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23-A053 Route 6A Davenport Lot 6
TOWN OF YARMOUTH � 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: X 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: f Address of proposed work: &.� i i a t �`t�[ Ci 4 `i & Map/Lot # Owner(s): Auzw i-.aLLTr_ Phone #: L 7 1 All applications mustGe submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: M& I i A&Ae — —S ��_ Year built: Email: W4J&`TNZ QV�.I1 C _ t_5�referred notification method: Phone Email " Agent/contractor: AL6& >Ui[_k A(GCp .ip `, Phone #: do— 9?7� Mailing Address: { r]1,_,A/jE�.' 5i_ Email: CCvuQ4&J=1 Preferred notification method: Phone Email Description -of-Proposed Work: Signed (Owner or agent):... _ _ Date: ➢ Ownerhwntractorlagent 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, Rcvd Date: } I ► ' Amount _ff� y �V . w Cash/CK #: Rcvd by: L, S� 45 Days: Date Signed: Approved Approved with Modifications Denied Reason for Denial_ Signed: APPLICATION #: GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: o k-- I -sr- Exposure (Not to exceed 18"): -1-L4 CHIMNEY: Material/Color: GUTTERS: Material/Color:'AMI&LA uT4 4. 96d CAI--A-M=mac ROOF: Material: Aspyulj Pitch (7112 min) l ( Height to Ridge:1Z. Color: Vi a , SIDING: Material/Style: Front. 6 / Sides/Rear: -{{ COLOR CHIPS Color: Front: 1/ -Sides/Rear: {. TRIM: All windows & doors to be trimmed with: 1x5 (Circle one.) Material: Color: W L� Ilk![ DOORS: Qty: Material: �� 5 Color: �/� t4 (l Style/Size (if not listed/shown on elevations):.... PAW,IYL d STORM DOORS: Qty: _ Material: ,A. jL�.+. Color: �� [ GARAGE DOORS: Qty: Mat'I: Style: Color: WINDOWS: O !side:: Front: Left: -Z-- Right: Rear: Color: W41 � Manufacturer/Series: Material: LC&,-jc) LhAjO v Grilles (Required): Pattern (616, 211, etc.) Ct0 Grille Tyg_e: True Divided Lite: Snap -In: Between Glass: X Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: SHUTTERS: Mat'I: Ol f ` Style: Paneled Louvered SKYLIGHTS: Qty: Fixed Vented Size DECK: Size: Decking Mat'I: Railing Mat'I: Style: WALLSIFENCES* (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 METERSIHVAC UNITS: Location: LIGHTS: Qty: 11 Style: Screening: Color: 13 Location(s): 0?5� _ LIGHT POSTS: Qty: Material: ?Uri"7;9;- �i .. Color:.. Location(s): Additional information: 2-General APPLICATION M TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name e � �- Jam- S- Property Addresslocati ' (hU 41i O&Kjaeavo4 �. Hearing Date- Notices ,must be sent to the App scant anb abutters (inciud,ng owners of 'and or, any public or private street or way) who s property d;rectly abuts or is across the street from the App'!cant Please provide the AsLessor's. Tax Map and Lot numbers only. The OKH Office will send out not,ces us ng the addresses as they appear on the most recent anpl!cab{e tax list No,e for obtain rng tree ?oA-1`S Map a -Id Lo' f urr—�ers ca" be fc,:nd 0 1 irle Oid Ki.^•9 5 �i;ghway Depa-tr-e ,t oage or, the To%o/q webs,te www ay rmouth ma U Map Number Lot Number Applicant information Abutter Information ql, 1 1 .13 - - Y 5� -77 -70 -73 L —7 4�- 15 -7 7k, I Appiic-0ti0i i #. Q�,�}' 8 2018 TOWN OF YARMOUTH OLD KING'S. HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Property Address/Location ' (aC(t �Ak. ( (� Hearing Date: Notices must be sent to the Applicant and abutters (inciud.ng owners of land on any public or private street or way) who's property directly abuts or is across the street from the Appl cant Please Provide the Assessor's Tax Map and Lot numbers onl . The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list Note nstructons for obtaining the abutters Map and Lot numbers can be found or) the Old Kong's Highway Department page on the Town website www Yarmouth ma us Map Number Lot Number Applicant information ( y� Abutter Information 019 Application *. ?127— &3 0 le m 0 C ■ ?3 --�.3 7 � A kF A F f o 0 YI r - J74 *., 93 iE9<2v" q 'C' Model - 3008 • Mirada Way Subdwro n. 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