Certificate of Appropriateness Town of Barnstable
Old King's Highway Historic District Committeeo��ELookf�r
tA1t7Rrwtlt� ;
-0 10,
rt�as 200 Main Street, Hyannis,Massachusetts 02601 p
2a,3q. Telephone(508) 862-4787, Email ra ce.ro ers cctown.barnstable.ma.us
APPLICATION FOR CERTIFICATE OF APPROPRIATENESS ��"N�Fa.aN5�P0`
Application is hereby made,with six(6)complete,colored sets, for the issuance ora Certificate of Appropriateness under Section cion 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work , drawin
as described below and on plansgs, or photographs accompanying this
application for:
Date %
Map&Parcel :' ----•---- --------------------
Property Owner DQ t �� l ' P�N�
Phone
Street address /a� ` 7`e Td Z4,,v e-
Email
Village --L96f-✓� �Or'T /flf�—
Mailing address
Signature
Agent/Contractor
Phone
Agent Address
Email
Agent Signature s
If approved, the Certificate of Appropriateness expires one year from the stamped approval
Permit, whichever date shall be later. A one year extension may be requested Pin writing, to the OldpKi1ng's H ghthe atay Administrativeof a Building
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
available for pickup and building permit sign-off.All applications are subject to meeting any applicable b ilding ode requi em ne ts. will be
[:] New Build LJ Additi Check all categories that a ❑
Building Construction � PPYI Residential
Type of Building House ❑ Garage Commercial
S ❑ Bam ❑ Shed Other
Project Roof
❑ Windows/Doors Q SSolar iding/Painting
❑ ❑ Other
Landscape Feature ❑ Fence Wall ❑ Flag Pole ❑ Pool Sign Replace ❑ Other
Signs ❑ New Sign Re
P g � Repaint Sign � Other
Description of Proposed Work ~_
e ���„
• o
/< CAT
DENIED
for Committee use only This Certificate is hereby APPROVED
By a vote of
Members signatures
Conditions of Approval
■
CERTIFICATE OF APPROPRIATENESS—SPEC SHEET _
I
Material: Color
Make&style '
Color
Roof Pitch(s)—(7/12 minimum) : _
.... (spee6 on plans for new building&major additions)
F f:iTTTFR Color
WINDOWS,DOORS,TRIM,SHUTTERS,SKYLIGHTS
-----------•------ -------------------------------------------------------
Window/Door Trim material Wood Other pecify
r ;-----------_-_----+
Size of eornerboards ;...................: Size of casing (s 1X4 min _ Color
Rakes 1"member 2nd Member Depth of overhang
------------------;
---------- --
-----------------
Windows: Make/Model :"------------•----------------- Material J Color
Windo-,r Grills Divided Light Exterior Glued Grills Grills Between Glass
---------------------------
Removable Interior Grills ' No Grills Grill Pattern ,
--------------------------
Doors: Style&Make ; .. Material --------------------J Color `---------------- /s
------------------
Garage doors: Style ; Size of opening Material ;
:
------------------
Color -
�......................................, r--_---_______-_---y
Shutters: Type&Style ; ; Material : Color :
Skylights: Tye :......................------------------ Make&Model :-••-----------------------------------------------------------------,
Material Size : : Color :
SIDING Type Clapboard Shingle i Other
----------------------------
Material Red Cedar : : White Cedar : : Other '
-------------------------------------
Paint Color :
FOUNDATION Type : (mar 12'ex osed)
DECK Material
•-----------------•----------------......---•-••-•--•------•--------•--. Color --------- ---------
SIGNS Size �----------------- - Materials ...........................------------ Color .---•-•-----_.....
FENCE Type �_l3pG�.tai shaionk)- ---•- . -----•-• --•• -•-•• .- - Color
-----------------------------•---•----•--•----•----------------•------
n - --------------•--
Material °�---------------------------•--•-• (----------•.......
----------------------------------------------------------------------•---..--•---------•--------•---------.---
I3ETAING WALL Description ___ _____________ :
-------------------------------------------------------------------------------------------------
LIGHTING Type and location(free standing
affixed to stntcwre,illuminated)
------------------------------
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vV BUILDINGS, ADDITION, OR COMMERICAL BUILDING
CHECKLIST - CERTIFICATE OF APPROPRIATENESS
Submit'SLr(6) complete colored sets, unles.v otherlrive noted
for Certificate of Appropriatene4%
brochures or diagram
t .. N&t%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)
plans at scale of - l foot;a written drawn scale
... Plans at a reduced scale to 6t 8.5"xl I or I lxl7 paper
... Name of applicant,street location,map and parcel plan date,and all revision dates.
.... Name of Building Designer,or architect;original signature of plan preparer and stamp;
re and Plnatu by a registered
*All new house or commercial building plans meoriginal
g unless his requJreme
nt is
Architect,member ofA `► aachuses Ho Improvement Contractor,
waived by the Old Ring's Ilighway flistoric District Committee-
A written and bar drawn scale sions including height from the natural
he
Elevations of all(affected)sides of the building, enof finish d grade,roof pitch(s)dormer se b grade�trim cstyle,nt to twindow
Building to the top of the ridge;location and elevation
And door styles.Changes to existing building must be clouded on drawings.
Window schedule on plans
* 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
s,indicating materials to be used
Driveway,parking areas,walkways,and patiosystems
_.__ Existing stone walls,and proposed wallsincluding de olrtioretaining OPPcal donls or slope retention or septic
For removal ojstone walls,y f
t
_ All proposed exterior lighting and signs
si g
Sicetch or Photos of adjacent properties
_ y adjacent buildings,where present,along both sides of the street frontage,
A sketch(s)to scale or photographs of nearb
Showing the proposed new house or commercial building in scale and is relationship W the existing buildings.
_ Please discuss with staff ijyou 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 2 (sq. ft.)
Building I (sq.ft.)
Exiting building,gross floor area,including area of finished basement
Building i (sq.ft.) Building 2 (sq. ft.)
Nevi Building or addition,foot print Building 2 (sq.ft.)
Building l (sq.ft.)
C New Building or addition,gross floor arca,including arca of finished basement
Building I (sq.ft.)
R Building 2 (sq. ft.)
Ptan prcparer,signature and date Oila
P1