HomeMy WebLinkAbout26-A096 939 West Yarmouth RoadC
TOWN OF YARMOUTH %aMMIP
Q. " 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836 JUL .} 0 7076
OLD KING'S HIGHWAY HISTORIC DISTRICT CON"T�TtEE��lghway
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 coyies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Cateaories That Apply: Indicate type of Building: Commercial X 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: ,) s�
Address of proposed work: -n2 w 7 A0, P1 D U% 9 iACM 00 urV taplLot # � �l �Ci p�2lfq-�
Owner(s): A � r��{ Y� Phone #: Spa 16a ?r5 _
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: ���0 &KAo uT11 YAK r—uITH f 62k Year built: la? 1
Email: � �P Nwn 1 CA n C Q ,�hw L* Preferred notification method: Phone Email
44
Agent/contractor: Phone #:
Mailing Address:
Email: Preferred notification method:
Description of Proposed Work:
`&R P l ac e
Signed (Owner or
Phone Email
A0 V, sQ.+
Date: `3 /3 o /Q
➢ Owner/contractor/agent 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 & final inspections.
Approved Approved with Modifications Denied
Rcvd Date: '71�"?d ft� I Reason for Denial;
Amount _CLq3tXa0W I
Cash,CK #: -3-7117
Rcvd by: �1 i S.
45 Days: qf f 31A
Date Signed:
Signed:
26-A C96
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-DAYTIMEFRAME f ��gD
WAIVER +� L'?L71J
Please sign and date this form
JUL 3 Q 2016
Old Kings Highway
Application #: a 6 " A 0 9-6 ' Historic District
Project Address: q 3q W&.* 44-or"x h V(ehd
Application Received Date: -7I36124
45 Day Decision Deadline: q/I3(2b
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: 7 o )igned: —(� ) qln,.eL
Owner
Owner
Contractor/Agent
2 6- A 096
GENERAL SPECIFICATION SHEET
Proiect Address:
FOUNDATION: Material:
Exposure (Not to exceed 18"):
CHIMNEY: Material/Color:
GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min)
Height to Ridge:
Color:
be, e
r�
SIDING: Material/Style: Front: t' l h � �'1 V14
Sides/Rear:
COLOR CHIPS
Color: Front: &(94, G��R Y
Sides/Rear:
TRIM: All windows & doors to be trimmed with:
1x 4 1x5 (Circle
one.)
AMR31mg
Material:
Color:
DOORS: Qty: Material:
Color:
JUL 3 0 7.076
Style/Size (if not listed/shown on elevations):
Old King S Highway
STORM DOORS: Qty: Material:
Color:
HIStoric DiStftt
GARAGE DOORS: Qty: Mat'l:
Style:
Color:
WINDOWS: /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 Mat'I: Color:
Railing MatT Style: Color:
WALLS/FENCES* (Max 8' 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:
Location(s):
Color:
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
2 6— A 49 6
APPLICATION #:
�o TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: ��Y✓��� O
Property Address/Location: a 31KAt5-V -)W 0ia 'h W-,,4(
Hearing Date:
gi�yla6
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.yarrnouth.ma.us
Applicant Information:
Abutter Information:
JUL a 0 2026
Old King s Highway
Historic District
Map Number
Lot Number
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Application #:
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