HomeMy WebLinkAbout24-A049 43 Medinah Drive ApprovedECEIVED
APR 0 2 2024
_ TOWN OF YARMOUTH -
e 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 74APR23H41,0' LO P4 EJ'r
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
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 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, S SUPPLEMENTAL INFORMATION.
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Check All Categories That AnIndicate type of Building: Commercial V / Residential
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
V Shed _ Solar Panels Other:
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: A
Address of proposed work: #3 Mooimm bvvv, y4,pmo l Wi0RT MA Map/Lot # 10'3 la S
Owner(s): UCIAIJ Al. W.Q/C*T Phone#: 77N 9Q�' Q631-1
All applicationsmustbe submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: _8 Qo}c /Q�� - �q/j f1SyA�LG , MA O.2C Year built: td=9L 1 1-7�2-
Email: SO4N W IGO- CAST. NC- Preferred notification method: t✓ Phone Email
Agent/contractor:
Mailing Address:
Email:
Phone #:
Preferred notification method:
Description of Proposed Work:
N,6IN IO/X *f f'/jECSTA410INC SHED F413" AA& �✓ARBp/�
/if
Signed (Owner or agent):
W
Phone Email
Date: i I a S- I go : 7
➢ Ownericontractorlagent is avMre 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.
➢ 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 avpilable on -site for framing & final inspections.
Rcvd Date: q
Amount ;25'Q
Cash/CK #: I
Rcvd by: LA S,
45 Days:
Date Signed:
Approved �/ Approved with " Modifications Denied
Reason for Denial
Signed: r
APR 2 2 2024
t t�j WAY
APPLICATION #:�T 1
°4:Y�� TOWN OF YARMOUTH
r 1146 ROUTE 28. SOUTH 1.aR.NIOCTH-1L1SSaCHLSETTS 02664-4451
' - Telephone (508) 398-2231 E.xt. 1292 Fax (508) 398-0836
01.D DING'S HIGHWAY HISTORIC DISTRICT COjNINIITTEE
AMENDMENTFORM
("MINOR CHANGE REQUEST")
A minor change request must be submitted w thin one year of the onginal approval date or whve the work is still in
progress Only a minor change maybe approved by the Committee without the filing of anew application
PLEASE TYPE OR PRINT LEGIIBLLLYe,,�l'-
Original Application #:_ 0 -Ay` q Original Approval Date- L1,74;)o
Address of proposed work 3 fli-G olMa r l ri fz
Owner(s): >-n Vvtq"-+ Phone #: w d b 3 9
Mailing address: f • V• *ICY if 7 ✓' , AVM W1,P AA n 1 7-1-,
Email !iL1-a5k-!Uk Preferred notification method:_Phone __ Email `US Mail
Agent/Contractor:
Phone #
Email -
Preferred notification method Phone Email
Please describe proposed change(s) and attach planstphotos (as necessary)
Signed (OwnerorAgent I
.......... ............. ...................... ....... ....
_— APpfOved by OKH _ Denied by OKH New
Beason for Denial -
Signed OKH Chairman
Date
APPROVE
APR 2 2 2024
{ARMOU f h
Da
AMENDMENT # -2,4-Av qr
I1;24iS
JL(
TOWN OF YARMOUTH
°n 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 q3 i0-e 41 z k bft''1 \ -z
Map/Lot I O31 a5 CIA # ?q-AUttl Approval Date:
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: Signed:
APPROVED
APR 2 2 2024
YARMOU i i .
Signed:
MOM COMMITTEEWpplication Forms%taiement of UrMerstandinp 2015,docx
( er/Co tractor{Ag nt)
(Chairman. Old King's Highway Committee)
Updated 1212015
� TOWN OF YARMOUTH
p H 1146 ROUTE 28, SOUTH VARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #: 9LA-/ l"41
Project Address: L13 AA-e girl zh artiy-4
Application Received Date: "1 i 1 ,X
45 Day Decision Deadline: 4110174
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:
S hid
Date:
RECEIVED
APR 0 2 2024
YARMUtJI h
3/2020
Signed:
ner
Owner
Contractor/Agent
tPijflO Y ED I
APR 2 2 2024
fARMOUTH
OLD K1NG'S HIGHWAY
q— At�4"1
GENERAL SPECIFICATION SHEET
Pro!ec# Address:
FOUNDATION: Material: QS ca-rE BQck Exposure (Not to exceed 18"):
CHIMNEY. Material/Color: ~ GUTTERS: Material/Color: ~
wE��RWQO17
ROOF: Material: 3-r4a Asomc7 Pitch (7/12 min) Height to Ridge: 7~ Color: N01-
SIDING: Material/Style: Front: CCOM S1U14104 Sides/Rear: &►aKU + &17`eEQ
Color: Front: /,A 4 Sides/Rear: NoMkA l.,
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: P C / Color: WY l 7'
DOORS: Qty: Material: A446 BOARD Color: 1V47Vk04 L
Style/Size (if not listed/shown on elevations): Ll JW06LE._166440 4934/1Q
STORM DOORS: Qty: N Material:
Color:
GARAGE DOORS: Qty: "", Mat'I: Style: Color:
WINDOWS: (side:: Front: Left: Right: O Rear: 0 Color:
Manufacturer/Series: Material:
Grilles (Required): Pagern (616, 2/1, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: Mafl: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style:
WALLS/FENCES' (Max 6' height): Height:
MatT
[on. M.
COLOR CHIPS
EC 1
APR 0 2 2024
)LD YAHKlNG;S HIGHWAY f
PO
APR 2 2 2024 1
,)I,, u' tlA OUTH I
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:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
Screening:
Color:
Color:
2-General
APPLICATION #. `''�
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: a'✓1 wyY VI+
Property Address/Location: '43M C yl Ve,
Hearing Date: _ L4I;2i2ty
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:
Abutter Information:
RECIVF—
APR 0 2
�ARIVIOU I r
....� inic ulh_L.JIhl�Y
A PPR -
APR 2 2 2024
YARMOUIh
103 as
03 q
,;? V 0 —7 wi,4 ar
0�� 13199
Application #: 94—Ab"
82018 3
°'Y`�� TOWN OF YARMOUTH
1031 91 1 1
TOWN OF YARMOUTH
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664 Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
43 Medinah Dr., Yarmouth Port, MA 02675
Ass sor M�10325
1031 241 1 1
DOUGLAS CAUL G TRS And M ado, Director of Assessing
DOUGLAS C H TRS & DOUGLAS D C y g
PO BOX 64 April 9, 2024
YARMOUTH PORT, MA 02675
1031 251 ! 1
WRIGHT JOAN M
P O BOX 1075
BARNSTABLE , MA 02630
1031 261 1 1 RFCFIVF—
KNOWLES MARY ANN
27 MEDINAH DR APR 0 9 2024
YARMOUTH PORT, MA 02675-1628
d AhfY��JU � r
PpROVED
APR 2 2 2024
eARMOU I r1
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APR 0 2 2024 PLOT PLAN
f Arlivivu i rr ei s
OLD KING'S HIGHWAY FOR LOT �
Abutter's
Flame
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(NAME OF STREET)
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