HomeMy WebLinkAbout25-A163 12 Summer Street3 TOWN OF YARMOUTH NOR B
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext- 1292- Fax (508) 398-0836 OCT 7 Z 7975
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Old Kmg'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 colpiles OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition Alterations v/Reroof Garage
Shed T Solar Panels J Other: StptNb, ( [.W+L11.'"
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: -Y� /�
Address of proposed work i 2L _.rou�vu*--e._ S �' . MaplLot # �se`' '7 ✓�
Owner(s): LOK►1 Phone #: W& -cam 32 '
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address 12 Z:. Year built: I.eLy
Email- I A-o . Preferred notification method: `� Phone Email
Agent/contractor Phone #:c
Mailing Address: to CCX;i_%t> C,C^_ R.O w�"T -4 CS2(, 3c3
Email: i7 Preferred notification method: Phone Email
Description Work:
N&J c.hiVr to{ - �aIel
('.eTlrEt r,W UN1tn
(OP Ind 51 d i inj
Signed (Owner or agent): _ Date:
➢ Ownerlcontractorlagent is aware that a permit is required from the Building Department. (Check other departments, a so.)
➢ 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: 10 2 415
Amount 0.40
CashlCK #: 00
Rcvd by: C- 5.
45 pays: 1 9# 31 ;1)r
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
2 5 - A 121
APPLICATION #:
TOWN OF YARMOUTH
I146 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 RAM -DAY TIMEF E
099MDO
WAIVER
Application #:
25-- A 1 6'
Project Address: yyo vow sirez+
Application Received Date: 1(I md5
45 Day Decision Deadline: l?f 3/;5
OCT 7 2 2025
Old King's Highway
Historic District
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:
PSIzce 011voyn a/Y - 9z*4 uoni'P. ('f")�cC rzUs
A-zzw, (dour 50iv,5, r . vu?F
Date: Loh-L�U z C— Signed:
�— Own
Owner
Contractor/Agent
2 5- A 1 6 3 "...., _r ..r.,...,.
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material:
Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: _ PN�1Oc T Pitch (7/12 min) Height to Ridge: Color: wto%X&— �aPac
SIDING: Material/Style: Front: Sides/Rear: C 6_,>> A•_
Color: Front: Sides/Rear: C_EANcL
TRIM. All windows & doors to be trimmed with_ 1x 4 1x5 (Circle one.)
Material: Color: Wl k%-tom
DOORS: Qty-. Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MatT
WINDOWS: /side:: Front:
Manufacturer/Series:
Color:
Style: Color:
Left: Right: Rear:
Materal-
Color:
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:
SKYLIGHTS: Qty: Fixed Vented Size Color.
COLOR CHIPS
02399 ma�
OCT 7 2 7025
Old King's Highway
Historic District
DECK. Size: Decking MatT Color:
Railing MatT 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:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
25 L-A� 1#:6 3
YAA�'o TOWN OF YARMOUTH
to OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1
ABUTTERS' LIST �9M
�DD
OCT 2 z Z025
Applicant's (Owner) Name:
Property Address/Location: AIM VK W Sj&k±
Old " ' .Ku Highway
, '�ng'District
Hearing Date: II 0
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
Map Number Lot Number
Applicant Information:
Abutter Information:
INN31
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Application #:
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