HomeMy WebLinkAbout26-A016 8 Tasmania DriveTOWN OF YARMOUTH Vtru)'R) ,L
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
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Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIften
APPLICATION FOR ' iighway
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 coples 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: 0 , j NS44' 2 p
Address of proposed work: �r�.SN� d �l `` r OC i c � � Map/Lot # ! ✓q 1 I
Owner(s): vltxwQi 1 441!�'Phone #: ,�''j3 "3,7�--741:3
All applications mus)rbe suyfiifted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: dSWiGi-WI �c^ ctt $IV rt4 to C �_ HA D�^KYearbuilt: IQ 7✓�
Email: l Preferred notification method: U/ Phone Email
Agenticontractor !'�' S �i� C u'''� rL G _ ! Phone #:
Mailing Address:PL Cp-e 1,J Ovt S ^� Cm G' J��,��j -V! t' C.(� LIi
Email: 2-Z 149, Ir � t V� C� 0 � ` 'l Preferred notification method: _
Description of Proposed Work: &14 D a-6l 1
to- CL
C,e—
Signed (Owner or agent):
Phone.. Email
Date: a df � )�o )-'6
D Ownerlcontractorlagent is aware that a permit is rg(Pred from the Building Department. (Check other departments, also.)
If application is approved, approval is subject to a I0-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.
Rcvd Date:
Amount 1 / b, W
Cash1CK #: Ce-S h
Rcvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION M 0
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
45-DAY TIMEFRAME a 1r
WAIVER
Please sign and date this form .rare 1 4 zozs
Old King' Highway
Application #:
6 - , 0 1 6 Historic District
Project Address: u M?V1I2 Drife, _
Application Received Date:
45 Day Decision Deadline:
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:
rGt s-ld1
Date: 04 2 0,6 Signed:
2 6 - A 0 1 6
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:e e0g5� S�O SI es/Rear: J10G9-SCOLOR CHIPS
R � Color. Front: H%--i - , 0-S Sides/Rear.._ ..�
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mafl.
WINDOWS: t sside:: Front:
Manufacturer/SerEes:
Left:
Color:
Color:
Style: Color:
Right: Rear: Color:
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: MatT
Style: Paneled Louvered
Color:
D c� ii��Ii14fLJ
JAN 1 4 2g76
Old King's. F'Ighway
Historic District
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing MatT Style: Color:
WALLSIFENCES` (Max 6' height): Height: MatT
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:
APPLICATION6A0
1 6
TOWN OF YARMOUTH
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OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
yrllNlRo a •i
ABUTTERS' LIST
Applicant's (Owner) Name: p6tt I
Property Address/Location: T�ir'"Evi I Z
Hearing Date: A � hn
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. armouth ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
NVUC�iAi�3h�'oi
]AN 1 4 7026
Old KE. ., itghway
Histonc Disthct
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13 �
1 V 1 S15dr
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�;;p I esRs
13k
3 00V
(01
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