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HomeMy WebLinkAboutApp# 18-E111 , TOWN OF YARMOUT ET-92 D Ado Yo i 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 OCT - Q 1013 k' r°r Telephone(508)398-2231 Ext 1292-Fax(508)398-0836 RECEIVvluu YArtt'SHIIh .. OLD KING'S HIGHWAY gLO KING'S HIGHWAY HISTORIC DISTRICT COM TEE- • - OCT 102018 TAPPLICATION FOR SOOUUTH Y1!(d CLERK CERTIFICATE OF EXEMPTION ARMOIJTH. 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:'- ,r Address ofproposed work: 4 tV/74121Oure+ ^ V/ last. KiiyS WG�N � Map/Lot# /42 / • 6L Owner(s): (.Aad Aad lob •/ / Phone#: 7712I2-oLe All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: //gh t1-i)y/ot-7 Ftcn«S Watt S/+t`Czatobrat/MA Year built: 20da / 01545 Email ree t 1"Ci�1€Hest./, p/Awy/p/s,./7j j •(o#h Preferred notification method: Phone Email Agent/Contractor: t✓`ar/S V i hC*i1 (c .04 vizices- Inc) "� Phone#:794-212 733 Mailing Address: I{ 31,/f f6rvb/ 1D44 S )tntaa MA O2&64 r Email: /t-pR (€ L'st.trr)iC2h/. tows Preferred notification method: V Phone Email Description of Proposed Work(Additional pages may be attached if necessary): Qwl'!ot o ecle alley StnPro-ed Pas exr:fi4'r,s pari, i3.e 4 tc Akst, wt.*, exist/ASI ,F+ tsf doer. PT Rj- ,n t Gv r , Azak S/ Le gh1 d with Mo a•ty rte.?,f• _ Signed(Owner or agent): �•� / v��' lit/"v Date: 10/q /Q > 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: > /0—`f S' t Approved Approved with than. s `• Amount c90 Reason for denial: i Cas P OLD KING'S UT H 1 8 - `F 1 1 i Date Signed: �/� Signed: VC APPLICATION#: 2 1RCEBJE OCT -92018 writing at his main office or branch by ordinary mail posted, by telegram sent o by delivery, not 1( later than midnight of the third business day following the signing of this agreem n YARMOUTH. ULD KING'S HIGHWAY 8.3 It is the obligation of the Contractor to secure any and all necessary construction related permits. Owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from the guaranty fund provisions of M.G.Lc.142A. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES In Witness Whereof,the parties have signed and sealed this Agreement in duplicate,each of which is deemed to be an original,on the day and year first above written. ovAag, Christopher A.Vincent Ralph Cap bo,Owner President C.A.Vincent,Inc. 9 September 2018 A— Q 62,/ P Date Date OCT -82018 RECEIVED 2LDED KNGM 0 2018OUTH OCT 1S HIGH�yAV SOOT OIC CLERK H YARMOUTH MA 17 5741 BROOK RD,S YARMOUTH,MA 02664 I PH:(774)212-0938 FAX(508)394-0550 1 INFO@CAVINCENT.COM PAGE j50F5 78 - 111 IRECEIVED-/ - 9 2018 1 OCT , i.ci\ii l' v 1 i I it- -, ., „1, - •... , z,„„. ,a,„ .. 1., ., , ,., iou 1H -"7"-', '".'"- Ir-1,,. X- ,,,,-4-,-••4,-9--, ';'..,, "X 4 fs"--t.'' 1:4 4 , 0' ' ,-..' '.% ,:i'l."i r 1 i t A - Ad. ,,:,, Tvi,.:•-ii,/:.,„1 V,r ,• .-:„, '... -A'.!,.....:?I.':',":41' •' / , .:T104:.* ::".:If.• . • ,•':Ii,- .'. i . '14. ' - 0 1 1 - - • -III,' ,..- .41-, •, i 1 ,r i . 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