HomeMy WebLinkAbout26-A108 11 Embassy Lane� (�,l
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TOWN OF YARMOUTH iistcm District
1146 ROUTE 28, SOUTH YARMOUTH, MA 0206444151
Telephone (SOB) 396.2231 Fxt.1292-Fax tom) 39B-OB38
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
CERTIFICAW1 OF
APPp=Bon Is heroby made for lumnoe of a Ceffmte of Appro &Wness wodar Seellon 8 of Chapter 470, Ada of 1973 as
ammvied, for Proposed work as described below & on plena, draMWnM photographs. & ollw supplemenw) lMo accanp mying thin
WPw-&m— PLEASE SUHU r 4 OF SPEC SHEET(S), ELWAYMS, PHOTOS, SFSUPPLEMf WAL WORMATtOt+l.
Indioate type of Building: Commerctal _ Residential
1) Exbw w Buiidln9 Consbuctlon: ANewSuftng _ Addhkm ___,Merffibna �Retoof Gasaga
Shed w Solar Panels 00w.
?,) Exterior Painting: __Siding Shutters Doom Trim ?____Other.C7Ut-'� g2�
3) Signs/Billboards: _ New Sign _ Change to ExMng Sign
4) Misoellaneous Structures: _Fence Wall _Flagpole _Pool Other.
PNsae We PPrintlog1w. �+ "f
11v
Address at; roposed worn MapA of *
Owner(a): Z ,l f p a �tA IC Phone m
Atj appGdallons must be sulmniftd by awrAr or m r, c i anled by letter fYom amor approving subrntptal of gvilca on.
Mmft address: —q 'F ;'--r' Year buitk 1I 7 0
Ernalt , C--' Le- J10, to I r3-�Pretemed ndika*m meBwd: A, Phone email
�ivacw. _ 5 n c 7�A C5 c:r f1C'r P l; Phone P. R (3 -z�. -0 a {
Finaut Preferred r bIcali n method: Phone ErnaO
pescmon of Prg JIT .� r,�P Cam,
O`f` _ � � L trig �`� �d � �pJ-
/
SW*d (Owner ar a9wo: p�4lw Date: OO
r` is c,►are that a pamltl is mquhW tram tft eukir9 De{m MML (Cheek ottrerdepw menu, also.)
# it a pppcaBm is appmwi�d, appmual is attoa to a tb-day appeal pwM regrctl by the Ad
P Thls mU(,rle rs good for one yaw f*om approval dope or upon data of wOvMan of BdWft Pernmt +, dale lima be later.
r Al mar cxmkUaNw w9r to w4addo ln>pKdon by OW 0*"pprowrd plans MUST be wimabie on -aft for fiambV & Mel hapadiors.
Ap pruved Appm%vd whh _ Modtiications Denied
Raman for Denis
Signed- , _.
13ved.
26-A108
TOWN OF YAIMOUTH
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-DAY TIMEFRAME
WAIVER AUG z 8 202E
Please sign and date this form Old Kings Highway
26-A
1 0 $ Histg District
Application #:
Project Address: ; ,"Nip —
Application Received Date:( Y�stb
45 Day Decision Deadline:
IMIe, 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:
*-ec�
YDate: ( Signed:
Owner
Owner
Contractor/Agent
�6-A108
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: �` i h(���i✓ Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ASP ROOF: Material; Pitch (7112 min) `Height to Ridge: i Color: b�AC
_1 11 , 17
SIDING: Material/Style: Front: &*.Cs L-44 '- �� �- `` es/Rear: ZC d ;` -,;� . COLOR CHIPS
Color: Front: Gi _ / Sides/Rear: C4,u
TRIM: All windows & doors to be trimmed with. 1x5 (Circle one.)
Material,czk V Color: LO�\-4
DOORS: Qty: Material -"SA, bLJC&%ebaIor:
Style/Size (if not listed/shown on elevations): L - C roo lo ? Anr
STORM DOORS: Qty: NPI Material:
GARAGE DOORS: Qty: " Mat'I:
WINDOWS: t 1side:: Front: k _ Left.
Right:
Color:
Style: Color:
Rear: Color:
Manufacturer/Series: " c '\� Material:
Grilles (Requ;red). Futter , 2/1 tc.) Grille Type: True Divided Lite:
Snap -In: ,�- Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: MatT 03A Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: f Decking MatT Color:
Railing Mat'I: Style: Color:
AUG 2 8 7076
Old Kirjg's Highway
Historic District
WALLS/FENCES* (Max W hei ��Kinishe
MatT
Style:
(Show running footage & locationd side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: LScreening:
LIGHTS: Qty; Style: Color:
Location(s):
LIGHT POSTS: Qty: Material: Color:
Location(s):
Additional information:
26- a
APPLICATION #:
g Yc TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
J
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location:
Hearing Date: qr2 Y) 01.i0
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
Map Number Lot Number
Applicant Information
Abutter Information:
V 4 V RV15
AUG 287.1176
Old I<jrIg's Highway
Historic District
I S! '-(b
i-7s39
! 7573Y
151
5 O
Application #:
2)s-Q108
9013,
AUG 2 8 7.112E
Old Kings k-iighway
Historic District
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Abutters
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FOR LOT I Old Kirig's Highway
Historic District
atdimta I cE ga�cags or � building
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(NAME OF STREET)
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Abutter's
Name
Lot#
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comer lot,
write in
name of street.
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29zMatien home owner
MaPPU by
26-A108
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AUG 2 11 71176
Old r i- i. - Highway
Historic District
26-el08
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120.00agec,
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