HomeMy WebLinkAbout26-A056 51 Bray Farm Road North-..a TOWN OF YARMOUTH MMMR
° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664- 451
Telephone (508) 398-2231 Ext. 1292^-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITk 21126
Old King',,: -,Highway
APPLICATION FOR 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 Residential
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
Shed _ Solar Panels VShutters
Other: _
2) Exterior Painting: Siding
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-
Q / 151 5-S
COddreaa
od work: ! � I �Pm lz �V �FT✓1�� - approviMap/Lot #rwner(s): ci ✓��� �2 �� d �i ' Phone #: / 9/` 2 /
All applications must be submitted by owne/r�or accorm�panied by letter from owner ng submittal of application.
Mailing address: Cf� d".y /cxeyy z[,o Alo er# Year built:
Email: hots �er �y �r7/nLp/ �C/ Preferred notification method:
Agenticontractor: 1Jy L % "9,1/ Phone #:
Mailing Address:
l9e'l�l-
Phone Email
Email: \1w1/ a`i Z 0161 0 .3 9 Q/?%L�� L�D/�i Preferred notification method: Phone � Email
Description of Proposed Work:
Signed (Owner or agent):
Date:
➢ 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: !�
Amount "b jj
0, to
Cash1CK #: 6UY)
Rcvd by: f� S.
/�
45 Days: �j 1-r I
Approved
Reason for Denial:
Signed -
Approved with Modifications Denied
Date Signed: _
APPLICATION #:
TOWN OF YARMOUTH
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
WAIVER
Please sign and date this form
NA Y 0 5 2026
Old King's Highway
O 5 Historic District
Application #: 2 6 - 6 _
Project Address:3 fwt i2o zd A)M- l
Application Received Date: 51 5%4
45 Day Decision Deadline:
(0hk)a;0
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:
(�l Pi � (Yl �- &C?�,Ae, �nY- kAW
���� Date:034�� '(Signed:
owner
Contractor/Agent
2 6 - A 056 I
GENERAL SPECIFICATION SHEET
Pro'ect Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
Exposure (Not to exceed 18"):
GUTTERS: MateriallColor:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SIDING: Material/Style: Front: WQO� S/D/1�/�a' Sides/Rear: S/�i�1W91- � COLOR CHIPS
Color: Front: f W eZA5-9161 X yEGOd Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) SW 2865
Classical Yellow
Material: Color: Classical/Colonial
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty:
WINDOWS: (side:. Front:
Manufacturer/Series:
MatT Style
Color:
Color:
Color:
Left: Right: Rear: - _ _ Color:
Material:
Grilles (Required). Pattern (6/6, 2/1, etc.) Grille Tvpe: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT OWi Style: Paneled Louvered
Color:
Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color: We j 1 �
Railing Mat'I: Style: Color: M9
WALLSIFENCES* (Max W height): Height: Mat'l: MAY 0 5 7Q2�
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area. llgf�yyay
UTILITY METERS/HVAC UNITS: Location: Screening: HIStOnc District
LIGHTS: Qty: Style:
Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
APPLICATION #:
W
26-,A 056
�TOWN OF YARMOUTH
c q-
1P y. OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
N O'nrCo`''�
ABUTTERS' LIST
Applicant's (Owner) Name: f,4611, /V. /Y Qr,T✓r'/
Property Address/Location: 07 1616V Feel? ep, /� �,eiyjpUTrY �4�
Hearing Date:
0-2-7iaL
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 Kings
Highway Department page on the Town website: www.yarmouth.ma.us
Applicant Information:
Abutter Information:
.71
MAY 057.076
Old K►ng's Highway
Historic District
Map Number
Lot Number
151
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