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HomeMy WebLinkAboutApp# 18-E106 1 , C ep4 .oTOWN OF YARMOUT r 3-.. ite EdEIVED =n '- x ` "3" 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 9. . Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 RECEIVED SEP 2 6 2018 OLD KING'S HIGHWAY HISTORIC DISTRICT COM ITTEE,RMOUTH SEP 2 7 Me OLD KING'S HIGHWAY TOMS CLERK MA APPLICATION FOR CERTIFICATE OF EXEMPTION SOUTH YARMOUTH, Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: Address of proposed work: 3 y I u-I j[Fa(y 5 �� "p Map/Lot# f 0(9/$7 9 Owner(s): CV 1= �. JAj 21 \ Phone#:5.)2 4 2$A1 All applications must be s •matted by owner or accom•anted by letter from owner approving submittal of application. or Mailing address: �♦ Oa)1AC.1Wr)T'(-J 'tj( rear built: (9 79 ' / Email: t9Y`'�)fVI17 i a (� @ ( nrn i7 Preferred notification method: Phone 'V Email Agent/Contractor: r Phone#: Mailing Address: Email: .1 Preferred notification method: Phone Email Description of Proposed Work(Additional pages �may be attached if necessary): 1 1061-AW 4 s LAJC900 1,`t-u. f JSIZ&g Un 1 c g? ' ��/!`tl�J O O� c C 3 AT t� A 'a F G�Aci t& 1400�1 (Di r Qat//DP Dgata /rtu • Signed(Owner oragen JS4tirfJ Date: /-25. 0 > 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: fo"--7:171 g t/ Approved Approved with changes Denied Amount c9:5Reason for denial: APPROVED . Cash/CKI /dq .SER_2 6. 2018 Revd by. 054/ YARNIOU I li OLD KING'S HIGHWAY Date Signed: 112a0/20/r Signed: 6Z1' APPLICATION 2 8 a E 1 0 p V52017 ".F 326 Yarmouth Rd. I Hyannis,MA 02601 1508.771.5007 I Fax 508.771.7070 I hyannis@ptneharboccom Schedule Date PINE HARBOR 259 Queen Anne Rd. I Ha'wi h,MA 02645 15081430.2800 I Fax 508.430.1115 I inro@pineharborcom WOOD PRODUCTS 1.808.368.SHED I Customer Service 1.866SHEDIOT I www.pineharbor.com Invoice It Sall , p tBranch la 1\ l.S ,! Ww �I Name. .:1 \C A Email — ��`��1 9dd 453 L11e leCci: `-i c. , : phoneg,saarr1 . .. 71V��i r��C���i ' • i T •15Phone/ ICID70 Y.)11 Foundation �$<,i.'',;j: • ' Special Instructions D n RECEIVED • ly:, madams1018 . S P {.renu;':;,il;;, ��. ` YARNIQW � � rr� �c V OLD KING'S'&11&5 t. /,S15 way R )2_%\ 1 t P — `� .� t"'y+'t`'' mm e't1 A t 1� �: , II ,'i��y',Pti Rool6Nnglee lifillialEarallialliM SEP 26 2018 di 16:461! • Orpolaaweamervane YARMOUTHEMI1/4 �'°'''';fi4 1 t.7�.]:/ISI 9:)(h:PdL\� Y`iCy^1.;RECEIVED ,'"'°SEP 2 7 2018 a ;;;.°.; T4TO AMOUTH HR , MA • Sub Total I Q $6 `"- ' Tax Ic ) - Installation ft.i'y'!i'N Delivery "•%`'+ri i TOTAL 'jS, • Deposit :;5.;a'"4 e •Steck ICash . Credit Card BALANCE Y.9 CI El an='i°,?"'`d" 9FF':. _x_*ta+.' w_T _'+w x""7.tare"�- ,.n, .,..+:_-•..,_ - . , ®®®®®®®®■®®®nn. . 1: Tl i®®®®®®®®®®®®®®®®® ; LEFT GABLE RIGHT GABLE 1 ®®®®®®®®®®®®I ®®®® r . ®®®®®®®®®®®®®®®®® ®®®®®®®®®®®®®®®®® - 5 �. . rr l� lr 1r] '... ®®®®®®®®®®®®®®®®® r - ; i, 1 ti ✓ , i. ®®®®®®�®®®®®®®®®® , . 4 - ; .. ...f ; :- FRONT BACK Iryou diange,pmyhone /1:0'i!. ia delivery we require at least a5 day noncepnorto irstallahon .•Flnance charges Will appy on overdue invaces at 1 5%per month 18%arinumr - ' By executing this Contract,Buyer acknowledges that Buyer is exduswey,responsible for obtaining all permits,including any required by the building and conservation departments;to allow to the installation of pie shed n Buyer further agrees to hold Pine Harbor Wood Products harmless and indemnify them against any and all labihy with regard to said permits Further;Buyer shall be solely responsible for determining any front,rear or sdehne setbacks applicable to the property on which the shed shall be placed . -- . .. _ . 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