Certificate of Appropriateness ' Town of Barnstable tco►Na*�O
-0;
�. Old King's Highway Historic District Committee
e suasn�atY i 200 Main Street,Hyannis,Massachusetts 02601
Telephone(508)86214787,Email grave_ __e.roeersalown.barnsiable ma us
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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, Cor proposed work as described below and on plans, drawings, or photographs accompanying this
Ag application for.
Ac
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D; Property the ner Inont, jo�n u n Phone `'o J Vi U '-) U
P Street address 31% P C U�n S t\t t t Email m a e ra o n q�d e ann F CC q ma�1 t cIY
Village V h G Y q1 S C Ub , M N O�L1n la
Mailing address _ S a m _ signatu
1 Agent/Contractor at��(f► 10 J14' -1 I _
Agent Address PA 604 U5 AAA emaA l F c o e t o Ua�(� mail -(o m
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If approved, the Certificate of Appropriateness expires one year from the stamped approval date 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.
Building ConstructionNew Build LJ AdditiCheck all categories tlrar;apply LJ Residential
Type of Building EJ House Garage Barn Commercial
Shed � Other
Project Roof Windows/Doors Siding/Painting Sour F-] Other
Landscape Feature E�/Fence Wail Flag Pole Pool
Other
Signs 0 New Sign E] Replace Sign Repaint Sign ❑ Other
Description of Proposed Work f} C1�a in IlY1 X f�nCE SHAY t11�
aYA run ►►i at MY It It CCrY1t >' of
a t rmy Y1 YNt cb eC
t t
`nit" [Yom right coti'11walk Wit- v l,Ude doub'lt Ott.
left SIYJ q' 11u1Qt gUte, f�11(Q �,U11) MW rhe, rENIED
for Comm&feeuse only This Certificate is hereby APPROVED
By a vote of
Members signatures
Conditions of Approval
CERTIFICATE OF APPROPRIATENESS—SPEC SHEET
Material ; --
_ Color ;
Make&style
OF ................................ Color
Roof PUCK(S)—(7112 minimum) '
(specify on plans for new building&major additions)
A r.TTTTRA Color
A
1� _
api A-1
WINDOWS, DOORS,TRIM,SHUTTERS,SKYLIGHTS
Da Window/DoorTrim material Wood -------------------- ---------------------------------------------------------
: Others specify : ;
-- - - - ...--- -- P - -- -- ------------------------------------------
-- - ------------� -------------------
Size of cornerboards : Size of casings(1X4 min) : Color
Rakes 1"member ---; 2nd Member _----------- ; Depth of overhang ------------------;
---- '
-___••-•-•--•a L------------------J L-----------------J
Windows: Make/Model :----------------------•----------------. ........' - --- ------ Material ; Color
1, Window Grills Divided Li f '- :
- girt Exterior Glued Grills � Gri1Ls Between Glass
Removable Interior Grills ; No Grills •- ; '--------------- -- ------
Grill Pattem
---------------------
Doors: Style&Make ;------------------------------------- -----------------
___________________
Material : Color
L-----------------J
-------------------- -____-------__.-_--� -_._-___.
Garage doors: Style ' Size of Material '
opening
------------------• L------------------'
--------------------
Color ;
L-------------------
Shutters: Type&Style ;-------------------------------------
Material :---------- - -----� -------------
Color '
--- •----------------
Skylights: Type '--------------------------------------
--------
Make&Model ; ---- --------•--- ------- -
----'--------------J '
Material ------------- ----- -- ---- ------, ;------------------ -----------------
--
L----------- size
SA ' ' Color '
-------------------------•-� L-----
SIDING Type Clapboard ; ; Shingle f---, Other - --' --------------------------------
- ------------------------------'
Material Red Cedar ----'
White Cedar -
Other ---� f-----------------------------
1
Paint Color
--------------------------------------
FOUNDATIOT -------------------------------------------------------------
(max 12'exposed)
DECK Material ------y ------
----------------------------------------------------------------- ----------- Color
SIGNS ---------------- -------------------
'-----------------=
Size : t Materials ------------------
' Color --------------- -
FENCE ------------------------ -------------------
Type :_ts�l�!-tact ehwnJink). ---------------�
-------
` •'� �_��' --•-----••------___ Color `_��QI��
----------------�
MaterialK_ Y1�,C 1nij�(�UIYi(jif�iQl al ; Ungth _-------- --;
RET Description ---- ---- ------------------------------
--------------------------------------------------------
LIG
HTINg Type and location(fi m standing -----------------------------------------
-------------------------------
----
to structure, ---------------------
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