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24-A091 3 Mohegan Lane Approved
TOWN OF YARMOUTH 3 i 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICTCOMRROMFIVIED CIRMOUT14 TOWN CLERK RE APPLICATION FOR JUN 2 0 2024 JUL 9'24 Am11:31 CERTIFICATE OF APPROPRIATENESS rHhIUIVU I n Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapt4r 91)',RML IIRT(J yI amended for proposed work as described below & on plans, drawings photographs, & other supplemental info accompanying rs 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: iSiding 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: ¢ I Address of proposed work: .,3 1o_ qq,r,, LQ * n +9 PIN � Map/Lot # LS 5�38 (DZ S Owner(s)- V� We-e- V- Phone #:_,,ciCJ_- All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailingaddress 3 i`�l ' c c _... '{rYti Irk- pal Year built: 1c1ti Email Preferred notification method: Phone 4I�Email Agent1contractor: I7 # 4OSDCpv ,gyp 4 t✓i t'i _ Phone Mailing Address: _ap!5 } Q In nortau j ©a Email: Description of Proposed Work: Psi v4 hwsC 1Ad J"l -irV j Preferred notification method: Phone Email Signed (Owner or agent): Date > Owner/contractor/agent is aware that a p it 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 dale 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- 4�ff r/ Amount V" CashlCK #: Rcvd by: 45 Days:_ Approved Approved with Modifications Reason for Denial: Signed Date Signe 2,� APPLICATION #: Denied S LIOWVAY TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Teicphone (508) 398-2231 Ext.1292 Fax (508) 398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property ownerlcontractorlagent for construction at Map/Lot CIA # - j" Approval Date: y I 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 2, Signed: , \1 Q0, (Owner/Contractor/Agent) APPROVED JUL 0 8 2024 1 rANAOUTh I 01 r1 K1Nr,'.q HIGHWAY Updated 513V2024 Signed: (P ' 6 A-� (Chairman, Old Kings Highway Committee) GENERAL SPECIFICATION SHEET Project Address: ti l P t r1 L. 1r' . C I'VlD 3 . 1 floC � r4 4-.-a 67S FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: Pitch (7/12 min) Height to Ridge: Color: S ✓] Cr/ fee( /-iG-- /4, el SIDING: Material/Style: Front: Sides ea COLOR CHIPS Color Front: Ot?yny7�: fr__ ides Rear: TRIM: All windows & doors to be trimmed with: 1 x 4 1 x5 (Circle one.) Material: Color: _UDh,,4 2 jai e-1 DOORS: Qty. oL. Material: %LCK2:j Color:...._ 409:L t,n kc-,-- EW Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: >— Material: Nf-isLs Color: lCk.C,V. %pa jnj ' t4 n GARAGE DOORS: Qty: MatT WINDOWS: !side:: Front: Manufacturer)Sedes: Style: Color: Left: Right: Rear: Color: 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: MatT Style: Paneled Louvered Color. SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'I. Color: Railing Ma#'I: Style. Color: WALLS/FENCES* (Max 6' height): Height . MatT Style: Color: (Show running footage & .ocation on plot plan.) "Finished side offence must face out from UTILITY METERS/HVAC UNITS: Location: LIGHTS: Qty Location(s): Screening. - Style: Color: LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: PECOWD JUN 2 0 2024 2-General HC-169 HC-169 HC ® Benjamin Moore, HC APPLICATION #- �`S�t"' 1 °� TOWN OF YARMOUTH ll H1146 ROUTE 28, SOUTH VAR.MOUTH, 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 #: "gL?- *a( Project Address: �J NRl - (111w� Application Received Date: (101-4N - 45 Day Decision Deadline: V30Y ' REEVE JUN 2 0 2024 HrlivlWl r, IA/Ve, 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: a lv4 hwwg fyim Date: Signed: Owner Owner Contractor/Agent . PPn VED JUL 0 8 2024 C)q-/TDq I TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: O � +'Ct ev k Property Address/Location: Hearing Date: It V 7q 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: I Abutter Information: JUN 2 0 2024 OLD KING' HIGHWAY PP V E JUL 0 S 2024 AHIVIOuTr OLD KINGS HIGHWAY Map Number Lot Number 6o tt6q5,, 4,0 5 I LM(o 1 YW / f 4R 7 )Ltg00 lot I�rqq Application #: qq—/ t q I 3.2018 3 1161 71 BELLEFEUiLLE BRIAN C/O SIMONSEN ERIK 9 MOHEGAN LN YARMOUTH PORT, MA 02675 1161 51 1 1 GREEN CYNTHIA H 49 SEMINOLE DR YARMOUTH PORT, MA 02675-2412 1161 1011 1 1 FERULLO MICHAEL C FERULLO K J & GORDON J A 52 SEMINOLE DR YARMOUTH PORT, MA 02675 1161 1001 I MCDONALD PETER (LIFE EST) MCDONALD STEVEN J TRS 58 SEMINOLE DR SOUTH YARMOUTH, MA 02664 1161 111 1 1 OGASIAN DAVID M TR OGASIAN FAMILY TRUST 2 MOHEGAN LN YARMOUTH PORT, MA 02675 Please use this signature to certify this list of properties directly abutting and across the street from the parcel located at: 3 Mohegan Ln, Yarmouth Port, MA 02675 Assessors,Map 116,.Lot 5 Andy Maghado, Director of Assessing June 24, 2024 F1 vF J[rN % 4 APPROVED AHM01, E H OLD KINGS HIGHWAY /'! -f"I 14 00 r'4 Vto. RECRVIED Ahlvluu I t- APPIPOVED JUL 0 8 2024 i AHMQU I r) OLD KING'.S HIGHWA, qt4,"l