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Certificate of Appropriateness
Town of Barnstable �a a °rn FNrAq Old King's Highway Historic District Committee � �� 200 Main Street, Hyannis, Massachusetts 02601 'a`� " ✓ 16yay �� Telephone (508) 8624787, Email grayce.rogersLo)town barnstable meius y f� 4/ U4 ,' Pr H0.M1N'itt. APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made, with six (6) complete, colored sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 370, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: Date Map & Parcel I 1 _ -- Property Owner . / 0 (1/n �AeAm^ple amet Avin M � ller�}- Phone � r// - ✓(L � � J � t Street address )614 1 " WL h 1 ' +^ tai 5 � b��/ ice Email 1d hn �ernp 1e 660mCCsf'• Ile Village xr &sfA 61 V • Ila •e. W WSJ J Mailing address P © • 13d K 5200 t"vGl _ Signature Agent/Contractor1,fenen z1C1 U �"__-._....._._...�_._____._.-.�- Phone Qg - 2g Agent Address 1l 1JY M i d :RC h Uri I& VdPsI- I�r�� / , b 9' eayeasti Agent Signature �' � ).,� tP 73 _ %...-.w......_,,...._..,.�. If approved, the Certificate of Appropria eness expires one year from the stamped approval [late or upon the expiration of a Building Permit, whichever date shall be later. A one year extension may be requested, in writing, to the Old King's Highway Administrative Assistant at 200 Main Street, Hyannis, MA 02601 . This request must be received prior to the date of expiration. There is a 10 day appeal period plus a four day waiting period for all applications after which time your approval paperwork will be available for pickup and building permit sign-off. All applications are subject to meeting any applicable building code requirements, ,..,..,.._ New Build AdditiCkeckalleat�gorlesthat apply Residential . Building Construction - Commercial Type of Building House I XI Garage Barn F Shed Other Project Roof � Windows/Doors Siding/Painting El Solar E] Other i Landscape Feature 0 Fence _� Wall Flag Pole E] Pool E] Other Signs 0 New Sign Replace Sign E] Repaint Sign [:] Other Description of Proposed Work lt4gg L Ot% NlgW C4 gA t te RSjAn1� l�I�� DENIED for Coutruittee use only This Certificate is hereby APPROVED By a vole of Ave ?•lav Alsstain Date Members signatures Conditions of Approval S-�-c.� ice,j�5 ✓ . CERTIFICATE OF APPROPRIATENESS - SPEC SHEET CHIMNEY Material Color ROOF Make & style ___ _ __ --- --- ---- ---------- --- -- Color Roof Pitch (s) — (7/12 ntinimunr) - _'_---------___- - (specifj, onplansfor new building & nmjoradditions) Color atrrTru ---- - —.T.meLMaterial .... — — ------. -- — — --- — WINDOWS, DOORS, TRIM, SHUTTERS, SKYLIGHTS Window/Door Trim material Wood ; Otherspeeify1>A Size of cornerboards Size of casings (1X4 min) Color Rakes 1 " member 2"" Member Depth of overhang _ ._ . _ _ Windows: Make/Model Material Color t-- .... ------- ------ -- ---- -- - -------' `-- - ----- -- -- ............. Window Grills Divided Light Exterior Glued Grills Grills Between Glass -- ------ --- -- --- --- -- - -- -- Removable Interior Grills No Grills i ' Grill Pattern Doors: CJpjj Style & Make ------- Material -- -- - -- - - - --- -- Color -- -- - -_ -- - --- _- - —iMgL� Garage doors: Style . Size ofo enin Material ' 1h , ANE" Color Shutters: Type & Style Material I Color ; - ` - - - - - - - - --- - - - - ---- --- ---------------- ` - -- - - - - -- - ----- - `----- - --- - - - ----- - -- ----------- - -- -------- ------------ Skylights: Type ---------------_--------- ------ --_-------; Make & Model --- - - - - -- - - --- - -- - --- -- ---- --- ------ - - - - - - -- -- --- --- - --- MaterialSize ! Color ; Shingle Oth - - •-- --- ----- -- --- --- --- -- - - SIDING Type Clapboard er -- ---- -- -- - --- -- - - - -- Material Red Cedar White Cedar �! Other - - ---- -- - - --- - --- --- ------ ---------- Paint Color _ FOUNDATION Type "' ---"- — — ------ -'--- --------'------- --- - - - -- - --- -- - -- (nrax 12 ' exposed) — — — — — — ------ ----- -- - - - - -- - - -- - - - - - - ---- -- DECK MaterialColor — -- - -- - -- - - ---- - -- - - -- --------— ----------- ------ - --- - - - - -- - - - - - - - - - - - - - --- --' -- - - - - - - - - - -- .. : SIGNS Size ; Materials Color FENCE Type :-�syli[ rail chain link)------- --------------------- - - - - ------ ---- Color MaterialL -- - - - - --- - ---- --- ---- ---- ---------------------- --- --- - - - -- - - - - -- -- - -- - - - Length `--------- -- - -- - - - - --- -- - ---- ---- -- --- -- -- -- - --- ----- ------- ---- - DescriptionL -- ---- -- - ---- -- - - -- --- ------- - --------- - --- - - - - - - - --- -- -------- --- - ----- ---- --- -- - --- - -- ------- -- - -- LIGHTING Type and location (free standing affixed to structure, illuminated) .._ _ _ _ _ _ _ _ __— _ __ ___________ _ ____ _ ___ _ _ _ _ _ _ _ __ _ __ _ __ _ ___ _-_ - - ___ _ ___ _ _ _ _ _ _ __ ___ ___ _ -__ _ _ _ _, NEW BUILDINGS, ADDITION, OR COMMERICAL BUILDING CHECKLIST - CERTIFICATE OF APPROPRIATENESS Submit Six (6) complete colored sets, unless otherwise noted ..... Application for Certificate of Appropriateness Spec Sheet, brochures or diagram Site Plan _____ Name of applicant, street location, map and parcel ____ Name of architect, engineer, or surveyor; original stamp & signature; date of plan & revision dates __ North arrow, written and drawn to scale ___ Changes to existing grades shown with one-foot contours .___ Proposed & existing footprint of building and/or structures, and distance to lot lines .__ Proposed driveway location ----- Proposed limits of clearing for building (s), assessor structure (s), driveway and septic system _ Retaining walls or accessory structures (e.g. pool, tennis court, cabana, barn, garage, etc) B ____ uilding Elevations ,.. Plans at scale of 1/4' = 1 foot; a written drawn scale ,.__ Plans at a reduced scale to fit 8.5"x11 or l lxl7 paper Name of applicant, street location, map and parcel Name of Building Designer, or architect; original signature of plan preparer and stamp; plan date, and all revision dates. *All new house or commercial buildingplaus must have an original signature and stamp, if any, by a registered Architect, member ofAIBD, or a licensed Massachusetts Home Improvement Contractor, unless this requirement is waived by the Old King's Highway Historic District Committee. A written and bar drawn scale ..... Elevations of all (affected) sides of the building, with dimensions including height from the natural grade adjacent to the Building to the top of the ridge; location and elevation of finished grade, roof pitch (s) dormer setbacks; trim style, window And door styles. Changes to existing building must be clouded on drawings. _ Window schedule on plans 1.111, Landscape Plan (drawn on a certified perimeter plan containing the following) Name of applicant, street address, assessor's map and parcel number Name, address, and telephone number of the plan preparer, plan date, & date of revisions ----- The location of existing and proposed buildings and structures, and lot lines .____ Natural features of site (i.e. rock outcroppings, streams, wetlands, etc) ..... Existing buffer areas to remain ----- Location and species of trees and plants Driveway, parking areas, walkways, and patios, indicating materials to be used Existing stone walls, and proposed walls including retaining walls for slope retention or septic systems For removal ofstone walls, you must file a demolition application _ All proposed exterior lighting and signs 1111, Sketch or Photos of adjacent properties A sketch (s) to scale or photographs of nearby adjacent buildings, where present, along both sides of the street frontage, __. Showing the proposed new house or commercial building in scale and in relationship to the existing buildings. _ Please discuss with staff ifyou do not think this is relevant to your application. ._._, Photographs of all sides of existing buildings to remain or being added to Existing building, foot print Building 1 (sq. ft.) Building 2 (sq. ft.) Exiting building, gross floor area, including area of finished basement Building 1 (sq. ft.) Building 2 (sq. ft.) New Building or addition, foot print Building I (sq. ft.) Building 2 (sq. ft.) New Building or addition, gross floor area, including area of finished basement Building 1 (sq. ft.) Building 2 (sq. ft.) Plan preparer, signature and date SOLAR PANEL SUPPLEMENT STRUCTURE ONE STRUCTURE TYPE Home Garage Barn ELEVATION PLACEMENT — -- North i ---- South �— East West ROOF MEASUREMENTS Length ` Height : Pitch L SOLAR PANEL MEASUREMENTS Length ----------------- ' Depth --------- Width L------------------' SOLAR PANEL TYPE & FINISH ColorI Finish (matte or glossy) ' ' STRUCTURE TWO STRUCTURE TYPE HomeGarage Barn ELEVATION PLACEMENT North L South' East _ West I mi ROOF MEASUREMENTS LengthL______......._______ Height ; Pitch I SOLAR PANEL MEASUREMENTS Length L--------- ----- Depth Width ------- SOLAR PANEL TYPE & FINISH Type Roof Mounted ? Ground Mounted ?__ j Canopy/Carport System ---------------- ---- ----- ---- --'...--......_---___---- ------ Color Finish (matte or glossy) Solar Company Phone Solar representative Print Nanm Signature Date SIGN SUPPLEMENT PROJECT TYPE New Minor Change to Existing Sign Replace Existing Color Replace Existing Sign with New MOUNTING TYPE Post Mount Post Mount Installation Type Surface Installation �_ Direct Burial Installation Wall/Surface Mount ; Mounting type I -- Flevatinn affixed to •--------------'-------------- ASTHETICS -------- --------- Size ; Material ------ ... .......... — --------------- ------- ----- Lettering (style) Color I M.M.------ ----- Post/MountMaterial Color Height to Crassh r _________ Single F d� Dnnhle Faned �I LIGHTING --------- --"------- Will the sign be lit Yes No Type of Lighting j Placement of Lighting ADDITIONAL INFORMATION It ' s ■� i ❑❑ I - � � � ' ■ moi i IT �, o , , - � m b r4 N W � O ppy� � 7 7 .. gaa W C m c9 F r q ❑❑ ao ❑❑� � d - ''! ❑ - - - - - - - - - - - - - - - _- a � pa� Jb� - - - - - - - - - - - W r w c � o (q N > N mN Wa L 6 tl 8 41 ! : pv41r ,. i I le it ° a 1 it 4 a 1 k4 p 1 cc OLI + /0� ' J { ; / e @ ! , lem@B o . , = � , lk aeeq � K ) { ) @k § } [ § ¥ ! E ! § s § ¥ f ! $ & ! | ( � la � « § a 06 £ m rL06 \ � L EID f |� El0, a @ / § El | § § k 9 § El ElOR WO § 5 � � wo F1 F1 ! § 2 § < ! 04 1:1 El ( o � \ w ; k § co §■ ( 7 § q i m Cl @m b ) ) ■ Q ` � $ 2 ( ( § K | \ } 0 � q ) CU : § § § [ ] ; $ § � � ( PP,, $ } } » q � § § 2 0fm i ) 04 ° \ 2 / § ) 0 V) § \ kk , in D 2 | � � > ! � \ / E � § | § § � q � , k � t ■ ! ! _ ■ i X15 ee ! § ° e § ; § 2 | / 2 k § ; ! aa § § ! | ; § § 2 | § , L - BARNSTABLE, MA 02630 279021 BARNSTABLE HOUSE LLC 3010 MAIN STREET Property ID: BARNSTABLE, MA 02630 279022 TEMPLE, JOHN & MILLER, ANN M P O BOX 520 Property ID: 37 RENDEZVOUS LANE BARNSTABLE, MA 02630 279023 LAY, RICHARD BRITTAIN & KATHY MATTIA THE PEACEFUL NOMINEE TRUST Property ID: BARNSTABLE, MA 02630 279024 COGGESHALL, ELLEN B 49 RENDEZVOUS LANE Property ID: BARNSTABLE, MA 02630 279033 TEMPLETON, ROBERT R JR & VICTORIA L 36 RENDEZVOUS LANE Property ID: PO BOX 852 BARNSTABLE, MA 02630 279034 RUETER, SARAH L & MATTHEW C TRS C/O MATTHEW RUETER Property ID: BARNSTABLE, MA 02630 279042 ST MARY'S EPISCOPAL CHURCH 3055 MAIN ST Property ID: 72 RUSSELL ST NORTH QUINCY, MA 02171 279043 LYNCH, KAREN TR A G B REAL ESTATE TRUST Property ID: BARNSTABLE, MA 02630 279071 TALES OF CAPE COD INC PO BOX 41 Property ID: