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Home My WebLink About23-A047 10 Campion Road ApprovedRECEIVED Oki 1 OLD YARMOUTH TOWN CLERK TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 `93"'A ! 'ram l (M: E' REC Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836 ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE xr HNIU0l e; APPLICATION FOR KI HIGHWAY 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 coRies, OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial )1e, Residential 1) Exterior Building Construction: New Building Addition Alterations—Reroof Garage Shed Solar Panels Other: 2) Exterior Painting. Siding Shutters DoorsTrim Other: 3) Signs/Billboards: New Sign Change to Existing Sign 4) Miscellaneous Structures: _Fence Wall Flagpole Pool Other: Please type or print legibly: �--1:~Ci \ Address of proposed work: VD tl b Map/Lot # ..�.`� ! `� i . I4i D Owner(s)'. v Phone #'.C1•l'5 `-i �-t 15 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: Year built: Email: 0 Preferred notification method: Phone _Email Agent/contractor: Mailing Address: Phone #: Email: Preferred notification method: Phone Email Description of Proposed Work: NJ a.k.-L- w� 'tia ��:,�r ; a� �.a :�-t t�c,�, �.�It-r.7 9 '?a-".) N'o "' �^� �45 7 -1 '; "-q fro.^% JL-o aQ, Signed (Owner or agent): Date: '4- 1-1 -7 ➢ Owner/contractorlagent is aware that a permit is required from the Building Department. (Check other departments, also.) ➢ If application is approved, approval is subject to a 1 D-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: Z rr 45 Days: ,r Date Signed: Approved Approved with _Modifications Denied Reason for Denial: g4o!'-� TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 71— 1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at ® Co 1,1 Map/Lot (I 511 Ho CIA # _77�` Approval Date: I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or Its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop -work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. Date: Signed: ner/Con r gent) MAY 0 8 2023 I Signed: 0) La YARMOUTH ! { hairman, Id King's Highway Committee) of n KING' HIGHWAY H:501<1`1 COMM ITT EE1Applfcatfon Forma151atement of Understanding 2015.docx Updated 1212015 GENERAL SPECIFICATION SHEET Protect Address: 10 C A't',0w j '2— \.-s v A ti a �-c a'Pc :i-T FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: Pitch (7112 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: Mat'I: WINDOWS: Iside:: Front: Manufacturer/Series: Style: Left: Right: Color: Color: Color: Rear: Color: Material: Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Tvoe: True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mat'l: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: COLOR CHIPS RFCIEIV D APR 18 2023 n,r, rARMOUT h --- DECK: Size: Decking Mat'I: Color: Railing Mat'l: Style: Color: WALLS/FENCES* (Max 6' height): Height: ly u Mat'I:. \r�()__ Style: �oc,t-a9C Color. on ]_ (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: APPf?0VED MAY 0 8 2023 Y.ARMOUTH 2-General APPLICATION #: ;� TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Property Address/Location: 10 C—AT-Nk' \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: u OR 18 7W r AKiVIUU —It? APP�0%'EtJ MAY 0 8 20B YARMOUTH a 145- 1 11-51. 13 l�5 1 151, 12-6 a5- 11"A rug 0 3� '7 Application #: 8.2018 8 °�YG TOWN OF YARMOUTH p y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 1431 961 1 ! MILLER BRETT A Please use this signature to certify this list of properties MILLER JOANNE ST J direct) abutting and across the street from the parcel located at: 485 HOWARD ST y g NORTHBOROUGH , MAGI 532 10 Campion Rd., Yarmouth Port, MA 02675 Assessors Map 151, Lot 140 1511 1411 1 1 CURRAN MICHAEL J CURRAN SUSAN M Andy M hado, Director of Assessing 9 MAPLE ST April 25, 2023 MEDFIELD , MA 02052 p 1431 981 1 1 SMYTHE JOYCE G TRS JOYCE G SMYTHE FAMILY TRUST 9 DOVER RD YARMOUTH PORT, MA 02675 1511 1LE 1 ! RAE CHARLES P #„A AEC �VF-0 RAE MICHELLE M 372 PLEASANT ST CANTON, MA 02021 APR 2 5 2023 f AhivIOU i r, 151/ 1401 1 1 OLD KINGS HIGHWAY SAPOSNIK STUART G SAPOSNIK SUSAN G 10 CAMPION RD YARMOUTH PORT, MA 02675 1511 1391 1 1 CYR JOAN M 14 CAMPION RD YARMOUTH PORT, MA 02675 1431 951 I 1 SEVIGNY JOSEPHINE M 32 BRAY FARM RD SOUTH, YARMOUTH PORT, MA 02675 APPROVED ,MAY 0 8 2023 YARMOUTH ly,/0 '� 1' 71 M 491 Ln ul A 1 �sr• �-1 M c 4 C Am 4� P Atso Ln � � ` ■ �ab S8 Ln o c k_. � �' W Ln ,C�� 55 Cl ly zA n U � e N Sit E S CJ A O iY A 12. a 'APPR0VED'A` MAY 0 8 2023 YARMOUTH Telephone (508) 398-2231 Eat. 1292 Fax (508) 398-0835 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 45-DAY TIMEFRAME I REC►IFIV�D WAIVER API? 1 8- YArtivlCU i r, Application #:a�i`"ih � OLD KING'S HIGHWAY Project Address: V CT4'�1,2Iey-I Kd. Application Received Date: 45 Day Decision Deadline: IMe, 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: �(— - z_ 3 Signed: r Owner APPROVED! MAY 0 8 2023 Contractor/Agent YARMOUTH TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 2023 MEETING SCHEDULE � ; — /t�4-7 11/38/2088 14:31 S412617969 FOREST LAf 5 UJNL)U A YARMOUTH IT%Te:q�i -I' k-, L-"a i u..... DEC 2 017 R _CEiVEQ NA S� 000� k . w w f. w.. r . ♦ �. y y r ♦y..� �wr J • .rr.. w w r � . �. APPROVE i ` A r2023 � '-jAAMOU fH ! OLD KINGHIGHWAY' '��^'�'�• .00 ir • - j oR°`�° ,e COO EIVE A 8 70? � 1 L07 3 4NG'S Hici '` 1 oAl � ICPm LOT 2 1 QUO s� 9f � i is 4 � I y1. ^{! pia, APPROVED' � �l #� MAY 0 8 2023 I 1I YARMOU H ' OLD KiNG'S HIGHWAY S EAPS 0-SuWVAN 'Toell P OF �yI3OVE hftG,y .PO/NT:a�wlllilp/- /N X�OAD 1 Soff 1////lll1.111t+R+ti i.� I fi f! IN fir t-r' RECEIVE APR 18 �02:n r• i HHlVIUU I t:ok OLD KING'S HIGHWAY_� � APPROVEDT ;MAY 0 8 2023 HHIViUU i I : .- r ! OLD KING'S HIGHWAY ok lk •�_. .aka ', r' , -. f i r .`L !Li` .fly/:_ I . �_ ✓ _�•�r_ lr\ �" `-' t L�rarr -.' ! i �' .. C� E APR 2023 r Ahrv;UUTH KING'S 91G�w� PP CAVE® MAY 0 8 2023 (ARMOu I-h APR 18 2023 r Ht muu I fi ------------- MAY 0 8 2023 , (AHIViUu I r Oi n Klnirr.e m