HomeMy WebLinkAbout26-A004 86 Pompano Roado TOWN OF YARMOUTH DD
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° : 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 _r 9 8 2025
OLD KING'S HIGHWAY HISTORIC DISTRICT COI1�ItITTEE Ihway
APPLICATION FOR Histonc 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 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:
2) Exterior Painting: Siding Shutters Doors _Trim Other:
3) Signs/Billboards: -7 New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly: f
Address of proposed work: / " onl !Q-" a bbo a ~' ^ Map/Lot # 13 m o D C-
Owner(s): / I f'1, ACC I'm Z h Cio eC4� Phone #: 5-09 — 7 oo
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: 14
Email: �Q-i V`1 6Lzi�e.� 1�. (Qtp/j.LOntpreferred notification method: Phone Email
Agenticontractor: An 111�21tir G Phone #:8_2 ! T✓
Mailing Address: 99wt1 Oh d�//
Email: r'1 'L. cop" Preferred notification method: Phone 'Email
Description of Proposed Work:
Lp k44 MI f e- K oS cc rc a —'J
Signed (Owner or agent):
Date: /Z! g
Owner/contractorlagent is ware at a permit is requiftsd from the Building Department. (Check other departments, also.)
If application is approved, hppmfval is subject to a 10-day appeal period required by the Act.
D This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
D All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections.
For Committee use onlv:
Rcvd Date: y
i `J
Amount
Cash/CK #:
Rcvd by:
45 Days:
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
A 4
APPLICATION O
TOWN OF YARMOUTH
1146 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-DAY TIMEFRAME
WAIVER
Please sign and date this form
Application #:
Project Address:
A 0 0 4
Application Received Date: I.?) I slo? 5
45 Day Decision Deadline: 91 1].;1k,
M
DEC 1 8 7025
Old Kings Highway
Historic District
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:
Owner
Contractor/Agent
2 6 - A 004
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING Material/Style: Front. t4L4v ak Sides/Rear: COLOR CHIPS
Color: Front: 171 Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x a 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: MaCI:
Color:
Color:
Style: Color:
PJ1WfflN_qP
DEC 1 8 7025
Old I<ing's Highway
WINDOWS: t Iside:. Front. Left Right: Rear:
Color: Historic District
Manufacturer/Series: Material:
Grilles (Required)- Pattern (6/6. 211, etc) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied:
Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: Mat'l: Style: Paneled Louvered
Color:
SKYLIGHTS: Qty: Fixed Vented Size
Color:
DECK: Size: Decking MatT
Color:
Railing Mat'I: Style:
Color:
WALLS/FENCES* (Max 6' height): Height: Mat'I:
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:
Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
APPLICATION #:
2 6 — A 0 0 4
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE MR,,
ABUTTERS'LIST '0
h „ _ Z � �� DEC 'I 8 2Q7.5
10A(tl
Applicant's (Owner) Name: tZ
119nway
Property Address/Location: �(�WJI�y✓I u W,4 . Historic District
Hearing Date:
I /oi �,� -
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
Applicant Information:
Abutter Information:
Map Number
Lot Number
/p0
1 L331-
135
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4
R5
1 &3�"]
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rio33
3S
1&33
35
r
la 33
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Application #:
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DEC 1 8 M75
Old K.: - fighway
Histonc District
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DEC t 8 2025
Old I -i Rg s Highway
Historic District
26- A 004