HomeMy WebLinkAboutApp#4-191BARMS SANDWICH
ORLEANS
L ""°""' ORLEANS Old King's Highway Regional Historic District Committee
in the Town of Yarmouth for a
CERTIFICATE OF APPROPRIATENESS
1
Application is hereby made in triplicate, for the issuance of a Certificate of Appropriateness unde
of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described be1
plans, drawings or photographs accompanying this application for: .... —,..,,,
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction : ❑ New Building ❑ Addition ❑ Alteration
Indicate qW of building. ❑ House ❑ Garage ❑ Commercial they
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ FIagpole Other
TYPE OR PRVN"r LEGIBLY
DA
ADDRESS OF PROPOSED WORK `e ASSESSORS MAP NO.
OWNER _ ASSESSORS LOT NO. -
HOME ADDRESS TELEPHONE NO.,��
AGENT OR CONTRACTOR J 77 TELEPHONE
ADDRESS `7 /G4�I� e ��pi 1T� , !!7 Fl
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 new signs. (Attach additional ,;*J, if
necessary).
/ate b�?, t
Signed �_ _
Owner- ntractor-Agent
APPROVED
DISAPPROVED
Zhis Certihcaete is hereby
❑ IMPORTANT; If Certificate is approved; approval is subject to the 10 day appeal period
provided in the Att.
APPROVED
❑ Please return to: YarmouthOKHC pistrict V*WDiWCOO AM1TTEE
Yarmouth Torn Mall, 1146 Route aRft bbnrmouth, MA 02664
7-1
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SPECIFICATION SHEET (YARMOUTH OKHQ
Please fill out the form in its entirety providing color chips where
necessary, INDICATE LANDSCAPING, EXTERIOR LIGHTING & ELECTRIC METER ON SITE
PLANS FOR NEW HOUSES.
ADDRESS: "
FOUNDATION (18" MAX. EXPOSED): CONCRETE/OTHER DRIVEWAY:
WALK WAY: STEPS (INDICATE BRICK/CEMENT/OTHER):
SIDING TYPE & MATERIAL: COLOR:
CHIMNEY (INDICATE BRICK/STUCCO/WOODFACED) COLOR:
ROOF MATERIAL: PITCH (7/12 MIN.) LZ4 COLOR: P-C-1 `LF
MAX. EXP.
WINDOWS (GRILLES REQUIRED�—(WOOD/OTHER)
INDICATE SIZES IF NOT LISTED ON ELEVATIONS:
DOORS (WOOD/OTHER)
(INDICATE SIZES AND STYLE IF NOT LISTED ON ELEVATIONS): COLOR
TRIM: (ALL WINDOWS & DOORS TRM% ED WITH 1X4 / 1X5) COLOR:
MATERIAL OF TRIM: (WOOD, VINYL, ALUMINUND
SHUTTERS (WOOD/VINYL)- (PA f-1ELED/LOUVERED)
COLOR:
GUTTERS (WOOD/ALUMINUNP:
GARAGE DOORS: SIZE & STYLE:
ell L.OR,`
STORM WINDOWS & DOORS:
coil OR.
0
(INDICATE SIZES IF NOT LISTED ON ELVATIONS)
'
f�
SKYLIGHTS: TYPE/SIZE:
COLOR:Cil
WOOD DECK: SIZE:
COLOR:
WOOD FENCING (MAX. HEIGHT 6): STYLE:
COL
(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) COLOR:
APPROVED
SIGN POST: (indicate size, style, color) YARMOUTH COMM11TEE COLOR:
OKHRO
ADDITIONAL
INFORMATION:
REV. 12/02 ,
Page I of I
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APpR01�ED �,
YARMOUT� COMM11TEE
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