22-A121 13 Willow Sreet ApprovedW11-1,11111
TOWNOF YARMOUTH
�/'� ��/ED 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
l� �+►Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836
`22@ ` 25.,m 0:37 RE
OCT 0 3 ' ING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARM(i0U"i'h APPLICATION FOR
} KING'S HIGHWAY
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 Addition Iterations Reroof Garage
�5hed []Solar Panels Other:
2) Exterior Painting: OSiding Sh tters 0 Doors ❑Trim IIOther:
3) Signs/Billboards: II New Si n Change to Existing Sign
4) Miscellaneous Structures: New
Wall OFlagpole
IIPool Other:
Please type or print legibly:
Address of proposed work: �f
`A + V � a�N ->* , ' O 1`ln Map/Lot #
Owner(s): V�� C✓t' �lv �+� Phone #: 1,15
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: IEW W6 M4, o2, � �' Year built:
Email: a L(wr" Ur Cn ar' At w,li�,I, 010'Preferred notification method: Phone Email
Agent1contractor:
Mailing Address:
Email:
Description of Proposed Work:
Signed (Owner or agent):
Phone*
Preferred notification method
Date:
Phone ��Email
Owner/contractor/agent is aware 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.
v 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: I [? 3, 1 ;a
Amount fi,iJl%
Cash/CK
Rcvd by: S,
45 Days:
Approved Approved with Modifications Denied
Reason for Denial:
Date Signed: i C 12 Z2,
APPLICATION #: �,A I '�L i
TOWN OF YARMOUTH
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 13 w I low 5+rte*
Map/Lot 1 CIA # �-Ai :>l Approval Date: d
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 statem nt .
i
Date: r -� Z Z Signed:
A RO � �1, /
{ o I
OCT 2 4 2022
�igned: � � ,-
�InIr,q - _
YARMOUTH Chairman; rns Highway g y Old ' Hi hCommittee
HHiGHWAY � {IG
HAOKH COMMITTEE Application Forms\Slatement of Understanding 2015-doox
Updated 1212015
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0936
OLD KING'S HIGHWAY HISTORIC DISTRICT COMNUTTEE
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}: My No
Applicant/Agent signature:
CF, .—
OCT o 3 2022
YARMOU.'1r1
312020
Application 4:
Date:
APPRO ROVED
O C T 2 4 2022
YARMOUTH
SIGN SPECIFICATION SHEET
Pro'ect Address: Year Built:
Check one: New Sin Addition/Alteration g to Existing Sign COLOR CHIPS
Freestanding Affixed to Building
For Affixed Signs:
Style of mounting fixture: '4r- e.II A ; Color: 1 t V�f- d V- -hlk-,
� r
Size of sign: �t Z Material: CA VIA
Lettering: Style
Color(s):
Please note sign placement on elevation(s) and attach full -color mockup(s) of proposed
sign(s) including artwork and colors.
For Freestanding Signs:
Style of signboard: uu Material 66 v1f% Via'
Size: �7-+� + r N,.. -1 z� �� Color(s): Lettering: Style Style Color(s): 6kuer
Posts: Material Ga;�r,�,c,. _ Color(s): Vv�l►�-- T_
Height to crossbar (not two exceed 6'): Single -faced: Double-faced:
Please note sign placement on plot plan and attach full -color mockup(s) of proposed
sign(s) including artwork and colors.
For All Signs:
Lighted: —0—Yes No
Type/placement of lighting:
Screening of Lights:
Additional information:
� E►
RECE
O C T 0 3 2022
YA.Hmou-i r-,
APPROVED
O C T 2 4 2022
YARMOUTH
2-Sign
APPLICATION #:��1�1
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: �`' �1i�y�1 St W w-7��.
Property Address/Location:
Hearing Date:
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.varmouth.ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
RECEIVED
OCT 0 3 2022
YAHM001! h
APPROVED
OCT 2 4 2022
YARMOUTH
Application #: ;91AI.-)f
8.2018 3
1211 21 1 1
GEORGE CHRISTOPHER S
GEORGE MARY C
56 ROUTE 6A,
YARMOUTH PORT, MA 02675
1211 981 1 1
ROUTE 6A YARMOUTHPORT LLC
C10 RON PFENNING MILL LN MGT INC
231 WILLOW ST
YARMOUTH PORT, MA 02675-1744
1211 971 1 1
ROUTE 6A YARMOUTHPORT LLC
C10 RON PFENNING MILL LN MGT
231 WILLOW ST
YARMOUTH PORT, MA 02675-1744
1211 991 1 1
STARKEY ALBERT W
STARKEY SUSAN D
55 ROUTE 6A
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
13 Willow St., Yarmouth Port, MA 02675
Assessors Map 121, Lot 97
Andy Machado, Director of Assessing
October 12, 2022
APPROVED
O C T 2 4 2022
YARMOUTH
RECFIVED
O C T 13 2022
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OLD KING'S HIGHWAY
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OLD KING'S HIGHWAY_
APPROVED
OCT 2 4 2022
YARMOUI Fi
OLD KINGS HIGHWAY
Dunn & Sons
Store
Willow Street
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Just Pickett!
Dunn & Sons
Just Picked
Store
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Sign On Front
of Dunn & Sons
It13 Willow St, Yarmoutt
Port, MA 02675
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Dunn & Sons
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