HomeMy WebLinkAbout25-A145 15 Pompano Road)&14gffl�
3. :b TOWN OF YARMOUTH
° r 1146 ROUTE 28. SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 SEP ! 20P5
OLD KING'S HIGHWAY HISTORIC DISTRICT COMM g'1: tfighway
APPLICATION FOR Historic Dlstri;:t
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, & SUPPLEMF.IVTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition 1,�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 workA:/� forvutlyo Aa4 Map/Lot # i Q�-�2 f
Owner(s) V i" 1 Phone #: U �O t�
All applications must be subm tte by ner or acco panted b letter from owner approving submittal //of application.
Mailing address: rom-pen Year built: ira
Email:c S L M Preferred notification method: Phone Email
Agent/contractor: Z: Phone J C O #: L a
Mailing Address:
Email: Preferred notification method: Phone Email
Description of Progliosed Work: /]
Ke�fl V e- oq�- -46b2Y�vt�L.. �Q,� LV I tt'r� W t oL✓�
Signed (Owner or
Date:
), Ownerlcontractortagent is aware that a permit is required from the Budding 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: 4W )ate
Amount (00.W
Cash1CK #: ( all
Rcvd by:
45 Days: f �� ar✓
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
25- A 1 45
APPLICATION #:
TOWN OF YA1MOTH
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 i
Application #:
45-DAY TIMEFRAME
WAIVER
2 5 — A 1 45
Project Address:
Application Received Date: cT I a 91a?.5;-
45 Day Decision Deadline: 1 I/10 f v?5,
in
SEP 2 4 )025
Old King's Hrghway
Historic District
W- 0oo-')
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 fpr the following project:
Vt/*
-)(Date:
)Signed:
i APB C,
Owner
Contractor/Agent
2-5- A 1 45
GENERAL SPECIFICATION SH
WA
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: Sides/Rear: COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: Color:,'
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color: SEP 2 9 ?.075
GARAGE DOORS: Qty: MaJ, Style: Color: Old Kini '�., Highway
� rghway
WINDOWS: t !side:: Front: \ 7 Left; Right: _ Rear. Collor: Historic District
Manufacturer/Series: Py1 A Material. Lf i ill�-
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Tvpe: 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 MatT Color:
Railing Mat'l: Style: Color:
WALLS/FENCES'` (Max 6' height): Height: MatT
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: Screening:
LIGHTS: Qty: Style: Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
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2 8 - A 1 4 5
°F 0 TOWN OF YARMOUTH
{o Vyq OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location:
Hearing Date: I of I f d,I'
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:
FDW
SEP 7 9 2(12'�
Old _. Highway
Historic District
134 !3q
15'72'7
`I
NO
1 :5 7a
t s
43
513S
3
5-11
134
Application #: 't 6 A 1 4 5
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