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Certificate of Appropriateness for Comm ittee use only By a vote of Members signatures Conditions of Approval This Certificate is hereby APPROVED Aye Nay Abstain Date New Build Addition Alteration Residential Type of Building House Garage Barn Shed Other Project Roof Windo ws/Doors Siding/Painting Solar Other Landscape Feature Fence Wall Flag Pole Pool Other New Sign Replace Sign Repaint Sign Town of Barnstable Old King's Highway Historic District Committee 200 Main Street, Hyannis, Massachusetts 02601 Telephone (508) 862-4787, Email grayce.rogers@town.barnstable.ma.us 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 470, 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 Property Ow ner Phone Street address Email Village Mailing address Signature Agent/Contractor Phone Agent Address Email Agent Signature If approved, the Certificate of Appropriateness expires one year from the stamped approval date or upon the expiration of a Building Permit, w hichever date shall be later. A one year ex tension may be requested, in w riting, to the Old King¶V Highw ay Administrative Assistant at 200 M ain 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 w hich time your approval paperw ork w ill be availabl e for pickup and building per mit sign-off. All applications are subject to meeting any applicable building code requirements. Check all categories that apply Building Construction Commercial Signs Other _ Description of Proposed Work DENIED CERTIFICATE OF APPROPRIATENESS ± SPEC SHEET CHIMNEY Material Color ROOF Make & style Color Roof Pitch (s) ± (7/12 minimum) (specify on plans for new building & major additions) GUTTER T ype/Material Color WINDOWS, DOORS, TRIM, SHUTTERS, SKYLIGHTS Window /Door Tri m material Wood Other specify Size of cornerboards Size of casings (1X4 min) Color Rakes 1st member 2nd Member Depth of overhang Window s: Make/Model Material Color Window Grills Divided Light Exterior Glued Grills Grills Between Glass Remo vable Interior Grills No Grills Grill Pattern Doors: Style & Make Material Color Garage doors: Style Size of opening Material Color Shutters: Type & Style Material Color Skylights: Type Make & Model Material Size Color SIDING Type Clapboard Shingle Other Material Red Cedar White Cedar Other Paint Color FOUNDATION T ype (max 12¶ exposed) DECK Material Color SIGNS Size Materials Color FENCE T ype (split rail, chain link) Color Material Length RETAING WALL Description LIGHTING Type and location (free standing affixed to structure, illuminated) CHECKLIST ± CERTIFICATE OF APPROPRIATENESS Please com plete the Checklist that is applicable to your project. Submit six (6) complete colored sets, unless otherwise noted FEES Filing Fee according to fee schedule, please make checks payable to the Town of Barnstable Legal Ad fee, in the amount of $19.84, made payable to the Town of Barnstable First Class Postage Sta mps for abutter notification. Please contact Barnstable Old King¶s Highway Office for correct count ALTERATIONS (new paint color, change of siding material, roofing, windows, doors, shutters, etc) Application for Certificate of Appropriateness Spec Sheet, brochures and color samples Plans of building elevatio ns/photographs, ONLY if there is a change to the location and size of the windo w (s) or Door (s). MINOR ADDITIONS (decks, enclosing a porch, sheds (over 120 sqft) Application for Certificate of Appropriateness, Spec Sheet, brochures and color samples Site Plan, ONLY if there are changes to the footprint (see site plan criteria below) A site plan drawn on a mortgage survey plan or GIS map may be used for minor additions, UNLESS the porch, deck, pool, or Shed etc. is close to lot lines, zoning setback lines, or other buildings, in which case a certified site plan must be submit ted Photographs of all building elevation affected b y any proposed alterations Plans 2 full scale plans, plus 4 copies of the plan at reduced scale to fit 8.5x11 or 11x17 paper Co mpany brochure of manufacturers shed or to -scale sketch or affected structure or building elevations ASSESSORY STRUCTURES, NEW/ALTERED (fences, new stonewalls, changes to retaining walls, pools etc) Application for Certificate of Appropriateness Spec Sheet, brochures &/or diagram Site Plan (see site plan criteria below) Photographs of any existing structure that will be affected by the change SIGNS (complete sign supplement) Rendering of the proposed sign, sho wing graphics, dimensions, design and height of post, color, and materials Site Plan on GIS map or mortgage survey, or photograp hs, or to-scale sketch of building elevation sho wing location of Proposed sign; and any tree to be removed near a freestanding sign (see below for site plan criteria) SOLAR PANELS (complete solar panel supplement) Drawing of locations of panels on house showing roof and panel dimensions Site Plan sho wing location of building on property (see site plan criteria below) SITE PLAN CRITERIA Name of applicant, street location, map and parcel Name of architect, engineer, or surveyor; original stamp & signature; date of plan & revision dates North arro w, 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) 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 arro w, 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 accessor y structures (e.g. pool, tennis court, cabana, barn, garage, etc) Building Elevations Plans at scale of ¼¶ = 1 foot; a written drawn scale Plans at a reduced scale to fit 8.5´x11 or 11x17 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 comm ercial building plans must have an original signature and stamp, if any, by a registered Architect, mem ber of AIBD, or a licensed Massachusetts Hom e 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 in cluding height from the natural grade adjacent to the Building to the top of the ridge; location and elevatio n of finished grade, roof pitch (s) dormer setbacks; trim style, windo w And door styles. Changes to existing building must be clouded on drawings. Windo w schedule on plans Landscape Plan (drawn on a certified perimeter plan containing the following) Name of applicant, street address, assessRU¶s map and parcel number Name, address, and telephone number of the plan preparer, pl an date, & date of revisions The location of existing and proposed buildings and structures, and lot lines Natural features o f 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 of stone walls, you must file a demolition application All proposed exterior lighting and signs 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 if you 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 1 (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 Ho me Garage Barn ELEVATION PLACEM ENT North ROOF M EASUREM ENTS South East West Length SOLAR PANEL M EASUREM ENTS Height Pitch Length SOLAR PANEL TYPE & FINISH Depth Width Color Finish (matte or glossy) STRUCTURE TWO STRUCTURE TYPE Ho me Garage Barn ELEVATION PLACEM ENT North ROOF M EASUREM ENTS South East West Length SOLAR PANEL M EASUREM ENTS Height Pitch Length SOLAR PANEL TYPE & FINISH Depth Width T ype Roof Mounted Ground Mounted Canopy/Carport System Color Finish (matte or glossy) Solar Co mpany Phone Solar representative Print Name 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 Elevation affixed to ASTHETICS Size Material Lettering (style) Color Post/Mount Material Color Height to Crossbar Single Faced Double Faced LIGHTING Will the sign be lit Yes No T ype of Lighting Placement of Lighting ADDITIONAL INFORM ATION _ I m i P 1 ipr r 17 It ! 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BARNSTABLE