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25-A031 169 Route 6A
TOWN OF YARMOUTH wfggm@ r" 1146 ROUTE 28, SOUTH YARMOUTH, MA 0266441451 j Tele hone (50a) 398 2231 Ext 1292-F 50 p - ax ( a) 398-o036 MAR 1 1 2025 OLD KING'S HIGHWAY HISTORIC DISTRICT COMITEE Id Ing's Highway APPLICATION FOR Historic District 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 44 C� OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTj1L INFORMATION. Check All Categories That Apglj: indicate type of Building: Commercial Residential AN9 Building Addition ,Alterations Reroof Garage t) Exterior Building Construction: Shed _ Solar Panels i/ Other: /.Ge h 2) Exterior Painting: ✓ Siding Shutters _jLDoors —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: Z 4,Y �p y �� �/� t Map/Lot # ,2 Owner(s): ©i c Z Phone* �> 7111 All applFcationTmust be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 3/ �.1� w �T t�Z!Z,,f74IWO,2G_7S Year built: _ / 7 00� Email: /�� r� �r / vG I%, Cw'/ Preferred notification method: Phone Email Agenticontractor: L �' �� t / r �r Phone #: 29"09 e lr/S y Cd ` f Tr 4 C 7" #' " t ""' Signed (Owner or agent): ,'.7 / F, oar 9if Phone _J�Email Date: 7`y.^t r > Ownerlcontractorlagent 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: 31 r Amount Cash1CK #: Rcvd by: Li 5 45 Days: S Date Signed: Approved Approved with Modifications Denied Reason for Denial: Signed: APPLICATION A 0 3 1 TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE @9 99MR 45-DAY TIMEFRAME WAIVER MAR 12 2025 2 5- A 0 3 1 Old King's Highway Application #: Historic District Project Address: Application Received Date: .312S 45 Day Decision Deadline: L1 INVe, 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: Date: o �� Signed: Owne Contractor/Agent 2 5 - A 0 3 1 GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: 77C,'c Exposure (Not to exceed 18"): CHIMNEY: Material/Color: Al',9 GUTTERS: MateriauColor:_/l,"• .,kM. "//( 6- ROOF: Material: 1 4., l?z Pitch (7112 min) Height to Ridge: Z9 op ••— Color: SIDING: Material/Style: Front: 7>- t Sides/Rear: COLOR CHIPS Color: Front: /1 Sides/Rear: ' � TRIM: All windows & doors tt be trii med with: 1x 1x5 (Circle one.) Material:. / zL ✓ G „ Color: , � It/ F � DOORS: Qty: Material: Color: A A. Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: A Material: GARAGE DOORS: Qty: 4 MatT Color: Style: Color: WINDOWS: /side:: Front: .'' Left: ,j_ Right: d Rear: Color:!67 Manufacturer/Series: n /Ire aV-4 0o Material: l: �C S �/ Matenal: le,_oPwmoeP Grilles (Required) Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: t� Material: Color: SHUTTERS: MatT. Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: MAR 12 2025 Old King's Highway Historic District DECK: Size: 117 Decking MatT_ %r' z Color: /r� • L/ Railing MatT Style: WALLS/FENCES* (Max 6' height): Height: MatT Color: 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 Location(s): Screening: Style: Color: LIGHT POSTS: Qty: Material: Location(s): Additional information: Color: 2-General 2 5- A 0 3 1 APPLICATION #: TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ���r....11�*ff YY��YYff�'7l vVV/fV l.�l ABUTTERS LIST MAR 12 1025 Applicant's (Owner) Name: _ C � /.1 `� Z -` �'� .-i Old Kinq:s Highway s y Property Address/Location- /e, eE`/9 Historic District Hearing Date: atiltzs 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: wwwyarmouth.ma. 0 Map Number Lot Number Applicant information: / ,�, ,?— Abutter Information: ;-.A AVD a Application #: I 2 5 - A 0 3 1 1� Owners Authorization Letter Vffim�D MAR 12 2025 Old King's Highway Please print or type Historic District Statement of ownership �R�� 1L�z11�I14� l co9 ebia-6 6,404-4m;u Pc),e-T M fI ") & -2r Name of Authorized Agent/Contractor- Owners Signature Date 2 5 - A 031 o�W MAR 12 202lain Old Kings Highway Historic Distnct rRll�It 111114SIIIllii�ll�y}jj �4'V O I1lI111CJ1lll1 j Ill 4 4{}f}ljj , a�W C J 7ffj f fir" '' CL a = a a= 1jfffrI I fl�lf 111 (1111111 I kltl 1.;_ C j a tV Il11111 Illldlii IMP {l1114 � N a 3 M � � o (D e' L 3 O ru = T NL) Q H LL U s f J m R+ jIlIIJIrII{ Ijlflf(I11 I(jjJflffjr(f f j �? 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