HomeMy WebLinkAbout26-A092 285 Mayfair RoadJJl``I/`f'�yl�Jl1
TOWN OF YARMOUTH
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 CO ITTEE ",1; : f fighway
APPLICATION FOR Historic Dslrict
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 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) SignslBillboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: -�Fence Wall Flagpole Pool
Other:
Please type or print legibly: { I
Address of proposed work: 5 r�1!l �1 �- l T� Map/Lot # Ll �I
Owner(s): 1r , rl� 11 ❑ M Phone M S () , 1 d
All apptications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: ! & 1 i N`d Year built: j l o3
Email: b1a'.Lj Ct r 1 CJ ( c C I., S - f M Preferred notification method: Phone Email
Agenticontractor:
Mailing Address:
Email: '
Description of Proposed Work:
Signed (Owner or agent):
_ Phone #:
Preferred notification method:
Date:
Phone Email
➢ Ownerlcontractorlagent is aware 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 9 final inspections.
Rcvd Date,
Amount _
CasIVCK # i
Rcvd by:
45 Days: V I
bll
Date Signed
Approved
Reason for Denial_
Signed:
Approved with Modifications Denied
26-A 092
APPLICATION #;
TOWN OF YAMOUTH
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
JUL 0 7 7026
Please sign and date this form Old Highway
Kin '-
g :ghway
_ O f Historic District
Application #:2 6 A 9
Project Address: a S' M ?� i, ,V
Application Received Date: -1 1 -7
45 Day Decision Deadline: yl a1 f ,)�
IMe, 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:
5.+.11 40 c.,
Date: 67 .�!-6 Signed:
Owner
Owner
Contractor/Agent
2 6- A 0 9 2
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:
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: !side:: Front Left-
M anufactu rer/Series:
Grilles (Required): Pattern (6/6 21ll, etc.) _
Snap -In: Between Glass:
_ Sides/Rear.,
Sides/Rear:
1 x 4 1 x5 (Circle one. )
Color:
Color:
Color:
Style: Color:
_ Right Rear: Color:
Material:
_ Grille Type: True Divided Lite:
Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: MatT Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing MatT Style: Color:
WALLSIFENCES* (Max 6' height): Height: G ' 6- Mat'I: vi 0-6a
COLOR CHIPS
JIJI 0 7 2ii7h
Old i:,.I :a'� Highway
Historic Distnct
Style: c icc,.,4Z Color: W Vt'c. L4=
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
26-A09P.
APPLICATION #:
TOWN OF YARMOUTH r •a
(0, OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
sbflAflO a
ABUTTERS' LIST
JUI. 0 7 7026
Old Kings 1-1ighway
Applicant's (Owner) Name: +(�,AMA 0\ wo Histor?c District
Property Address/Location: 'i i✓ ��
Hearing Date: I b
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:
Application #: 9, 6 A 0 9 2
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6 ft. x 8 ft. Pressure --Treated SPF
Privacy Moulded Flat Top Pointed
Stockade Wood Fence Panel
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