23-A116 10 Kencomsett Circle.y
RECEIVF E "��. �N
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARM0UTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
SEP Q 6 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
f Kr11V1Uu j n APPLICATION FOR
(ING'S HIGHWAY 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, & SUPPLE7Residential
AL INFORMATION.
Check All Categories That Apply_: Indicate type of Building: Commercial
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
Shed Solar Panels Other:
2) Exterior Painting: Siding Shutters Doors _Trim
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole
Other:
Pool Other:
Please type or print legibly: A
Address of proposed work: /O 0��ii C #J G 0A7.s� %� Map/Lot # l A S`: Z/`
Owner(s): 1 r I -r-61 120 Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: 3 14 Y12
Email:
•
Agent/contractor:
Preferred notification method: Phone �Ema�il
V. zfi Phone #: I?�d/y+p! 7
n
Mailing Address: / �i
i
�O?� y/�i
c
J
T
!PC&A/j IV O JL4 AC &
Email: G� C'+v l'
S� •
Cam`''
Preferred notification method: Phone
ei I<maii
Description of Proposed ork:
Tro�� % r 'Z", G' �i�•s�c r'l�,or�/t�h �a ��� /�/ L
S/ X /.i-7
Signed (Owner or agent): "c!
Date:
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.
r 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.
m
Rcvd Date: +'� j��r+d{�`�3
Amount "i V - iW
CashlCK tt: obi s
Rcvd by: �S7,
45 Days: /� 3
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial_
Signed:
APPLICATION #: ;?3- A ���
GENERAL SPECIFICATION SHEET
Project 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: Front: Sides/Rear:
TRIM: All windows & doors to be rimmed with: 01x41x5 (Circle one.)
Material: ,C1 Color: 1r✓!? /�"
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: Qty/side:: Front: Leff: Right: Rear: f Color:
le
Manufacturer/Series: O or Material: W IAec
Grilles (Required): Pattern (616, 211, etc.)7�Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'l:
Style: Paneled
Louvered
Color:
SKYLIGHTS: Qty:
Fixed Vented
Size
Color:
COLOR CHIPS
ECIRWID
.SEP 023
DECK: Size: Decking MatT 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):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General
APPLICATION #: 3'A4I
r
Please print or type
Statement of ownership
Iap
Jr..�:� r
Authorization and address _J}%D ,�_cd•7Sc rc ��
f
Name of Authorized Agent/Contractor ,- 1-)la ram' t s
Owners Signature
Date 1 - �A,,"Ls
RECEIVED
SEP 0 6 2023
r AMIVJULO I i,
9 �._A4
°FYy 0 TOWN OF YARMOUTH
p y 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 LRFCFivFj)WAIVER5P Isf lihmuu I r-.
Application #: � �I KING' HIGHWAY
Project Address t (D Vzvlom 2,4 ctylLa
Application Received Date: 3
45 Day Decision Deadline: _ t0121 23
I/We, 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
3/2020
01)0
Signed:
Owner
%n
ontract r/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:}` F"a�
Property Address/Location: I ® YeV160M W4+ C:intc— _
Hearing Date: Q
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
Map Number Lot Number
Applicant Information:
Abutter Information:
FCFIVED
SEP 0 6 2022
o�yk'
5-
r 5-(v 5 3
.5`•"
-rAl
�f
Application #:
8.2018 3
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
L
N
ih
wd
Ln
N
.--4
LA
N
rl
� a
6
OR
A
�
Ln
� �.�
fV gY
3N
n
Lfl
{
iE Sa
A
P)2�
ECEIVED
SEP
i ryrltklV k! � 1 ,
m
N
N
m
!� C
l6
t j
3
! 3
�3
3
f SEP 4 6 2023
E
j (AMMUU l r�
,.... OLD KINGS HIGHWAY
Min
Front Bay Window
ME
r%■
ta,3-A 16
RFCFIVFD
SEP 0 6 2023
1 Hi"{mou I f .
ni n vmA-,C u!!'`u;ninv
46. 6
Rear Gliding Windows
y ��
Sy;
F
916/23, 7:19 AM
2023D905_l30350.jpg
https:flmaii.google.com/mail/u/0/?tab=rm&ogbl#inbox/FFNDWMtWFrTTtVvvFldxGCRIOPDgWhXq?projector=l&messagePartld=G.1 �� �I �rj 11