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25-A154 891 Route 6A
0�00 x TOWN OF YARMOUTH ° 1146 ROUTE 28. SOUTH YARMOUTH, MA 026644451 OCT a 8 2025 Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMWTTE-ilghway 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 info accompanying this application. PLEASE SUBMIT 4 coples OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial —k 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: 'cif Please type or print legibly: �j r q Address of proposed work: ig9 ! i� [ [4 A '"/�vtl� _ Map/Lot # l Owner(s): \, ifi 0A4 beaP ud Phone #:5 All applicationsmug(be-sub tte y owner or accompanied by letter from owner approving submittal of application. CJ Mailing address: �! AJ 6Q °o,- OvA Year built: /q )I Email: CK h"5- n adn @— Go Ca-'-ki Preferred notification method: Phone Email AgenVoontractor: Mailing Address: Email: ("r r+ntt u.C4 reel, a `T ",1 r,•9 %- r� v i-'• � Q Signed (Owner or agent): S _ Phone #: rigid `/I- .w/a ora(. v ,5F _,,G %►"t Preferred notification method: I ork: (Stec ,c a• -� ���G� S-' s G. r�li -Z e-4 ram.. I .k l�� k.� r ec S f S I-- Phone Email Date- ! d—/Ca��6' Y Ownerlcontractorlagent iia-flare that a permit is required from the Building Department (Check other departments, also.) If application is approved, approval is subject to a t 0-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 Ail new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections Rcvd Date: 101 a IA Amount 'r W- V v CashlCK #: I M 3 Rcvd by: Lf S, 45 Days: t ( 1 "1�/25— Approved Reason for Denial: Signed: Approved with Modifications Denied Date Signed: .2 25-A154 ' APPLICATION #: TOWN OF YAIMOUTH 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 Application #: 45-DAY TIMEFRAME WAIVER OCT 0 8 2025 Old King's Highway Historic District Project Address: M I 12A& (e A 25-- A 154 Application Received Date: f U) KI;5 45 Day Decision Deadline: I t f rglas 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 for the following project: Date: © ZS' Signed: 01kner Owner 0ntractor/Agent 25- a 1 54 GENERAL SPECIFICATION SHEET Project Address: FOUNDATION: Material: Exposure (Not to exceed 18"): CHIMNEY: MateriallColor: GUTTERS: MateriallColor: ROOF: Material: Pitch (7/12 min) Height to Ridge: Color: SIDING: Material/Style: Front: Color: Front: TRIM: All windows & doors to be trimmed with: Material: DOORS: Qty: Material: Style/Size (if not listed/shown on elevations): STORM DOORS: Qty: _ GARAGE DOORS: Qty: WINDOWS: /side:: Front: ManufactureuSenes: Material: MatT Sides/Rear Sides/Rear. 1x 4 1x5 (Circle one.) Color: Color: Color: _ Style: Color: Left: Right. Rear: Color: Material: Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: MatT Style: Paneled Louvered Color: COLOR CHIPS OCT 0 8 2025 Old King's Highway Historic District SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking MatT Color: Railing MatT Style: Color: WALLSIFENCES* (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: Location(s): Color: LIGHT POSTS: Qty: Material: Color: Location(s): t 1 Additional information: r�v� [-c �K tom_ (o c G �z� ��. 14 P-5-A154 APPLICATION M �¢ V- TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE n ABUTTERS' LIST OCT 0 8 2025 Applicant's (Owner) Name: _. V t"t z + Old Kincg's Highway 15tOric District �D,' Property Address/Location: g�� &A Hearing Date: 111101;17 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.varmouth_ma.us Applicant Information: Abutter Information: Map Number Lot Number 1 Y3 Isb 1010 143 W r�s �y4L 3 r Sa 1 `7301 IL13 -7 Application #: 2 5` A 1 5 4 0 I rl O r1 rl L7J M' N .-� m Ln rn ��F� M 1rn M m Cn en w4 m L� Ln� � M � ON LI ao � Leh �� rri N '`" ICE m M .� g 9 0 � r r y9 pac u 2 Q C 4 v ni R T rj �aa i' M t7 ul � m wy OCT 0 8 2025 Old Kind's Highway Historic District —,a O 2 5 - A 1 54 . 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