HomeMy WebLinkAbout26-A054 28 Belvedere Terraceg c
TOWN OF YARMOUTH r1iP 745
F 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext 1292-Fax (508) 398-0836 MAY u 'i 2026
OLD KING'S HIGHWAY HISTORIC DISTRICT CO"ITTEE Highway
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, & SUPPLEMENT L 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 Sig Change to Existing Sign
4) Miscellaneous Structures: A Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work:
Owner(s):�c
All applications must be
Mailing address:
cVf' 4 Map/Lot # 3 3 a
Phone #: Sr, 40 % `72 ? l
owner or accompanied by letter from owner approving submittal of application.
Year built: , ` -7 1
Email: Preferred notification method: Phone Email
Agentloontractor:
Mailing Address:
Email: - d�
Description of±r6i6osed Wol
Signed (Owner or agent):
Phone #:
Preferred notification method: Phone Email
T G G,-n4�) d Z" ! 7Lif)
Date:
➢ Owner/contractor/aW is aware that a permit is r9aXed from the Building Department. (Check other departments, also.)
➢ if application is appritived, approval is subject to -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
Revd Date: ?r
Amount
Cash/CK #: _
Rcvd by: _ _1-(5,
45 Days: kl/ 519b
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial_
Signed:
:q
APPLICATION #:
TOWN OF YAIMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 39M836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Please sign and date this form
Application #: P C- a 0 5 4
Project Address: �7-� VGXG `reYn
Application Received Date: t�-/ 112L
45 Day Decision Deadline: L t 15?,L
MAY D 1 7g26
Old K,, ,.' .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:
0
Date l Signed:
Owner
Contractor/Agent
26- A 054
GENERAL SPECIFICATION SHEET
FOUNDATION: Material. —f Exposure (Not to exceed 18°):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Color: Front'
TRIM: All windows & doors to be trimmed with:
Material:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: _ Material:
_ Sides/Rear:
Sides/Rear:
1x 4 1x5 (Circle one,)
Color:
Color:
Color:
GARAGE DOORS: Qty: Mat'I; Style: Color:
WINDOWS: t !side:_ Front: Left. R'ght: Rear: Color:
ManufacturerlSeries: Material:
Grilles (Required): Pattern (6/6, 2/1, etc.) Grille Tvoe: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material: Color:
COLOR CHIPS
Old K�� �. ' :. Highway
Historic District
SHUTTERS: Mat'I: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing MatT Style: Color:
WALLS/FENCES" (Max 6' eight)/: Height: r MZalr Style: '_r7'd P a-C' 'L Color: /lLr�
(Show running footage & location on plot plan.) `Finished side of fence must face out from fenced in area,
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
�6-A054
APPLICATION #:
0 TOWN OF YARMOUTH
o OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
' °p"ovv.ay.a
ABUTTERS' LIST
Applicant's (Owner) Name: �J--!r1yl sfxvi Lei f '41 61t
Property Address/Location: 2K !?7-e 1 ~ 16 4Clff `r46'
Hearing Date:
sl:)-7la4
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
Applicant Information:
Abutter Information:
JKLINR
" I
1,1Ay 0 1 2026
Old Kir19'1; Highway
Historic District
Map Number Lot Number
f 33
57D 1,55r 3
3
>q I (.2 36
> C�1
M O�
[ 33
--,A
Application #9 6- A 0 5 4
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