HomeMy WebLinkAbout25-A115 17 Dauphine DriveMOMDO
Sic r- o TOWN OF YARMOUTH
$ 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Al1G h ZO2�i
Telephone (508) 398-2231 Ext. 1292- Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIPTEk'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 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEM�EF TAL 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: ` t L
Address of proposed work: L kk nf— Dir �N� Of f)VT- Map/Lot # 13 3 l d
Owner(s): C V, Phone #:
All applications must be submitted b o r or accompanied by letter from owner approving submittal of application.
Mailing address: - .l ��ttlL ,�, �(�.i�W�OiiL l Per- a.7Ye
7ar built: (03 _
Email: _=.ali'rl._ Preferred notification method: Phone I"Email
Agent/contractor:
Mailing Address:
Email:
Description of Proposed Work:
Signed (Owner or agent):
Phone #: -
Preferred notification method, Phone Email
cStLL- — ��Ght i hEcr.} Q�L� �►yt
Date-
➢ Ownedcontractodagent is aware that a permit is required from the Building Department. (Check other departments, also.)
➢ 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.
➢ All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections.
Rcvd Date. py a
Amount a1A 1
Cash/CK #: AfA
Rcvd by: E S i
45 Days: C i 5
Date Signed:
Approved Approved with Modifications
Reason for Denial:
Signed.
APPLICA;O# A 1 1 5
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
V992
Application #:
Project Address:
45-DAY TIMEFRAME
WAIVER
5- A 1 1 5 .""*
Application Received Date:
45 Day Decision Deadline
AU(; 0 b 2025
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:
Q duyy" %-
Date: Signed: L,0,1,( � 4f
Owner
Owner
Contractor/Agent
1 rwn
2 5- A 1 1 6 {
GENERAL SPECIFICATION SHEET
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:
SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 44s5 (Circle one.)
Material: I,-6Gk-' Color:}tE,yot
Q.rt�
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
Color:
STORM DOORS: City: Material: Color:
GARAGE DOORS: Qty: _LMatT PVL kyle: lor: LJht �
v&.te ebt
WINDOWS: t /side:: Front: Left: Right: Rear: Color:
Man ufacturer/Series:
Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite: _
Snap -In: Between Glass: Permanently Applied: Exterior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
Vfflm�
Interior AUG 0 d 707.5
Old King's Highway
Historic District
DECK: Size: Decking MatT 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:
�S-A115
APPLICATION #t:
1.-A
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
AUG 0 4 1015
Old King's Highway
Historic District
Applicant's (Owner) Name: 61+nS*V-U -
Property Address/Location: I��v�D�ttr2 ov It
Hearing Date: 61
Notices must be seat 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:
13 ��
fG?a o
153 34
Application A 5` A 1 1 5
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