HomeMy WebLinkAbout23-A136 33 Summer Streetf TOWN OF YARMOUTH
�r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
N7 Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
j. :ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
I Nov 6' 8 2023
APPLICATION FOR
11 CERTIFICATE OF APPROPRIATENESS
( 11hlvlf)t '•� T.
Applickbh 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 Add' io _Alterations Reroof Garage
1
Shed _Solar Panels ' Other: W, on
u
2) Exterior Painting: Sid Shutters V/ boo�r� _Trim Other:
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibl
Address of proposed work: 4Q� Map/Lot # !'
Owner(s): v 1 `��4^UN) t Phone #:
5g
All applications m ++ t11 ubmitted by owne or a panied by letter from owner approving submittal of/ application.
Mailing address: ! W ! Year built: I�IJ
Email: y Preferred notification method: Phone Email
Agenticontractor: (1 c Phone #: _ ' I I _1 ro.
Mailing Address:
Email:
rescritlon of mroposeu worK:
Signed (Owner or agent):
Preferred notification method: Phone ✓ Email
Date:
)o Own erlcontractorlagent is aware thkt 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.
v This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
➢ Ail new construction will be subject to inspection by OKH OKH-approved plans MUST be available on -site for framing & final inspections.
Rcvd Date: ( .
Amount �'r • �1i
Cash/CK #: !`
Rcvd by: rr7�r
45 Days:
Date Signed:
Approved
Reason for Denial;
Signed:
Approved with Modifications Denied
APPLICATION #:Y
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #:
Project Address:
Application Received Date:
45 Day Decision Deadline:11�3
Me, 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: Signed:
Owner
W.
R�VFn Owner ,
W40. pip 11(4-
NOV G s 202'
fCo ractorlAgent
ni n uin fl-,Q Wir,WWAY
k tS]hTl Ll [o19WY1:ILEDlijia
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULES 36
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: R . Exposure (Not to exceed 18")
CHIMNEY: Material/Color: I %hiviuu I t, GUTTERS: Material/Color:
ZCTS HI _HWA
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SiANMaterial/Style: Front:
olor: Front.
'C TRIM: All windows & doors to be trimmed with
Material:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT.
Sides/Rear:
Sides/Rear
1x 4 1x5 (Circle one.)
Color:
Color:
Color:
_ Style: Color:
WINDOWS: Q !side:: Front: Left: Right: Rear. Color:
Manufacturer/Series: P1V Y (f M; -t[ Nllh l �/i1�.Material:)AO
Ar� ' V V
Grilles (Required): Pattern (6/6, 211, etc.) '-� Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT. Color:
Railing MatT Style: Color:
WALLS/FENCES" (Max W height): Height: MatT
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fens{
UTILITY METERSIHVAC UNITS: Location
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
Screening:
Color:
Color:
COLOR CHIPS
HC m Benjamin Moore HC
2-General
APPLICATION #: 23.3&
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location:
Hearing Date: i dI P3
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.yarmouth.ma.us
Map Number
Applicant Information:
Abutter Information:
RErF—IuF—Q
NOV 0 8 2023
r Ahiv]UU i r,
OLD KINGS HIGHWAY
8.2018 3
Lot Number
P
Application #: �— A 3L
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
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