HomeMy WebLinkAbout24-A040 2 Village LaneREeFIV E) TOWN OF YARMOUTH
° 1146 ROUTE 28, SOUTH YARMOUTH, MA 026644451
MAr? 2 0 2024 Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836
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LD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
OL7 KING'S HI HWAY
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 th s
application. PLEASE SUBMIT 4 CoPieS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial Y"- Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof .. Garage
Shed Solar Panels Other:
2) Exterior Painting: Siding Shutters Doors _Trim Other:
3) Signs/Billboards: New /Sign Change to Existing Sign
4) Miscellaneous Structures: V Fence Wall Flagpole Pool Other:
Please type or print legibly: ll `, �i
Address of proposed work: G V i. l i iri W ne ` rmix i k Poi Map/Lot C#�_ 1 " • i
Owner(s): n ❑ 1f Y `4"1 Qt J �nno-) a (-Robe f-� 5 Phone #. oa. bbG 1652
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
y, r iilQ(�c Long `1G 4�X l�.11 . D G7 Year built:
Mailing address: L��
Email: qYIr)oon o mac rO f �S@t fY1Ur I. OM Preferred notification method: Phone �Email
Agent/contractor: }-i�T f -VNJVIJJ r} _ _ Phone #! r,)05 Z V 1 y
Mailing Address:
Email: r 1 11ii](1�'' � a
Descriotion of Pr000sed Work:
irrAoll wooden (o f+ -%mince
will Sri appr-o)'. (0-n. '-)
Signed (Owner or agent):,
Preferred notification method Phone V Email
QIOnce bock-- O 1�.;-Y I t-eriLe
�O-Y\ Pr t , r +-y line,
Date:. �!.Z
Ownedcontractorlagent 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.
D 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.
Rcvd Date:
Amount
CashICK # CZS h
Rcvd by: L. S
45 Days: "/
Date Signed _
Approved . —-Approved with Modifications Denied
Reason for Denial: -
Signed.
1 APPLICATION #: — /�oy d
°�YAR TOWN OF YA MOUTH
p yq 1146 ROUTE 28, SOUTH YARMOUTH, I%IASSACHUSF,TTS 02664-4451
-TY- Qd Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME l
WAIVER MAR 2 0 c" 4
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Application #:
Project Address: � %rrrkJrV) RY-�-
Application Received Date:
45 Day Decision Deadline:
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:
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Date: f3)1 9��i Signed: Vxiln�
Wner
W�
Owner
Contractor/Agent
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GENERAL. SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 1$'):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge:
Color:
SIDING: Material/Style: Front: SidesJRear:
COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
E =IE — _
1*��
STORM DOORS: Qty: Material: Color:
MAR 2 4 2R"4
GARAGE DOORS: Qty: Mat'I: Style: Color: _..
VIOUTt-�
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WINDOWS: (side:- Front Left: Right . Rear: Color:
OLD K! Fit H
Manufacturer/Series: Material:
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: MalT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'l: Style. Color:
WALLS/FENCES* (Max 6' height): Height: i) • 4 Man:
Style: -_'iUCl.Ctd _ Color: j 4 xa nr eC
(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-General
APPLICATION #:�� "' '
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: 'hmfy-) —Mll fth�d Cl]d NV (LVqd SV)
Property Address/Location:{-
Hearing Date:
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: ww,yarmouth.mq.
Map Number Lot Number
Applicant Information:
Abutter Information:
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MAR 2 0 2024
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