1 (cid:3) Arlington Historic For Commission Use Only: (cid:3) District Commissions Date Rec: ____________ Hearing Date:__________ (cid:3) Certificate #:___________ Application for Certificate Monitor: ______________(cid:3) (cid:3) (Read attached instructions before completing form) Certificate Requested: Appropriateness – for work described herein Minor project x Major Project Demolition Non-Applicability – for the following reason(s): Not subject to public view Maintenance, repair, or replacement using same design and materials Proposed change specifically excluded from review under Bylaw Other: _________________________________________________ Hardship – financial or otherwise and does not conflict substantially with the intent and purposes of the Bylaw General Information: (cid:3) Property Address_2_0_4_ P_l_e_a_s_an_t_ S_t_, _A_rl_in_g_t_on_,_ M__A_ 0_2_4_7_6_, _U_S__________ District______________________ Owner(s)__P_a_u_l_ E_n_g_l_is_h_ ___________________________________ Email______________________ [email protected] Owner's Phone (h)____________________ (w)_____________________ (fax)___________________ Owner’s Address____________________________________________________________________ 204 Pleasant St, Arlington, MA 02476, US Applicant (if not Owner)_______________________________________________________________ Tesla Energy Operations: Lynelle Mastromarino Applicant’s Phone (h)_________________ (w)_____________________ (fax)____________________ 978-956-3146 Applicant’s Address__2_4_0_ B__al_la_r_d_va_l_e_ S_t_ U_n_i_t _A_ W__il_m_in_g_t_o_n,_ M__A_ 0_1_8_8_7_____________________________ Applicant’s Relationship to Owner___A_u_th_o_r_iz_e_d_ A_g_e_n_t_______________________________________ Contractor__T_e_sl_a_ E_n_e_r_g_y _O_p_e_r_a_tio_n_s_:_ D_a_n_ie_l_ F_o_n_z_i___________ Phone__9_7_8_-_9_5_6-_3_1_4_6_______________ Architect__________________________________________ Phone___________________________ Dates of Anticipated Work: Start____________________ Completion_______________________ Description of Proposed Work: (attach additional pages as necessary) Please include a description of how the proposed work (if a change or addition) is historically and architecturally compatible with the building and the District as a whole. _In_s_ta_l_l _48_ _s_o_la_r _p_a_n_e_l s_y_s_te_m__ t_o_ t_he_ _ro_o_f_ o_f_ h_o_u_s_e_ r_a_te_d_ @__ 1_6_._3_2_ k_W________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Required Documentation Acknowledgement: (see attached instructions) x I acknowledge that I am required to provide supporting documentation, including the attached “Supporting Documents Checklist”, by the deadlines indicated in the instructions. I understand that if such documents are not provided in a timely manner, this application will be considered to be incomplete and Commission action may be delayed. I have read the attached instructions and, to the best of my knowledge, the information contained in this application is accurate and complete. I also give permission for members of the AHDC to access the property for the purpose of reviewing this application and work done under any certificate issued to me. Owners Signature(s):____________________________________________ Date:__1_1_/_5_/2__0_2_0___ Certificate(cid:3)Application(cid:3)(Revised(cid:3)January(cid:3)2016) 2 ARLINGTON HISTORIC DISTRICT APPLICATION Supporting Documentation Checklist Property Address_2_0_4_ P__le_a_s_a_nt_ S_t_, _A_r_lin_g_t_o_n,_ M__A_ 0_2_4_7_6_, _U_S____________ District ___________________ Applicant’s Name P__au_l_ E_n_g_l_is_h__________________________ Email__p_m_e_b_o_s_to_n_@__g_m_a_il_.c_o_m__________ Applicant’s Phone (Day)_________________________ (Mobile)_______________________________ (cid:137) For Minor Projects or Certificate of Non-Applicability (cid:137) Drawings (11x17 max., with graphic scale, dimensioned, all materials identified) or marked up Photographs (8x10) Existing conditions of historic façade(s) to be modified; Show location of proposed work; Show proposed feature(s); Elevations showing proposed work and context; Drawing showing location of proposed work; Drawing showing the proposed feature(s); Site plan for site located equipment and features (cid:137) Manufacturer’s literature and specifications sheets describing the proposed feature(s) (cid:137) Description of how the proposed work is either compatible with the District or Non-Applicable (cid:137)x For Major Projects (cid:137)x Photographs (8x10) Existing conditions of historic structure to be modified (facades, roofs, neighboring buildings); Site; Neighborhood context; Historic precedents for proposed work (cid:137)x Drawings (11x17 max., with graphic scale, must show differentiated existing and proposed conditions, dimensions, and all materials identified) o Plans Site (showing proposed structures, fences, walls, parking, HVAC equipment, electrical equipment, and relationship to adjacent roads, neighboring buildings); Each floor; Roof (showing valleys, hips, ridges, dormers, skylights, chimneys, vents, HVAC equipment, solar panels) o Elevations of building facades- identify: Foundation; Siding ; Trim; Gutters; Downspouts; Shutters; Railings; Stairs; Windows; Doors; Roof materials; Roof pitch; Chimneys and vents; Masonry; Light fixtures; Solar panels; HVAC equipment; Electrical equipment; Fences; Signage o Wall sections (especially showing projecting features such as bays, balconies, porches, additions) o Relevant exterior detail drawings (architectural trim, eaves, doors, windows, caps, columns, vents, rail systems) o Profile drawings (window and door elements, railings, balusters, stairs, shutters, roof trim, corner boards, casings, water tables, skirts, frieze boards, and all other trim) o For projections, additions and new construction also include: Neighborhood lot plan- include footprint to lot area ratio as well as that of neighboring lots; Plot plan- existing building(s), setbacks, proposed new structures; Site section (show relationship to site topography, adjacent structures, major landscape features, roads) (cid:137)x Manufacturers’ literature and specification sheets describing the proposed components (cid:137) Suggested Supporting Submittals: Model; Physical Samples (cid:137)x Description of how the proposed work is compatible with the District. (cid:137) For Demolition (cid:137) Statement of current state of existing structure and reason for demolition (cid:137) Statement of the historic significance of the structure (cid:137) Site Documentation (including Plot plan; Photographs of existing conditions; List existing materials; Year built; Original architect) (cid:137) Other provided documentation not described above (please list on a separate attached sheet). 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