23-A127 9 Jibstay Road°4-T.. TOWN OF YARMOUTH
RECEN c
y 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
LD kING',S HIGHWAY HISTORIC DISTRICT COMMITTEE
A, i1VIOU j'I-1
(ING'S HIGHVVAY I 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 Cate ories That Apply: Indicate type of Building: Commercial r Residential
1) Exterior Building Construction
Shed Solar Panels
2) Exterior Painting: V Siding
New Building
er:
✓ Shutters Doors / Trim
3) Signs/Billboards: New Sign _
4) Miscellaneous Structures: Fence
Change to Existing Sign
Addition ✓ Alterations Reroof Garage
Other: J4��
Gtd21S c- e / 1�7C4
Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: _ Ll`��a�1� �l Map/Lot #
9'
Owner(s): \-jQ Phone#: arag- Q8IF--
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: lg��
Email: GJ/^ /�fCr<^ b,Ej AfSA. Cdsrr Preferred notification method: Phone ✓ Email
Agent/contractor: L�s��iL �' ,, �,F,,,t +. Phone #:
Signed (Owner or
Phone wl"" Email
• f'�nl7/nf�3 �`� 7��'vK. � r�r✓r� � cSif� D
41 a 4QC.� ��c��d/L. crl. i"�i ,eteGlr C46V L Y/a- a r ,4 ryf e4 o
V
Date: Y- e.
➢ Owner/contractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
D 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:
Amount 0510J
Cash/CK#: 31 yl w
Rcvd by: S'
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
1 APPLICATION #:
GENERAL SPECIFICATION SHEET
PrOLct Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
ROOF: Material:
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
Pitch (7/12 min) Height to Ridge:
SIDING: rial/Style: Front: i im r< SideslRear
Colo - ront: tf C. - ! �L / Sides/Rear:
TRIM: All windows doors to be trimmed with: 1r-4---+x5—Te'MTone.)
Material: Gt`t �- •$ `!� Color: C+JLI/7�"-�
lam. �sf'
DOORS: Q +- �1C<S Color: _ 6lc.Gl(e—
Style/Size (if not listed/shown on elevations):
STOR OORS:QI Material: Color:
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: /side:: Front: Left:
Manufacture0Series:
Grilles (Required): Pattern (616, 211, etc.) _
Snap -In: Between Glass
_ Right: Rear: Color:
Material:
_ Grille Type: True Divided Lite:
Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT.
SKYLIGHTS: Qty
Color:
Style: Paneled Louvered Color:
X— Fixed Vented ✓ Sri Color: �✓��
DECK: Size: Decking Mat'l: Color:
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 fror �L7C�CY'•fiD12
UTILITY METERSIHVAC UNITS: Location: Screening: �S
LIGHTS: Qty: 4 'A LStyieCPC<' {•�.J / Color: dGlf� g4N'1Te J%��`�
Location(s): C>Jy1'5"A ,9
Color:
COLOR CHIPS
n_
Wickham Gray
LIGHT POSTS: Qty: _
Location(s):
Additional information:
— KA!%wfW7v-' Ater—& t c-f
F
2-General
r: 6iss-4 A •/1/es-
APPLICATION #: 3—A D7
U D Klhf ' f-I HV
614
Check one: New Sign I
Freestandim
For Affixed Signs:
Style of mounting fixture:
Size of sign:
Lettering: Style
Please note sign place nt o
sign(s) including artwork d
Year Built:
COLOR CHIPS
yp3T.4Y A-_0 YQr.� �•Krf-
S� Gq k+s -
ad
For Freestanding Signs:
Style of signboard:
Size: i
Lettering: Style
Posts: Material "
Height to crossbar (not to exce
Please note sign placemer
sign(s) including artwork
For All Signs:
Lighted: Yes
Type/placement of lighting
Screening of Lights:
Additional information:
To F%ka".%CA (5c, K - Q 'e-e cL. —
C� S-t ti(L.�, - W'LL- l tASIAIA-L_
Sign Q
APPLICATION #: J' 9-" +( � !7
! D KlNC_!C GHWAY
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #:
Project Address: KI-4
Application Received Date: 3
45 Day Decision Deadline: "f 23 -_
IANe, 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:
wm cvl a n f d ! zc c
's Date: K Si ed:
Owner
Owner
Contractor/Agent
RECFIVFD
SEP 2 6 202?
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
8.2018
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location:
Hearing Date: I � 2?A 2_�
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:
RE 1VF"
SEp 2 f 2023.M
Y H1-tlUlUv i i
OLD KlIVG'S HIGHWAY
Map Number
Lot Number
r57 s
25'
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iv3
51 �
1 �'s
✓ 1
Application #:
TOWN OF YARMOUTH
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. " 3 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
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RECEIVFD
SEP 2 6 2023
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