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23-A129 17 Church Street ApprovedRECEIVED TOWN OF YARMOUTHsa• Q C T 1 2 2023 x 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 �„!�!� '�n�=- ,,KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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 Coples OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial X Residential 1) Exterior Building Construction: New Building Addition Alterations Reroof Garage Shed Solar Panels Other: Install three bathroom vents. 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: 17 Church Street, Yarmouth Port, MA 02675 Map/Lot # Owner(s): Abraham Grader & Michal H. Grader Phone #: (508)362-3427 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 17 Church Street, Yarmouth Port, MA 02675 Year built: 1936 Email: michalhgrader@gmail.com Preferred notification method: Phone X Email Agent/contractor: Mailing Address: Email: Description of Proposed Work: Phone #: Preferred notification method Phone Email Install one bathroom vent in front of the 1936 building addition, and two bathroom vents at the back of the house. The vent in the front will be obscured with a wood trim painted white to match the rest of the building. Signed (Owner or agent): Date: 10/11 /2023 D 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 I0-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 wilt be subject to_LQgpection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections. Rcvd Hate: Q I Amount Cash/CK #: �d Rcvd by: LI 5 , 1 45 Days: (t � � tj 3 Approved Approved with Modifications Denied Reason for Denial_ Signed: Date Signed: 1 111-3(902,1 1 APPLICATION #: VED TOWN OF YARMOUTH ., OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 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 Map/Lot �� 6 CIA # o��✓` `� a Approval Date: UZ 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 the issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements. Date: r Signed: ly L O IC APPROVED NOV 13 2023 f ARiViUU1'h ( caner ontractorlAgent) Signed: a "tiv—) �s (Chairman, Old King's Highway Com ittee) MOKk GOMMITTEDApplication Forms151atement cf Understanding 2015_docx Updated 12f2415 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMTTEE 45-DAY TIMEFRAME LRECF-IVFI)WAIVERApplication #: 0�3 " OCT 12 KING S NIG�HWAy Project Address: ("� �•4'1 _S' Application Received Date: I JI; 3 45 Day Decision Deadline: 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: Date: \ o /i►/ xoz3 Signed: A�4 ( Owner APPROVED NOV 13 2023 1n.- �, %^ Qa,!kr-, Owner Contractor/Agent TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 2023 MEETING SCHEDULE GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: Pitch (7/12 min) Height to Ridge: Color. - SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS Color: Front: Sides/Rear: 1 x 4 1 x5 (Circle one. ) Color: White TRIM: All windows & doors to be trimmed with: Material: W00d DOORS: Qty: Material: Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: Material: Color: Color: GARAGE DOORS: Qty: MatT. Style: Color: WINDOWS: !side:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Grilles (Required): Pattern (616, 2/1, 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: MAnIV "0 OCT 12 ?0?3 `(AHMUU I i-� JAPPRO-VED N O V .1 � Z023 LIAHMOU 1 m 01 KIN HfQHUY WALLS/FENCES" (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: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: _ Location(s): Additional information: Material: Color: 2-Genera] APPLICATION #: �-A la TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name. _ t 1%��� m i ma i 6 ir'� 4er Property Address/Location: ~] hV/1S+, Hearing Date: 1111 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: Abutt mation: OCT 12 2023 f kANIUU i t APPROVED NOV 13 2023 8.2018 r /�,i-dIU4UU 4 f'� 02- f a2, 3- 5 3tr 15241 hh C- 3 I 3 Application #: 9?" h lo? j °Y TOWN OF YARMOUTH 0 y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 1221 681 1 ! GLIDDEN RICHARD J TR PUKAWA RLTY TRUST 181 THACHER SHORE RD YARMOUTH PORT, MA 02675 1221 671 1 1 BERGQUiST WARREN REED 25 CHURCH ST YARMOUTH PORT, MA 02675-1102 1221 721 1 1 LEVINE HAROLD PO BOX 342 YARMOUTH PORT, MA 02675 1221 661 1 ! GRADER ABRAHAM S GRADER MICHAL H 17 CHURCH ST, YARMOUTH PORT, MA 02675 1221 651 C11 1 MESSUD CLARENCE D WOOD JAMES D 214 LEXINGTON AVE CAMBRIDGE , MA 02138 1221 651 C21 I PROTHERO DANIEL SPALDING LAVINIA 1110 GENERAL PERSHING ST NEW ORLEANS , LA 70115 1221 651 C31 I PROTHERO STEPHEN CIO SUBRAMANIAN MEERA 28 ELMERS WAY WEST BARNSTABLE , MA 02668 Please use this signature to certify this list of properties directly abutting and across the street from the parcel located at: 17 Church St., Yarmouth Port, MA 02675 Assessors Map 122, Lot 66 Andy Npchado, Director of Assessing October 26, 2023 Nov 13 2023 YARIVio u f h RECEIVE] OCT 2 E 2023 YAh IVIOUTI-, 9�-A`IWI v L c— C) L c- U �. G 'L� 7 r 1 n �g Lo h C� fi 47 N � ro m Q RECEIVED 0 C T 12 2023 YARMOUTF� Nov 1 3 2023 fAHiVIUU E r R�CE, OCT 12 2023 O O L = -a- amL) NOV } MI OLD KINGS F! WAY _ O O V O L L 4) W }O� rV! r Y kmlwlll�' 1"� CLLLLLLLLLLL.. 0 • 4 :&.>\� k�\�� AFIV F o OCT 12 2023 0 0 L m L 0 0 4- 0 U L ca L � }rtyIVIVU I s N � L CL N x O (1) O v Q � 0 c t m F-- LL APPRCVED NOV 13 2023 fAHIViVU I r, a�,.Ji,qq