HomeMy WebLinkAbout25-A093 1021 West Yarmouth RoadTOWN OF YARMOUTH 09REP
W.-V
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIT 2021
APPLICATION FOR Old King'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 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 Catenories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed Solar Panels _
2) Exterior Painting: Siding _
3) Signs/Billboards: New Sign
Other_
Shutters Doors Trim Other:
_ Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: ( (A)) __� �� Q0- b a —Rj MaplLot #
Owner(s). � c4 rl I Q I-0 i1014 C7LrjS / Phone #: 1&0 �� a2!� aZ Q
All applicatio s must be submitted by owner or `accompanied r�by letter from owner approving submittal ollapplication.
Mailing address: 1 cZa f II1) -�n CM Qj -hCJn rvtnbuilt:
Email: CC�� ,6% 00 Inn ra d �. 11 J Preferred notification method: Phone Email
Agent/contractor S , 42Q-w L1er'��Gt i , -r'r, G Phone #: �+a �J hcq <70 a--3
Mailing Address:.? f- 1 -L U Qyl n in l.to �_I�(�I-� U� n n n j'
Email: 0 i- ci rn m Preferred notification method: Phone Email
Descriotibn of Proposed Work:
-Pa i n -� b tro ►'. a 0 `- d t (moo co-R QnCQ ba ci- d 00 r 0 6 of " Q
Signed (Owner or agent):
Date:
s Ownerlcontractorlagent is aware that a permit is required from the Building Department. (Check other departments, also )
D If application is approved, approval is subject to a t 0-day appeal period required by the Act.
D This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
D All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections
Rcvd Date: &IN05
Amount ;t .+ `0
Cash1CK #: 16
Rcvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
1 AS - A 093
APPLICATION #:
TOWN OF YA MOUT
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT umw
45-DAY TIMEFRAME
WAIVER JUN 1 8 7025
2 5 _ .A O 9 3 - -wo Old King's Highway
Application #: Historic District
Project Address: 1021 Wts-� Jayw7rAA-h \O u, aJ
Application Received Date: 116RSr
45 Day Decision Deadline: 713/1 a5J
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:
avn � 6'7(-1c 4 ot.S
Date: J ,Signed:
,21Wa,,a 1, UA�,2h�l�
Owher
Owner
Contractor/Agent
- A 0 9 3
Grilles (Required): Pattern (6/6. 211 etc.) _
Snap -In: Between Glass
STORM WINDOWS: Qty:
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
Exposure (Not to exceed 18"):
GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Sides/Rear:
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
`'4DOORS: Qty: -O� Material: 1� �„_ Color` 1 40i-oriln 4 B,I' ut.Q
ri Style/Size (if not listed/shown on elevations):cJ X 6 " STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: MatT Style: Color:
WINDOWS: (side:. Front Left Right: Rear: Color:
Manufacturer/Series. Material:
_ Grille Type: True Divided Lite:
Permanently Applied: Exterior Interio
Material:
Color:
COLOR CHIPS
IUN 1 8 2025
Old King's Highway
Historic District
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'l. Color:
Railing MatT Style: Color:
WALLSIFENCES* (Max W height): Height: MatT
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Screening-.
Color:
Color:
2-General 2 6— A O 9 3
APPLICATION #.
¢a TOWN OF YARMOUTH
�o �: OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
.yam CRA,�
ABUTTERS' LIST
Applicant's (Owner) Name: .�T(1�1a'V1 �`-� L4021n,.bsk i
Property Address/Location: j DetS _ w ,0 i"wY,4-k 1-J.
Hearing Date: -1f 1 N 1 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: www,yarmouth.ma.us
Applicant Information: II;L&
Abutter Information:
ItIN 1 8 7015
Old Kirig's Highway
Historic District
Map Number Lot Number
1�23
1.23
IS�
3
25-A, 093
Application #:
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Old King's Highway
Historic District
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