HomeMy WebLinkAbout26-A099 6 Conservation Drive3=o4 Y0 TOWN OF YARMOUTH
r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 AU6 0 4 2026
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COM Y1`EEs Highway
Historic 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 COPieS 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 _
2) Exterior Painting: Siding _
Other:
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:
Address of proposed work: 6' 'A' )! _ Map/Lot # LS /as
Owner(s): t- t,lrtiWM6 &�Q l[„j%t(' ny—t Phone #: SOBS- 13 to • - 286
All applications must be submit by owner or accompanied by letter from owner approving submittal of application.
Mailing address: _(D Cn► se tr Ja *w% a�c �).394 _ Year built: Iq9-3
T
Email: _ LJ a �Q 1�s1c��iA�(�+rt��j[�e� Preferred notification method: Phone Email
Agenticontractor: P00kd C CmnSAfU c M 6Y'1 Phone #:
Mailing -�Address: 0a5'
Email: Preferred notification method: , Phone Email
Description of Proposed Work,/ ✓ Uc�ip
Signed (Owner or agent):
o�d vkh, Rzva�e
6cl-? CMI J
Date: n Is la Q
➢ Ownerlcontrattorlagent i ware that a permit Is required from the Building Department. (Check other departments, also.)
➢ If application is approv , approval is subject to a today appeal period required by the Act.
➢ This certificate is goo r one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
➢ Al new construction #1 be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections.
For Committee use only:
Rcvd Date:
Amount (00 to
Cash1CK #: 5 15LO
Rcvd by: L'S
46 Days: art
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
2 6— A 0 9- 9
APPLICATION M
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451
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 #: 26 A 099
Project Address: `n (4150rva,t� bn v"-G
Application Received Date: V �1ab
45 Day Decision Deadline:g f) %Ig 6
rffl)QF�oj
A06 0 d MR
Old King's Highway
Historic District
Me, 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: 2 1 3 [ ax I Signed:
Owner
Owner
Contractor/Agent
26-A099
GENERAL SPECIFICATION SHEET
Project Address: % Cisyng�jCjQ -►t\y,, D�)c �jgjrjnne%.-h
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: Hgie&@ CjQpjj=grA Sides/Rear: COLOR CHIPS
Color: Front: Aa d -Pkr,�e✓ Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Color: � �{-'f�"I�
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations): AUG 0 G 7026
STORM DOORS: City: Material: Color: Old King S Highway
GARAGE DOORS: Qty: MatTStyle: Color: I'Iistodc District
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: MatT
Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max W helght): Height: MatT
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location: Screening:
LIGHTS: City: Style:
Location(s):
LIGHT POSTS: Qty:
Location(s):
Additional information:
Material:
Color:
Color:
2 6 - A 499
APPLICATION #:
jg �o TOWN OF YARMOUTH
c n,? OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST AUG 0 4
zazs
e�, K i' S j Old Kin o
s Highway
Applicant's (Owner) Name: --� 1-:� .� His District
Property Address/Location: rl "yt
Hearing Date
<�-l-Mlab
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 Otd King's
Highway Department page on the Town website: www yarmouth.ma.us
Map Number Lot Number
Applicant Information: 7,
Abutter Information:
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ApplicatioA:6 A 0 9 9
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