23-A093 15 Driftwood Lane ApprovedTOWN OF YARMOUTH _
.� 1146 ROUTE28, SOUTH YARMOUTH, MA02664-4451 2 7a��;;c�
Telephone (508) 398-2231 Ext. 1292-Fax (SOS) 398-0836
JUG# 3 `� OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
(AttivluU'fr- APPLICATION FOR
)LD Ki1VG'S HIGH WNY
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
./ Shed Solar Panels Other:
Addition _Alterations Reroof Garage
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:
15 (-t
-kWbD�
1 ;�7/7
l�� i t Map/Lot # r
Owner(s): iz I IVl h ��/
u rJ uu U
e,C
Phone #: 2� o L [p 3 3 9 S
All applications must
be submitted
byowneror accompanied by letter from owner approving submittal of application.
Mailing address: 2 1 1Y\i
iC�ie
1� �'� i
11��1 11 , i DIoDZ9 Year built: I
Email: k IM V 5 (LW t4-t(
�y rth
o n , C o
m Preferred notification method: Phone ��Email
Agent/contractor: ,k-
�
S IAA
P 1 Q Ce—
Phone #:
Mailing Address:
Email:
Description _of_ Proposed Work:
p p�CkCC olC� Shed
Preferred notification method: Phone Email
Uj '� -t- rye A) s h e- d . 1 z1 1 (1 F,, III 11-1c S I -c d P a
Signed (Owner or agent): •"ia � Date: 02,1I �Q
➢ 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 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.
➢ All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing 8 final inspections.
Rcvd Date: 30j
Amount Rs 60
CashlCK #: -
Rcvd by: Ln
46 Days:
Approved Approved with Modifications Denied
Reason for Denial;
Signed:
Date Signed: ^
I JUL 2 4 2023
APPLICATION #:
TOWN OF YARMOUTH
140 KOL I L 28. Sol' i-F! YAitivi XII-ii, ,MAc I w
Tole r+iinn: �iUti� IM-221 1-%l i?�t2 i i f f1. ,
El nfi4--l-lil
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD ICING'S HIGHWAY APPROVED PLAN
As .Luu} e'l ly raw11H1,'rsrx'1Fa1-7crrla9ent for construction E:i:
Map'[ of 2_1
' CiA it Uq3-- npprc al Date
certify that I Understand the faCtowing requirements reflardiriq any changes that may
be required for this project,
In accordarrce with paragraph 2(a) of section 1.(73(Gcrir;r�rl Prur;edures) ❑r" thF- OKH 972
CMR Rules and Regulations, Curly tremor changes may be approved by tiro Committee
without the illia9 of a new applisaiiorr and a new heerrrtgr, Mirror cltale c3 int;iffee
7lteratians that can be done wirhVVr a tlerrin7ctlfal in?pact arj fiat QvArC appearance of
the proJr=rt +scir tis {titfer'ingr a slr?Oe window or door change of a rrrrhor change of
colors. All minor rirtirlg s hY amendment wilt require the local ,�orrurtrttee's or its
Ali chartUes t4 previOUSlp OKH approved plans requlrp notification to and approvai
from the Coral OKH Committee. Change rrlqucsts rntrst be srrbmitted to the Committee
in v,riting on tiro apprespriatu request farm, which m;ty he obtained frarn tlSe Qf(H office,
All change approvals n1ast itic ObtRirred tseFam incorporating the change into thE:
project. -
If the change has been impliamaiaed prior tU reGBipt of OKH approval, it Mirror Cliarlge
approval or Certificate of Appropriateliess appirr:abon far the revised plans is still
rpgitirect and +nrlll resu€# in a doubled filing fee for the appropridto category of work.
Failure to cul"ply vial the above statements will result itt the Buiidinrg Department
issU1119 a stop -work order or delaying it-,uarian of an Qccupancy Permit or final
inspection approval
have •east anc undetstar:j t-re above statements.
RECE
JUL 2 7 2023
rAi�l�ou-ri�
t OLD KINGS HIGHWAY
Signed- V
(OwrterrContr.�ctc r�:,gent
Signed;.+
(Glidirrrrari Old Ring's Hirdhwav -ommittcoj
��tgknGLr.N�iT'fE�:�gsr-,P�at.nxsY6'IkNtHs det�sroyn/wil:'0��
0MV44
APPROVED
JUL 2 4 2023
r AHNIIJU i h
°� yc TOWN OF YARMOUTH
° OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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 pvl-( & L
Map/Lot _I2-16 CIA # 02?, - 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 2L r Signed:
Signed
p�pP a23
HiOKH COMMITTE ppEO( ;lion Fcrms55talement of Understanding 2015.docx
(Owner/Contractor/Agent)
t
(Chairman, Old King's Highway ommittee)
Updated 12l2015
GENERAL SPECIFICATION SHEET
Project Address: 15 6 f t f +W QDA L OL ICV-'
FOUNDATION: Material: 1,0 0 0 � Q 1 !l 1` LA Exposure (Not to exceed 18"): n
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Q Vl� A-�(.t�t+k�i� Pitch(7/12 min) I Z Height to Ridge: I Color: bAQ&4�—
SIDING: Material/Style: Front: LP S I'\W(+S( d e- Sides/Rear: 5 c4t., C
Color: Front: Ma -A &Vk Vl.L IA S e�__ ( b14 Sides/Rear: 5 c tyt e
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: f�\ ty- a_VC c , Color: W k -k_
DOORS: Qty: �q Material: Wapa Color: W k k.
Style/Size (if not listed/shown on elevations): 3(o 4
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'I:
WINDOWS: !side:: Front:
Manufacturer/Series:
Left: Right:
Style: Color:
Rear: Color: iNl.,�.Ae
Material: cd-LA,ry�-k na.IYl
Grilles (Required): Pattern (6/6, 2/1, etc.)_ Grille Tyne: True Divided Lite:
Snap -In: Between Glass.- Permanently Applied: /Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT
Color:
Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
COLOR CHIPS
JUN 3 0 2023
' Ahiviou I r•,
APPROVED
JUL 2 4 2023
YARMOUTH
DECK: Size: Decking MatT Color: OLD KINGS HIGH
Railing Mat'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 fenced in area.
UTILITY METERS/HVAC UNITS: Location:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Screening:
Color:
Color:
2-General q��
APPLICATION #: -A t j�f
°�Y TOWN OF YARMOUTH
H 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 #: 9-31"3
Project Address: 15 dv ►f+w 6p d t-0--h e—
Application Received Date:
45 Day Decision Deadline: L1 3
RECEIVED 1
JUN 3 o 2023
fAtiMOu7 r,
IIWe, 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 k-e4
Date: 03 c /Z3 Signed: v
Owner
APPROVED
J U L 2 4 2023
YARMOUTH
pt_p K1NG-S HIGHWAY
Owner
Contractor/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
&201 S
ABUTTERS' LIST
Applicant's (Owner) Name:
�, t m belt` k1
Saw
0
et'
Property Address/Location:
5 L Y lF+Nt!
d
1Ia h t
Hearing Date: �y 3
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
Applicant Information:
Abutter Information:
RECRVED
JUN 3 0 :.Ij �
OLD KJNGS HIGHWAY, -
APPROVED
jUL. 2 4 2023
YARMOUTH
Map Number
Lot Number
ta7 -X
15v'IH
121
�7
15'07'd
l c97
*,n q
3
Application #
°�Y � TOWN OF Y A R M 0 U T H
N 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
��'. FIN
1271 541 1 1
PIERAGOSTINI KARL K TRS
PIERAGOSTINI PATRICIA E TRS Please use this signature to certify this list of properties
1007 NORTH CAROLINA AVE SE directly abutting and across the street from the parcel located at:
WASHINGTON , DC 20003 15 Driftwood Ln., Yarmouth Part, MA 02675
Assessors Map 127, Lot 76
1271 551 ! 1
PAINE LAUREL J
PAINE CHRISTOPHER Andy M chado, Director of Assessing
22 DRIFTWOOD LN July 7, 2023
SOUTH YARMOUTH , MA 02664
1271 771 1 1
METZGAR ELIZABETH A
3 DRIFTWOOD LN,
YARMOUTH PORT, MA 02675
1271 761 1 1
SAWYER KIMBERLY
2 PINE RIDGE DR
ELLINGTON , CT 06029
RECEIVED j
1271 751 1 1
J�'I. 0 7 2023
LABELLE LAUREN TR
WALSH FAMILY IRR INCOME TRUST
25 DRIFTWOOD LN
�,riiVIUU I P
SOUTH YARMOUTH , MA 02664
OLD KING'S HIGHWAY
12741 1 1
BAKER ROBERT E
[APPROVED
BAKER DONNA G
40 JILLS PATH
JUL 2 4 2023
WEST YARMOUTH , MA 02673
fARMOUTH
nm n vimrxc HIGHWAY
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RECEIVED
JUN 3 0 2023
Hnw�vU�� r,
APPROVED
JUL L 4 2023
YARMOUTH
�;,/ _' Aft
FROM : OLDE STONE LAND SURVEY CO. INC PHONE N0. Pug. 16 2001 07:46AM P1
a i o v UNREGISTERLCD LAND
KUSERLY A. LATORRACA Deed Beek T257 8ga 331
UNfTED FIRST MORTGAGE, INC. Pfyt Book247 paFe 136 Lot(t) 23
VOSFISHERBA REGISTERED LAND
PATRICIA HOFFMAN ?irp. Book died Laf(
8114RWI C e
rate
AgMgISMM 127.78 BJk: Z2!57 Lot 3W C ricr
MOR TGA GE INSPECTION PLAN Sale. t ^ = 40•
M DRIFTWOOD LANF, SO, YARMO UM, MA
fDITCH AS PER REFRENCE PLAN
fY
Ate'
PC IVPD
JuN a 2023
uifo
�oTJAPPR VED
JUL 2 2Q23
_ YARM U TH
ZONING DE7ERMINX TION
UNLESS OTHLRVV SE SHOWN, THE MAJOR STRUCTURES HEREIN WERE INCOMPWWNCE WffH LOCAL APPLICABLE ZONING BYLAWS IN
EFFECT WHEN CONSTRUCTED OR 16 EXEMPT FRVM YAlA.TION ENFORCEMENT IF FXISTiNG MORE THAN TEN YEARS. THIS PLAN IS BASED
N REOCNOEO DEEDS, PLANS, ASSESSOR'S MAPS AND OCCUPA T n N FENCES, DRNEWAYS, MfNOR STRUCTURES, ETC_ IF SHOWN ARE
UN
TO SUCH CHANGES AS AN INSTRUMENT SURVEY MAY DISCLOSE
FLOOD DETERMINATION
THE DWEl- ING BWMN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY t
251?IS OOM OAS ZONE C DATED 712MQM BY THE NATIONAL FLOOD INSURANCE PROGRAM.
CERTIM-4270N
1 CERTIFY TO THE ABOVE ATTORNEY, BANK
OW Sterne Land SuYIDtB'rj Co., Inc.
AND THEIR TITLE INSURANCE COMPANY,
THAT THERE ARE NO VISIBLE
325 Bedford Street
ENCROACHMENTS OR EASEMENTS EXCEPT
LakMUe, MA 02347-
AS SHOWN AND THAT THIS PLAN WAS
149001993-302 PRELIAUNARY COPr
PREPARED UNDER MY IMMEMATE
SUPERVISION.
11800) 993-3304 O"INALS ro FOLLOW
GENERAL NOTES: Thee mortgage irtapslion pout u 7r prepared far IttC Bbave mrr+Honed rlenr at. p1 Mt dle - d 4. W ftft ded or reveseyed to
be p Land or propuq Ilne wr eY NO earnors WM ea. tt Mr-mal be uwd far Prept�,g deed demitptonc, conc,„aya„ or e�fyrtg Teaop, hedge or 6rQ*m *m. The (end in choan hefean is based m ckm furrtietted Infortnatiart W4 may 6a sa Wd tv ftxtfwr outsales, talartg a�errtertis sad right
Of WaY. No reepon&bRy is wtenaed to the Land awrter or ooeaep®N_ h iS root irotetWW to tte MOOfded.
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