HomeMy WebLinkAbout18-E102 0
(
• • *lab ai TOWN OF YARMOUTH —
kts.=, 1146 ROUTE 28, SOUTH YARMOUTH, MA02664-4451 RECEIVED
Telephone(508) 398-2231 Ext. 1292-Fax(508) 398-0836
RECEIVE2"D KING'S HIGHWAY HISTORIC DISTRICT COMMITTEEEP 1 9 2018
APPLICATION FOR YARMOUTH
SEP 19 2018 CERTIFICATE OF EXEMPTION OLD KING'S HIGHWAY
TOWN CLERK
6: 11114S9P`0(¢1:N rp4e for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Ants of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly: �r It'
Address of proposed work: 1 L GI(iP ds P..1 9`r'roIL`ah DKT Map/Lot# / -.2)/Fre/i .�
Owners : i1 nseph 4- Lift-u .t e,. C-4,CC DI(z Phone#: 7 j— 2SCS.' 1 5-55-
All
�All applications must be submitted by rS
owner or/accompanied by letter from owner approving submittal of application.
r
Mailing address: .6 LISA e✓C4{C(Q () boghkt 1 tin C002)- Year built: I 14 Se
Email: CICLt�1 3h ` CGi ALGA i1PP� J Preferred notification method: g Phone Email
Agent/Contractor:c1�.24\-{J UC Y',cc- .8 $P\i l.X1, `\ Phone#: 54R
OE •7VO
Mailing Address: 7501 G\3-eer\ c CU,_Yc h•s'ne o&C94S
Email:;(11 )CJ Pv&.L (hof, CCM Preferred notification method: Phone X Email
Description of Proposed Work(Additional pages may be attached if necessary):
3x12 c T 5' i3c.p!hoar 1 t t1-k oor - cg(-1"x 33 D,t�y1 sten,";
wrdcx� da.f �h,c.- CeLs Qs+ WSW .1.` (. 1;\1.\-en C6P1*l►s £ (3HCC).
C0100— mt he a e)l �(tng f oc Se_ /
Signed(Owner or agent): &L.:Le__
Ii-Q-21 V Date: Q' I l-ISe
> Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.)
This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use only: /
Date: 9 9-/g' L. Approved _Approved with changes _Denied
Amount <PO Reason for denial: yip /_'__..__
K#:c$ /X
f'f PPROV:.. J)
Rcvdby: 64/ _ SEP 19 2018
YARMOUTH
/ OLD KING'S HIGHWAY
Date Signed: 9 /00/8 Signed: (/(• 18 - E 1 0 2
APPLICATION#:
APP�®VE® RECEIVE®I .
;CP 19 2018 ---SEP 19 Zuni
co Front Elevation YARMOUTH ._
OLD KING'S HIGHWAY O Left Elevation YARMOUTH PINE HARBOR
SCALE. 1/4•=r-o SCALE 1/41=r-ow OLD KING'S HIGHWAY WOOD PRODUCTS
imm
___.—■._.
■______I _
a-- — -- --
PININARBDR
CUM
5.100461-SHED
=_===n — — 259 Queen Anna R.
.
1
mom__���_ __ Hamrick MA 01645
p:GOBI 00.2100_ __ ---- G ®
_ ___ KECmim IED 1:HUlo00.1N5
_ =_ —_ bumRPlroMrbor.uw
- _ — _ _= -
_ :. _ II
.I
1
111 o SEP 19Z018
CLERK
SOUTHYARMOUTH• ENGINEER'S STAMP
--=� 1 1 . -
{ 17{T { 6-0' PROJECT:
. 8' x 12' Quivett
O Rear Elevation - 0 Right Elevation CLIENT:
•
SCALE:1/4'=1'-0' • SCALE.1/4' =1•-0'
.. ADDRESS:
1 1 Il l 1-31
, 1 •
1 11 iT 111
i 1 1 1 1 1 1] 1 1 1 /®\ PHONE:
1
11 1111111 111115111
E-MAIL:
ADDRESS OF PROPOSED WORK:
REVISION DATE:
7/10/17
NOTES: DRAWN BY:
GB
•
Scale 1/4'=1'-0'
Unless otherwise noted
Page Al
18 - E102