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25-A171 169 Route 6A
dly&'4)N TOWN OF YARMOUTH� 1146 ROUTE 28. SOUTH YARMOUTH. MA 02664-4451 Telephone (508) 398-2231 Ext. 1292- Fax (508) 398-0836 NOY Q 5 1�z� OLD KING'S HIGHWAY HISTORIC DISTRICT CON"TTEE ; ;Ighway APPLICATION FOR HiStot is ❑IStriCt 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, A SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial l 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: / ; L 0)lo7S Address of proposed work: /� � � L� r r(?l f � MapA of Owner(s): 4 �' •7 I W- r� L� '� � Phone #: All applications must b:Ji-1/6-1t) submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address " 31 '.S t et. T`Year built I � 50 Email.• M o- I r C,C.k LL0 Or.�] Preferred notification method: Phone ✓ Email AgenUcontractor: Phone #; Mailing Address: Email: Preferred notification method: Phone Email Description of Procosed Work: a��lirr�r�C>fe Small cz�'�c� o�+°XIS�incJ EPbm �ul� .- nje"'LgrLu'7e r'Uzr -bc�{�'� rnc��� �-,�-I.�s� mGSs cu-td ���►�'1��- an rib fr n el �-, � nds�.sph�41� R e e l c, ck w r+ii e e 4--1 h fere� ct�-c . h r ec fig 1 511Ir) 16 -v mcik 11 e Sflr-e lis S hd)vr? �c,,7c4 C�-eSL'ri Ird cart C IiC1'7tc/ tot Signed (Own r or agent): _ /`r.'t 1 i L C�,,(fz Err<_C6 f Ir 1x Date:. /( - 5 - _;Z 5— ➢ Ownedcontractorlagent 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 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: I I � Amount NA CashICK # t A Rcvd by: 51 45 Days: I % I, D Date Signed: Approved Approved with Modifications Denied Reason for Denial. Signed: APPLICA1901r1#:—A1 7 1% 1 )l'. TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-USI Telephone (503) 39&2231 Ext. 1292 Fax (509) 398-0036 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 45-DAY TIMEFRAME WAIVER Application #: 2 5- A 1 7 Project Address: 14-9 1 Application Received Date: 11I5I25- 45 Day Decision Deadline: _ 1211112 5 NOV O 5 1.�2ti Old 'King Aighwav Historic District IMe, 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: I / - ' a Signed: Owner wner t II I V L -t Contractor/Agent CFdA 6,264 �1LEzFw.rN) 25-A171 .: GENERAL SPECIFICATION SHEET ddress: l ��/ �GZITf (�4Pn�2�7�I �2j f71 d�N7� FOUNDATION: Material: Exposure (Not to exceed 18")! CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: 4<401 10- Pitch (7/12 min) Height to Ridge: Color: M 9%zt/,LX 15TW6 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: Material: GARAGE DOORS: Qty: MatT WINDOWS: City/side:: Front Left Manufacturer/Series: Grilles (Required): Pattern (6/6, 211, etc.) _ Snap -In: Between Glass STORM WINDOWS: Qty: Sides/Rear. Sides/Rear. 1x 4 1x5 (Circle one.) Color: Color: Color: Style: Color: Right: Rear, Color: Material _ Grille Tyne: True Divided Lite: Perrnanently Applied: Exterior Interior Material: Color: SHUTTERS: MatT. Style Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: COLOR CHIPS DECK: Size: Decking MatT Color: Railing Matt: Style: Color: WALL$IFENCES' {IAax W height): Height: MatT Style: Color: (Show running footage S location on plot plan_) "Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: City: Style: Location(s): Color. - LIGHT POSTS: Qty: Material: Color., Location(s): Additional information: b1V 015 . jLL S. 77 Ak; ' Dz J7> /-2f ovy I�ff �Alj V- �� � �t r nl �Z=S c e ►�� onI � 1 z�I H 5— A 7 1 APPLICATION #. TOWN OF YARMOUTH i pD OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE .�C7�t ABUTTERS' LIST NOV U 5 ?0B Highway Applicant's (Owner) Name: rzo��� istrlrrUistrict Property Address/Location: Hearing Date: 1 35— 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: 25-A171 Application #: S 2016 3 M N .1 M II t1 a r L N Yam] ,1 I is m Go��- N 3 N3aNiW N u M N N PV Ln N N rMl N CV N N 94 L' n o gR N r t� p � l7 2R NOV 0 5 2025 Old ii ... ; , dighway Historic District N O N N E a 7 0 Z 2 5 - A 1 7 1 cr LLI co uj Z (n 0 , 012 cn D LL 0 0 UJ Q 2 0 z C) U� o 71 z 0 LU Z 0 Z ix: UJ a: fn ..xtii UJ (b W < UJ dk f,6 I w .41"4 ■� wi. 1 �� { . . I .' i `r i ;:• _ . • • *�l', V� T fi T . cr ram' . �� 'ZS,1 Lij • . y Z 1' 5 y�jlij'1 co x J r = Oo LL f - Q�HV +HAW i =Y� z,,,�z�—v—,c�' Q�-Q©<x Lu0Z ion ri-. +f•iiF iY ghway =c;, 4':. t`•. ' istoi et trict j 1 �Ii 4, I=•Vy,4.f •^ 11 } �1 b tom.} Cii�l +4t; 4 �. L'�s. Fli'7.1• tia � r • _.. + fry'_-" r ••••• ,,1•t,,���������''rr'LttL!-�` 2 2 �A 1 7 0 2 - �.a N Old x Hi. CO w 3 Cr v¢a azD wCCw m �= 0 FL- � o z LL oNLLZ oIog a: W Cr wpwF- zH->0 p�r;lj�``�;IC flff 0[d K-Pg'S-Highway Historic District 2,9 -A171 2 6}'.. 1 A anD rl P�j �r ''V OCT Old King Historic Nov 0 Old K Historic 2 5 - A 1 7 1 25-1.. 102 T J POUB 1 702 Highway District 2 5 - A 1 71 25-�-:102 NOV 0 5 7025 Old r, E • Jghway Historic District M OCT 3 1 2075 Old K,ny ,, Highway Historic District 2 5 - A 1 7 1 25- 102