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Home My WebLink About26-A099 6 Conservation Drive Approveda "N" t-- - 001MOD �Y�S TOWN OF YARMOUTH UW1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 AUG U 1, log ." Telephone (5W) 398-2231 Ext. 1292-Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMIIMHihw t F Historic District ay APPLICATION FOR A040°-�41 -1OWN � CERTIFICATE OF APPROPRIATENESS 1216 :1MGs•4 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 codes OF SPEC SHEET(S), ELEVATIONS, PHOTOS, A SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial -X— Residential 1) Exterior Building Construction: New Building Addition )LAiterations Reroof Garage Shed Solar Panels Other: 2) Exterior Painting 3) Signs/Billboards: Siding Shutters Doors Trim Other: . New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: Please type or print legibly: Address of proposed work: 6, ("rw%5�+r_ Ja{i0`C-v Map1i_ot # 13t1/as Owner(s): t)O b11�tnny-j _ Phone #: Sig" 'I_$Io• 7g> C� All appllcatlons must be submitbO byowner or accompanied by letter from owner approving submittal of application. Mailing address: T�re -ic�t� � r � 4 --& ___ Year built: Email: Preferred notification method: Phone Email Agentfoontractor: nn-o)rb CwS!�:>ruc+- -i(NY% Phone#: S&LSys-O��AD Mailing Address: DLLD 4 S Email: Preferred notification method: _ Phone Email Description of Proposed Work: i dwvoo Wadffj Signed (Owner or agent): Date: ago D Ownedcontmciorlagent i ware that a permit Is required from the Building Department. (Check other departments, also.) D If application is approv. , approval is subject to a 14-day appeal period required by the Act. This certificate is goo r one year from approval date or upon date of expiration of Building Permit, whichovar date shall be later. D All new construction #1 be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections. Rcvd Date: /tq�4 11 rx, Amount coy W CashICKC `Fi6LO Rcvd by: LS 45 Days: 1 r Approved Reason for Denial. Denied Data Signed: �6-�099 APPLICATION #: TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at (a (on swy4 cn onyr, Map/Lot 'N 2 C/A # ;;ZG- % Approval Date:C& L2M 6 I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop -work order or delaying the issuance of an Occupancy Permit or final inspection approval. have read and understand the above statements. D- - i`i 23462LSigned: M05 Signed: AUG 14 2026 old King's Highway Updated 5l9IM24 Historic District (Chairman, Old King's Highway Committee) 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 46-DAYTIMEFRAME MOORN WAIVER AUG 0 4 7076 Please sign and date this form Old Kings Highway Application #: 2 6 - .A 0 9 9 � Historic District Project Address: & (M5&rv.-�.hMy or, V"14 Application Received Date: V ql.�6 45 Day Decision Deadline: q/) �1; 6 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: / -.% [ a Signed: AUG 2 4 ?.026 Old King's Highway Historic District Owner Owner Contractor/Agent 2 6 - A 099 GENERAL SPECIFICATION SHEET Proiect Address: (n r non ,. sc+c nY-, 2�c I& illI107111119IQ►INIVAromp 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: Hekeelit C(e_, 9k"eJ Sides/Rear: COLOR CHIPS Color: Front: � A '1 teey' Sides/Rear: �� 1 TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) D f� Material: Color: DOORS: Qty: Material: Color: "! Style/Size (if not listed/shown on elevations): AUG 0 G 2026 STORM DOORS: Qty: Material: GARAGE DOORS: Qty: Mat'I: _ [ono Style: Color: WINDOWS: s de:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Old King's Highway Historic District Grilles (Required): Pattern (616, 211, etc.) Grille Tvoe: True Divided Lite: Snap -In: Between Glass: Permanently Applied: Exterior interior STORM WINDOWS: Qty: Material: Color: ' _D D : O SHUTTERS: MatT Style: Paneled Louvered Color: AUG 2 4 2026 SKYLIGHTS: Qty: Fixed Vented Size Color: Old King's Highway DECK: Size: Decking MaYl: Color: Historic District Railing MatT Style: Color: WALLSfFENCES* (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): LIGHT POSTS: Qty: _ Location(s): Additional information: Material: Color: Color: 2 6 - A 499 APPLICATION #: F Yw �. TOWN OF YARMOUTH oxA.k7 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE OF 4.,0...E ABUTTERS' LIST AUG 0 G 2016 Old Kirig's Highway Applicant's (Owner) Name: --� I 1 ti r`'}r f S - SItodc District , . Property Address/Location: (p C&,WV t>rivt Hearing Date: 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: AUG 2 k 2076 Old Kings Highway Historic District i3 a� q I a 1917 Ll Igo Application%:6 — A 0 9 9 1341 241 1 1 DIAMOND SEAN D 16 CONSERVATION DR YARMOUTH PORT, MA 02675-1416 134/ 251 1 JABLONSKIJOHN JABLONSKI KALA L 6 CONSERVATION DR, YARMOUTH PORT, MA 02675 1341 261 1 1 SVENNINGSEN TRACY 3 CONSERVATION DR, YARMOUTH PORT, MA 02675 1341 271 1 1 MCBRIDE JOHN W MCBRIDE PAULA J 15 CONSERVATION DR, YARMOUTH PORT, MA 02675 1341 31.11 1 1 OBUCHOWSKI DAVID J OBUCHOWSKI WENDI 62 HOCKANOM RD, YARMOUTH PORT, MA 02675 Please use this signature to certify this list of properties directly abutting and across the street from the parcel located at: 6 Conservation Dr., Yarmouth Port, MA 02675 Assessors Map 134, Lot 25 Andy Macho, Director of Assessing August 11, 2026 Vffi�!L N�L. 5 AM 1 1 2026 Old King's Highway Historic District AUG 2 b 2026 Old Kings Highway Historic District g,o _pNay r N Nj qr .1 Em N 51 9 o lw +;KI n �r p� Lo Nc� N N � 3 aT �� i•1 '� y F 4 r C� LO '� K y a [� n c R l c yo'�,sq 3 c � AUG 0 4 mm Old Kings Highway Historic District WID ,AVI'1fJLJ O w AUG 1 4 7026 w Id King's Highway Historic District ry00 rMn, %Ek w w � M � N rl � wCn 7 7 Q 2 6 - A 099 F, 7.'u �de : R�l 1 .. `•tip. . , , ..,� ._ - 1 r� F. �. tAll. 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