HomeMy WebLinkAbout23-A091 27 Plymouth RoadTOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
i HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
.:ERTIFICATE 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 AP I Indicate type of Building: CommerTiaof
Residential
1) Exterior BuilIn
'Construction: New Building Addition Iterations DGarage
Shed Solar Panels Other:
2) Exterior Painting: Siding oors im IIOther:
3) Signs/Billboards: II NeIfF%enceWall
nge to Existing Sign
4) Miscellaneous Structures: OFlagpole nPool 00ther:
Please type or print legibly:
Address of proposed work: c2D P 1, Q U a. Map/Lot #
Owner(s): CLrM. L Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing addressG L(,�-j1'� (jV �ra I��jy� (j 1P1 F'Of/'1 Year bunilt: L y/
-r ���
Email: i. nti + Z 4�_" Preferred notification method: Phone Email
Agent/contractor:
Mailing Address:
Phone #:
Email: Preferred notification method: Phone Email
Description of Proposed Work:
Signed (Owner or agent):
Date:
r Ownerlcontraotorlagent 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 dale 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: �aff 7✓
Amount. W
CashlCK #:
Rcvd by: L__1
45 Days: V r )3
Date Signed:
Approved Approved with _Modifications Denied
Reason for Denial:
Signed:
APPLICATION #7 017—
GENERAL SPECIFICATION SHEET
Proiect Address:
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 CHIPS
Color: Front: (I/INA-11
Sides/Rear:
TRIM: All windows & doors to be trimmed with:
1 x 4 1 x5 (Circle one.)
Material:
Color:
DOORS: Qty: Material:
Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
Color:
RECEIVED
GARAGE DOORS: Qty: Mat'l:
Style: Color:
JUN 2 2023
WINDOWS: Qtylside:: Front Leis: Right:
Rear: Color:
Manufacturer/Series:
Material:
OLD KINGS HIGHWAY
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: Man: Style: Paneled
Louvered Color:
SKYLIGHTS: Qty: Fixed Vented
Size Color:
DECK: Size: Decking Mat'l:
Color:
Railing MatT Style:
Color:
WALLS/FENCES' (Max 6' height): Height:
MatT
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:
LIGHTS: Qty: Style:
Color:
Localion(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
2-General �7
APPLICATION #: O i
TOWN OF YARMOUTH
p ►� 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Hv �� Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such
application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 -Meetings, Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (45) days
after 1he.Tling of application, or within such further time as the applicant .shall allow in writing,
the Committee shall make a determination on the application. "
Applicant understands that the review of this application will be scheduled as soon as the
Situation allows.
Applicant/Agent Name (please print):
Applicant/Agent signature: ZL,) y Date:
RECOVER
J U N 2 6 2023
312020
Application 4: g7-�3
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: L-e t, �A6441 HIVI
Property Address/Location:
Hearing Date: q
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 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 Information:
Abutter Information:
ECEIVED
JUN Z 6 2923
, AftwwWr,
8.2018
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t"731
Application #:
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RECEIVED
JUN 2 G 2023
YARMW h
OLD KING'S HIGHWAY
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