HomeMy WebLinkAbout23-A047 10 Campion RoadRECEIVED
APR 18 R�D
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YAHIVIUU I f i APPLICATION FOR
I7 KI I-IIGHwA 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 Catetaories 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: New Sign Change to Existing Sign
4) Miscellaneous Structures: 4Fence -Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: t O G�Ati.���at t �D _ Map/Lot # 1 f T 1 H d
Phone #:Gl `1►� +-t I `j
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
? � `� 44-� a �+'t �.?4 ;« V"� AZ Year built: t `i
Mailing address: 1� v Ca..o �;.s %.
Email: ���1�'t�� S to 0' L r ��L �,:� Preferred notification method: Phone K _Email
Agent/contractor:
Mailing Address:
Phone #:
Email: Preferred notification method: Phone Email
Description of Proposed Work-
I
i>
Ho F-c • �r„�t.�- T.^�45 Z"'I �r�. �r�a•-. 1•oa�
Signed (Owner or agent):
Date: 'f - I -1 -Z
➢ Ownerlcontractodagenl is aware that a permit is required from the Building Department. (Check other departments, also.)
➢ It 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
Cash/CK #:_
Rcvd by:
45 Days:
Date Signed:
Approved Approved with _Modifications Denied
Reason for Denial:
Signed:
1 APPLICATION #: 2 3-A' r-7
GENERAL SPECIFICATION SHEET
Project Address: J O � a�-�ptia �a `;A:,-� Q.r a VC, X--t
FOUNDATION: Material: Exposure (Not to exceed 1 S"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Sides/Rear:
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
WINDOWS:Qty/side:: Front: Left:
Manufacturer/Series:
Grilles (Required): Pattern (6/6, 2/1, etc.) _
Snap -In: Between Glass:
Color:
Color:
Style: Color:
Right: Rear: Color:
Material:
_ Grille T ge: True Divided Lite:
Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: Mat'l: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
COLOR CHIPS
R ED
APR 18 2023
DECK: Size: Decking MatT Color:
Railing MatT Style: Color:
WALLS/FENCES* (Max 6' height): Height: (U 4: 1 MatT k_Ooo
Style: oc.X..►a,I Dt Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2-Genera! �^�
APPLICATION #: � 3_? ' r/.,�Y � '-1 /
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAMEr:C IVIED
WAIVER
APR ►r 9, , 1'3
lAHNIUU'i r.
Application #: a3"AVH7 OLD KINGVS HIGH
Project Address. U '1�10v-1 Kd
Application Received Date: ` / I j 3_
45 Day Decision Deadline:
IMle, 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: 4 - 1 � - z 3
Signed:
r
Owner
Contractor/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE
7. Al�-7
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
�aZz �
yP�`ati
Property Address/Location:
10 LAN -NQ \o
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. 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:
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°�Y�G TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
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