HomeMy WebLinkAbout23-A049 Route 6A Davenport Lot 2°Y TOWN OF YARMOUTH
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F 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'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 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: Fence Wall Flagpole —Pool Other:
Please type or print legibly:
Address of pro osed work: f a 6A ",� (cP)TI-FI� 07 I-� + ZMap/Lot #
Owner(s): — �'-- i Phone #: 7&
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Z (�>D g j(k Ab& S j C J L A(LX� Z 4 Year built:
` / G G�.A^
Email: SIC � 3 �AyYj•Jyx ;;a yuPA4/-. -rNeferred notification method: Phone //Email
Agent/contractor: A U::rci PQs ! j i?U t L-P,A/6 C0 Phone #: L!� a RZ7�D^
Mailing Address: _ 0 A10 ari* `�A ZAA C4JT. e4
C 'CO dti( �C
Email:? , :;P4 � 1'i Preferred notification method: Phone Email
Description of Proposed Work:
�� Srl�c��au CS�iEI 3 o'er
-PLA A 3
Signed (Owner or
Date:
➢ Ownerlcontractorla ent is aware at p 'rmit is re red from the Building Department. (Check other departments, also.)
➢ If application is appr val is subj Okay 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.
ror committee use oniv:
Rcvd Date: ,
Amount !�
CashICK
Rcvd by: S+
45 Days:
Date Signed:
Approved
Reason for denial:
Signed:
Approved with Modifications Denied
1 APPLICATION #:�
GENERAL SPECIFICATION SHEET
Project Address:
ct
FOUNDATION: Material C[m,<iz,— Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: MateriallColor: A1UAllr/11J,(,t Vdti' --
ROOF: Material: 'r Pitch (7112 min) ) C U Height to Ridge:Z Color:
SIDING: Material/Style: Front: Sides/Rear: :5 !-1COLOR CHIPS
Color: Front: �� L Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x5 (Circle one.)
Material: = K Color: t*( 1
DOORS: Qty: Material: E (I?Rg-� IAZ Color: Wt4 aiz
Style/Size (if not listed/shown on elevations): 3C�&S L.y PAA)—L 3C. eS— C'
STORM DOORS: Qty: Z Material: A 6AA0Jc>.M. Color: L.t//4 ( t �
GARAGE DOORS: Qty: MatT
Style: Color:
WINDOWS: Qtvlside:: Front: t- _ Left: _3 Right: ?— Rear: 61Color:' GcL(- j f =c
Manufacturer/Series: �f`•r.5 0Q a �rZ 'Material: �/0Qj0 U/A; L
Grilles (Required): Pattern (616, 211, etc.) 69 Grille Type: True Divided Lite:
Snap -In: Between Glass: —.. Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT \1 W-4L Style: Paneled_, Louvered
SKYLIGHTS: Qty: Fixed
DECK: Size: Decking MatT
Vented Size
Railing Mat'I: Style:
WALLS/FENCES" (Max 6' height): Height:
Mat'I:
Color:
Color:
Color:
Color:
Color:
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSlHVAC UNITS: Location: Screening: n/G
LIGHTS: Qty: Style: Color: lsisc K
Location(s):
LIGHT POSTS: Qty: I
Material:
V/ q 4 L L,5T
&Color: K
Location(s): BF
(2 C>
A(t).&-C.c.s A�/
Additional information:
2-General
APPLICATION #: 9�—
TOWN OF YARhIOUTH
OLD KOJIG'S HIGHWAY HISTORIC DISTRICT COMIMITTEr
ABUTTERS' LIST
Applicant's (Owner) Name �� �' J 11 ti +'1
Property Address/! ovation:
Hearing Dates �� g�d 3
Notices must be sent, to the Applicant and abutters (incfuding 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 Tape 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
yore instruct:ons for obtaining tree abitters Map ar;d Lot number_ can be found on the Oid Kong's
Kghway Department page on the Town website www.yarmouth.ma.us
Map Number Lot Number
Applicant lnformation:
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Abutter Information
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Application #.
8 2018 3
TOWN OF YARMOUTH
OLD KIND'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIS T
Applicant's (Owner) Name: Aq- L)j.j jj n - ( t .
Property Address!Location: rae 1M.
Hearing Date: 'S f , jP3
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 trot 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: I 1 ,a5 I
Abutter Information:
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Application k
8 2018
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