HomeMy WebLinkAbout26-A076 138 Setucket RoadTOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 JUN 0 8 7026
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMJ1TTgE, 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, & SUPPLEMENTAL INFORMATION.
Check All Catenaries 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 Otter:
Please type or print legibly:} o j (� epqk a ClAddress of proposed work: �! D S �1'ii((, �. ���ii0(t�t,� hAaplLot #
Owner(s): N w ya.\ �5 U� 2 � Phone #:,
All applications, gym, ustt be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: t13g Se C� , �Qi'MOt�-�'�t PO 1t I qk .n� Year built: 57
Email: f\CLCVqA J r1 . Y-ya Preferred notification method: Phone Email
Agent/contractor: b rve�, Phone #:
Mailing Address: ) a per
Email: Preferred notification method: Phone Email
Description of Proposed Work:
eAAC-C Q Nff all .
x Signed (Owner or agent): Date:
D Ownerlcontractortagent is aware that a permit is required from the Building Department. (Check other departments, also_)
D 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: D�U &
111
Amount `7 n• w
Cash/CK #:
Rcvd by:
45 Days:
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
26-A►076
APPLICATION #:
TOWN OF YAI MOUTH
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
Application #:
Project Address:
2 6- A 076
i
r 3 V- 5t7OCV+ W-cA .
Application Received Date:
45 Day Decision Deadline: -11 73)26
JUN 0 8 2076
Old King's Flighway
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:
Kftaint
Date: Signed:
caner
-�14Owner
Contractor/Agent
26-A,076
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material:
CHIMNEY: Material/Color:
Exposure (Not to exceed 18"):
GUTTERS: Material/Color.-
ROOF: Material: Pitch (7/12 min) Height to Ridge:
SIDING: Material/Style: Front: Sides/Rear:
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with
Material:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
1x 4 1x5 (Circle one.)
Color:
COLOR CHIPS
Color:
Color: �� D
JUN 0 8 M26
STORM DOORS: Qty: Material: Color:
Id Kirrg's Highway
GARAGE DOORS: Qty: Mat'I: Style: Color: Historic District
WINDOWS: (side:: Front: Left:
Manufacturer/Series:
Right: Rear: Color:
Material:
Grilles (Required): Pattern (616, 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 Mat'I: Style: Color:
WALLS/FENCES* (Max 6' height): Height: _T " F-ree4 at'I: r, !'C Ly,G
Style: olor: wy t o W _PQ VA CSL �Q rl v Cl CMG'
(Show run ng footage & location on plot plan.) "Finished side of fence ust face out from fenced in area.t)(6
UTILITY METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
Color:
Color:
APPLICATION #:
0 TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
JINN 0 8 707fi
Applicant's (Owner) Name: �4 � . 1V+gy"LS Old King's
�Highway
�
jk
Property Address/Location: t2c�) oci' Historic District
Hearing Date: _-J. 1 / �
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:
W.f 13
66563
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