HomeMy WebLinkAbout25-A113 11 Kingsbury WayAWL TOWN OF YARMOUTH
4P1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT
JUL 2 � 2025
COMMITTEE
Old King's 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 WOWS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That Ap121y; Indicate type of Building: Commercial a idential
1) Exterior Building Construction: New Building Addition iterations Reroof Garage
Shed _ Solar Panels
2) Exterior Painting: Siding _
3) Signs/Billboards: New Sign
Other:
Ctcrf�e
Shutters ✓ DoorsY Trim
Change to Existing Sign
Other:
4) Miscellaneous Structures: Fence wall Flagpole Pool Other:
Please type or print legibly: 'Z'f�
/
Address of proposed work: 11 i(1/V 4�U Ry WAY MR#)d ilT Y Pd Q r MaplLot 5
Owner(s): J 44yI rfS i 4- SNFI Z i4 k Nor Phone #: 03 3y? I8ad
All applications must be submitted by owner or accompanied by letter from owner approving submittal) of application.
Mailing address: tr KID r UR IVA M0"rH POSTrM 02 675'Year built: I/dy
Email: Iim r P Co m rZ71 n P r Preferred notification method: Phone Y/ Email
Agent/contractor: AL4L ChR1? boaR fyfrteVS Phone#:508' 3273-2
Mailing Address: a 5 .4M 11-R I C #A1 W /i y UN 1 T 3 S'o v rM 6 r<rAlA/I-r r n /i- 0,140
Email: jarpd T @ &11 G4 ara P CPOo r. ro m Preferred notification method: Phone Email
Descrillation of Pro osed ork: � v'd a r e doo r-r W i
�Q & c e � � �A 2- IV.f %A1
W � 1- 4 � yr flyi c1u4 J F2e ( 0/0Urt_ -er G�6C ke'l
Signed (Owner or agent):
R
Date: V9 a /a S
Ownerlcontractorlagent is award,!hf a permit is required from the Building Department. (Check other departments, also.)
Y If application is approved, approv s 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:
Amount
CashlCK #: C &F h
Rcvd by: 1,� ,
45 Days: I[/fs3 [ • 5-
Date Signed:
Approved
Reason for Denial;
Signed:
Approved with Modifications Denied
APPLICATION #5 A 1 1 3
GENERAL SPECIFICATION SHEET
Protect Address: /l <1N 6f13U)ry LI-14Y %MY1iddT/f v4OV? T %n/� '09 6 ?S�-
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:
Color: Front:
_ Sides/Rear:
Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
Color:
COLOR CHIPS
JUL Z i 2025
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: a MatTVlh on v � s �P Style: C�rr�f�,r �'�4Color: l,5 PO!d King's Highway
Historic Distdct
WINDOWS: Ctvlside:: Front: Left:
Manufacturer/Series:
Right: Rear: Color
Material:
Grilles (Required): pattern (6/6, 211, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: Mat'I: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MaVl-. Color:
Railing MatT Style: Color:
WALLSIFENCES* (Max s' 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: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2-General o2 5 _ A
APPLICATION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: _J �YW CS &,?,Vb -f -_-�V{ G ye±!e JUL T 3 202.j
Property Address/Location: Gl h " "A4 Old Kina's Highwa}
Hearing Date: __ ` / 11 1 a 5 istoric District
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.yarrnouth.ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
i 3�
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3�w,
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ry 1
Application #:
25-A113
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