HomeMy WebLinkAboutApp# 18-E123 b
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°fY R TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 - t 2(J18
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIT EE YruttyluUtl,
OLO KING'S HIGHWAY
APPLICATION FOR
CERTIFICATE OF EXEMPTION
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: k� y� { I
Address of proposed work: c ? 1 1 L•n C in5E+ J•5E C I rckilap/Lot#
Owner(s): -�G� k f Lj dam 0 In Phone#:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
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Mailing address: Q au3 Boa 5Ysr built:
Email: 3-0C-,`�` -\ "7 1\C"\C\ \ \akrOtec tit tion method: Phone X Email
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Agent/Contractor: LK + 1Te� cF-JC6 Phone . 5A
Mailing Address: i uo 13 jf_ ( Q 1 c.\
Email: C'C1 ice`\, (•t a red notification method: Phone Email
Description of Proposed Work (Additional pages may be attached if necessary):
AnO\.�e o��ctgor+aS, �;nav �;-�-+� R „� RECEIVED
NOV 14 2018
TOWN r'''
SOUTH Y1 ;,f N`}tirN 0,16 A,
Signed(Owner or agent): Date: \\\--1\\
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: II-13"'!g '/Approved Approved with changes /� Denied
Amount Reason for denial: APPRO 'r:r',
CashlCK#: 789 NOV 1 ,
Rcvd by: 64
YAi�tv
OLD ' •
Date Signed: r///3/247/ Signed: '.( •• ��a��
`KI G r
APPLICATION#: it-11473
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Item _ Qty Item Size(Operation) Location Unit Price Ext Price
I-Frii 0002 3 T2842-2-i- -- ,[ L -i!! PA/2842-2(AA-AA) $ 965.93 $ 2897.79
t._. .:.__,I it 1 ii RO Size=5' 7 7/8"W x 4'4 7/8" H Unit Size=5'7 3/8"W x 4'4 7/8"H
,I 400 Series
' ,
.�it...-1--1--111Composite Unit,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, Finelight
Grilles-Between-the-Glass Top/Bottom*Finelight Grilles-Between-the-Glass Top/Bottom, Mulling Location: Factory(Direct), Mull Type: Narrow Mull,Mull
Priority:Vertical
Viewed from Exterior Insect Screen,White
Zone:Northern
Unit U-Factor SHGC ENERGY STAR®Certified
1 0 30 0.28 No
2 0.30 0.28 No
I^ 0004 1 TWT2015(F) $ 253.87 $ 253.87
II__ • RO Size=2' 2 1/8"W x 1' 7 7/8" H Unit Size=2' 1 5/8"W x 1'7 5116"H
�lj 11 400 Series
�L-__—_... Unit,White/PI White, High Performance Low-E4 Glass,Finelight Grilles-Between-the-Glass, Specified Equal Lite,2W2H,White/White,3/4"
Zone: Northern
U-Factor:0.27, SHGC:0.29, ENERGY STAR®Certified:Yes
Viewed from Exterior
co
2 p o rn
O y� C7
rn �i
T-C z " gO Q tv < rr--77-7-‹ zmo
Subtotal $ 4,220.10
2 Z o C 7) o rn Total Load Factor o 0
Customer Signature _ _ o0 0 1.9"861 z Tax(6.250%) $ 263.76
'1=C Uj C Grand Total $ 4,483.86
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C9 Dealer Signature _ —
117‘ Quote#: 30645 Print Date: 08/14/2018 Page 20f 3 DI iQ Version: 18.0
W
RECEIVEDI
NOV 1 3 2018
YHHiVIUU I H
OLD KING'S HIGHWAY
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RECEISE
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742018— —
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