HomeMy WebLinkAbout26-A123 111 Merchant AveTOWN OF YARMOUTH
099
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 OCT 0 7 7.076
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE _
v,u rnii iU . Highway
APPLICATION FOR Histoft Distract
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 SHEET(5), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Catenories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition Alterations 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
Please type or print legibly:
Other:
Address of proposed work: P000' R 6 lot A& Map/Lot # � 3� /iULt
Owner(s): -Yoself 4-J9 U *tcc v. 'r" e—t; E r? Phone #:
All applications must be submltted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: i S M + f A'`r P'J e yw>rHr vTJ1 v4ckir m A 0267-y` Year built: I7"
Email: JIU K 6 `) a— C^ Nl A' t, . C D M Preferred notification method: Phone Email
Agentfoontractor:
Mailing Address:
Email:
Description of Proposed Work:
Signed (Owner or agent): / V f Z
Phone #:3IZ-Z05-7SS�
Preferred notification method:
Phone Email
Date: ?— 6
D Owner/contractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
D If application is approved, approval is subject to a t 0-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
All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing & final inspections
Rcvd Date: tUi 1bG
Amount 46+00
Cash/CK#: C�Sh
Rcvd by:
45 Days: i ?t
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial -
Signed:
2 6 — A 1 2
APPLICATION #:
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 TIMEFRAME
WAIVER
Please sign and date this form
Application #: 2 6 - A 1 2 3
Project Address: ( I I tWea 7e4
Application Received Date:
45 Day Decision Deadline
lb(17l)b
OCT 0 7 7076
Old King's Highway
Historic District
VWe, 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: 10r 4-l2 0 e C
Signed:
L—�-
(*Vner
Owner
Contractor/Agent
261A123
GENERAL SPECIFICATION SHEET
Project Address:
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: Color,
D
DOORS: Qty: �_ Material: F,' U11( CY1,455 Color:
I
6YCc-'�- 6/wgi C51w
Style/Size (if not listed/shown on elevations):
OCT 0 7 7076
STORM DOORS: Qty: Material: Color:
Old King, l lighway
GARAGE DOORS: Qty: MatT Style:
Color: Historic ❑1stdct
7si Left- Right: Rear:
Color: - 6�
Manufacturer/Series: Material:
Grilles (Required)- Pattern (6/6, 2/1 etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied:
Exterior Interior
STORM WINDOWS: Qty: Material:
Color:
SHUTTERS: MatT Style: Paneled Louvered
Color:
SKYLIGHTS. Qty: Fixed Vented Size
Color:
DECK: Size: Decking Mat'I:
Color:
Railing MatT Style:
Color:
WALLS/FENCES* (Max 6' height): Height: Mat'l:
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:
Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
'APPLICA of #2 3
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST OCT 7.�1h
Old Kirir" , 'Highway
Applicant's (Owner) Name: 1'i 2 � V2 VP ? -ra, 3t0ric District
Property Address/Location: 1.11 AV-P-
Hearing Date: (q ';b j Zb
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:
Application #:
8.2018 3
26-A123
/CO
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26--A123
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Old King s Hignway
Historic District