HomeMy WebLinkAbout26-A074 1 Aunt Dorah's LaneTOWN OF YARMOUTH JON 0 3 101E
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 �� )<iflt` L
Telephone (508) 398-2231 Ext- 1292--Fax (508) 398-0836 Highway
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMifTEE D'Str"'t
APPLICATION FOR
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 C013ieS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Catenories 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 Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
11 ` +
Address of proposed work: � �7 �//r3 rr} Map/Lot # f3b��1
Owner(s): Ldn Phone
All applications must be submitted by ow— or acc panted letter from owner approving submittal of application.
Mailing address: c.�w,-. � C-4 c• `[ oyet— Year built: 0
Email: Preferred notification method: Phone Email
Agent/contractor:
Mailing Address:
Email:
Description of Proposed Work:
?�O/qca e x ; ; ?5
AJo
Signed (Owner or agent)_
Phone #:
Preferred notification method: Phone Email
Date:
D Owner/contractorlagent is aware that a permit is requi0from the Building Department. (Check other departments, also.)
➢ If application is approved, approval is subject to a 1 Way 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 &I 2b
Amount W 60
Cash/CK#: t 74V
Rcvd by: L" 5
45 Days: {i
Date Signed -
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
96-A074
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 Y�
WAIVER
JON 0 3 7076
Please sign and date this form Old Kincys Ffichway
Histor-ic tDistrict
Application #: 2 6 T A 0 7 4
Project Address: i ALO.^� bb r?,�' 5 UnL
Application Received Date: (0131A,
45 Day Decision Deadline:
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:
lDate: �( Signed:
Owner
Contractor1A ant
9
�2 6- A 074 .,tj i
GENERAL SPECIFICATION SHEET
Pro'ect 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: 13,ral Sides/Rear: COLOR CHIPS
Color: Front: �Jk A-5t OrL4,irl - cr Sides/Rear.
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color: 9 R L � F�
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
AIN D 3 7076
STORM DOORS: Qty: Material: Color:
Old Ki - , :-LI(ghway
Histone Dlstdct
GARAGE DOORS: Qty: Mat'I: Style:
Color:
WINDOWS: Qty/side:: Front: Left: Right: Rear:
Color:
Manufacturer/Series: 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: Mat'I: Style: Paneled Louvered
Color:
SKYLIGHTS: Qty: Fixed Vented Size
Color:
DECK: Size: Decking MatT
Color:
Railing Mat'l: Style:
Color:
WALLS/FENCES* (Max s' height): Height: Mat'I:
Style: Color:
(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:
5-A 074
APPLICATION #:
VIA '�• TOWN OF YARMOUTH
�[ OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: uw� 5U`2
Property Address/Location: orn 1j
Hearing Date: -1 f) 3 )etb
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:
JIIN 0 3 2n2h
Old Kin:_ Highway
Historic District
Application #:
2 6 - A 074
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26-A 074