HomeMy WebLinkAbout26-A090 36 Route 6Az°tY o TOWN OF YARMOUTH 061R.KINNO
5,
Y 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
" Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 JUL 0 7 7026
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI TtTEE H',Jt,way
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, & SUPPLEMEfj4TAL 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 Other:
2) Exterior Painting: Siding
3) Signs/Billboards: New Sign _
4) Miscellaneous Structures: Fence
Please type or print legibly:
Address of proposed work: 156
Shutters Doors _Trim
Change to Existing Sign
Wall Flagpole _
T,�: G /1
Owner(s): ply% 5 C4-/L,A /!emsLr 7 ffit!&Ji"A,/
All applications must be submitted by owner or accom
Mailing address: Y&/' �h
Email
Other:
Pool Other:
Map/Lot#
�l�lG/f Phone #: SOS
ied by letter from owner approving submittal of appliciltion.
Year bult.• %✓L9
64
erred notification method: Phone L,,-Email
Agent/contractor: tractor: �� ^//VAS /vim/�77`�~ Phone#: S7>S ,7,;�-o /573
Mailing Address: �3% CO�/NF/`f%9P.E� C/kG/_>r, /�)/i�N�// S /';0 1-Zlid /
� r
Email: Liv/a hzil. ,o Preferred notification method
Signed (Owner or agent):
Thy
✓ Phone + - Email
Date: �"-?
Ownedcontractorlagent is aivffre 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: -if 1 12
Amount Lio.00
CashICK #:
Rcvd by:
45 Days: '1 at7
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH Y;kRNIOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Est. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT CONINETTEE
�11 1SLI LJ
45 DAY TIMEFRAME
WAIVER JUI 0 7 zo7.h
Please sign and date this form Old Kmg's Highway
Historic Distdct
Application #: 2 6_ A 0 9 0
Project Address: 3(0 9A),e- b A
Application Received Date: (2,
45 Day Decision Deadline: 1.2L,
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. 02 Signed:
Contractor/Agent
2 6 - A 090
4
GENERAL SPECIFICATION SHEET
Pro"ect Address: 3& /20c/72�_ (kI4-
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Color: Front:
TRIM: All windows & doors to be trimmed with
Material:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'I:
WINDOWS: Qtylside:: Front: Left:
Manufacturer/Series:
Grilles (Required): Pattern (616, 211, e1c.) _
Snap -In: Between Glass:
Sides/Rear:
Sides/Rear
1x 4 1x5 (Circle one.)
Color:
Color:
Color:
_ Style: Color:
_ Right: Rear: Color:
Material:
_ Grille Type: True Divided Lite: _
Permanently Applied: Exterior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'I: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
Interior
COLOR CHIPS
JUL 0 7 2Q7fi
Old King's Highway
Historic District
DECK: Size: Decking Mat'I:___ _ Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max 6' height): Height: MatT
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:
Location(s): _
Color:
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
ULICATIONOM 9 0
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE �-A 9,j �j 5
Jul 0 7 7026
ABUTTERS' LIST
Old King " Highway
Applicant's (Owner) Name: _:1hpol,rg 1 l� a,n�, Historic District
Property Address/Location: 3b (�
Hearing Date: 1 221 .2,6
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:
iLta615
i
-3d
142W3
3
I il3 `I3
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Application #: s A 090
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Old Kings Highway
Historic Distract
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7/6/26, 3:07 PM
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