22-A051 13 West Great Western Rd10 TOWN OF YARMOUTH
RECEIVED
IT" 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 --l=ax (508) 398-0836
APR J ?� KI' G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARMUOI t7
OLD KING'S HIGHWAY APPLICATION FOR
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 comes OF SPEC SHEET(S), ELEVATIONS PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That A I Indicate type of Building:Commercial ✓ Residential
1) Exterior Buildin Construction: New Building II Addition Iterations Reroof DGarage
Shed Solar Panels Other:
2) Exterior Painting: IISiding Shutters n Doors ❑Trim IIOther:
3) Signs/Billboards: D Ne n Change to i ting Sign
4) Miscellaneous Structures: Fence Wall Flagpole IIPool IIOther:
Please type or print legibly:
Address of proposed work: 13 West Great Western Road Map/Lot #� V� 176.)
Owner(s): Daniel & Kristen Keller Phone #:508-398-6896
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Same as above Year built: 1978 +/_
Email: stick1970@comcast.net Preferred notification method: _ Phone Email
Agent/contractor: Self
Phone #: 508-737-0062
Mailing Address: Same as above
Email: Same as above Preferred notification method: 1:1 Phone Email
Description of Proposed Work:
Add 2 doghouse dormers to main roof of house and also a 34'x 8' covered farmers porch.
Signed (Owner or agent): ZL "
Date: L,
➢ Owner/contractor/agent ieaware that a permit is required from the Building Department. (Check other departments, also.)
If application is approved, approval is subject to a 10 -day appeal period required by the Act.
➢ 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.
For Committee use only:
Rcvd Date: YO,
11
Amount _ , w
Cash/CK M as I
Rcvd by: Lq 5
45 Days:
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
APPLICATION M ����I
z°p TOWN OF YARMOUTH
o y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-4836
_J
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45 -DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared
National and State public health emergencies the determination of our Application for a
Certificate of Appropriateness/Dcmoiition/Exemption may not be made within 45 days of the
filing of such application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 Meetings, Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (45) days
after the filing of application, or within such further time as the applicant shall allow in
writing, the Committee shall make a determination on the application. "
Applicant understands that the review of this application will be scheduled as soon as the
situation allows.
Applicant/Agent Name (please
Applicant/Agent signature:
312020
Daniel Keller
C—l
R� 1E� 1� 1iED
APR 14 2022
YAHMOUTH
Application #:
Date:4/ 1 1 X22
GENERAL SPECIFICATION SHEET
Proiect Address:
FOUNDATION: Material: Sono Tubes Exposure (Not to exceed 18"):
CHIMNEY: Material/Color. GUTTERS: Material/Color:Aluminum / White
ROOF: Material: Asphalt Pitch (7112 min)See eIVS Height to Ridge: Color: match existing
SIDING: Material/Style: Front: Sides/Rear: Cedar Shingles COLOR CHIPS
Color: Front: Sides/Rear: Natural
TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one.)
Material: Azek Color: White
DOORS: Qty: Material: Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'l: Style: Color:
WINDOWS: !side:: Front: 2 Left: Right: Rear: Color: White
Manufacturer/Series: Anderson 400 Material: Vinyl
Grilles (Requlred : Pattern (616, 211, etc.) 616 Grille Tvae: True Divided Lite:
Snap -In: I— Between Glass: ✓ Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Calor:
SHUTTERS: Mat'!: Style: Paneled Louvered Color:
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size: 8' x 34' Decking MatT.5/4 x 6" pt Color:
Railing Mat'I: none Style: Color:.
WALLS/FENCES* (Max 6' height). Height: Mat'I:
ECEIVED
APR 1 4 2022
YAKMOUI H
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: Qty: Material: Color:
Location(s):
Additional information:
2 -General
APPLICATION #:���
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Applicant's (Owner) Name:
Property Address/Location:
ABUTTERS' LIST
Daniel & Kristen Keller
13 West Great Western Road South Yarmouth
Hearing Date: May 9th 2022
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. 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:
kE—CEIVED
APR 14 2022
YAHMOU I H
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TO THE BEST OF MY INFORMATION,
KNOWLEDGE, AND BELIEF THE
STRUCTURES SHOWN ON THIS PLAN
HAS BEEN LOCATED ON THE GROUND
AS INDICATED.
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"PROPOSED" PLOT PLAN
YARMOUTH, MASS.
LOT 1,PL. BK. 576/18
DATE—3/4L2022 SCALE 1" = 40'
JOB 6996-00 CLIENT KELLER
YjI2022 �� SWEETSER ENGINEERING
203 SETUCKET ROAD
DATE PROFESSIONAL LAND SURVEYOR PB BOX 713 SOUTH DENNIS, MA 02660
OFF. 508-385-6900 FAX. 508-385-6991
C. l 58 l PRBJ 1 6996-00 l dwg l 6996-PPP-POOLI. dwg 0 2022 SWEETSER ENG.
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