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HomeMy WebLinkAboutApp# 18-E128 • I 1 p`Y . . �. '4','''..-0 TOWN OF YARMOUTH ? 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ',', Telephone (508) 398-2231 Ext. 1292-Fax(508) 398-0836 IRFCEF%JEDJ REC&EKING'S HIGHWAY HISTORIC DISTRICT COM ITTEi v .4 J 2018 APPLICATION FORYANA/IOU-H NOV 2 02018 CERTIFICATE OF EXEMPTION OLD KIAiG'- HIGHWAY S - TOWN CLERK ApplWal-itYmitkitytqe7j9r the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, r the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: Address of proposed work: a2 Greer) land Or(It, Map/Lot# 1.25 - 1y5 Owner(s): Te(63a,. Lo1OCat Phone#: All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: to err en Ian d Cl irc) 'L Year built: I 1 StO Email: inbo 1+s -70 e.hryfrm I I ,tro A Preferred notification method: Phone ✓ Email Agent/Contractor:Trle 14{,irijp(\Nitu)CI �0(.�VL"� Phone#: 5'03 .4-130 -0800 Mailing Address: as'7 leen r4nt 544 'Fa rib I di, Of D a(fr15 / Email:,\ r� pint harbo1,fo,A/ - Preferred notification method: Phone ✓ Email Description of Proposed Work(Additional pages may be attached if necessary): to ConStruc-f Ol e 'v tZ' shed placed a ) 50lief conc(eft btcd-s , Ty,e 3hec1 60;11 have a 3 hprncl LI ` headed doors with one aor Y 38" -61'ngk hunt v(nu I cotncicxt: cul-*h u /c9 go. iv/ . t 4-rim w ill be phi k_ p•VC_. c t-4 —Ike -{ion-I- wiI l will be. everlc4s-1vL is � CICj�-,ucc rd � -iht t d,ar �v be .QUI ' t� lci.vPr ---Twe if ff rr h+ aryl b .0 vw4 i t S will lot_ . I k c(a r 5h i.k--9 Vs , 'rF' (004'01 Wi it be an otrchl -ertu-AI -pwafer .. • Signed (Owner or agent): j(2/M Date: \ ( j e 1 ide > Owner/contractor/agent is aware that a permit may b- -.wired ••• e 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: ODA if- Y Approved Approved with changes Denied Amount (:)0 Reason for denial: Al P r Cash/CK#: __. "1"11 U , Rcvd by: YARML,� ;, OLD KING'S .HiGHWAY Date Signed: /V z 6/Z o f 8 Signed: 62 (� ' •.• . 1 8 E 1 2 8 APPLICATION#: V5.2017 ______ ______ . . RECEIVED Commonwealth of Massachusetts NOV 2 0 Wit? Title 5 Official Inspection Form 2018 v:#01 s YARMOUTH - . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1 7-.1 l{" OLD KING'S HIGHWAY 32 Greenland Circle Property Address Peter LaRocca Trust Owner Owner's Name __.._. 1 information is required for every Yarmouthport _ Ma 02675 7/31/2018 page. City/Town State _ Zip Code Date of Inspection_ �' D. System Information (cont.) v` Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: l�' hand-sketch in the area below Eldrawing attached separately ------ A • ■ • W. f: - ,it NOV 2 0 2018 YARMOUTH 21 1)(Z1 OLD KING'S HIGHWAY rrn oT 77., #- e°2418 Z �� •�y"lRM LFRk �'-ow. w g rc2 C.in e OUTy Mq • C7 1 • / i3 TO G z /it-7-0 ' 2 / ,p._ =� C " / =?73-C "m / =�� Li .r =3/ 3 31 ' Cv , i3 ' w Nt. 15ins.tloc•rev 6116 • -NIB 5 Official Inspection Form Subsurface Sewage Disposal System•page 15 of 17 1t `t ` '' '/ • • 'r !'.. iq� ?/: .. .'t'Jr,•4._4141.1., �4I { .. i .♦ '!�.•' `ED ^rte?f� • r, . , ., �� NO\V 2018 �_ f I, s, ;. Z ,�; I YARMOU CH • `rt "� t n OLD KING'S H! ,HWAY „ o �' © ULD KING'S HIGHWAY - ti• m N �•ic 70 cm . A.,•,. • . ,'.'13.1y,- ••.,ria `-- . ,� •v•• `•� ..• i • : ; ' ` t Fil V. 714 . f ' �' ,o i--i' dr • t• ", ,t, lee, gra • a • • • y�+J '4i{ h;, ofy �•. V• .. -• ', x+�` 4 �-� 0',''.. A `w. i fV+1 )a r 9 '!' it.G r •f_ Z►` � , fes S- r . 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I--`q-i-f::_•-.4111e' ''-'_.- . 4 Front Elevation Left ElevationRECFVED PII\+E � RBOR WOO11 PRODUCTS >� PINEHARBOR.COM NOV2 0 2018 1-800-368-SHED SCALE• 1!4" = 1'-0" SCALE: 1/4° = i'-0" IV 259 Queen Anne Road Y IvIUU I H Harwich, MA 02643 I 1 1 1 1 I I I I I I 10/12 Pitch OLD ' I 'S HIGHWAY p: (508)430-2800 I 1 I 1 1 1 1 1 I I I I I I 11 I I I I 1 I I " f:(508) 430-1115 I I I I I I 1 1 1 1 barnsOpineharbOLcorn I I I 1 I I I 1 I I I I I I 1 I I 1 I I I I . 1 I I I I 1 I I I I f I 1 1 1 I 1 i 1 1 •I I I • .\ J'litectural Shingles I 1 I 1 1 I I I 1 I I I I1 1 I I I I I I ENGINEER'S STAMP 1 I I I I II I I I I I 1 I I I I I I I I I 1 _ i 101/\ V' IlTililili II ;N = 1 ■t.....i. U.White Cedar Shingle �� •LG KING .11G-"NAY -• IIII 11111 '15I I I �_�_—_�_ =--______ PROJECT: i. 2'-0" , 8'-0' / 8' x 12' Quivett Caoe R�CEAt CLI ENT: NOV CI) Michael Bolton S 7,O .AI O�Oin fu ADDRESS: Rear Elevation Rignt Elevation ��r"''A M ARK 32 Greenland Circle Yarmouthport. MA 0267 3 SCAT 7 1/4' - 1` 7C:A,_E v4" = l'-0" H' MAI PHONE: 703-244-2653 I 1 1 11 1 I I I I I 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 E-MAIL: I I 7 I 1 I I I I I I 1 l I 1 I 1111 1 1 -7 1 1 1 1 111 1 I I 1 1 1 1 1 1 I 1 1 1 1 1 1 mbolts70 hotmall.com 1 1 1 1 I I I I I I 1 1 - • Architectural Shingles 1 1 1 I I I I I I I I 1 I 1 1 1 I 1 I I I I I I 1 I l 1 1 1 I I I I I 1 1 I 1 1 III I I 1 1 ADDRESS OF PROPOSED WORK: lit 1 1 I 1111 I 1 1 I III I III I III R 1 1 1 I 1 1 1 1 32 Greenland Circle Yarrnouthport,/I \ MA 02675 II I•■■■M White Cedar Shingles MINIM Irlrr■■ ■■r■■■ REVISION DATE: ■r■rr� MM. ! 10/23/18 EMMEN — •White Cedar Shingles Ir■IMIMIN DRAWN BY: ■..... GB Scale: 1/4" = l'-0" -n - 2 p Unless otherwise noted Page A.1