Certificate of Appropriateness dtt"t Town of Barnstable oEJEIOVMENja
g Old King's Highway Historic District Committee �` 4a
200 Main Street,Hyannis,Massachusetts 02601 5
MA°a f Telephone(508)862-4787,Email grayce.rogersntown.barnstable.ma.us
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APPLICATION FOR CERTIFICATE OF APPROPRIATENESS
Application is hereby trade, 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 pians, drawings, or photographs accompanying this
application for:
Date Map&Parcel - Q
. ._._"----
Property Owner SGC.rI/.L14/L�/�/%GfX/!7�/� /Ge ��" P *13-4j�c— F%4%
Street address 37f l 'kme Email SZAI.;-4 6",�z i i
CERTIFICATE OF APPROPRIATENESS—SPEC SHEET
- -- -- - - - - -- —
CHIMNEY �laterial ....... ... ....... Color
C orol
ROOF Make&style .-..G-6-F
-----------_ - - C(>awwLos l
Roof P/tch(s)-(712 minimum)
(specify on plans for new building&major additions)
CITI-MR Tvne/Material All-Jvviwah .. WrkTJi° _Color
WINDOWS,DOORS,TRIM,SHUTTERS,SKYLIGHTS
Window/Door Trim material Wood Otherspecfj
------- I------_•--------------
PUG- rrV`-ee+ ------.
.....................
Size of cotnerboards Size of casings(/X4 min) (Jt Color
Rakes l"member �..X. 2"a Member (� 3 Depth of overhangjZ t'
Windows: Make/Model ..-_ _.-
1�kTHt�l(.I. _.fUI?k -; Material C0.^] Color
- m-
Window Grills Divided Light � - Exterior Glued Grills �_ Grills Between Glass
Removable Interior Grills No Grills ! Grill Pattern
--- ------------------ - -- - ...................
Doors: Style&Make
TiT �}P�Q1r-rp�/_.sSMtiam jaw Material ;.- -. J Q.P_ ... Co r
Garage doors: StyleSize of opening Material -
/ t/
Color
- :
VI l B ColoShutters: Type&Style Material ------ -- --
Skylights: Type - -- Make& Model ------------------------
...... -... -
Material Size i Color
-------------------- ------- ---------
-- mac"----------' ------------------------------
� � ;
-------------------------
SIDING Type Clapboard Shingle Other
MaterialRed Cedar White Cedar ! Other
Paint Color ; NITE...Lt-.hp.laOgti� 0ftM( CeA49_ !SiD)J
1 5
FOUNDATION Type 1 u i (max L.'ex oced)
DECK Material T Color
N-4-- - - - - ------------
SIGNS SizeFu ._._.. Materials - - - --- -------------' Color
FENCE Type : LsAlit taikshain 6nk) _ - _ - _- - Color ;
------ ...............
Materialt " - Length
------------- -- --------- - ..-.. ----
RETAING WALL Description ;
LIGHTING Type and location( s�and}i
affixed tod loc ti ilium' d) ! ---- --- - - ---'
----------.
3 "7 3 � G�nJS7ug►�
CHECKLIST— CERTIFICATE OF APPROPRIATENESS
Please complete 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 le Barnstable
Legal Ad fee,in the amount of$19.84,made payable to the Town of Barnstable
First Class Postage Stamps for abutter notification.Please contact Barnstable Old King's Highway Office for correct count
ALTtIONS (new paint color,change ofsiding material,roofing,windows,doors,shutters,etc)
pplication for Certificate of Appropriateness
Spic Sheet,brochures and color samples
tans of building elevations/photographs, ONLY if there is a change to the location and size of the window(s)or
Door(s).
MINOR ADDITIONS(decks,enclosing a porch,sheds(over 120 sgfi)
.... 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 submitted
Photographs of all building elevation affected by any proposed alterations
Plans 2 full scale plans,plus 4 copies of the plan at reduced scale to fit 8.5x1 I or I Ix17 paper
Company brochure of manufacturers shed or to-scale sketch or affected structure or building elevations
ASSESSORY STRUCTURES,NEWIALTERED(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,showing graphics,dimensions,design and height of post,color,and materials
Site Plan on GIS map or mortgage survey,or photographs,or to-scale sketch of building elevation showing 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 showing 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 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)
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SHOWN ON THIS PIAN 19 LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
!7??94407 . . . . . . WHEN CONSTRUCTED.
DATE
REGISTERED LAND SURVEYOR
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Mathews Brothers Proud Supplier of.
Customer
QUOTATION
Tel: 6BRUMERS
AME111Cq'S OlDE6T yyINDOW MpNllfpCT{JPEP
Fax:
Email:
BILL TO: SHIP TO:
QUOTE# STATUS CUSTOMER PO# DATE QUOTED
12 6 None 8/11/2022 :53:34 AM
QUOTED BY TERMS I'ROJLCT NAME QUOTE NAME
CheyenneGingas Ln;isic°id Sandra Anderson
LINE#
100 ITY SUB-LINES
J 2 2
Yi
VS
I
LINE# DESCRIPTION
Tti' LIST PRICE NET PRICE EXTD.PRICE
100-1 2 $833.97 $663.71 $1,327.42
Walcott New Construction Double Hung
DH3654,White Interior,Black Exterior,Insul Low-E&
Argon,DLO Width Equal,6/1 Lite Contoured,White
Int/Black Ext Grille in Airspace,30.625 X 21.25 Clear
Opening,4.519 SQFT,White Dual Lock,No Window
Opening Control Device,White Standard Tilt Latch,Insert
Black Full Screen Shipped Loose
4 9/16"Primed Finger Joint Jamb(Complete Unit),
w/Nailing Flange,w/J Channel Cover,No Exterior Casing,
1/4"Added To Width and Height of Units With Extensions.
See O.S.M.for dry dimensions.
Unit 1:UFactor: 0.28,SHG:0.25,VLT:0.47,CR: 60
Opening: 36.25"X 54.25"
O.S.M.: 35.75'X 53.75" Tag: study
LINE# DESCRIPTION QTYLIST PRICE NET PRICE EXTD.PRICE
100-2 Screenl 2 $0.00 $0.00 $0.00
Insert Full Screen Shipped Loose
Opening: 0"X 0"
O.S.M.:
Tag: study screen
Page 1 Of 5
QUOTE# STATUS CUSTOMER PO# DATE QUOTED
612946 None 8/11/2022 8:5374 AM
QUOTED BY TERMS PROJECT NAME QUOTE NAME
C eyenne Gmgras Unassigned Sandra Anderson
LINE#
200 TY SUB-LINES
i 3 2
Cn
:n
! lr
LINE# DESCRIPTION OTY LIS
200-1 T PRICE NET PRICE EXTD.PRICE
3 $833.97 $663.71 $1,991.13
Walcott New Construction Double Hung
DH3654,White Interior,Black Exterior,Insul Low-E&
Argon,DLO Width Equal,6/1 Lite Contoured,White
Int/Black Ext Grille in Airspace,30.625 X 21.25 Clear
Opening,4.519 SQFT,White Dual Lock,No Window
Opening Control Device,White Standard Tilt Latch,Insert
Black Full Screen Shipped Loose
4 9/16"Primed Finger Joint Jamb(Complete Unit),
w/Nailing Flange,w/J Channel Cover,No Exterior Casing,
1/4"Added To Width and Height of Units With Extensions.
See O.S.M.for dry dimensions.
Unit 1:UFactor:0.28,SHG:0.25,VLT:0.47,CR:60
Opening: 36.25'X 54.25'
O.S.M.: 35.75"X 53.75' Tag: dining
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD.PRICE
200-2 Screenl 3 $0.00 $0.00 $0.00
Insert Full Screen Shipped Loose
Opening: 0"X 0"
O.S.M.: Tag: dining screen
LINE#
300 TY SUB-LINES
I 3 2
+fi
7
lr
Page 2 Of 5
QUOTE# STATUS CUSTOMER PO# DATE QUOTED
612946 None 8/11/2022 8:53:34 AM
QUOTED BY TERMS PROJECT NAME QUOTE NAME
Cheyenne Gingras Unassigned Sandra Anderson
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD PRICE
300 1 3 $808.97 $644.85 $1,934.55
Walcott New Construction Double Hung
DH3648,White Interior,Black Exterior,hvsul Low-E&
Argon,DLO Width Equal,6/1 Lite Contoured,White
Int/Black Ext Grille in Airspace,30.625 X 18.25 Clear
Opening,3.881 SQFT,White Dual Lock,No Window
Opening Control Device,White Standard Tilt Latch,Insert
Black Full Screen Shipped Loose
4 9/16"Primed Finger Joint Jamb(Complete Unit),
wailing Flange,w/J Channel Cover,No Exterior Casing,
1/4"Added To Width and Height of Units With Extensions.
See O.S.M.for dry dimensions.
Unit 1:UFactor: 0.28,SHG:0.25,VLT:0.47,CR:60
Opening: 36.25"X48.25"
O.S.M.: 35.75' X 47.75" Tag: great room
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD PRICE
TOO-2 Screenl 3 $0.00 $0.00 $0.00
Insert Full Screen Shipped Loose
Opening: 0"X 0"
O.S.M.: Tag: great room screen
LINE# TY SUB-LINES
400 1 2
t
s.
C14 �.
1
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD PRICE
400-1 1 $828.76 $659.77 $659.77
Walcott New Construction Awning
AW3628,Operating,White Interior,Black Exterior,insul
Low-E&Argon,6 Lite Contoured,White Int/Black Ext
Grille in Airspace,White Handle&Lock,White Screen
Shipped Loose t
4 9/16"Primed Finger Joint Jamb(Complete Unit), — —
w/Nailing Flange,w/J Channel,No Exterior Casing, 1/4"
Added To Width and Height of Units With Extensions. See
O.S.M.for dry dimensions.
Unit 1:UFactor:0.27,SHG: 0.25,VLT: 0.46,CR: 59
Energy Star Qualified(Northern)
Opening: 36.25'X 28.25"
O.S.M.: 35.75"X 27.75" Tag: bath
Page 3 Of 5
QUOTE# STATUS CUSTOMER PO# DATE QUOTED
612946 None 8/11/2022 8:53:34 AM
QUOTED BY TERMS PROJECT NAME QUOTE NAME
Cheyenne Gmgras Unassigned Sandra Anderson
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD.PRICE
400-2 Screenl l $0.00 $0.00 $0.00
White Screen Shipped Loose
Opening: 0" X 0"
O.S.M.: Tag: bath screen
LINE# QTY SUB-LINES
500 1 3
S
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD.PRICE
500-1 1 $1,649.20 $1,278.28 $1,278.28
Walcott New Construction Casement Narrow Vertical Mull
CA3036 Left Operating;CA3036 Right Operating,White ss6 j9'
Interior,Black Exterior,insul Low-E&Argon,6 Lite
Contoured,White Int/Black Ext Grille in Airspace,Special - '
Hinge,22.5 X 30.5 Clear Opening,4.765 SQFT,No WindowEA
aa.
Opening Control Device,White Handle&Lock,White
Screen Shipped Loose
6 9/16"Primed Finger Joint Jamb(Complete Unit),
w/Nailing Flange,w/J Channel,No Exterior Casing, 1/4"
Added To Width and Height of Units With Extensions. See
O.S.M.for dry dimensions.
Unit 1:UFactor:0.27,SHG:0.25,VLT:0.46,CR: 61
Energy Star Qualified(Northern)
Unit 2:UFactor:0.27,SHG:0.25,VLT:0.46,CR: 61
Energy Star Qualified(Northern)
Opening: 59.8125"X36.25"
O.S.M.: 59.3125'X 35.75' Tag: kitchen
LINE# DESCRIPTION QTY LIST PRICE NET PRICE EXTD.PRICE
500-2 Screenl I $0.00 $0.00 $0.00
White Screen Shipped Loose
Opening: 0"X 0"
O.S.M.: Tag: kitchen screen
Page 4 Of 5
15 Main Street
Orleans,
Quotation
Mid Cape Home Center United States
508 255 0599
Quote ID SQK020892-1
P.O. Number
Line Label Qty UOM Family/Part Number
Unit Extended
1 Back Door 1.0000 EA Entry Door
1,380.80 1,380.80
Entry poor System
THERMA TRU,ENTRY DOOR, 3/0X6/81 SINGLE, RH INSWING, SMOOTH-STAR, HALF
1LT 1PNL(S6021-LE), LOW-E GLASS, CUSTOM 41-T SDL WHT 11/32X1-1/8"CTR,
COMPOSITE EDGE, SGL BORE RAD PREP 2-3/8, 4-5/8"WHITE COMPOSITE
(PAINTABLE)JAMB, COMP JAMB INSTALL KIT SMOOTH, BRONZE WEATHERSTRIP,
COMPOSITE ADJ SILL MILULIGHT CAP FINISH, TB DOOR BTM, NO CASING,3 BALL
BEARING BILK NICKEL 1D HINGES
As Viewed Fram
Outside
2 Side Door 1.0000 EA Entry Door
1,716.38 1,716.38
Entry Door System
THERMA TRU, ENTRY DOOR, 3/0X6/8, SINGLE, RH INSWING, SMOOTH-STAR, 3/4
1LT 1PNL(S90-LE), LOW-E GLASS, CUSTOM 6LT 2WX3H SDL WHT 11/32X1-1/8"CTR,
COMPOSITE EDGE, SGL RAD D PREP 2-3/8, 4-5/8"WHITE COMPOSITE
(PAINTABLE)JAMB, COMP JAMB INSTALL KIT SMOOTH, BRONZE WEATHERSTRIP,
COMPOSITE ADJ SILL MILL/LIGHT CAP FINISH, TB DOOR BTM, NO CASING,3 BALL
N
BEARING BILK NICKEL 1D HINGES
—348,j
As Viewed From
cuisine
Application version 8.1.0.72
Printed on 8/11/2022
Content Version 2.1.2.0
Page 2 of 3
15 Main Street
Quotation Orleans,
Mid Cape Home Center United States
508 255 0599
Quote IO SQK020849-1 P.O. Number
Line Label Qty UOM Family/Part Number
Unit Extended
1.0000 EA Entry Door
3,677.54 3,677.54
Entry Door System
THERMA TRU,ENTRY DOOR, 1/2-3/0-1/2X6/8, SGL 2SIDELITES, RH INSWING,
SMOOTH-STAR, 3/4 1LT 1 PNL(S90-LE), LOW-E GLASS, CUSTOM 6LT 2WX3H SOL
WHT 11/32"X1-1/8"CTR, COMPOSITE EDGE, SMOOTH-STAR, 3/4 1LT 1PNL(S751SL-
LE), LOW-E,STANDARD, CUSTOM XT SOL WHT 11/3271-1/8"CTR, DBL BORE RAD
PREP 2-M, 4-5/8"WHITE COMPOSITE(PAINTABLE)JAMB, COMP JAMB INSTALL KIT
SMOOTH, BRONZE WEATHERSTRIP, COMPOSITE ADJ SILL MILL/LIGHT CAP FINISH,
TB DOOR BTM, CONTINUOUS UNIT, NO CASING,3 BALL BEARING BLK NICKEL 10
HINGES
I 2- i
.As Viewnd FtMn ow-;pir.
All prices are in USD
Adjusted Subtotal (Discounted) 3,677.54
Tax 6.25% 229.85
Labor Tax 0.00% 0.00
Shipping and Handling 0.00 0.00
Other Charges (Specify) 0.00 0.00
Total Quote Value 3,907.39
Application version 8.1.0.72
Printed on 8/11/2022
Content Version 2.1.2.0
Page 2 of 2
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