HomeMy WebLinkAbout26-A005 1021 West Yarmouth Road ApprovedYARMOUTH TOXIN CLERK ICE
JAN 13'26 w9:44
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 �J
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE'S 2025
APPLICATION FOR -)Id Kmq's Highway
CERTIFICATE OF APPROPRIATENESS Historic District
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 c0 ies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Catenories That Apply: Indicate type of Building: Commercial X Residential
1) Exterior Building Construction: New Building Addition X 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: 1021 W. Yarmouth Rd., Yarmouth Port, 02675 Map/Lot # 123/121
LEVANDOSKI STEPHANIE TR 508-648-2520
Owner(s): STEPHANIE LEVANDOSKI LIVING TRUST Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 1021 W. Yarmouth Rd., Yarmouth Port Year built: I a7
Email: stepho33@comcast.net
Agent/contractor: Steve Bobola/Sand Dollar Customs
Preferred notification method:
Phone Email
Phone #: 508-694-5618
Mailing Address: 182 Old Townhouse Rd., Suite I, W. Yarmouth, MA 02673
Email: office@sanddollarcustoms.com Preferred notification method: Phone Email
Descriotion of Proposed Work:
Convert existing Screened Porch to 3-Season Room. Replace screens with Harvey gliding windows;
No grilles. Like for like White Cedar shakes. New Exterior Door - full lite no grilles. Please see attached plans,
No part of this project that can be seen from the street. Roof line and the deck are pre-existing.
Signed (Owner or agent):
I' r3a4e&
Date:
/2119/2-.5-
Ownerlcontractorlagent is aware that a permit is required from the Building Department. (Check other departure s
D If application is approved, approval is subject to a 10-day appeal period required by the Act. D aiiMon'
This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever sAll new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for )j & f s 1
Rcvd Date: l 7h'NA
Amount 1 A
Cash/CK #: N4
Rcvd by: L. S,
45 pays: 91 A;4'
Approved Approved with Modifications,geni�d�0�,
Reason for Denial_:
Signed:
Date Signed: X
APPLICATION O " 0 O 5
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KINGS HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at 10dl levad
Map/Lot P 3/1A CIA # -(v -A-00 S Approval Date:
I certify that I understand the following requirements regarding any changes that may
be required for this project:
In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the filing of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
colors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification to and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writing on the appropriate request form, which may be obtained from the OKH office.
All change approvals must be obtained before incorporating the change into the
project.
If the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop -work order or delaying the issuance of an Occupancy Permit or final
inspection approval.
have read and understand the above statements.
Date: Signed:
f p a ( /Con . ctorl ent)
BAN 12 7076 Signed:
(Chairman, Old King's Highway Committee)
Old i{ing's Highway
Historic DistriCt
Updated 5ni/2024
TOWN OF YAMOUTH
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 #:
26-A005
Project Address: iV.-�l
Application Received Date:
45 Day Decision Deadline: ��3t �i
DEC 1 9 2025
Old ¢Cirrg's 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:
reoVim- PPA141 TV 3 seeso,
Date:
Signed:
JAN 12 202E
Old King's Highway
Historic District
Owner
Owner
5tU10, l3e4a&
Contractor/Agent
2)6-A005
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: Sides/Rear: COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material:
Color:
DOORS: Qty: 1 Material: Fiberglass
Color:
¢
KA-9�[_�,MB
Style/Size (if not listed/shown on elevations): Full Lite
DEC 1 9 21315
STORM DOORS: Qty: Material:
Color:
Old King's Highway
GARAGE DOORS: Qty: MatT
Style:
Color:
Historic District
WINDOWS: t !side:: Front: Left: Right:
Rear:
Color:
Manufacturer/Series: Harvey Gliding Windows - no grilles
Material: Vinyl
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied:
Exterior
Interior
STORM WINDOWS: Qty: Material:
Color:
�pi1 fit,
'
SHUTTERS: MatT Style: Paneled
Louvered
Color:
J Ll l=lII11
SKYLIGHTS: Qty: Fixed Vented
Size
Color:
JAN 1 2 2026
DECK: Size: Existing Decking MatT
Color:
Old King's Highway
Railing MatT Style:
Color:
Histohc Distdc
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 METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
26-A005
APPLICATION #:
Y'o TOWN OF YARMOUTH
104� ' y OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
' �MMI l01'
ABUTTERS' LIST
Applicant's (Owner) Name: L4NMAsS , 1+ ��
Property Address/Location: i U31 Wyss J;,-+�ovf t'' p?j
Hearing Date
Ir 12-12�
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:
DEC 1 9 2025
Old Kings I-iighway
Historic Distract
WLo ,_ ..4 .
JAN 12 NN
Old King's ,-;ighway
Historic District
lZ3 I.91
I5-M
If ,�3
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5� 3y
Application #:
26-Ap05
1231 1231 1 1
KELLEY STERLING R
KELLEY JEAN
441A ROUTE 6A
YARMOUTH PORT, MA 02675
1231 1221 1 1
LAST KIM
LAST JENNIFER
675 WEST END AVE #7A
NEW YORK, NY 10025
1231 1211 1 !
LEVANDOSKISTEPHANIE
1021 WEST YARMOUTH RD
YARMOUTH PORT, MA 02675
1231 1201 ► 1
IRWIN SALLIE M (LIFE EST)
1013 WEST YARMOUTH RD
YARMOUTH PORT, MA 02675
1241 211 ► 1
MORSE VIRGINIA M
P O BOX 432
ROCK HILL, NY 12775
1241 221 1 !
AHERN MARK E
CIO RORTY PHILIP C
1016 WEST YARMOUTH RD
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
1021 West Yarmouth Rd., Yarmouth Port, MA 02675
Assessors Map 123, Lot 121
Andy Macbfido, Director of Assessing
December 29, 2025
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