24-A072 83 Sisters Circle. o TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 RECEIVED
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Telephone (508) 398-2231 Ext. 1292-Fax (508) 39&0836
OLD KING'S HIGHWAY HISTORIC DISTRICT CO�MITAT zQ24
APPLICATION FOR YARMOUl n
CERTIFICATE OF APPROPRIATENESS OLD KING'S HIGHWAY
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 X Residential
1) Exterior Building Construction: New Building X 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: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: T 3 S I Z T C- S I R _ Map/Lot # 9
Owner(s): U (L L I M N -D A S I L V A Phone #: s IJ - 5 s r- V z S
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: Z 0 Z )
Email: Uk S i l V sA Ca Q LOA@ 4�"t' l -f-4 in Preferred notification method: Phone J Email
Agenttcontractor:
Mailing Address:
Phone #:
Email: Preferred notification method:
Description of Proposed Work:
rxrl�N� -fkf Sttltp'S 30I Tv cl'LFN-T
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Signed (Owner or
Phone Email
� S kq�FD ARf Pr
Date: 0 S //
ownerlcontractor/agenns 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 appea! period required by the Act.
Y 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: gly A
Amount AIA
CashlCK M A_
Rcvd by:
45 Days: � loli 7
Date Signed:
Approved
Reason for Denial; -
Signed:
Signed:
Approved with Modifications __Denied
APPLICATION #: 9cl- A0-1;X
°Y TOWN OF YARMOUTH
c 1146 ROUTE 28, SOUTH Y ARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fox (508) 3984836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
RECF1VFjj
Application #: ;74-Av-7'2- L
Project Address: '(ST C rt S C JR I Ya t KQu , � Put M A
Application Received Date: _ S IV 12q
45 Day Decision Deadline: W2712q
MAY 1 4 2024
.Y, FRMOU7 �,
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:
�C e�na VV- o F sh-c 1
Date: 6)S_ 141, y` Signed: 4 caner
Owner
Contractor/Agent
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge: Color: An CO A L
SIDING: Material/Style: Front: Sides/Rear.- COLOR CHIPS
Color: Front: G F NY Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color: W H r i C
DOORS: Qty: Material:
Color:
Style/Size (if not listed/shown on elevations):
RECFI N`, El)
STORM DOORS: Qty; Material:
Color
MAY 14 2024
GARAGE DOORS: Qty: Mat'I:
Style:
Color:
(AHMOLD I G SOUTh
HIGHWAV
WINDOWS: side:: Front: Left: Right: Rear:
Color:
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: Mat'I: Style: Paneled
Louvered
Color:
SKYLIGHTS: Qty: Fixed Vented
Size
Color:
DECK: Size: Decking Mat'I:
Color:
Railing Matt Style:
Color:
WALLSIFENCES* (Max W 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 METERSIHVAC UNITS: Location:
Screening:
LIGHTS: Qty: I Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General
APPLICATION #:
TOWN OF YARMOUTH
OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: V d I P V) 0Z S 11 d-z
Property Address/Location: 15(466 c I v?.Lt,
Hearing Date: _ to I 1 c07y
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
Applicant Information:
Abutter Information
RECEIVED
MAY '` 4 2024
? ARNIOUTh
OLD KINGS HIGHWAY
z
Map Number
82018 3
Lot Number
0
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Application #: <;q
°�'Y� TOWN OF YARMOUTH
o 1146 RO1 I F. 28, 1%Ol T [IN %RNIOt III, ,AIASSACIR SIA 1 S 02664-44S1
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