CEBTIFICATE NO: DATE ISSUED: Application to the HISTOBIC DISTPICT COMMISSION, Nantucket, Massachusetts, for a CERTIFICATE OF APPF]OPRIATENESS for structural work. All blanks must be filled in using BLUE OP BLACK INK (no pencil) or marked N/A. NOTE: lt is strongly recommended that the applicant be familiar with the HDC guidelines, Bui./di'ng MriTh rvanfockef /.n A4/.nd, prior to submittal of application. Please see other side for submittal requirements. Incomplete applications will not be reviewed by the HDC. This is a contractual agreement and must be filled out in ink. An application is hereby made for issuance of a Certificate of Appropriateness under Chapter 395 of the Acts and Besolves of Mass.,1970, for proposed work as described herein and on plans, drawings and photographs accompanying this application and made a part hereof by reference. The certificate is valid for three years from date of issuance. No structure may differ from the approved application. Violation may impede issuance of Certificate of Occupancy. PPOPERTY DESCRIPTION TAX MAP N°: q/ pApCEL N°. 4+ 8

Street& Numberof proposedwork: 11 MEA00if`/ ELAiv£~ ownerof record: D£B ReALTr Teu5f

Mailing Address: 32. PARVC AVE NE!wTON M o2.L[58 coutac\phone#.. €/7 5q6 (Ice E-mat" AGENT INFORMATION (if applicable)

Name: BFtrar`i r4_crroR.ao" ot=iG/vts iN®

Mailing Address: ap sOuTIJ MtuL s{aEEr NtiN PucKtl /!A___ c_I_P3S+

Contact phone#: 22 #f6 E-mail :

DESCRIPTION OF WORK TO BE PERFOF}MED

H New RE" EAddition I Garage I Dr,ve;:ye/;::::Se for r=q:I:emdmd:rcc:aTentat'°= H,stor,ca, penovat,on HDeck/Patio Esteps Eshed HColorchange EFence EGate EHardscaping EMove Building EDemolition I Pevisions to previous Cert. No. EPool (Zoning District_) EPoof\=|'_8F#°thsear plo_9__I tiqus© Size of structure orAddition: Length: Sq. Footage lstfloor: 37j Decks/Patio: Size: 2&'QFff8'-qu" Hlstfloor E2nd floor width: 1,+ Sq. footage 2nd floor: fin,O Size: Elstfloor E2ndfloor Sq. footage 3rd floor: Difference between existing grade and proposed fin -a- East -0- vvest `C5- Height of ridge above final finish grade: North south ,+'-0„ ±€" E.as+ IY' ± €" Wesit Additional F]emarks BEVISIONS* 1. East Elevation Historic Name: 2. South Elevation Original Date: (describe) 3. West Elevation Original Builder: 4. North Elevation Is there an HDC survey form for this building attached? I Yes j*:N/A *Cloud on drawings and submit photographs of existing elevations.

L/[DETAIL iA[L OFur WORKwurir` TOI u lJE: BE PEF}FORMED Foundation: HeightExposed l4-2`r EBlock EBlockparged EBrick(type) 93] Poured concrete I piers Masonry chimney: I BIock parged I Brick (type) I Other F}oof pitch: MainMass + /12 Secondary Mass Dormer /12 Other Roofing material: EAsphalt: E3-Tab EArchitectural EEWood (Type: Bed Cedar, hite Cedar, Shakes, etc.) T® rmTCH Ifou3€

Skylights (flat only): Manufacturer F]ough Opening

Manufacturer Bough Opening Gutters: EEWood EAluminum I Copper I Leaders (material) |cH Ffoo>€ Leaders (material and size): T® fu^<.rl rloub€ Sidewall: I White cedar shingles tBclapboard(exposure: 9'' VE¢7 inches) FrontE I Other ALL sloes Trim: A.Wood Epine Epedwood tEcedar Eother B. Treatment EBpaint I Natural to weather I other C. Dimensions: Fascia " - Fake " ~ Soffit (Overhang) Corner boards - Window Casing TMlr. Door Frame T71gf Columns/Posts: Bound Square Windows*: EDoubleHung Hcasement EAllwood Eother T€39____L±T€H(rouse I True Divided Lights(muntins), single pane HSDL's (Simulated Divided Lights) Manufacturer A~DEksp~ Doors* (type and material): ETDL EESDL Front Bear Side

Garage Door(s): Type Material Hardscape materials: Driveways Walkways * Note: Complete door and window schedules are required.

COLORS

Sidewall Vth` Tl(AI CGOA& try6i4fG Clapboard (if applicable) F3oof N A{ URAL_ Trim sash wni7G To A44FT:a/+ rfo'oS DOors wttn€ rflo r\^izc`H ttoustr Deck Fou nd ation ~4fu Fence Shutters * Attach manufacturer's color samples if color is not from HDC approval list.

I hereby authorize the agent named above to act on my behalf to make changes in the specifications or the plans contained in this application in order to bring the applica- tion into compliance with the HDC guidelines. I hereby agree to abide by and comply with the terms and conditions of this application. I hereby agree that the submission of any revisions to this_ applicati_orLwill-a-Zj®-'`' `' initiate ''-'_--_ a new' '---i.:-:-:-+-=J^':+-i:i:::+-,-:^^,A sixty-day review period. a- Signature of owner of record HISTORIC DISTRICT COMMISSION 2 Fairgrounds Road Nantucket, Massachusetts 02554

Telephone: 508.325.7587

COMMISSIONERS

Ray Pohl Chairman Waiver of the HDC 10 Day Hearing Requirement

Diane Coombs Vice-Chairman

Val Oliver I ______Ethan McMorrow Abigail Camp AS AGENT FOR ______D&B Realt Trust John McLaughlin STREET ADDRESS ______11 Meadow Lane

ASSOCIATE MAP/PARCEL ______41 448 ______COMMISSIONERS UNDERSTAND THAT THE ABOVE REFERENCED APPLICATION SUBMITTED ON Stephen Welch

TJ Watterson ______11/29/2020 ______

Jesse Dutra WILL NOT BE REVIEWED BY THE HISTORIC DISTRICT COMMISSION, DUE TO THE COVID-19 PANDEMIC, WITHIN THE 10 DAY PERIOD AS REQUIRED BY:

STAFF SECTION 8 of the HDC enabling legislation: … The Commission shall meet Cathy Flynn within ten (10) days of the receipt of an application for a certificate of Land Use Specialist [email protected] appropriateness or permit for removal…

AND I AGREE TO A WAIVER OF THE ABOVE MENTIONED REQUIREMENT.

______Ethan McMorrow 11/29/2020 Signature Date