24-A070 35 Amy LaneTOWN OF YARMOUTH
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. r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ,+��a
. f Telephone (508) 398-2231 Ext. 1292-�Fax (508) 398-0836 ell D
OLD KING'S HIGHWAY HISTORIC DISTRICT CO M14FTE 024
APPLICATION FOR `�AHMOUTr-'
KIN Hl HWAY
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, & SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial / Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed Solar Panels Other:
2) Exterior Painting: /Siding J Shutters Doors _Trim
3) Signs/Billboards: New Sign Change to Existing Sign
Other:
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
4
Address of proposed work: 36 rn A rnw y Map/Lot # _I a 31 L 7
Owner(s): DonOL C, Ha i Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 4 9%'L LA _ &CM 0 M , fa ":1 M 01 j 0 Year built: % -7
Email:
Agent/contractor:
Mailing Address:
Email:
R� Preferred notification method: Phone Email
Description of Proposed Work:
hl 6� n d' S kv+�t6
Phone #:
Preferred notification method: Phone Email
W 1 4'}+0"('k (G CtC V J 0 fs
Signed (Owner or agent): Date: 5 f{ a
Owner/contractorlagent 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.
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 ✓�• W
Cash/CK # [
Rcvd by: !L� S,
45 Days: G1 r yI
Date Signed:
Approved
Reason for Denial:
Signed
Approved with Modifications Denied
APPLICATION #: 9`' —A 00
GENERAL SPECIFICATION SHEET
FOUNDATION: Material:
CHIMNEY: Material/Color:
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Sides/Rear: LAWLAee, COLOR CHIPS
Color: Frontq.
'4RFe ides/Rear: _.
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'I:
WINDOWS: (side:: Front:
Manufacturer/Series:
Color:
Color:
Style: Color:
Left: Right: Rear:
Material:
Color:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Tvoe: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'I: Style: Paneled Louvered Color-W -W
IF(U il
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLS/FENCES* (Max 6' height): Height: Mat'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: -
Location(s):
Additional information:
Material:
Screening: ��� ��
Color:
i MAY 14 L ^4
YANMUUI r-.
Color: OLD ill HWAY
2-General
APPLICATION #: �' M 7
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
lwk
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #: 0
MA` 2024
`r1y�4-�u�rh
KIfV ' HIGHWAY
Project Address: — ,*" 4- L .
Application Received Date: q)yizy
45 Day Decision Deadline: (a/2712g
IMIe, 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:
►irk s 1"c f rri "*Md sln,�,04 s
Date: S ly .? Signed: _
Owner
Owner
Contractor/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: '7 .,A 0.
Property Address/Location:
eO
Hearing Date: (011\4
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 Lot Number
Applicant Information:
Abutter Information:
F-CF-IVF
MAY 14 2024
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Application #: 24- AUT70
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