HomeMy WebLinkAbout26-A015 97 Helmsman DriveTOWN O F RM TH
3 YA DU
° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664- 451
Telephone (508) 398-2231 Ext. 1292•-Fax (508) 398-0836 )AN 1 4 7076
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMJTT,EE , ..;t,Nay
APPLICATION FOR Historic 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 Cogies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Catenories 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: D
Address of proposed work: 9-_] f'{�51"I\Qr. l S Map/Lot #
Owner(s): k2a )%AIA r} f } 1 / Phone #. F - �
All applications must t,submitted by owner or accompanied by letter from owner approving submittal of -application.
Mailing address: p-� 1t1; � Year built:
Email: �Q Y]( a �r1 iiU f I fie �lYlGi I (1 Preferred notification method: Phone Email
AgenUcontractor:
Mailing Address:
Email:
Description of Prolposed Work:
1--4 CQx r �C 1 VA C>A �n(�
:?i's � 6-11--1)
Signed (Owner or agent):
Phone #:
Preferred notification method: Phone Email
�on 6c�- orT- ,,1 on W&64,
Date: 1 ] 1 U 1
v Ownerlcontractorlagent is aware that a 4ermit 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
D 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: (
Amount "V VI/
CashICK #: 3 a 7
Rcvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial.
Signed:
APPLICAA #: 1 5j
TOWN OF YAIMOUTH
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
p � [
45-DAY TIMEFRAME
WAIVER
1A N T b 1l126
Please sign and date this form
Application #:
96-- A 0 1 5
Project Address: Ql �Ae�msy"-+n ory%e-
Application Received Date: 3�Iwab
45 Day Decision Deadline: �11�
Old Kr;rl j"' {-llg,►�way
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:
ivz (�" te-
Date: Signed: �0
Owner
Owner
Contractor/Agent
2 6 - A 0 1 5 1
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: MateriallColor:
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front: Sides/Rear:
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1 x 4 1x5 (Circle one_)
Material: Color:
DOORS: QtyMaterial:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty, Mat'I:
WINDOWS: t Iside: Front:
ManufacturedSeries:
Left:
Grilles (Required): Pattern (616, 2I1 etc.) _
Snap -In: Between Glass:
STORM WINDOWS: Qty:
SHUTTERS: Mat'I:
R.ght'
Color:
Color:
COLOR CHIPS
]AN 1 4 7.026
Style: Color: Id Kings Highway
Rear: Color: Historic District
Material:
_ Grille Type: True Divided Lite:
Permanently Applied: Exterior Interior
Material: Color:
Style: Paneled Louvered
Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max 6' height): Height: Matt -I: ` C. 0�_C
Style: 1 Color: f V A
(Show running fo6jage & to tion on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
[on. 0
Color:
APPLICATION M
26- A 0 15
N TOWN OF YARMOUTH
(� OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location: mSl h
Hearing Date: .-)I I It f.
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:
77 r
JAN 1 6 7076
Old Kira.;', Highway
Histonc District
! &;2-
1wiq
Application #:
2 6 - A 0 1
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