HomeMy WebLinkAbout26-A044 793 Route 6A,. 11416 KUU I la Zd, ;UU I h YAKtMIUU l N. MA ULbb4-44bl
k Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIT
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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 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That_A>Aply: Indicate type of Building: Commercial _.X_ Residential
1) Exterior Building Construction: New Building Addition Ailerations 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 Watt Flagpole Pool Other:
Please type or print legibly: �j Q {�
Address of proposed work: �"I Rb UT� �P ! 1 i �'�M OU `m rd7 f �1 4 Map/Lot # 3
Owner(s): e o s-m c Flow i }C Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: 1 1 7 G
Email: Md I S5e s hiLch o iv i a K ip1:C4 A4 Preferred notification method: Phone > Email
Agenttcontractor: Phone #:
Mailing Address.
Email: 01f ( ISS . S-1 A r ELi A k , m ac . Preferred notification method: Phone Email
Descr' ti n of Proposed Work:
arch Aj� d hirmw e, I,,) 60f
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Signed (Owner or agent)::hu�7�f �' C��7.1i Date:
12- -
➢ Ownerfoontractor/agent is aware that a permit 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.
➢ This cefficafe 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.
For Committee g! om
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Rcvd Date: ) jIR
Amount
CashlCK
Rcvd by: 14 S+
45 Days: S01 OL
Date Signed.
Approved
Reason for Denial:
LAD
Signed:
Approved with Modifications Denied
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2 6 — A 044
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4, 451
Tekphone (5)8) 398-2231 Eat. 1292 Fax (508) 3984M36
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE WC
45-DAY TIMEFRAME APR 0 2 7026
WAIVER
Old King's l-Iighway
Application #: 2 6 A 0 4 4 Historic District
Project Address: A
Application Received Date: t4l 3I ;Z&
45 Day Decision Deadline: 511 rl;�J6
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:
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Date: ��-� �-� Signed: AL4W,
Owner
Owner
Contractor/Agent
2 6 - A 044
FOUNDATION: Material: Exposure (Not to exceed 187:
CHIMNEY: Material/Color:
GUTTERS: Material/Coior:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Color: Front:
TRIM: All windows & doors to he trimmed with:
Material:
Sides/Rear:
Sides/Rear:
1 x 4 1 x5 (Circle one.)
Color:
DOORS: Qty: Material: m Color: eA ill I DSbw( B
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'I: Style: Color:
WINDOWS: QtWside.•: Front Left:
Manufacturer/Series:
Right: Rear: Color:
Material:
Grilles (Required): Patter (6/6, 211, etc.) Grille Tyne: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Intel
COLOR CHIPS
STORM WINDOWS: Qty: Material: Color: r f p�
SHUTTERS: Mat'I: 1 ! `�'!�- ____:Style- Paneled Louvered/�r. _ Color: i J�`� "JL
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES" (Max 6' height): Height: Mat'I:
Style: Color:
(Show running footage & location on plot plan.) "Finished side of fence must face out from fencegj
u'']
UTILITY METERS/HVAC UNITS: Location: Screening: lltti� L
LIGHTS: Qty: Style:
Color:
APR 0 2 2026
location(s): Old .. , ; Highway
LIGHT POSTS: Qty: Material: Color: Histonc District
Location(s):
Additional information:
5
26- p. 044
APPLICATION #:
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ABUTTERS' LIST
Applicant's {Owner} Name: ELJSS C ff0 �C-
Property Address/Location: 3 Te 4,A. \1,jek1611-Y,
Hearing Date: 412t?b
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:
UMPO', M- 2
APR 9 2 7026
Old Kings Highway
Historic District
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30 �6
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'33 �{•30
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Application #:
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Old 1<11 1-q s Highway
Historic District
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