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Home My WebLink About23-A081 134 Route 6A ApprovedU4.20" TOWN OF YARMOUTH c ,( 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 iy3�t�'^' }RECEI YE�Telephone {508) 398-2231 Ext. 1292—Fax (508) 398-0836 1 JUN 0 IOLD ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE IAHNIOU i r, APPLICATION FOR 1 G'SHIGHWAY 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 proposed work: Vfe (,,,4a f ,11O ll 4 Owner(s): tlen e- Phone #: All applications must be submitted -by owner or accompanied by letter from owner approving submittal of application. Mailing address: Year built: Email: c r�r1 Q p Yl J)�i r'�t e YI a I �`) `�� Preferred notification method: Phone Email Agent/contractor: Phone #: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work: '5 ) Y1 ik'c Nl' v W)5I "5J Signed (Owner or agent): Date: OG u' / 2,7 ➢ Owner/contractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.) ➢ If application is approved, approval is subject to a t0-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: 4 � a 1 Amount 5" 63 CashlCK #: _C&�h Rcvd by: L-r yy 45 Days: � 1 (, �) Date Signed: Approved Reason for Denial; Signed: t/ Approved with Z Modifications Denied JUN 2 6 2023 YARMOUTH APPLICATION #: �� 61 0 TOWN OF YARMOUTH t 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE AMENDMENT FORM ("MINOR CHANGE REQUEST") A minor change request must be submitted within one year of the original approval date or while the work is still in progress. Only a minor change may be approved by the Committee without the filing of a new application. PLEASE TYPE OR PRINT LEGIBLY Original Application #: ;n-A i Original Approval Date: &1,?61a3 Address of proposed work: I ZJ ` Owner(s): & j_e \14f-y,- Phone #: Mailing address: C()w` Email: - 4f)CY0,1Y e"OD, Preferred notification method: Agent/Contractor: Phone #: Email: Preferred notification method Please describe proposed change(s) and attach plans/photos (as necessary): Phone Email US Mail Phone Email ! P FW-"P cv-of� To w1- rm. A peceN e!4z- Signed (Owner or Agent) ............................................... — Approved by OKH Reason for Denial: Signed OKH Chairman Denied by OKH New CIA Date No JUN 2 6 2023 YARMUUTh Dateo(doz, �Ag?_ INDIZIM AMENDMENT # g4yx1 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 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 13 C1 41AAe 6A Map/Lot -3v-9, CIA # -; - A 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: (Owner/C ntr ctor/Agent) Signed: (LI �)L� (Chairman, Old King's Highway Committee) HAOKH COMMITTEE%pplication FormslStatement of Understanding 2015_docx APPROVED JUN 2 6 2023 Updated 1212015 YARMOUTH SIGN SPECIFICATION SHEET Project Address: Year Built: Check one: , New Sign Freestanding Addition/Alteration to Existing Sign Affixed to Building COLOR CHIPS For Affixed Signs: / Style of mounting fixture: bvvu �~` I Color: Size of sign: �� Material: C� Lettering: Style 5U g,"C( Color(s): 5&�f z 4-e_C1r- Please note sign placement on elevation(s) and attach full -color mockup(s) of proposed sign(s) including artwork and colors. i For Freestanding Signs: Style of signboard: Size: Color(s): Lettering: Style Color(s): Posts: Material Color(s): Material: Height to crossbar (not to exceed 6'): Single -faced: Double-faced: RECFI ID JUN 0 12023 rARMOUTF, Please note sign placement on plot plan and attach full -color mockup(s) of proposed sign(s) including artwork and colors. APPROVED JUN 2 6 2023 For All Signs: YARMOUTH / OLD KINGS HIGHWAY Lighted: Z; Yes No Type/placement of lighting: C Xis � ✓r ��] 1 Screening of Lights: Additional information: 2-Sign APPLICATION #:A--Aym TOWN OF YARMOUTH p 1146 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 #: ,9?5 Project Address: /34 ou 6rl ou P"r Application Received Date: W/ /;3 45 Day Decision Deadline: _111023 Me, 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: o G Z-0 1 lL Signed: Owner .SUN 01 20?1 c Nrua►uU 11 DK1NGSHGHwA' OL L 1 C(je r /C� Sr,�s Owner Contractor/Agent APPROVED JUN 2 6 2023 YARMOUIH LD KiL&S HIGHVIIAY TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: 5l %1w61 2 Property Address/Location: 3 Lj r c,4 Hearing Date: W 2k. 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.yarmouth.ma.us Map Number Lot Number Applicant lnformation: 143iq Abutter Information: 711 JUNQ470?'1 YAHMUUJ h APPIRO►VE JUN 2 6 2023 1 ni n ►CtNAIq HIGHWAY Application #: 9; -mil 8.2018 3 1221 32r 1 1 Please use this signature to certify this list Of properties GOLDEN JALAPENOS LLC g y p p 134 ROUTE 6A, directly abutting and across the street from the parcel located at: YARMOUTH PORT, MA 02675 134 Route 6A, Yarmouth Port, MA 02675 Assessors Map 122, Lot 32 1221 331 1 1 LOEWEN KARIN J TR Andy NIKchado, Director of Assessing THE K & M REALTY TRUST 585 OLD JAIL LN June 8, 2023 BARNSTABLE , MA 02630 1221 21 1 1 URO-SAFE LLC 4 LICHEN LN FORESTDALE , MA 02644 1211 761 1 1 HEWLETT ELISABETH B CIO ELISABETH HEWLETT LESSIG 1 GINGERBREAD LN RMF'` V J�ED YARMOUTH PORT, MA 02675-1110 JUN 0 8 2r?? 1221 311 1 1 AIDE JANE M LIFE EST , r+nwvu i I, 14 GINGERBREAD LANE OLD KINGS HIGHWAY_., YARMOUTH PORT, MA 02675-1109 APPROVED JUN 2 6 2023 + ARMOU i I-k o Q0 m v 0 rK CD N 1 ■ `D Lu �o softI w -- I Lr- al rq GINGERBREAD LANE LlkNq N H w rLn W h � eN w r+� ry N VESpR 1 j4Nti �f- 3NVI 30ISAONV5 KLNON 1p ry i� R qp rl .N � Cq� 5 pA. o Ln 7 h r3 Ln w O Oe. 3 N a c RFCFIVFp JUN 01 2023 APPROVED1 JUN 2 6 2023 i AHMOUTH OLD KING'S HIGHWAY ECEIVED JUN 01. 2023 nim _.MKc64csc 36" APPROVE61 JUN 2 6 2023 YARMOU " OLD KING'8 MIGMWAY ( �-AQkI