HomeMy WebLinkAbout26-A011 36 Clinton DriveAU
t TOWN OF YARMOUTH
y 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 DEC 3 12025
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ' ''lghway
Histor.:, ."iistrict
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropnateness 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: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence ,Wall Flagpole Pool
Other:
Please type or print legibly:
Address of proposed work: i in � o r) Dr I've, ay m0_ JU
Owner(s): ► 1 i [Q a re em o w Phone #: � � - r
All applications must be submitted by owner oVaccompanled by letter from owner approving submittal of application.
Mailing address`:
Email: l 1
Agent/contractor-
Mailing Address:
Email:
Description of Proposed Work:
Oc4r. hou5e ,51 i-5 oh a
j u h t pe rs ahol bt ►'14
5Va 1 rca,5e up to ou.Y
Signed (Owner or agent):
Year built: I q0
r %r QQ /�
r�Ad notffictio n method: y Phone Email
Phone #:
Preferred notification method Phone Email
h i I /, We, woaId 1 rye b rerrmove H) e
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Frorr� 01 oar,
Date 12.1 1.12
➢ Owner/contractor/ager}t Vaware that a permit is requirdd'from the Building Department. (Check other departments, also.)
➢ If application is approv d, 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
Amount qV,W
Cash/CK #: �
Rcvd by: ire S'
45 Days: ;#71
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial_
Signed:
_A
APPLICATION #:
TOWN OF YA MOUTH
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
DEC 3 1 zo25
Please sign and date this form Old Kings Highway
Historic District
Application #: 2 6- A 0 1 l
Project Address: -3( GtiY W" bpqyt
Application Received Date: i?-I l a
45 Day Decision Deadline:
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:
Jf n S I IUD 0C YV fz- r'r1I n [ VVN- I a,J d
Date: 3 f , �2 Signed:
•,
wner
QS
Owner
Contractor/Agent
2 6 — A 0 1 1
GENERAL SPECIFICATION SHEET
Proiect 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:
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: C ty: MatT
WINDOWS: Qtylsiden Front: Left.
Manufacturer/Series:
Grilles (Required): Pattern (616, 2/1, etc.)
Snap -In: Between Glass:
STORM WINDOWS: Qty: Mater
_ Sides/Rear:
Sides/Rear:
1x 4 1x5 (Circle one.)
Color.
Color:
Color:
Style: Color:
_ Right' Rear: Color:
Material:
—Grille Type: True Divided Lite:
Permanently Applied: Exterior Interior
Color:
COLOR CHIPS
DEC 3 1 7075
Old King's Highway
Historic District
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'l: Color:
Railing Mat'l: Styrrle: �C/olor:
WALLS/FENCES* (Max W height): H ight: `f t Mat'l: Qri�,
Style: . - Color: Y
(Show running footao & location on plot plan.) " inish d side of fence must face dt fro rfr fenced in area.
UTILITY METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style: Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
26-A01
APPLICATION #:
°F YA� TOWN OF YARMOUTH
o� M°0�. OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: 13I # ad Lav rP7 -_c.s
Property Address/Location: 1 1 d Y 1✓ V ou 0(
Hearing Date:
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: wwwyarmouth.ma us
Applicant Information
Abutter Information:
DEC 3 12025
Old ;g' i~ gtiway
Historic District
Map Number
Lot Number
co
15-77,2-
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L45"
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5
�6-A01 �
Application #:
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DEC i 1 7Q25
Old King', Highway
Historic District
2 6 - A 0 1 1
DEC 3 1 707S
Old Kii. - - I ghway
Historic District
2 6 - A 0 1 1