HomeMy WebLinkAbout25-A170 4 Freeman RoadTOWN OF YARMOUTH
°? 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Tele hone (5D8) 398-2231 Ext 1292�F (508) 't980836
p ax NOV 0 S 7025
OLD KING'S HIGHWAY HISTORIC DISTRICT CO"
TTEE
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 COQieS 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 T - Alterations Reroof. . y, Garage
Shed Solar Panels Other:
2, Exterior Painting: Siding Z 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: 02b+�
Address of proposed work: +tyy{ �Lc Map/Lot # I ""
Owner(s):_ w(k1—%ed n fn&can _. Phone #. �o�364-3r
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built- 1R&7 _
Email- _rQ(.rJdace& CEL !�trKQ:&• C.01M1 Preferred notification method: Phone Email
Agent/contractor: i 0,kL4_W1 _ V(->a ed _ Phone #:
Mailing Address: -6G
Email: _
Description of Proposed Work:
Signed (Owner or agent): C.fl J0//k0v _
Preferred notification method- Phone Email
4-o (r pIac--- � 6-Y, epu��
Date: / / " U (ot ` ?Is-
Ownerlcontractorlagent 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 date or upon date of expiration of Building Permil, whichever date snail 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 Dade: W5 ZS
Amount „G 1-00
CashICK il- i 5!
Rcvd by-
45 Days= I ��
Date Signed:
_-__ Approved - Approved with Modifications Denied
Reason for Denial:. _
Signed:
25- A 1 7 0
APPLICATION #:
TOWN OF YARMO UTH
1146 12[)UFF, 28. S{)I TH 1'ARMOUTH. MASSMAIUSF'1" FS (1266.3-4451
Telephone (508) 398-2231 Pxi. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAN HISTORIC DISTRICT COMMITTEE
45-DAYTIMEFRAME,;_;,�?;1�
WAIVER
2.5- A 170
NOV o 5 2025
Application #: Old K i-!:ghway
�c, Project Address: Historic Distract
t +� ��''> >'''� 1�0 acL „ , _ , _.._, .. ,.,
Application Received Date: 5
45 Day Decision Deadline: 1-71as'
/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:
Date: 4 - 2.S- Signed: 0) J(Omvsoy
Owner
Owner
U rIl, Aq ieed
Contractor/Agent
2 5 - A 1 7 0
GENERAL SPECIFICATION SHEET
Pro'ect Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: MaterialfColor:
ROOF: Material Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front: > r�v� I Sides/Rear: N� COLOR CHIPS
Color: Front: f �� Sides/Rear: NA
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color: RT� F nn
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'l: Style: Color:
WINDOWS: t Iside:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille TvAe: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'l: Style: Paneled Louvered Color.
Interior
t , '1 ��.J
NOV 0 S 2025
Old z' • ;'s Highway
Historic District
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'l: Color:
Railing Mat'l: Style: Color:
WALLS/FENCES* (Max 6' height): Height: Mat'l:
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSlHVAC UNITS: Locatkon: Screening
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty:. Material:
Location(s):
Additional information:
Color:
Color:
2 5 - A 1 7 0
APPLICATION #E:
�Of YAK o TOWN OF YARMOUTH
c 4-S3' OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
rL
ABUTTERS' LIST [�i t
Applicant's (Owner) Name: -PhMIA � NOV 0 5 7025
Property Address/Location: -amw eu;� OrG I""(- 1-fighway
lc District
Hearing Date: S ti I 7 a�
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:
I q 6
13 W,>
010
`��
13 W
1
138,11
0
b
3Yi 3
010
5.'
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Application #:
25-A170
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