23-A124 70 West Great Western RoadTOWN OF YARMOUTH
C
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836
REORYInG'S HIGHWAY HISTORIC DISTRICT COMMITTEE
SEP 2 4 2M I APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
I rf�141V ,
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 Apply_ Indicate type of Building: Commercial -/— Residential
1) Exterior Building Construction: New Building
Shed Solar Panels Other:
2) Exterior Painting: Siding Shutters Doors Trim Other:
3) Signs/Billboards: New Sign Change to Existing Sign
Addition _Alterations Reroof Garage
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:: /� 5.f y/eyvma
Address of proposed work: / 0 \J�4 V r'r°4 ��� ��'} Map/Lot # d 9 /L%`a•
Owner(s): Gt-'t ��t-R`� �f5 GvG� /- ,� Phone #:\�- 0T T
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: r/2> ak ID en r -, s P" L A'k 0 �)/3gYea r built: 'V 'GZ4--)
Email: C, /- pyklaekn Cv"' Preferred notification method: Phone Email
Agent/contractor: e-I-If— Phone#:
Mailing Address: I`' v /K� �� ��� ���� �s ��_'_L_ .�� Qa 6 9 c1
Email: Preferred notification method: Phone Email
Description of Proposed Work:
/N
Signed (Owner or agent): Gam` -```vt - 7� Date: a� ?
➢ Ownerlcontractorlagent 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.
➢ 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: 41
Amount 2 ' w
CashlCK #: 313�
Rcvd by: L ' S'
ti!
45 Days: (t
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with Modifications Denied
APPLICATION #: 93-A I `
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Application #:
93-Alm
45-DAY TIMEFRAME
WAIVER
Project Address: -70 VtVe
Application Received Date:g(7012-3
45 Dav Decision Deadline: I I/ (;�-3
I/We, 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:
S5k VJ
Date: O-� Signed: Ca -
Owner
REC ��1�
Owner
SEP 2 p 2023 Contractor/Agent
Y Ah !YIUU I r
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE
GENERAL SPECIFICATION SHEET
Project Address: le-1
FOUNDATION: Material r6Q0C--r-4-'
T /�/DG�� Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material 1,et Pitch (7112 min) Height to Ridge:
SIDING: Material/Style: Front: Pi A-e ( `�d4,`lSides/Rear: C /ez- bd c- v
Color: Front: Sides/Rear: A e&- U +�
TRIM: All windows & doors to eettrimmed with: 1 x 4 1 x5� ircle one.
Material: Color:
DOORS: Qty: I Material: Dim _ Color:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'I:
WINDOWS: Q !side:: Front:
Manufacturer/Series:
Color:
Style: Color:
Left: Right: Rear: Color:
Material:
Grilles (Required): Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: Between Glass: Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT
SKYLIGHTS: Qty:
DECK: Size
Style: Paneled Louvered
Fixed Vented Size
Decking MatT
Railing MatT. Style:
WALLSIFENCES* (Max 6' height): Height:
Mat'I:
Color:
Color:
Color:
Color:
Color:
Color:
COLOR CHIPS
1FCF --
SEP 2 0 ?02 ,
fAhivlvu i r,
Style: Color:
(Show running footage & location on plot plan.) *Finished side of fence must face out from fenced in area.
UTILITY METERSIHVAC UNITS: Location:
LIGHTS: Qty: Style:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Screening:
Color:
Color:
2-General ,�.� -A,
APPLICATION#: 9� / t�"i
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Li d
ay)�
py'A ,-A
C ?,�CW+
Property Address/Location:
kt�
&,(et ' VVN63+&VA
vf,�
Hearing Date: I q 'I 13-?i
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:
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10
103`t3Y
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Application #:
8.2018 3
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