HomeMy WebLinkAbout24-A115 158 Eileen StreetR 'f
TOWN OF YARMOUTH
�v r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 2024
' Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
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OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEE a 1 H± 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 this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENT L INFORMATION.
Check All Catettories That Aaaly: Indicate type of Building: Commercial 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: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: t j it,J�` Ae/L. AJ !?IPA Pk�—
Map/Lot # r /t
Owner(s): 4 /]^�- Phone #:
All applications must Pe submitted by owner or aAc96mpanied by leer frgm owner approving submittal of application
Mailing address:
Email:
Agent/contractor:
Mailing Address:
Email:
Description of Proposed Work:
�®off
Signed (Owner or agent):
Year built:
Preferred notification method: Phone -Email 4
Phone
Preferred notification method: Phone Email
0/1
Date:
> Owner/contractorlagent is aware that a permit is required fro)( the Building Department. (Check other departments, ay.)
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 dale 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
For Committee use only:
Rcvd Date: �I f
Amount a
CashICK C?. Sh
Rcvd by: L' 5•
45 Days: Yt914
Date Signed:
Approved Approved with _Modifications Denied
Reason for Denial.
Signed.
1 APPLICATION #:���
GENERAL SPECIFICATION SHEET
ddress:
FOUNDATION: Material:
Exposure (Not to exceed 1 S"):
CHIMNEY: Mater+al;Color: ( TX2�' N_ _GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Color: Front:
_ Sides/Rear:
Sides/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: MatT
Color:
Color:
Style: Color:
WINDOWS:Qty/slide:: Front. Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Requiredi Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite,
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color:
COLOR CHIPS
EEIVE®
AUG 16 2024
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SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color.,
DECK: Size: Decking MatT Color:
Railing MatT Style: Color:
j WALLS/FENCES* (Max V height): Height: to/ MatT �,?A
Style: Gy_a JL Color:
(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:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General - L -A I'Jr
APPLICATION #: ✓`�r'
t�° YA�0 TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
h�0,A0 RAI% ,
- OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Application #: 94-Ai 15-
Project Address: 16 V I [ 9J `/U
Application Received Date: rI15( 7q
45 Day Decision Deadline:4/a1dgq
RECEIVED
AUG 15 2024
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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:
- - -W A-"f I (MLk
Date: A UP— I Signed:
Contractor/Agent
r2q-A llS_
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ECFIED
ABUTTERS' LIST AUG 16 2024
Applicants (Owner) Name: ll X4 rt"a'V1(
Property Address/Location:
Hearing Date: a14 /gy
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:
a S
1 I'7
15 Y10
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15 Y15L
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15?�tS
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Jul
15?ply
Application #: I;q.,A 1-5-
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RECEIVED
AUG 15 2024
YARMOUTH
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