23-A124 70 West Great Western Rd Approvedi
TOWN OF YARMOUTH�:
ti ,r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4461 °=1 f �' " :�� .... i i
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
REE,11FIG'S HIGHWAY HISTORIC DISTRICT COMMITTEE
S E P 2 0 2{l23 APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
Application is 6re6y :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:'-7 4-4/ (�" �"'�' ^-" —
Address of proposed work: ! C.64// Map/Lot # 107 1-;?`Lz
Owner(s): GZ-t i Z Cl�'f-�� �r5� LI�G� f Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing addresss:' DY `J 9a , 'D e-'-' r ; S Al L ^�L 0a132Year built: / e-&J
Email: �Q'�-�' s OU�� a . C��" Preferred notification method: Phone Email
r 1
Agent/contractor: �' t— Phone #: SDI .�
Mailing Address: P 4, 0a 6.9 ,5
Email:
Description of Proposed Work:
Preferred notification method: Phone Email
wiet
h ors e .
Signed (Owner or agent):�Date: q 20 a d a
➢ Ownerlcontractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
➢ If application is approved, approvak 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:
Amount
Cash/CK #: 3)
Rcvd by: C c 5.
45 Days: (I H
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
TOWN OF YARMOUTH
N max" OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-223 l 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 --7 0 [NQ± 61eel j/{ u'r^rn
Map/Lot { 06( CIA # A ;)q 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 the issuance of an Occupancy Permit or final
inspection approval.
I have read and understand the above statements.
Date: Signed:
APB ONI � (Owner/Contractor/Agent)
OCT 11 Z023 � C
Signed:
^ YAIIM U T l WAY (Chairman, Old King's Highway Committee)
HAOKH COMM ITTFFYApplicadcn Forms\Statement of Understanding 2015_docx
Updated 12,2015
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
Application #
Project Address:
45-DAY TIMEFRAME
WAIVER
-70 V e. 6 Ve VA5kel nn V`
Application Received Date
45 Day Decision Deadline
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:
5k-od
Date: �;;z o 3� Signed:��Zf C67— -C �71C/
Owner
FMCF:i ED
SEP 2 0 2023
Y AHVIUl1 I Y
Owner
Contractor/Agent
TOWN OF YARMOUTH
APPROVE®
OCT 11 2023
Y HHiviUU1 �-,
23—,41 >q
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE
GENERAL SPECIFICATION SHEET
Project Address: %e) w `es -/- Gre c4
FOUNDATION: Material. (,-oyiC-'"e Te— /-�/OG/� Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: a Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front: �� r, e �� ���`lSides/Rear: C le - bo e- cf COLOR CHIPS
Color: Front: Sides/Rear: U ✓X--,
TRIM: All windows & doors toLe trimmed with: 1x 4 1x5 ircle one. �L
Material: Color:
DOORS: Qty: �_ Material: Color:
f� � � /t✓ �`-'T v
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
GARAGE DOORS: Qty: Mat'i:
WINDOWS: Q !side:: Front: Left:
M anufacturer/Series:
Grilles (Required): Pattern (616, 211, etc.) _
Snap -In: Between Glass
Color:
Style: Color:
_ Right: Rear: Color:
Material:
_ Grille Tvoee: True Divided Lite:
Permanently Applied: Exterior Interior
STORM WINDOWS: Qty: Material:
SHUTTERS: MatT Style: Paneled Louvered
SKYLIGHTS: Qty: Fixed Vented Size
Color:
Color:
Color:
DECK: Size: Decking Mat'I: Color:
Railing Mat'I: Style: Color:
WALLSIFENCES* (Max 6' height): Height: MatT
RAC Fn
SEP 2 4
)LD KING'S HIGH1NaY
APPr4 VED
Q C T 1 1 2023
(AF- JWOU7,
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 '23—
APPLICATION #: _
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Ll e,
a^o�
�
C ZAlcel+
Property Address/Location:
Vts"
&,(ez+ VV16Y�&Vyl
VLI'�
Hearing Date:—( q It 1,23
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:
RFCF1VED
SE P 2 0 2023
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OCT 11 Z023
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Application #:
8.2018 3
n�}°��X"��a TOWN OF YARMOUTH
o 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
1091 791 ! 1
DAVENPORT DEWITT P TRS
DAVENPORT REALTY TRUST
20 NORTH MAIN ST
SOUTH YARMOUTH , MA 02664-3150
1091 11.11 ! 1
MILBERG SIMON O TRS
MILBERG BONNIE J TRS
77 NORTH DENNIS RD
SOUTH YARMOUTH , MA 02664
1091 121 1 1
BURGESS DOROTHY I TR
925 FARMINGDALE RD
JACKSON , NJ 08527
1091 5.161 1 1
DAVIDSON BARRY TRS
DAVIDSON NANCY A TRS
11 DOVES WING RD
SOUTH YARMOUTH , MA 02664
1091 5.171 1 1 W--�
FIJOL JOHN J
FIJOL SHERYL J
19 WADSWORTH RD
SHREWSBURY , MA 01545
1091 5.181 1 1
TUANO PAULA J TRS
7 DOVES WING RD
SOUTH YARMOUTH , MA 02664
1091 12.11 1 !
STARBUCK CONSTRUCTION SRV
CIO ROYLE JENNIFER
90 NORTH WASHINGTON ST
BOSTON , MA 02114
1091 12.21 1 I
STARBUCK CONSTRUCTION SRVCS
176 SUDBURY LN
HYANNIS , MA 02601
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
70 West Great Western Rd., Yarmouth Port, MA 02675
Assessofs Map 109, Lot 12.2
Andy Wchado, Director of Assessing
September 21, 2023
RECRVED
SEP 2 2 2023
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APPROVE
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