HomeMy WebLinkAbout25-A095 24 Perch Pond WayTOWN OF YARMOUTH 109 DD
° 1146 ROUTE 2B, SOUTH YARMOUTH, MA 02664-4451 IUN , 2�2�
Telephone (508) 398-2231 Ext. 1292�-Fax (508)19&0836.
OLD KING'S HIGHWAY HISTORIC DISTRICT COIF MITrTEi I,µ,ay
Historic: District
APPLICATION FOR
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 i 9
54o accompanying this
application. PLEASE SUBMIT 4 COPIetS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, S SUPPLEM AL 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 Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: ���CCa-nJ W1MaplLot #
Owners): tJ �h�1 /'p✓ } Phone #: /) /1
All applications must be submitted caner or accompanied by letter from owner approving submittal of application.
Mailing address: ,"_ > Year built: pq
Email: �Y / u l rt �� i�iri C � C� ICQt h15 " Preferred notification method: Phone Email
Agent/contractor: d �d�r" Phane #:
Mailing Address:._ /rJU e[Y Lk/ / S- • � t-A111
i
Preferred notification method: hone
Description of Proposed Work:
NPw Si, �4 Inj - C"+2. n �4wcL C e A w s yvy(z ss Ian 5 — s m ok.y 6yz-,1
Signed (Owner or agent):
Dare: d
Owner/contractor/agent 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 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.
D All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available onsite for framing 8 final inspections.
Rcvd Date: )1141 ay
Amount 40 • w
CashICK #:
Rcvd by: 1, t S,
45 Days: q ! 25-
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHU$ETTS 02664-4451
Teiepbooe (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITWRIM
45-DAY TIMEFRAME
WAIVER
�5-
Application #:
Project Address:
Application Received Date:
45 Day Decision Deadline: old s
0 2 4 2025
Old King's Highway
Historic District
Af/r, oL) /� U � 6 7)-
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: 3 Signed:
Owner
Owner
Contrac or/ gent
25--a095
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 CHIPS
Color: Front: Sides/Rear: ✓ S" d
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 Circle one.
Material: Color:
DOORS: Qty: Material:
Color:
Style/Size (if not listedlshown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
WINDOWS: Qtvlslde:: Front:
Manufacturer/Series:
Left:
Color:
Style: Color:
Right: Rear:Color:
Material:
Grilles (Required): Pattern (616, 211, etc.) Grille TVDe: 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:
WALLSIFENCES* (Max 6' height): Height: MatT
IUN 2 4 2025
Old Ki3ng's Highway
Historic District
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: I Style:
Location(s):
LIGHT POSTS: Qty:.
Location(s):
Additional information:
Material:
Screening-
Color-
Color:
2-General 2 5 0 0 9 5
APPLICATION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: — l 24" h7
Property Address/Location: opt-( W-aq
Hearing Date: :7S
I14ja
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
Map Number Lot Number
Applicant Information:
Abutter Information:
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10N 2 4 zoo
Old Kuig'{, Highway
Historic District
11 tilt'
7 5-7
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Application #: �n ,
8.201$ 3
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Historic District
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