HomeMy WebLinkAbout25-A172 500 Route 6ATD
TOWN OF YARMOUTH
ti a" 1146 ROUTE 28, SOUTH YARMOUTH, MA 026644451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836 NOV 0 5 7029
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE i,wy
J
APPLICATION FOR Historic Dsstr'ict
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, & SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
Shed Solar Panels Other:avv
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: tx S t ---~ Map/Lot # . 1.0 .
Owners r �fx'i r 1 �L Phone #: ��`-} ��1� I • `7.3 k �
All applications must be submi d by owner or accompanied by letter from owner approving submittal of application.
Mailing address: T. (_:: ' 1� x r� 3 Gar � " Year built: i`t•,`
Email: CL p v l st t 1 `ii • CC);� Preferred notification method: Phone Email
AgenttcontractoJ: . _ t r ��n C1` [; Phone #:
Mailing Address: t r ,f E_ v. .ra Ct-�
Email: Preferred notification method: k' Phone _ _ �. Email
Description of Proposed Work:
kU >e 11:; �,l z -- OC %
k ye-( ---\-A,-, of p,,,*Y-1 � U6 w oy-y-
Signed (Owner or agent):
Date:
> Ownerlconlractorragenl 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 dale 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: 11171 a 5'
Amount (00• W
Cash/CK #: ?A g
Rcvd by: b Sr
+
45 Days: ` r? 12:
Date Signed:
Approved Approved with . Modifications Denied
Reason for Denial:
Signed:
25- A 1 7 2
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME OfflAmig
WAIVER
2 5— e 17 2 Nov 0 5 2075
Application #: Old Kings Highway
Project Address: Historic District � b
Application Received Date: 1115-12 5—
45 Day Decision Deadline: I211-7 iaS--
I/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: - Signed:
Own r
Owner
Contractor/Agent
25—A 1 72
GENERAL SPECIFICATION SHEET
Proiect Address:
FOUNDATION: Material:�t7U7- _ Exposure (Not to exceed 18"): b) If
CHIMNEY: Material/Color: 0VP4,C GUTTERS: Material/Color:dt&,ff&��I
ROOF: Material .C&��i�`IA4,&r. i'itch (7/12 min)_Height to Ridge: Colo �
SIDING: Material/Style: Front: !:.d g 2 .&$&,S 1,,0Y7_ Sides/Rear:
Color. Front: ,N4tT/.! 1Z4 L Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 1x5 (Circle one.)
Material: 7E/,( 09 xi,ej,c 44 Color: 1A) Y /iZ7
DOORS: Qty: MaterialW / olor:
Style/Size (if not listed/shown on elevations): . SAC VA[
STORM DOORS: Qty: d(,L_ Material:
GARAGE DOORS: Qty:/. Imo_ Mat'I:
WINDOWS: !side:: Front: At&— Left:
Color:
Style: Color:
Right: Rear: Color:
Manufacturer/Series: /t"✓&etGA Material: I1/NYC
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Tyne: 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
NOV 0 5 7025
Old K.. .. : jhway
Historic District
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max 6' height): Height: 8,4 MatT
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: &A Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
Color:
Color:
-A 72
APPLICATION #:
r t TOWN OF YARMOUTH
�zqC� OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
cir,
ABUTTERS' LIST N
NOV D 5 102.�
Applicant's (Owner) Name:
t 11ghway
Property Address/Location: �SGz Histonc District
Hearing Date: 11
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:
5531
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