HomeMy WebLinkAbout2-A253SAAmOUT DENNIS VI�S� ` 0 r'�{"t '
BANMSTAO�F 9REwgTE ! �-=s if ` If 1f--ji
van�auTH OALEANS OId King's Highway Regional Historic District Comma e r�4\\ '; ' -RK
4,"
in the Town of Yartrtouth for a
CERTIFICATE OF APPROPRIATENESS 12 I'D 1/7
EM! V
Application is hereby made in triplicate, for the issuance of a Certificate of Appropriateness under Section 6
of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on
plans, drawings or photographs accompanying this application for:
CHECK CATEGORIES THAT APPLY:
L Exterior Building Construction : ❑ New Building ❑ Addition ❑ Alteration
Indicate type ofbuilding- 13 HOuse ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
I Signs or Billboards: ( New Sign ❑ Existing Sign ❑ Repainting existing sign
4. Structure:. ❑ Fence ❑ wall ❑ Flagpole ❑ Other
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK r ASSESSORS MAP NO.
OWNER < 7 ,L7r z U S jY ASSESSORS LOT NO. _
HOME ADDRESS '' TELEPHONE NO_ V (9 j 6 2
AGENT OR CONTRACTOR �, r f < L6 Y „TELEPHONE N J�U t� — C'
ADDRESS % V Y � n. Isz 71 'e"W:f' P. / 7
USE ATTACHED SHEET IN PACKET FOR ABUTTING OWNERS
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done including materials to
be used. In case of signs, give locations of existing signs and proposed locations of TICNY signs. (Attach additional sheett if
necessary)_
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Signed 7
S ce below line for Committee use only. C Owner
er ontractor-Agent
Received by OKHC
Date ! a D- 29, This Certificate is
Check # 6j -
By
APPROVED ❑ IMPORTANT: IFCerti$cate is a6
provided in the Act.
APPROVED
015 N n
is subject to the 10 day appeal period
DISAPPROVED ❑ Please return to: Yarmouth OKI-IC District Committee
Yarmouth Town Hall, 1146 Route 28, S. Yarmouth, MA 02664
i
x-L
Old King's Highway Regional Historic District Committee
in the Town of Yarrnautti for a
CERTIFICATE OF APPROPRIATENESS
AppEc;ation is hereby made its triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of
Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and an plans,
drawings or photographs accompanying this application for.
CHECK CATEGORIES THAT APPLY:
I. Exterior Suikliag Construction : Q New Building ❑ Addition ❑ Ahenition
Indicate type ofbuildmg: 13 House ❑ Garage [j Commercial Q Other
2. Exterior Painting: ❑
3. Signs or Billboards: U New Sign ❑ Existing Sign Q Repainting existing sign
4. Structure: 13 Fe= 0 Walt ❑ Flagpole Q Other
(Please read other side for the check List for explaaations and requirements)
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK ASSESSORS MAP NO, 14 3
OWNER (jr-r
Ri 7e. 1 yANA L.Lezeexr ASSESSORS LOT NO. 1.1 I
AGENT OR CONTRACTOR NAWY '&?—KLEV TELEPHONENO. D S•55"!C� �6�1A
ADDRESS 1 114s }
DETAILED DESCRIPTION OF PROPOSED WORK; Give all particulars of work to be done (see No. 8. other side),
including materials to be used ll'specifu=ions do not accompanv plans. In case of signs. give locations of existing signs and
proposed locations of new signs. (Attach additional sheet. if necessary).
N5,T) L-OLArJA UAl IT VD. S►(vU WILL '8E MCWNTUD AWUt-
IVooI, ,0�4 WbLL.0 FhCIt RTC (dr, rtD GC*--ikNl~D
TOU(ReP VP 06 gee95V.
3TtVp- 5r(oWD I N G0ed-F Z:)( , N,A-VAft W+hTe� JPAcj(�� ?ZU t4P I _
6pmN L i21Nfo, TUR72 P-131,oN 7"p-t Wl . I/L I'►'1 Do W/ I % STz)L*. I ?,m
L-N-A;TIO 1 Jb RLj� trr 4�F D�D� Signed �'�OnVixs=-Agcnn
Ow
areaz blow line for Committee use only.
Received by li..D.C.
Date_ i This Certificate is hereby
a
By
APPROVED
DISAPPROVED
Date
(Q IMPORTANT: pf Certific:ue is approved, approval is subject to the 10 day appeal period provided
In the Act
❑ Please rerum to: Yarmouth OKHC District Committee
Yarmouth Town RA It 46 Route 28. S. Yarmouth. MA 02664
H
a -ease
SPECIFICATION SHEET (YARMOUTH OKHC)
Please fill out the form in its entirety providing -le ' ` for chips ,-where
necessary. INDICATE LANDSCAPING, EXTERIOR LIGHTING & ELE'CTRIC METER ( SITE
PLANS FOR NEW HOUSES. ! _
PROPERTY 3 r;
ADDRESS: ice_
FOUNDATION (isl, MAx. ExPosm): CONCRETE/OTHER
DRIVEWAY:
WALK WAY: STEPS (INDICATE BRICK/CEMENT/OTHER):
SIDING TYPE & MATERIAL: COLOR:
CHIMNEY (INDICATE BRICKJSTUCCO/WOODFACED)
COLOR:
ROOF MATERIAL: PITCH (7/12 MIN.) COLOR:
MAX. EXP. _
WINDOWS (GRILLES REQUIRED) —INDICATE SIZES IF NOT LISTED ON ELEVATIONS:
DOORS (INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS):
TRIM: (ALL WINDOWS & DOORS TRIMMED WITH 1X41 IXS)
MATERIAL OF TRIM: (WOOD, VINYL, ALUMINUM)
SHUTTERS (WOOD/VINYL) (PANELED/LOUVERED)
GUTTERS (WOOD/ALUMINUM):
GARAGE DOORS: SIZE & STYLE:
STORM WINDOWS & DOORS:
(INDICATE SIZES IF. NOT LISTED ON ELVATIONS)
SKYLIGHTS: TYPE/SIZE:
DECK: SIZE & MATERIAL:
FENCING (MAX. HEIGHT 6'): STYLE:
(SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN)
RETAINING WALL: (P.T. OR FIELDSTONE --CONCRETE INAPPROPRIATE)
(SHOW LAYOUT & RUNNING FOOTAGE ON SITE PLAN)
(SIGNS: indicate size, style, colors) uj�j� �Y '�C SCALE:
SIGN POST: (indicate size, style, color) rQ0������ e r 6rs� kc�
ADDITIONAL
INFORMATION: TVA \tl-� P C-- C k
COLOR:
COLOR:
COLOR:
COLOR:
COLOR:
COLOR:
COLOR:
COLOR:
COLOR:
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COLOR: C k �_ LSyY,C_�
COLOR:
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V. 12101 uvfi APPROVED
,� e o�, N rn Gj't i ) YARMOUTH COMMI
OKHRD
i -AaSas
fl ! 11V O[JTH
TOWN
Fl? DEC 12 AM 1R 17
1
Judith Recknagel, M.b.
is
WELLNESS ASSOCIATES
ScAt- L i f = 1
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APPROVED j
YARMOUTH GOMMI T' `� !
OKHRD
44,25AS