HomeMy WebLinkAbout26-A100 23 Covey DriveViffil.lv)y
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TOWN OF YARMOUTH
!cr s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
\� Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 AVG 0 4 201&
OLD KING'S HIGHWAY HISTORIC DISTRICT CO"IITIT4FENI hway
APPLICATION FOR Histonc 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, & SUPPLEMEyTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial ✓/Residential
1) Exte or Building Construction: New Building Addition _Alterations Rercof 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: /� rr
1
Address of proposed work: 23 CbU t 1 _1 /�'� - Map/Lot #
Owner(s). 90LVyS >r Sivk k Phone #: SU$ -3 5-3 - a5 65
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Z i -7 5c, r►,,jCC Y�y� . �io�al�. �1� Di �-zc> Year built: � (p
Email: n'rv,,S7 T 15Rq lQ r'� �.�'W� . J'^^ Preferred notification method: Phone Email
Agent/contractor: Phone #:
Mailing Address �S`I �JeenJ1✓1C iR�, h'tkr.r:ch 1 fyl N!` 0-2w f
Email: t nP• AL -'c4pr. �'� Preferred notification method:
Description posed Work:
E n s4-aI ll toyj q s �
Signed (Owner or agent):
Phone `- Email
Date.r31
A Ownerlcontractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
D If application is approved, approval is subject to a 10-day appeal period required by the Act.
Y This certificate is good for one year from approval date or upon state of expiration of Building Permit, whichever date shall be later.
y All new construction will be subject to Inspection by OKH OKH-approved plans MUST be available on -site for framing 8 final inspections.
Rcvd Date: a
Amount �to' 0_
Cash/CK M
Rcvd by: L% 5s
45 Days: + I, co + 0j'
Date Signed -
Approved Approved with _—Modifications Denied
Reason for Denial
Signed
2 6— A 1 00 s
APPLICATION M
TOWN OF YARMO NTH
1146 ROUTE. 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Fxl. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER AUG 0 4 2026
Old FC+r,c�'s highway
Application #: 6 A 0 1 Historic District
Project Address: Z- ? 6c>vf�06-le- _
Application Received Date:
45 Day Decision Deadline
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: �13 I Z(p Signed: _
Owner
Owner
A,,,�
ConthcbEP46nt
2 6 - A 1 0 0 .-"
PINE HARBOR AUG o 4 2029
WOOD PRODUCTS
259 Queen Anne Road I Harwich MA, 02645 Old King'. highway
(508) 430-2800 1 pineharbor.com I barns@pineharbor.com Historic District
Homeowner Authorization
I Robert Karlstad , as owner of the property
located at 24 Covey Drive YarmouthPort. MA have
requested that Pine Harbor Wood Products apply for this building
permit on my behalf Pine Harbor will be serving only as my
contractor and representative for matters relating to this
application. I will be acting as the applicant and will assume all
responsibilities associated with this permit.
As owner of the subject property, I authorize Pine Harbor Wood Products to file this
permit application in my name.
Signature: 404F,- Date: wsitm
6-A100 .1
Pine Harbor Wood Products - 259 Queen Anne Road, Harwich MA, 02645
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Co►<" �t Exposure (Not to exceed 18'): Lf+^ 4a!
CHIMNEY: Material/Color: N GUTTERS: Material/Color: 4 f
ROOF: Material: �L1Pitch (7112 min) 1 V 12 Height to Ridge: 12 - 7 Color:
SIDING: Material/Style: Front: COV"I&31 K SWn-tS Sides/Rear: Cv►r 0-.vj W- 15Ln-N iLe3 COLOR CHIPS J
Color: Front: jj> AA, N-0-11 Sides/Rear:
TRIM: All windows & doors to be trimmed with: 64 1x5 (Circle one.)
Material: Evc,
DOORS: Qty: Z Material: t'►wr4&.it
Style/Size (if not listed/shown on elevations)
STORM DOORS: Qty: 0 Material:
I r�
Color: f.�l
Color: +> M&% k-C•L
Color:
GARAGE DOORS: Qty: 0 MatT Style: Color:
WINDOWS: !side:: Front: ?— Left: Q Right: O Rear: C= Color:
Manufacturer/Series: On %-,%• cc.. -,x.1Ak LUA" 1 Material: Viv%t\
Grilles (Required): Pattern (616, 211, etc.) Cv-Ii Grille Type: True Divide cl,Lite:
Snap -In: Between Glass: Permanently Applied: ✓Exterior Interior
STORM WINDOWS: Qlty: d Material: Color:
iJ l SHUTTERS: MatTpr- Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Q Fixed Vented Size Color:
DECK: Size: � I L Decking MatT Color:
Railing MatT Style:
WALLSIFENCES" (Max 6' height): Height: Aft7 MatT
Color:
AUG o L 7476
Old Kinck •, Highway
Historic District
Style: Color:
(Show running footage & location on plot plan.) "Finished side of fence must face out from fenced in area_
UTILITY METERSIHVAC UNITS: Location: 13 1 f1 - Screening:
LIGHTS: Qty: 1� 1 Pr_ Style:
Location(s):
LIGHT POSTS: Qty: IJ l W Material:
Location(s):
Additional information:
Color:
Color:
2 6— A 1 00
APPLICATION #:
TOWN OF YARMOUTH
�z o
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: A
Property Address/Location:
Hearing Date: _ `i 12: f lam
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
Applicant Information
Abutter Information:
0,
TLD��J,eli.�ffl.
AUG 0 4 ' 1Qb
Old K►ng'S k-iighway
Historic District
Map Number
Lot Number
�L+H Sl
I(oL�f3
1 9 `J
S9 I s�2
L-t N
.So Vq
1,14
1610-30
Application #:
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