HomeMy WebLinkAbout26-A046 16 Old Church StreetTOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451��
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398 0836 �J
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITATA97026
APPLICATION FOR �Id Kinr;`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 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial
1) Exterior Building Construction: New Building
Shed _ Solar Panels Other:
Addition Alterations
Residential
Reroof Garage
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: 110 CLt U Q. Cq__S TQGE T Map/Lot #
Owner(s): IQQ E_�C"AcEL AXbbeZ bPJ Phone M
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: S 015 A O��Year built: 12 O _
Email: _M✓�rlC�'ef2.S� C O M !asT Preferred notification method: Phone )(-,Email
Agent/contractor: 6 S Q M C Phone #: rOt — q3Q"Z!=
Mailing Address: 2-ot4 l,, N v t e.0 ~ W AA A- M& L
Email: t n IAC 1GWbM , «M Preferred notification method: Phone Email
Description of rogosed Work:
NU�J [o'Ft x 1 �- t
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Signed (Owner or agent):
94E NL t M S �W a M 4-I N '1 0 0,SE C 12
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t29D-P t A
Date: 1 Z Z
Flan
v Owner/contractorlagent 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 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- L416 �
Amount L • W
CashICK #: 9123
Rcvd by:
45 Days: S rd
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
�9-- A 046
APPLICA ON #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
Telephone (508) 398-2231 Ext, 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIT"
Application #:
45-DAY TIMEFRAME
WAIVER
2 6 - A 0 4 6
Project Address:
Application Received Date: _ 411510-tk
45 Day Decision Deadline: �#1ab
APR 1 S Zu26
Old Highway �
Historic District
Ya4002J-M* 02�7`5-
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:
Date: Signed:;
: .
wner
&k*A
Owner
Contractor/Agent
26-- A 046
GENERAL SPECIFICATION SHEET
Pro'ect Address: 14 OLD V n PCrQJ
FOUNDATION: Material:
Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Spaj+ Pitch (7/12 min) _ Height to Ridge: Color:
SIDING: MateriallStyle: Front: Sides/Rear: CL-0430-- :�d IN� COLOR CHIPS
Color: Fron SideslRear: V., i I Tr Af am ru L_
�-iQdLpC
TRIM: All windows & doors to be trimmed with: 1x 4 lx5 (Circle one.)
Material: Color:
DOORS: Qty: Z Material: ulm Color: .
p62 i
Style/Size (if not listed/shown on elevations) � A.i-,2.,o AV] a
i a�
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: MatT
WINDOWS: Iside:: Front: 2, Left:
Manufacturer/Series:
Right:
Style: Color:
Rear: Color:!
Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) 0_ Grille Type: True Divided Lite: ±
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color: rD]
i',��
SHUTTERS: Mad: Style: Paneled . Louvered Color: APR 1 5 7026
SKYLIGHTS: Qty: _ Fixed Vented Size Color:
Old King', !ilghway
DECK: Size: Decking MatT Color: Historic District
Railing Mat'I:__- Style:
WALLSIFENCES* (Max 6' height): Height:__
MatT
Color:
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
Screening:
Color:
Color:
26- U 4
APPLICATION #:
TOWN OF YARMOUTH
' OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Applicant's (Owner) Name:
Hearing Date:
;�11010
ABUTTERS' LIST
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:
APR 1 5 2026
Old Highway
Historic District
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Special Instructions
;-1-ghway lns'al!ation
kfistoric Distrid 0 - e:' wery-
TOTAL
Deposit
BALANCE 7,.:27 a)
-:0eck -14
"as, Creufl Card
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A)01z0s,Acor cz, inspection plan.
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Old Kirr 1.,ghway
Historic District
E93ii 9S 'T. 2500t5 0001¢; G "°{
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hereby Cert%{y mat t}sts mortgage tr4pwrion. WW-P Part -For a
A Nayio-r� C. Corr&a ,a,Ro`�R
ft 4w 419 shown, hawm does notwfQu, im a. speaca FLu&
Ai�GG Wct� � ¢'�Gt�ve dale � 7 - 2-92 QYtd.'1i�Q �OC�L��
Ow dwtk � oo�,Scoram�o ae �ocat �:xg 6y tawuz¢�ect
atthetitwoFawfictoa with, rs;eatah.ortzEntd
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setbac or is �•r4rowm viotatton state: i� er omement nave: 3 - 9 - Os
fOctwa under Mass. &=rat 1.0.ws Chaptw40 X-Se"WTL/ 7_ File No.
PLEASE NM The 'structures a, shown on this plot plan are approximate only. An actual survey is necessary for a precise
deterrhination of the building location and encroachments. if any exist. either Kay across property lines. This plan must not be
used. - for recording purposes or for use in preparing deed descriptions and must not be used for vartana or building plm
purposes- This plan must not be used to locate property lines. Verification of building locations, property line dimensions, ferten
or lot configuration can only be accomplished by an accurate instrument survey which may reflect different infarmatim than what
is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY".
IFCOLONIAL LAND SURVEYING COMPANY, INC.
269 Hanover Street - Hanover, Mass. 02339 - Phone: 791-926-7186 - Fait: 781492641823
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