HomeMy WebLinkAbout25-A123 20 Frances Helen RoadTOWN OF YARMOUTH W9RMD0
r :x 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT& 4 102.5
Old King's Highway
APPLICATION FOR 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 Categories That Apply: Indicate type of Building: Commercial
1) Exterior Building Construction: New Building
,Shed _ Solar Panels Other:
Addition _Alterations
Residential
Reroof Garage
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: O (cane >A5 J I en Map/Lot #
Owner(s): Ml&acl C f Phone #:17 y- YI 332- 5/
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address:.
Email: M 0 C�
Agent/contractor:
Mailing Address:
Email:
Description of Proposed Work:
S1Ied C-
0'(1. rve+1"
gXIZ
Signed (Owner or agent):
Year built: 117 O
thod: Phone Email
Phone #:
Preferred notification method:
Date:
Phone Email
➢ Owner/contractor/agent 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.
Y This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be toter.
➢ All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections.
Rcvd Date: 0 y ! a
Amount �-
CashlCK #: ( 2-
Rcvd by: I" 5,
45 Days: r 14��OvI
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
2 A13 ��
APPLICATION:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME @999mp
WAIVER
AUG 1 4 2025
Application #: 2 4 1 2 3 Old Kings Highway
Project Address:
Historic District
Application Received Date:
45 Day Decision Deadline:
w�a77a�—
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:
%,el
Date: ; 7-04 a 5— Signed:
Owner
Owner
Contractor/Agent
2 5 - A 1 23 < ..:..
GENERAL SPECIFICATION SHEET
Project Address: 2 O Vr-anees ",
FOUNDATION: Material: „I�?er %60 k Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: I Q i ch 17112 min) 0 bg Oeightto Ridge: I1 Color:
SIDING: Material/Style: Front: t Sides/Rear: �tf�t CCU-- COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: I Material: , III Bomd _ Color: OAJ r41
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
WINDOWS; lslde:: Front:
Manufacturer/Series:
Left: __L__ Right:
Color:
Style: Color:
Rear: Color:
Material:
Grilles (Required): Pattern (BIB, 211, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: Mafl:
Style: Paneled Louvered
Color:
Color:
SKYLIGHTS: Qty: Fixed Vented _ . Size Color:
AVG t 4 7025
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: Material:
Location(s): !
Additional information: lr�1Y ski
Screening:
Color:
Color:
2 5 - A 1 2 3
APPLICATION #:
TOWN OF YARMOUTH o n
Vo j; OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE U
a�+ro+Aico
ABUTTERS' LIST AVG 1 4 2075
Old King's Highway
�n
Applicant's (Owner) Name: f r til Ao-Kl I rit Historic District
Properly Address/Location: 2O -Cy�G(15 O {.Gtil V ;
Hearing Date: I k( 2>
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:
p> C9 1
C 511Lf
1P5
1-1
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57
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Application #:
2 5 - A 1 23
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Abutter's
Name
Lot #
If this is a
corner lot,
write In
name of street.
PLOT PLAN
FOR LOT #
Addkicro with dashed Unn ----...---------
�CMfW dJ&powd (cesspool) Q9
`wt..... 6.......... fL Z-S=. )
0 ! C7
BEAR YARD
4G
SmE YARD
I
SST BACR
Old Kings Highway
Historic District
(late 0.............. fte frmt5 i) r
L-Wen- Rj OF STREET)
Frx=matim
SUPPlisd by
Abutter's
Name
Lot #
If this is a
corner lot,
write in
name of street.
25-A 1 23
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