HomeMy WebLinkAbout26-A067 285 Mayfair RoadTOWN OF YARMOUTH
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1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 MAY 2 6 7026
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE tlghway
APPLICATION FOR 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 CO I@S OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That APPIV: 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:
Address of proposed work: mad&,t r P`J Map/Lot #
Owner(s): �1' LJ }Ft'i Phone #:ti�y�V ;L eq /d
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: -& s mnQ c r _ Year built: V? �3
P, Email: p►VA ie r1f) W r('-('_LS 0 C 6M Preferred notification method: Phone Email
Agent/contractor: Phone #:
Mailing Address:
Email:
Description of Proposed Work:
�Ct pf? 66 tf n
Signed (Owner or agent):
Preferred notification method:
Phone Email
Date �� �- I �6
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 1 0-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: d`%I R6
Amount L(U, 6110
Cash/CK #- 10411
Rcvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
26—A067
APPLICATION M
TOWN OF YA MOUT
1I46 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
Application #: 2 6 A 0 6 7
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Project Address: ;zy S Mh21
Application Received Date: �aL
45 Day Decision Deadline: -111 2J
0�0
MA Y 2 8 7076
Old Kind's f'gighway
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:
Date: �� 2.6 Signed:
Owner
Owner
Contractor/Agent
2 6 - A 0 6 7 .;
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:
Color: Front:
_ Sides/Rear:
Sides/Rear
COLOR CHIPS
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color: M(V�MN
DOORS: Qty: Material. Color:
Style/Size (if not listed/shown on elevations): MAY 2 R 702E
STORM DOORS: Qty: Material. Color: Old Kiri f j's Highway
GARAGE DOORS: Qty: MatT Style: Color:
Historic District
WINDOWS: t /side:: Front: Left. Right: ____ Rear: Color:
Manufacture05eries: Material
Grilles (Required): Pattern (6/6, 2/1. 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:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking MatT Color:
Railing MatT_ J Style: Color:
WALLS/FENCES* (Max 6' height): Height: C MatT Wcoj-
Style: Color: ff-241�
(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: Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
26-A067
APPLICATION #:
°F Y o TOWN OF YARMOUTH
�,� OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
MAY 2 R 7.026
Old Kinch'" Highway
Applicant's (Owner) Name: �„Ya I �storir, District
Property Address/Location: LW &I r'h� „
T, .
Hearing Date: 4 Id42-lA
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.yarrnputh ma us
Applicant Information:
Abutter Information:
Map Number Lot Number
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3 w1
-t M 20
1-13
-70 (l,0621
'57
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1-6r7
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Application #:
26-A, 067
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