22-A051 13 West Great Western Rd ApprovedR��' c TOWN OF YARMOUTH
�, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
APR I OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARN— -
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 copies 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 Z Addition
It Reroof IIGarage
OShed Solar Panels Other:
2) Exterior Painting: IISiding Shutters 0 Doors ❑Trim 70ther:
3) Signs/Billboards: O New Si n Change to Existing Sign
4) Miscellaneous Structures: Fence Wall OFIagpole Opool IIOther:
Please type or print legibly:
Address of proposed work: 13 West Great Western Road Map/Lot # $ 10
(�
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
Email: stickl970@comcast.net
Agent/contractor: Self
Year built: 1978 +/`
Preferred notification method: 0— Phone Email
Phone #: 508-737-0062
Mailing Address: Same as above
Emall: Same as above Preferred notification method: Phone 1:1 Email
Description of Proposed Work:
Add 2 doghouse dormers to main roof of house and also a 34' x 8' covered farmers porch.
MAY 0 9 2Q22 JA.�R-- ,'li l Hr lift Ci,�F,IR
YARMOU7'H
L OLD KING'S HIGHVv��. .31
Signed (Owner or agent): Date:
y Owner/contractorlagent 4aware 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. I
This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
r Ali new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections.
Rcvd Dale: f J,2
Amount LL}
Cash/CK #: 19201
Rcvd by: L1 31
45 Days:
Date Signed: ? y Lv Z
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
APPLICATION #: cD ,A)5 1
°� Ye TOWN OF YARMOUTH
r OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at I �/�%r�- z} �,>,/��-}�P�/l� �4cl
Map/Lot 76, 1 CIA # ���_ 6_0 5-) Approval Date:
I certify that I understand the following requirements regarding any changes that may
be required for this project:
In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the filing of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
colors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification to and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writing on the appropriate request form, which may be obtained from the OKH office.
All change approvals must be obtained before incorporating the change into the
project.
If the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop -work order or delaying issuance of an Occupancy Permit or final
inspection approval.
I have read and understand the above statements.
Date: � `1 20 2-2-- g Si ned:
A;Pc {Owner/Contractor/Agent)
MAY 0 9 2022 ' y
Signed: w
vi FitvlUU..I (Chairman, OI' King's Highway Committee)
H;1OKH COMMITTEE1Applicalion Forms551alement of Understanding 2015.eocx
Updated 17212015
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
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/Demolition/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 print): D a n i e l Keller
Applicant/Agent signature: Date:
4111122
ECE IV GD
APR 14 2022
YARMOUTH
312020
APPROVED
MAY 0 9 2022
YARivivu i I-;
Application #: �,A1351
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Applicant's (Owner) Name:
ABUTTERS' LEST
Daniel & Kristen Keller
Property Address/Location: 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 Ma 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:
EC—E-IVED
APR 14 2022
Y AHNIOu 1_H
Kp--P�00�vl
MAS � y 2022
109 76.1
109
76.2
109
76.3
OW
109
17 ✓
pig
Application #: �D'Nsi
8.2018 3
1091 171 1 1
MILLEY BRANDON J
16 WEST GREAT WESTERN RD
SOUTH YARMOUTH, MA 02664
109/ 76.11 1 1
KELLER DANIEL A
KELLER KRISTEN M
13 WEST GREAT WESTERN RD
SOUTH YARMOUTH, MA 02664
1091 76.21 1 1
LINGIS MARY
23 WEST GREAT WESTERN RD
SOUTH YARMOUTH, MA 02664
1091 76.3/ 1 1
SMITH KELLIE A
WOODWARD JOSEPH L
9 WEST GREAT WESTERN RD
SOUTH YARMOUTH, MA 02664
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
13 West Great Western Road, Yarmouth Port, MA 02675
Assssow 1
Andy N49chado, Director of Assessing
April 21, 2022
APPROVED
MAY 0 9
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GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Sono Tubes Exposure (Not to exceed 18"):
CHIMNEY: Material/Color:
ROOF: Material: Asphalt
SIDING: Material/Style: Front:
Color: Front:
GUTTERS: Material/Color: Aluminum / White
(7112 min)See elVS Height to Ridge: Color: match existing
Sides/Rear: Cedar Shingles COLOR CHIPS
Sides/Rear: Natural
TRIM: All windows & doors to be trimmed with:
Material: Azek
DOORS: Qty: Material:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'l:
WINDOWS: /side:: Front: 2 Left:
Manufacturer/Series: Anderson 400
Ix 4 1x5 (Circle one.)
Color: White
Color:
Color:
Style:
Right: Rear:
Material: Vinyl
Color:
Color: white
Grilles (Required : Pattern (618, 211, etc.) 616 Grille Tvoe: True Divided Lite:
Snap -In: �_ Between Glass: ✓ Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: Mat'I:
Style: Paneled Louvered
Color:
Color:
RECEIVED
APR 14 2022
YAhMOUTH
APPROVED
MAY 0 9 2022
YARMou ; ,
SKYLIGHTS: Qty: Fixed Vented Size Color: OLb KIf�G'S H1GF
DECK: Size: 8' x 34' Decking Mat'1:5/4 x 6" pt Color:
Railing Mat'I: none Style: Calor:
WALLSIFENCES* (Max 6' height): Height: MatT
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:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
Color:
2 -Genesi
APPLICATION M
LAPR 14 2022 OAD a
YARMOUTH WAY N®v�D
D KINQ S HIGH STAR MA
T► � �� 0 9 2022
lfzVAT
171 7�� cs, OLD KING. OiJ i AY
SEST HlGHW
J� 13
•ff � !V
1�0.0g � N1 1
� m V
�V1 �
I �
�
LOT 1
44,050 f S.F.
1.011 f ACRES
PROP.\ 8' I
20.6 N l 1
AR
EXISTING D
CJECK
i 40,1
APPROX.
POOL
4
dti d�
N
S.A.S. LOCA TED
8Y 'OTHERS'
a
191.00
TO THE BEST OF MY INFORMATION,
KNOWLEDGE, AND BELIEF THE
STRUCTURES SHOWN ON THIS PLAN
HAS BEEN LOCATED ON THE GROUND
AS INDICATED.
1
Cl iN
V,I Lc x in
N3, 31341
l ; �-
"PROPOSED" PLOT PLAN
YARMOUTH, MASS.
LOT 1,PL. BK. 576/18
DATE 3/4/2022 SCALE 1" = 40'
JOB 6996-00 CLIENT KELLER
3 4 2022 SWEETSER ENGINEERING
203 SETUCKET ROAD
DATE PROFESSIONAL LAND SURVEYOR Po BOX 713 SOUTH DENNIS, MA 02660
OFF. 508-385-6900 FAX. 508-385-6991
C. i S8 1 PROJ 1 6996-00 1 dwg l 6996-PPP-POOL1. dwg 0 2022 SWEETSER ENG.
B
o
1d3,,
PUMP
Z -
HOUSE
1
GREENHOUSE
EXISTING D
CJECK
i 40,1
APPROX.
POOL
4
dti d�
N
S.A.S. LOCA TED
8Y 'OTHERS'
a
191.00
TO THE BEST OF MY INFORMATION,
KNOWLEDGE, AND BELIEF THE
STRUCTURES SHOWN ON THIS PLAN
HAS BEEN LOCATED ON THE GROUND
AS INDICATED.
1
Cl iN
V,I Lc x in
N3, 31341
l ; �-
"PROPOSED" PLOT PLAN
YARMOUTH, MASS.
LOT 1,PL. BK. 576/18
DATE 3/4/2022 SCALE 1" = 40'
JOB 6996-00 CLIENT KELLER
3 4 2022 SWEETSER ENGINEERING
203 SETUCKET ROAD
DATE PROFESSIONAL LAND SURVEYOR Po BOX 713 SOUTH DENNIS, MA 02660
OFF. 508-385-6900 FAX. 508-385-6991
C. i S8 1 PROJ 1 6996-00 1 dwg l 6996-PPP-POOL1. dwg 0 2022 SWEETSER ENG.
RIM
., t
IS
WA,
tC--EIVED
,SPR .1 4 2022.
YAFi[fOUiti
APPROVED
AY 092
OLD KING'S HIGHWAY