HomeMy WebLinkAbout25-A066 279 Setucket RoadTOWN OF YARMOUTH WNW-0
1146 ROUTE 28, SOUTH YARMOIJTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
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APPLICATION FOR Old Ki: iq s Highway
CERTIFICATE OF APPROPRIATENESS Historic District
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 ns described halnw R nn nianc r1rawinn-% nhntnnranha R Mhcr el mr0jamansnf ;-fr, ...,. , .�.,..�... «,;
application. PLEASE SUBMIT 4 C_ ODWS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Cate ories That A I : 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
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: �ence Wall Flagpole Pool _
Please type or print legibly:
Other:
Address of proposed work: �t � `I i' (tte�F Vd, 4-i 2 ,r� Map/Lot #
Owner(s): LIB z cc<o Phone #: 12A- n �
All applications must'be s bmitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Z "I �rAanja C' J N- &A Year built: _ . l q 6 o
Email: _ [f I�fI F; Ti
-77
Agent/contractor:
Mailing Address:
Description of Proposed Work:
A-J & t. +It
Signed (Owner or agent):
Preferred notification method: Phone Email
A
Phone #: _ S'� ' 3"i - +ggo
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Date: � ' -r
➢ Ownerlcontractorlagent is aware that a pi5rmit Is required from the Buildi Department, (Check other departments, also.)
➢ If application is approved, approval is subject to a 10-day appeal perio quired 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.
For Commi#1kM11 o I
Rcvd Date: I I A S
Amount 20.10
4astllCK#:
Rcvd by:
45 Days: I
vate signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
119
APPLICATION #:
2 5 - A 0 6 6
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 COMMITTE n
45-DAY TIMEFRAME
WAIVER
25- Ass
Application #:
Project Address: 0071 1 yz,�,
Application Received Date:
45 Day Decision Deadline:
MAY 0 6 2075
Old King's Highway
Historic District
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:
Date: r l� ` �„ Signed: Z
Own
Owner
Contractor/Agent
}ogA� 2 5 - A 0 5
o�
o �01
GENERAL SPECIFICATION SHEET
Project Address: -7 q �
FOUNDATION: Material:
CHIMNEY: Material/Color:
Exnn.om irn (Nnt to avraerrl 1 R"1
GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style. Front:
Color: Front:
Sides/Rear:
SideslRear:
rnl nQ rruloc
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) 11 DMaterial: Color: TA-11M
w-r-:i. uty. maierlar
Style/Size (if not listed/shown on elevations):
Color -
STORM DOORS: Qty: Material: Color:
--
_ -.. 4%w- %.eny. (VIOL 1. Jtyie: Goior:
WINDOWS: !side:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Require&' Pattern (AA 7/1 Ptr ! r,rilla T%m. - Tr. ,, n=,„��_ � a ,�.,•
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
5KYLIGHT5: Uty: Fixed Vented Size Color:
MAY 0 6 1025
Old King's Highway
Historic District
DECK: Size. Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLS/FENCES" (Max 6' height): Height: -IS Mat'I: LA, 1 rJ 0 d—
Style: i Color: In. &-f Z C , /f
(Show running footage & locat;on on plot plan.) "Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location:
LIGHTS- Qtv: gfvlp•
LoL*tion(s):
Screening:
(`nlnr-
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2-General 2 5— A 0 6 6
APPLICATION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE'`1
ABUTTERS' LIST
MAY 0 6 2025
Old King's Highway
Applicant's (Owner) Name: Ltz An p Historic District
Property Address/Location: .:�Iq 5,t" , t V44 .
Hearing Date: T * by( a�
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
Map Number Lot Number
Applicant Information:
Abutter Information:
141, `f
(boo
Application #: 2 5 A 0 6 6
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