HomeMy WebLinkAbout26-A084 1 Brush Hill RoadVt�
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 JUN 7 ?.(12fi
OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEEghway
. istoric District
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 copleS 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
Shed Solar Panels Other:
Addition Alterations Reroof Garage
2) Exterior Painting: Siding Shutters Doors _Trim
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Poo
Please type or print legibly:
Address of Dr000sed work:
Owner(s): I I I VA
All appl catio s m st be submitted b owtiet or
Mailing address: ,
Email:10
a
Agent/contractor:
Mailing Address:
letter
Other: .
1 W �Yl
I Other: YCL t,
1y ap/Lot4 q b 1 to
Phone #: 3 3g C
7731uilt:
Ing submittal of application.
Asia A
notification method: Phone Email
Phone #: 3 0 at
Il
Email: Preferred notification method: Phone Email 1
Descri tion of Proposed Work:
Uw�) �F. �lCtnO�l '!Q I
C �-_AQ, r r 1;
Signed (Owner or agent): Mtn Date:Ilk W
➢ Owner/contractortapentp aN4&e that a permit is required from Me Building Department. (Check other departments, also.)
➢ If application is apgrovyU, approval is subject to a t 0-day appeal period required by the Act.
➢ This certificate is g6afor 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.
For Committee use oniv:
Rcvd Date: &I I I I ;t b
Amount C/ 0. C
Rcvd by: L4 5.
45 Days: Ae I I
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
26- A084
APPLICATION #:
1 .f w {
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 oil
j'����
WAIVER
Please sign and date this form
.iuN 1 7 Fors
Old King's Highway
Application #: 2 6- A 084 4`' " Historic District
Project Address: [ )JVVS�J aot
Application Received Date: C9�r7 l odd
45 Day Decision Deadline: a�
INVe, 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:
A tug
.X/Date: signed:
Owner
Contractor/Agent
26— A084
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: Color:
SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS
Color: Front: Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1 x 4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'I:
WINDOWS: (side:: Front: Left:
Man ufacturer/Series:
Grilles (Required): Pattern (6/6, 2/1, etc.) _
Snap -In: Between Glass:
Color:
Style: Color:
_ Right: Rear: Color:
Material:
_ Grille Type: True Divided Lite:
Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
01 CC-"
11
JUN 1 7 20
Old King's Highway
Historic District
SHUTTERS: MatT Style. Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing MatT Style: Color:
WALLSIFENCES" (Max W 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:
APPLICATION A O4
TION #:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
10
ABUTTERS' LIST
^• a
Applicant's (Owner) Name: �0j
Property Address/Location:A on PO
Hearing Date: -11 I31ao
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- armouth.ma.us
Applicant Information:
Abutter Information:
RIN 1 7 H26
Oki King's Highway
Historic District
Map Number
Lot Number
r 2 q6-7
0 0-711
12 1 as-70
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26- p084
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26-a084