23-A098 11 Mary David Road�,C
TOWN OF YARMOUTH
RECFIVED
;z 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
JUL 1 W3 KI G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
(AHWUTr
Y s 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: New Building Addition _
Shed _ Solar Panels Other: c i A
2) Exterior Painting: Siding Shutters Doors Trim
Alterations Reroof Garage
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: 11 N\ r.y �� A%; ' K-CAA Map/Lot
1
Owner(s): V. i �� Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal
of application.
Mailing address; 1 N\ae4 Vool %A 'CA , AY,YAQUi{�A 1t/lYear built: 19 fl 4
Email:
Preferred notification method: Phone Email
Agent/contractor: Ui -k AC A �+ A e c y' qe v,O5,-- Phone #:
Mailing Address:
Email: uQireferred notification method; Phone t! Email
Description of Flifoposed Work:
IA-siak u . s ' Cie vAc,SJ � ► n�� A C�
�1sfll 5" �uy\doC�C\�'ec��ov�s S� &\V\. s��e onl )
n , A r.
Signed (Owner or agent):
Date: CA - i � - 023
Owner/contractor/agent is aware that a permit is requ0pd from the Building Department. (Check other departments, also.)
v 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.
D 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: L- S,
45 Days;
Date Signed.
Approved Approved with Modifications Denied
Reason for Denial;
Signed:
APPLICATION #: or —A ()qS,,
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: _GUTTERS: Material/Colon-
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
h �p 1
SIDING: Material/Style: Front: I PC71 Sf Sides/Rear: 5 11 ah as 0-ffi ) COLOR CHIPS
Color. Front: llZ{Q " �� Sides/Rear: AS�\VJ00c\
TRIM: All windows & doors to be trimmed with: IO 1x5 (Circle one.)
Material: pit CC Color: W
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'I:
WINDOWS: t Isdde:: Front: Left:
Manufacturer/Series:
Grilles (Required): Pattern (6/6, 2I1, etc.) _
Snap -In: Between Glass:
Color:
Style: Color:
_ Right: Rear: Color:
Material:
— _Grille Type: True Divided Lite: _
Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: Mat'I: Style: Paneled Louvered
Color:
Color:
SKYLIGHTS: Qty: Fixed Vented __ Size Color:
JUL .1 8 2023
YAHMUUTh
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max 6' height): Height: Mat'I:
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening: _
LIGHTS: Qty: Style:
Location(s):
Color:
LIGHT POSTS: Qty: Material Color:
Location(s):
Additional information:
2-General � ,14
APPLICATION #:
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME RECEIVED
WAIVER
JUL 18 2023
Application #: iR3—A Oqe OLD KING'S HIGHWAY
Project Address: _ Mur-I)AY 1
Application Received Date:
45 Day Decision Deadline: (�23
IMIe, 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:
'_
_ 5 1 �.s 1e�e..1-� S.a�tns� tint o� 1�OUSe
5 a, av�Zko *ALL
Date:
Owner
Owner
6LL � k,
Contr ctor/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE
.5 =,quqE--
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: P&MC*
Property Address/Location: liL/ic1
Hearing Date:yllWla3
I
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 1 (a 5- I a v
Abutter Information
RECEIVED
JUL 18 2023
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JUL 18 2023
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Existing Siding Front of house
Proposed — Everlast 4.5" Flagstone
L-
RECEIVED
JUL 18 2023
YAHMOuTh
;2 �,_- /to I Ly
Existing Siding Left side of house
ECEIVFo
_ JUL 1 8 2023
—
OLD KINGSNIGFiW
Proposed — Tando Cape Cod 5" Ashwood Gray
* Tando
®Tandosh(rl.e cop, C ,j F,(.rfect._
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