HomeMy WebLinkAbout25-A084 15 Barnacle RoadV
TOWN OF YARMOUTH 0MR&
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292--Fax (5081398-0836
JUN 0 3 7075
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Old Kings 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, & SUPPLEMENTAL INFORMATION.
Check All Catesiodn That Apply: Indicate type of Building: Commercial V Residential
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
Shed —Solar Panels Other.
2) Exterior Painting: Siding V Shutters V 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: —
Owner(s):.. NJ' C�vlciS
All aoDllcatians must b
Mailing address:
Cc cod Map&ot # ZS a%
'-,►to L'
aZ \4cvr"Jtk W
Phone #: W . gg g- - N S R
owner approving submittal of application.
Year built: ici
Email: n Q T + kO S Y`' rn cU l , k 6 M Preferred notification method: ✓ Phone Email
Agent(contracbor:
Mailing Address:
Phone #:
Email: Preferred notification method: Phone Email
DescrigUon of Proposed Work:
pnj Fre, door (wr +0 � w maye, wlnCow !lih 0 VI U/rl�C'4U0 A&rsea) owvey" .
t
��L'Sifcr
W I �h Ctr4cw,1 eZd -Ced6rleern S' a75 .. (&'r-(-oa 1 61a y _ dt)06o 7"
repluc� sldin
i
Signed (Owner or agent):
Date: 6 .2_ '. o a„
➢ OwnerlcaMractorlagent is aware that a permit is required from the Building Department (Check other departments, also.)
➢ If application is approved, approval 6 subject to a 1 D-day appeal period required by the Act.
➢ This cefificate 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:
Amount a� 5 Gt7
Cash1CK It T 1g
Rcvd by: 5
45 Days: 7
OP
Date Signed:
Reason for Denial:
Signed:
1
Approved with Modifications Denied
2 5 — A 084
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext 1292 Fax (508) 39"836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMNIITT9JV�mp
45-DAY TIMEFRAME JUN 0 3 2075
WAIVER Old King's Highway
Historic District
Application #: 2 5 A 0 8 4
Project Address:
:EMI
Application Received Date: U2)d5r
45 Day Decision Deadline: ?l1b1 a�
026 7S
IIWe, 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:
�i� Shu a/s ant Ay* duor, A (Ol zte w+y\dr'-J,
i chi V'1
Date: Signed:kI
��
ner
Owner
Contractor/Agent
�'Y"� 2��,A 084 ,
Proiect Address:
FOUNDATION: Material:
CHIMNEY: Material/Color.
Exposure (Not to exceed 18"):
GUTTERS: Material/Color.
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color
cedx imitem,019 trlhyl Ce&r,rgess;on� V„�' COLOR CHIPS SIDING: Material/Style: Front Sides/Rear.
Color. Front: (&600! (766 Sides/Rear. C h&C001(7�
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color.
DOORS: Qty: Material: Color.
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color.
GARAGE DOORS: Qty: Matt Style: Color.
WINDOWS: IQhr s de-.: Front: Left: Rig'h^t! �Reaar: C_glor:
Manufacturer/Series: -y i 11 o Q S j, G i� �+ U Ma'�enal1 u1f n0(0a)
Grilles (Required): Egg m (616, 2/1, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: ,rMaterial:
SHUTTERS: Mafl: 1101 1 Style: Paneled
O
SKYLIGHTS: City: Fixed Vented
Color:
Lowered / Color. 6M J3 (jecr4-0,
Size Color:
DECK: Size: Decking Marl: Color.
Railing Matt Style:
WALLSIFENCES* (Max W height): Height:
Color:
Marl:
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fen vt
D
UTILITY METERSIHVAC UNITS: Location:
Screening:
LIGHTS: Qty: Style: Color
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
AJN 0 3 2025
Old King's Highway
Color. Historic District
2-General Pe 6 ,AE O 8 4 p
APPLICATION #:
Fo TOWN OF YARMOUTH
Io OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
R �'' g yw�H •�'+
ABUTTERS' LIST
Applicant's (Owner) Name: j�%Ch��aJ E ��rnor� PAp�r `C4l
Property Address/Location: lor earnaC.b 60d V-i�2roa&Yod 12,& 7Lj
Hearing Date: (P f � a5-
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.us
Map Number Lot Number
Applicant Information:
Abutter Information:
JUN 4 3 IVY
Old K+ng°s Highway
Historic Distnct
j lam_ 9G 1578%
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Application #:
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Historic District
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