HomeMy WebLinkAbout25-A160 55 Route 6A3; :o TOWN OF YARMOUTH
° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext 1292-Fax (508) 398-0836 OCT i Q 2025
OLD KING'S HIGHWAY HISTORIC DISTRICT COUTTEPighway
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 Co i s OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That &ply: 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:
Address of proposed work: ``-- Map/Lot # 12
Owner(s): �} a d �i Phone
All applications must be submtttoU by owner or accompanied by letter from owner approving submittal of application.
Mailing address: .i S -ev V/ 14 ye Year built: ! P619
Email:
Preferred notfication method:
Phone _Email
Agent/contractor: Phone #, t7'&
v g
Mailing Address: /�-v< 7 � 1�`/ 1W
Email: Preferred notification method: !1 Phone Email
DescriDtion of Prowsed Work:
Signed (Owner or
Date: % —`
➢ 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
➢ This certificate is good for one year from approval data or upon date of expiration of Building Permit, whichever date shall be later.
➢ All new constriction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections.
Rcvd Date: �I a15—
Amount "r 0. W
CashlCK #: j L 4 h
Rcvd by: Sr
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial_
Signed:
�5—A160
04
APPLICATION #:
��Yfl TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH y" MOUTH, MASSACHUSETTS 02"W"51
tt Telephone (508) 399-2231 Ext- 1292 Fax (M) 3984)M
OLD KING-S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
2 5- A 1 6 0 OCT
Application #: Old King's Highway
Project Address: v�� .etx>� 6� Historic District
Application Received Date: 101 as
45 Day Decision Deadline: 1 �q' ) A5-
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/DemolitioMExempbon by the Old Kings Highway
Historic District Committee for the following project:
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Owner
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Owner
Contractor/Agent
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GENERAL SPECIFICATION SHEET
Prolect Address:
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FOUNDATION: Material:
Exposure (Not to exceed ISO):
CHIMNEY. Material/Color GUTTERS: MatedallColor.
ROOF: Material: Pitch (7112 min) Height to Ridge: Color.
SIDING: Material/Style: Front:
Sides►Rear
Color: Front:
Sides/Rear
TRIM: All windows & doors to be trimmed with: I 4 1x5 (Circle one.)
Material:
Color.
DOORS: Qty: Material:
Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
Color.
GARAGE DOORS: Qty: Marl:
Style: Color.
WINDOWS: Gt►rlslde:: Front Lett
Fight Rear.
Manufad wffierles:
Material:
Grilles 0;im it y Pattern (6Ji6, 211, etc.)
Grille Type: True Divldect Lite:
Snap -In: Between Glass:
Permanently Applied: Exterior Interior
STORM VINDOVWS: Qty: Material:
SHUTTERS: Mari Style: Paneled Lowered Color:
SKYLIGHTS:Oty: iced Vented Size Color
COLOR CHIPS
k CPR
N rr, R, A
OCT 2 0 2025
Old King',- l�ighwaj
Historic District
DECK: Size: Dedaing Marl: Color:
Railu' g Marl: Style: Color:
--�► WVALLSIFENCES* (Max W height): Height G �� Marl: '(' 6dea&c, C,c r- r'*"'L` F` /o*Y
Style: 5 CaGIl9 Color. •(lov4r,,rae A,-& /M a1�r i� Dtt,�•G GG 1��
(Show running loofage & location on plot plan.) 'Finished side of fence must face out from fenced In area.
UTILITY METERSIHVAC UNITS: Location:
Screening:
LIGHTS: C ty. Style: Color
Location(s):
LIGHT POSTS: Oty: Material: Color:
Location(s):
Additional information:
JLIL;Chtl 6 O
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: �715aY1 Si2v
Property Address/Location: 55YGt�-
Hearing Date: l I I I Ul Ay -
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 Kings
Highway Department page on the Town website: www warmouth ma us
Map Number Lot Number
Applicant Information
Abutter Information:
OCT 2 O 2025
Old King's I iighway
Historic District
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Application #:
25-A16O
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