HomeMy WebLinkAbout26-A111 266 Route 6A° Y.. TOWN OF YARMOUTH
} 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 �. 1 �{ Telephone (508 398-2231 Ext. 1292—Fax S39-0836
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OLD KING'S HIGHWAY HISTORIC DISTRICT COMM�TTgg
APPLICATION FOR Old Highway
CERTIFICATE OF APPROPRIATENESS Historic District
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, S SUPPLEMENTAL INFORMATION.
Check All Categories That -Apply: Indicate type of Building: Commercial Residential 601�vr*
1) Exterior Building Construction: New Building Addition ,Alterations Reroof Garage &afele
Shed —Solar Panels Other. Re JA.C.,. �oK.5 V r:
2) Exterior Painting: Siding Shutters Doors _Trim Other: Fitt wt J a' ff
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: rok
Please type or print legibly: (� • /
Address of proposed work: •� �o G' G < .' Mau o ,-t Map/Lot # /Z. 2 G Z
5
Owner(s): �r..vv 4, Ale
iJ f�jrc4- �rasv'►ra� 10-trot ok.Phone#:S��S—��-S3 p�(tv+�
All applications must be submitted by owner or accompiTnied by letter from owner approving submittal of application.
Mailing address: 19 V• Box 2 37 Year built:
Email: F C #ZS @ A C k er s. /1 . a r- Preferred notification method: Phone r✓ Email
Agent/contractor: L,o.j c.P k _ -p c K Phone #: 3-0� 3 C 4 " 3 ` f 7
Mailing Address: ! Sv / u f 4 v L o ri O 2. C.
Email Preferred notification method: Phone `� Email
Description of Proposed Work:
F0-0 f S/Q�rf.
ti IQ<< t✓x: sz l•o•J
h tw r0 rt� S4 4; rs
Signed (Owner or agent):
Data: 40o L L C. -
➢ Ownerloontractodagent is aware that a permit Is required from the Building Department. (Check other departments, also.)
➢ If application is approved, approval Is subject to a I0-day appeal period required by the Act.
➢ This oartlkate is good for one year from approval date or upon data of expiration of Building Permit, whichever date shall be later.
➢ All new construction will be subject to inspection by OKH. 0KH-approved plans MUST be available on -aft for framing & final inspections.
Rcvd Date: Q �'
Amount �tci r
CashlCK 0:
Rcvd by: L4 Sr
45 Days: � 6 17 1 dam%
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
28—A111
APPLICATION #:
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME
WAIVER
Please sign and date this form
Application #:
2 6 - A 1 1 1
Project Address: 2-60 124� 6A
Application Received Date: of yj.6
45 Day Decision Deadline:
ED
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SEP 0 1 7fi16
Old King's fi ghway
Historic Distract
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:
I ?t• �n�- 5�--110S
Date: 4 L e-- Signed:
Owner
Owner
;!
Contra. or/Agent
2 6- A 1 1 i . 1,
GENERAL SPECIFICATION SHEET
Protect Address:
FOUNDATION: Material: C• n c rt. f c. I P f r s _ Exposure (Not to exceed 180): Cokea 4 lie J
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7/12 min) Height to Ridge: Color:
SXNRG-. Material/Style: Front: W Sides1Rear. V y rva vc / xCa COLOR CHIPS
Color. Front: VAlle. , ,• Sides/Rear: �► �� e.
TRIM: All windows & doors to be trimmed with:
Material:
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty:
GARAGE DOORS: City:
1x 4 1x6 (Circle one.)
Color: n
Color 07,i� �' D
�� j
SEP 0 Z ZQZh
Material: Color.
1 r�.l�'��.. �� HighwayMari: Style: Calar.—ristonc District
WINDOWS: , /side:: Front: Lett; Right:
Manufacturer/Series:
Rear: Color:
Material:
Grilles (Required): PatteM (8/6, 2/1, etc.) Grille TWO: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: Mart Style: Paneled Louvered
Color:
Color:
SKYLIGHTS: City: Fixed Vented Size Color
DECK: Size: Decking Marl: Color
Railing Mari: Style:
WALLSIFENCES" (Max W height): Height: I Marl:
Color:
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: Qty: Style: Color:
Location(s):
LIGHT POSTS: City: Material: Color:
Location(s):
Additional information: f 0( stair! �tw
vardL 0",44(S ,01 �14r✓S rf o ctct /iz.d( rot- f-tSis
40 /i.* (�. 4J hr .
Aat014,4 q e�
too r 4od,r45, 3l1►,O- vrRej $ ere.`L-t
'If aA'seo{ �r•t •.Gsi4al) 6.66k.,
ono A,'k fr- -,
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q ra. y gp e�te'
APPLICATION #:
2 6 - A 1 1 1
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: \ia+r'rvpt4i AA ,J 6(nu U4 -Pv-e h!cj ��ry ,►�4a+-�
Property Address/Location: Ade OaAe- 611-
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:
Old Kino's Highway
Historic District
S 3/3
1 l.531 �
22 1531,5-
& oven
22 o If 4 W
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Application #:3
6.2010 3
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Historic District
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PURCHASE ORDER/QUOTE
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Old r,,inj ---. i-•iighway
Historic District
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