HomeMy WebLinkAbout25-A041 30 Tall Pines DriveT 99AMP4 , � TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 MAR 2 B 2025
OLD KING'S HIGHWAY HISTORIC DISTRICT COMJE'W.5 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 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, 8= 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 Shutters Doors _Trim Other:
3) Signs/Billboards: New S' n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly: 1 �}
Address of proposed work: 3 0 Map/Lot # i
Owner(s): 11111SA- _' on Phone #(2 -7 q) a,3o - 3.y G 9
All applications Must be s4bmitted by owner or accompanied by fetter from owner approving submittal of application.
Mailing address: � O l q�� l i+r1-t_ 5 CU R of M'm Q'A C��.y- S Year built: 1t1 q i
Email. Preferred notification method: ✓ Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email:
Description of Proposed Work:
Preferred notification method:
Phone Email
off- c, fp x (o Fe n . be.'r�c��ln pI opr�� �S c1h
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Signed (Owner or agent):
Date: 3 J cD (o - a0a S
> Owner/contractor/agent 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: 3(-)L9' S
Amount A .57 00
Cash/CK #:
Rcvd by:
45 Days:
Dale Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
1
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Application #:
45-DAY TIMEFRAME
WAIVER
2 5 - ,A 04 1
Project Address: 3C zip Pmys 19rky -P,
Application Received Date:
45 Day Decision Deadline: 50 "
i
MAR 2 8 2R25
Old King's Highway
Historic District
Me, 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:
Ft,v) cep
Date:3- a (a-a.0'a. Signed: % LA, aelA
Owner
Owner
Contractor/Agent
�5- 1�041 '
i
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) Material: Color: 29RM
DOORS: Qty: Material: Color:
MAR 2 � 2025
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
Old King's Highway
Historic District
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: !side:: Front Left. Right: Rear: Color:
Manufacturer/Series. Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Tyne: 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 MatT Color:
Railing MatT Style: Color:
/
WALLS/FENCES* (Max 6' height): Height: _ 6 MatT LA—Nn CA rr G-e d(XV,
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: Screening:
LIGHTS: Qty: Style: Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2-General 2 5— A 0 4 1 L
APPLICATION #:
z YAK o TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: dl Yl woon
Property Address/Location: 3o lzl Y\2 ol\-t
Hearing Date: c i2:�d .-�,5-
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. armouth,ma_us
Map Number Lot Number
Applicant Information:
Abutter Information:
MAR 2 8 2025
Old King's Highway
Histonc District
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Application #:
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