HomeMy WebLinkAbout26-A106 86 Lookout Road2U Yea C TOWN OF YARMOUTH U�RM
1146 ROUTE 28, SOUTH YARMOUTH, MA 0266441451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 AUG Z 5 7026
OLD KING'S HIGHWAY HISTORIC DISTRICT CO",ITiTtFEli hway
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 copies OF SPEC SHEIET(S), ELEVATIONS, PHOTOS, & SUPPLEEMMFNTAL INFORMATION.
Check All Catecories That Apply: Indicate typeof uilding: Commercial Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed Solar Panels Other:
2) Exterior Painting: Siding Shutters Doors _Trim
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole _
Other:
Pool Other:
Please type or print legibly:�,x �A
Address of proposed work: LtOD�� Q� ._ -- ,1k Map/Lot # Ls
Owner(s): X►34 vi v— Sb kI Phone #:
All applications m st be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 48L L i, • } �Q t Or 62J, j Year built: l .lr
Email• ''TmjL '�7rp 2-0 JAh�pfA Preferred notification method: Phone Email r�
Agent/contractor: C, / I i%li Phone #: O j OUO J
Mailing Address: " L w ,( 5 T .
Email:. t� ._- �` . C 0 V Preferred notification method: Phone Email
Description of Proposed Work:
OPee- G*� UVA�.; -hV00�\0 ] "CO ANT 1_X`T DJIi! \-%009E�
Signed (Owner or agent):
Date: P. Z 20-6
y Ownerlcantractorlagen is aw art lfi�ec� i d from the B ilding epartmen[. (Check other departments, also.)
li application is approved, approval is s iect to a 10-da eal per d re fired by the Act.
L This certificate is good for one year fro a or upon date o iration 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 S final inspections.
Rcvd Date. s a b
Amount _ U(l Ufl
Cash/CK # -1�J 0
Rcvd by: _ L,4 5. 1
45 Days: to �I 26
Approved Approved with _,Modifications .- Denied
Reason for Denial:
Signed:
Date Signed,
2 6 - A 1 0 6 x
APPLICATION #:
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 COMMIT EE
45-DAY TIMEFRAME
WAIVER AUG 2 w 2026
Old King's Highway
Application #: 2 5- A 1 0 5 Historic District
Project Address: �Vyygj yr -9.
Application Received Date: 212YPL.
45 Day Decision Deadline: 101 qi;?L
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:
6��M -e ,�M -
Date: Signed:
Owner
26-A106 .-.,.
GENERAL SPECIFICATION SHEET
Pro'ect Address:
FOUNDATION: Material: _ ___._ ____ Exposure (Not to exceed 18"'. 5
CHIMNEY: Material/Color:
GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge.
SIDING: Material/Style: Front: P, t< I C-U4 Sides/Rear: AtLL h C-kA
Color: Front: M M C F SideslRear: M0r'7-AA
TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.)
Material: Ak ' - Color: 'W WEI—'
DOORS: Qty: , T Material: _ _�� Color:
Style/Size (if not listed/shown on elevations): 451�& 5 ...
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: 2 Mat'I:.� h. ALUM _ StyleIqavllkt? Color: __UgAia1
WINDOWS: Iside-: Front: Left: Right:, Rear: Color:
Manufacturer/Series: Asti#* Material:
Grilles (Required): Pattern (6/6, 211, etc.) Grille Tvne: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Extenor Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: Mat'I: Style: Paneled. Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
Color:
COLOR CHIPS
Mr, 2 5 ?026
O!a K,ng v Highway
Histonc Distract
DECK: Size: Decking MatT Color:
Railing MatT Style: Color:
WALLSIFENCES* (Max 6' 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 METERSlHVAC UNITS: Location:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: Material:
Location(s):
Additional information:
Screening:
Color:
Color:
2 6 - A 1 0 6
APPLICATION #:
sx TOWN OF YARMOUTH
fob OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
AUG 257.f126
Applicant's (Owner) Name: I Old Kings Highway
Historic District
Property Address/Location: Lt) O � ao
Hearing Date: al; 4
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.varmouth.ma.us
Applicant Information:
Abutter Information:
Map Number
Lot Number
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Tip
10
ttr
t,010
5-3, .7-
-7ZR
26-A106
Application #:
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Old King`:, Highway
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