HomeMy WebLinkAbout23-A058 298 Route 6A3
>o TOWN OF YARMOUTH
�� k : 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
R Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
MAY o(?�; KI I G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
AHVIUU I f , APPLICATION FOR
OLD ING'SHIGH Y 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: 1
Address of proposed work: } 0 L) VA t my p/Lot # 122hlog
Owner(s)! I S a 6 IN ti. N NkA V , Phone #: sa I " 1� zo �; Z
All applications must be submitted by ovM& or accompanied by letter from owner approving submittal of application.
Mailing address:_ �t1T i�Os� C-F'-<<-G— Year built:
Email: _. 2 C�. CAM Preferred notification method: Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email:
Preferred notification method:
Description of Proposed Work:
R'**T"v-a4 0 2 OF- t�Q J-sE
PPoPCbcf- 514�, tiF- C N,
Signed (Owner or agent):
Phone Email
d 6AP-lly jb 86-
A,r F O-CMA ns
E� a a
Date: IT I i =
Ownedcontractorlagent 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.
Y 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: r�
Amount 37, 00
Cash/CK #.
Rcvd by �r5
45 Days:
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
1
APPLICATION M _ 2 27-AV5-e
GENERAL SP N
ddress: R�F4�
FOUNDATION: Material: MAY i 2-`'23 Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: � -4_n GUTTERS: Material/Color:
ROOF: M terial: Pitch (7/12 min) Height to Ridge: Color:
SIDING: MatertISty1 : Front: T Sides/Rear. TIG�: COLOR CHIPS
Color: Front: _ _ Sides/Rear: -t F�
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty:. . Material: ti 00rs ColorTA- —L4ki� I B L O e-
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
T" DOORS: Qty: I MatT 0 Qr7 Style: Color: CQv1 Nkjlzz)fJ
WINDOWS: !side:: Front: Left: Right: Rear: Color: ` C
Manufacturer/Series: Material:
Grilles (Required): Pattern (616, 2/1, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material, Color:
SHUTTERS: MatT Style: Paneled, Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing MatT I Style, Color:
WALLSIFENCES* (Max W height): Height: MatT
Style: Color.
(Show running footage & location on plot plan.) *Finished side of fence must face out from fj
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Color_
Material: Color: �I
#j<-_ ' Al
2-General
APPLICATION #: 2 � 0_5
0 TOWN OF YARMDUTH
N l i46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #:
Project Address: a it &A
Application Received Date:
45 Day Decision Deadline:
! F IVF
MAY 0 I
AHIVIUU ;
Kf GAS IGHWAy
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:y�- a Signed:
Owner
Owner
Contractor/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name, QU 5 4..) f4 f
Property Address/Location la<?8 kTc Ld4.,.
Hearing Date: 11 A 'Z2-
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 r umbers can be found on the Old King's
Highway Department page on the Town website: www.yarmouth ma.us
Applicant Information:
Abutter Information:
RFC,FIVFD
tY,AV
r HhIwUU I
OLD KINC'S HIGHWAY, .
e zoy S
Map Number
Lot Number
i�t 76
� s 3&'1
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R
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