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26-A117 52 Amy Lane
TOWN OF YARMOUTH "Pill 1119 9R ° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 SEP 2 3 7m OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE Highway 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 copleS OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial lY Residential 1) Exterior Building Construction: New Building Addition-)94lterations Reroof 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: 123110 Please type or print legibly: per,/' '�[ Address of proposed work: S �''� 1 .J J' L Nap/Lot # Owner(s): �, (�r C/.< 4 'q A � h %� at' H —Cf O 2 Z [ Phone* 5-09 %t/p All applications must be submitted by owner or accompanied by letter from owner moving submittal of application. Mailing address: S Z' �y Li V&-M 0%4 I(P0f /'��I dz'67�ear built: 19%a Email J S �e i1't C45'r-. Preferred notification method:y Phone Email Agent/contractor: Mailing Address - Phone #: Email: Preferred notification method: Phone Email Description of Proposed Work: -} I g k�2 or Signed Owner a en i • C' �`'� y' cx Date: g ( Ownerlcontractor ent is aw re that a permit is required from the Building Department. (Check other departments, also.) D If application is appr proval is subject to a 10-day appeal period required by the Act. D This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later. D All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections. For Committee use on Rcvd Date: q12> a ' Amount ('Od . Qi Cash1CK #: Rcvd by: I403.5- Lr �k 45 Days: ti r'7 (iL& Date Signed: Approved Reason for Denial: Signed: Approved with Modifications Denied 6-A117 APPLICATION M TOWN OF YARMOUTH 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 TIMEFRAMEPDi WAIVER Please sign and date this form sFla z 3 zazs Old King's Highway 6 — A 1 Historic District 1 Application #: . Project Address: 5-2 Lv\� rAOQ Application Received Date: gi73� 45 Day Decision Deadline: 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: Signed: �Y /-— O ner Owner Contractor/Agent 2 6— All 7 ��:; GENERAL SPECIFICATION SHEET ddress: r2- Apo- y Le9yI e j�Muw FOUNDATION: Material: Exposure (Not to exceed 18°): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: Pitch (7/12 min) Height to Ridge: Color: SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS Color: Front: Sides/Rear.- TRIM: All windows & doors to be trimmed with: 1x 4 1x5 (Circle one.) Material: n Color: DOORS: Qty: Material: tea wttfd5"�e Color: ,AC44 ` Style/Size (if not listed/shown on elevations): S ( /1 �04 d"'W 12 W 1 _e" f d [ t y kJ5 STORM DOORS: Qty: —L Material: 410 VA I r 14A- Color. GARAGE DOORS: Qty: Mat'I: Style. Color: WINDOWS: (side:: Front: Left: Right. Rear. Color: Manufacturer/Series: Material: Grilles (Required): Pattern (6/6, 211, etc.) Grille Type: True Divided Lite: 0 Total eclipse Ll`nyx Snap -In: Between Glass: Permanently Applied: Exterior Interior � Jiiu 2c STORM WINDOWS: Qty: Material: SHUTTERS: Mat'I: Color. - Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking MatT- Color Railing Mat'I: Style: Color: Si:p 2 3 WALLS/FENCES' (Max 6' height): Height: Mat'I: 2�2fi Style: Color: '"`i Kinq'{, Highway (Show running footage & location on plot plan.) "Finished side of fence must face out from fenced,T area ISIoriC D15tnCt UTILITY METERSIHVAC UNITS: Location: LIGHTS: Qty: I Style: Location(s): LIGHT POSTS: Qty: _ Location(s): Additional information: Screening: Color: Material: Color 12 61 5 PPLIC 1O # 7 TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: 3eO�' 4-s LomY � o L Property Address/Location: J% Hearing Dater 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: 7R,,-E,M 5F? 2 3,1026 Old K;rigs Highway Histonc District lLts39 r �3 ?q lq5�3 �3 LiS3.s t 12 P3 --i f l ` ft;-X Application #2 6- Al 1 7 }` S£P 2 3 20214 Old Kings Highway.: ti Histohc District i,yt.rv']1�i5i,'P'ry `•�'C:ti....sx++r,K3'6CR,�P�bY'.i..``-.'A,+i'�rT1'�^A�.•" a ..tt�rty�-•rrYlvapryt7.r•-•y1Y!CyI` 7 t cp P. 28'1�� 01a K;,ng's Highway Historic Distri, iI _ v¢Aio.v •�z�*� a ,c��•�o�i �oA;y" .Z f rG'��BY C�,�rJFY 7-Nf77 T"42- 8C/11.DJ.VG. t4e o(t/ 7'Ni J� GOC.g7'C-0 01" 7�(4/� is A • ' S�,:o w.v .vmroc2Av A*.vD 774o 7r � T Ltt1 OF :t )1* 'AV. 7t7`t%LJ o� ,.� - Lam— � ILRi�tE f�•.l�.V • CC.bt/9T.etJG TLC a. �•rr � , ,, - .., FxI':'.. �- ;'� - - • .: -. Qj ran «�� en9i�rin9 � �- ',� •.--•' � �.; - -: . ,I0i vft 6A Y.�,E'MOGJT.YD r. 55. owsr� L 7 •` Ir•-Y� .* PrismaGuard;. Total Eclipse on,� 4 THERMAITTRU SU Old Kin Histc 0 PRISMAGUARD. 26-A1 17 RF REEK FINISH m rt 8 THERMANTW' DOORS PRismAGUARM 26-A117 Echelon Echelon provides 0 clear glass accented with eased angles and clean edges infused with elements of diamonds and triangles. PRIVACY RATING 0 A, Black Nickel Internal Blinds Internal blinds provide the privacy and convenience of a cordless blind enclosed between glass. A single -hand operator opens, closes and tilts the blinds to control the desired level of privacy and =fight. i 0 Single -Hand Operator © Privacy Bar Brushed Nickel Brass Privacy & Textured Glass REEDED Privacy Rating: 7 -4 .j CHINCHILLA Privacy Rating: 10 Also Available: Low-E & Clear Glass Screen Vented Screen vented lites offer a built-in screen for ventilation, featuring a gliding operation and sash locking system. Old King's Highway Historic, District SATIN ETCH CHOPO Privacy Rating: 10 P,pi4acy Rating: 10 Ir RAINGLASS GRANITE Privacy Rating: 8 Privacy Rating: 10 2 6 - A 1 1 7 Quote Form FAIRVIEW MWK S YARMOU LBM #857 2g © 49 WHITES PATH D=\\) C CSOUTH YARMOUTH MA 02664 508-394-2219 an I I I 3B B brand IProject Information (ID #10578031 Revision #15147637) um, Project Name: JACK LOMBARDOZZ Quote Date: 8/20/2026 Customer: Submitted Date: Contact Name: PO#: 52 AMY LANE Phone (Main): Phone (Cell): Sales Rep Name: Tyrone Gracia Customer Type: Salesperson: TYRONE GRACIA Terms: I Delivery Information Wft I Shipping Contact: Comments: Shipping Address: City: State: Zip: Unit Detail Item: 0001: Ext 12" / 36" / 12" x 80" 52000SL-LE / S754oXN-SOLF1 / S200GSL-LE iHl 4 9/16" Location: Quantity: On -Guard Primed 1 Exterior View r.�,�,C Interior View Smooth Star 36"x80" Single Door w 2 Sidelites 6,278.31 Black Nickel Trim Kit 184.36 SILL PAN KIT 4-9/16 X 6/0 127.14 Century - FE489 Wifi Deadbolt with Handleset 807.14 Configuration Options v& SFP 2 3 2026 e Product Category: Exterior Doors Old Kings Highway • Manufacturer: Reeb - Smooth Star Historic Distract • Product Material: Smooth Star Fiberglass • Material Type: Smooth Star • Product Type: Entry • Brand: Therma-Tru • Configuration (Units viewed from Exterior): Single Door w 2 Sidelites 2 6 - A 1 1 7 • Sidelite Vent: Venting • Reeb Finish: Yes Unit • Unit Construction: Continuous • Slab Width: 36" F3L=OR Lefl_HwW ksw$ • Slab Height: 80" sire Both sides • Product Style: 3/4 Lite • Glass Type: Privacy Generate • Glass Style: Granite NFRC Label • Glazing Type: Flush Glazed • Insulation: Insulated Glass • Grille Type: SDL Shaker Profile • Model: S754OXN-SDLF1 • Grille Material: Therma-Tru High Heat Composite SDL • Finish Door Exterior Color: Total Eclipse • Finish Door Interior Color: Alaskan Storm • Sidelite Product Material: Smooth Star Fiberglass • Sidelite Material Type: Smooth Star • Sidelite Width:12" • Sidelite Height: 80" r • Sidelite Style: Full Lite _a L • Sidelite Glass Type: Clear • Sidelite Glass Style: Clear SEP 2 3 7_UZb' • Sidelite Glazing Type: Flush Glazed • Sidelite Insulation: Low E Old KirVs Highway • Sidelite Grille Type: None Historic District • Sidelite Model: S2000SL-LE • Finish Sidelite Exterior Color: Total Eclipse • Finish Sidelite interior Color: Alaskan Storm • Screen and Track Finish: White • Frame Material: On -Guard Primed • Include Matching Cortex Hidden Screw System: Matching Cortex Plugs • Finish Frame Exterior Color: Alaskan Storm • Finish Frame Interior Color: Alaskan Storm • Handing: Left Hand Inswing • Casing/Brickmould Pattern: Flat Casing • Casing/Brickmould Type: 5/4 x 4 On -Guard Prime • Ship Casing/Brickmould Loose: Yes • Hinge Type: Radius x Square (Self Aligning) • Hinge Brand: Therma-Tru • Hinge Finish: Oil Rubbed Bronze • Trim Kit Finish: Black Nickel • Jamb Depth: 4 9/16" • Sill: Composite Adjustable • Sill Finish: Bronze Finish w Dark Cap 2 6 - A 1 1 7 .1 • Lock Option: Entry Lock • Bore: Double Lock Bore 2-3/4" Backset • Application: Entrance Handieset Combinations • Series: F Series • Function/Configuration: Active Door Only Lock and Trim • Design: Century - FE489 Wifi Deadbolt with Handleset • Lock Finish: 622 US1D BLACK, Matte Black, Clear Coated • Lever/Knob: Century x Latitude • Lock Handing: Left Hand • Keyed Alike: No • Strike Jamb Prep: Schlage/Baldwin Standard Prep • Weatherstrip Type: Compression • Weatherstrip Color: Bronze • Kick Plate: None • Sill Cover: No • Sill Pan: Yes • Rough Opening Width: 65 13/16" • Rough Opening Height: 821/2" • Total Unit Width(Includes Exterior Casing): 7011/16" • Total Unit Height(Includes Exterior Casing): 84 7/8" • Energy Star Zone: Not Qualified • CPD: THC-M-5-04147-00001 • U-Factor:0.28 • Solar Heat Gain Coefficient: 0.3 • Visible Transmittance: 0.32 • Air Leakage: <=0.3 SEP 2 3 2026 Old Virg 1-4fighway Historic District Item Total: $ 7,396.95 Item Quantity Total: $ 7,396.95 Item: 0002: Location: Quantity:1 3069 MAX VIEW ENT CHNG 150FX LOW E BLK 591.50 HDWE QUICKFIT STRAIGHT HDL MATTE BLK 61.29 Exterior View Configuration Options am • Product Category: Storm and Screen Doors • Manufacturer: Larson • Item: Storm Door • View: Full View 2 6 - A 1 1 7 • Glass Type: Low-E Glass • Screen Type: Interchangeable • Slab Wide: 36" • Slab Height: 81" • Style: Maximum View + Storm Door Model:150FXE • Frame Thickness: 15/8" • Model Color: Black • Storm Door Model and Color:150FXE-BL • Hardware: Matte Black - Straight • Model:150FXE-BL-SMB TINNMANW SFP 1 3 2024 Old Kdng's HEgNway Historic District Item Total: $ 652.79 Item Quantity Total: $ 652.79 Unit Summary Item Location Description Quantity Unit Total Price Price 0001 Ext 12" / 36" / 12" x 80" 52000SL-LE / 57540XN- 1 $ $ SDLF1 / 52000SL-LE LHI 4 9/16" On -Guard Primed 7,396.95 7,396.95 0002 1 $ 652.79 $ 652.79 SUBMITTED BY: ACCEPTED BY: DATE: 91 .-31 F� 0 SUBTOTAL: $ 8,049.74 TAXES (6.25 %): $ 503.11 GRAND TOTAL: $ 8,552.85 Therma-Tru Energy Star Charts ■ Additional Information: I understand that this order will be placed according to these specifications and is non- refundable. All products are unfinished unless otherwise specified and should be finished as per the 26-Al17