built: � :S U
Email: �� ; c L11
dACL+i C � Vk!& , r� Preferred notification method: � Phone Email
Agenticontractor: Phone #-
Mailing Address:
Email: , f dtiln Preferred notification method: phone _Email
Description of Pro ased o k: ,,�� ��yy
(v'a5�v' �2c�3avv� G��Lcit�j d'`r`r ���T c7tc��1l�
5 •� p 11oJt1'z_, wi-A
I
] J
Signed (Owner or agent): , Date:
Ownedcontractortagent is aware that a permit is required From the a iiding 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:( tv /� �✓
Amount
Cash/CK #:
Rcvd by: t"
45 Days
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial -
Signed:
APPLICATION #: 5�3'/' ��
GENERAL SPECIFICATION SHEET
Project Address: VJ
FOUNDATION: Material: C'w.e rele
!; Exposure (Not to exceed 18°1:
CHIMNEY: Material/Color: p f t t. � iQ A GUTTERS: Material/Color: lv�xtw.lvin t ,, k it
ROOF: Material: rl i, , Pitch (7/12 min) Height to Ridge: 17 '/� 4 Color: AL4
SIDING: Material/Style: Front: &Jl (ILAr Sides/Rear: IO L4 flee COLOR CHIPS J
Color: Front: b..;- i ter Sides/Rear: WAIT
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color. -
DOORS: Qty: Material: Color: fn1
IliRIMFIVIED
Style/Size (if not listed/shown on elevations): j
STORM DOORS: Qty: �_ Material,— 41. Color: L�5 iti� FE6 Q 6 2323
GARAGE DOORS: Qty: Mat'I: OLD KING S HIGH
Y Style: Color:
WINDOWS: Qt !side.: Front: _� Left: (�— Right: �L Rear. 3-- Cow: Gv,
Manufacturer/Series: 7r. Material: 4,
Grilles (Required : Pattern (6/6, 2/1, etc.) 6 � Grille Type., True Divided Lite:
Snap -In: �— Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT.
Style: Paneled Louvered
SKYLIGHTS: Qty: Fixed Vented Size
DECK: Size: Decking MatT
Railing MatT
Style:
WALLS/FENCES* (Max 6' height): Height: MatT
Color:
Color. -
Color:
Color. -
Color:
Style: Color:
(Show running footage & location on plot plan.) *Finished side -offence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: 1 NVA-t kew— Screening:
LIGHTS: Qty.- Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
2-General
Color:
Color:
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext 1292 Fax (508) 398-0836
OLD 1£ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such
application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 -Meetings, Hearings, Time for Malting Determinations
"As soon as convenient after such public hearing: but in any event within forty-five (45) dals
after the fling of application, or within such•fin•ther• time as the applicant .shall allow in tirriting,
the Committee shall make a determination on the application. "
Applicant understands that the review of this application will be scheduled as soon as the
situation allows.
Applicant/Agent Name (please Q: D
Applicant/Agent signature:
3t2020
Date:__f 3e - 23
CEI M ED
FEB 0 6 2023
1 AhivtUU-I r,
.-
Application #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: A azms Rar-e-.5 e- CA-)
Property Address/Location: `1 7 q t
Hearing Date: a M.23
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 M-o 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. armouth.ma.us
Applicant Information;
Abutter Information:
ECFIVF D
FEB 0 6 2023
IAnivikjQ F P,
8.2018
Map Number Lot Numhar
Application #:-"CIS
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