HomeMy WebLinkAboutBLD-19-003861 4.
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ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department
1146 Route 28,South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 -
,
Massachusetts State Building Code,780 CMR
Building Permit Application To Construct,Repair, Renovate Or Demolish
a One-or Two-Family Dwelling
326
DDm This 7SeGcti/on For Official Use Only 0
Building Permit Numb 1i)-" nem 7 Date Appfie U) xi
73 M
Building Official(Print Name) ignature . Date rn 0
a
SECTION 1:SITE INFORMATION. Z ccn
1.1 Property Addres : 1.2 Assessors Map&Parcel Numbers r C
/T/—exaAS 1..e1/41 rr6 c3 P
1.1 a Is this an accepted street?yes_ noMapGO
Z N
)/ Number Parcel Number
__ 1.3 Zoning Information: 1.4 Property Dimensions: 0 70
C-i ll4S.>_sSix..` /- t3 '7 r• 3
Zoning District Proposed Use Lot Area(sq ft) - Frontage(ft)- -- - - -- - - OC
1.5 Building Setbacks(ft) ni
Front Yard Side Yards Rear Yard 0
Required Provided Required Provided Required Provided
39 10 35
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public L i Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
, Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner"of Record: / o2.5C
Lut(tt4-v... t2(AAwtt.S�,-ck t%e�L.>t.c-rII p.t, Z... i 4.tz � MJL
Name(Print) City,State,ZIP
17 I S1"-etelA5 in) . erbSr2-4G l trig 1-41-1 et w4.. -J(� 'c -ca C
No.and Street Telephone Email Address L -
SECTION 3:.DESCRIPTION OF PROPOSED WORK2(check all that apply) ".
New Construction Ilb-ixisting Building❑ Owner-Occupied 0 Repairs(s) ❑ A- ct'. t a ddition-91-
Demolition ❑ Accessory Bldg. Number of Units_ , Other ❑ Spec :14 ` .
Brief Description ofPro osedWork2: 46Ct55o^' - U-ie�-kt-c--� tS !![.‘i37/ 1Scu' rc,e T frr.,n�E- t L-e..t c_t-' [JEL 1 .5 LIM
V SECTION 4l ESTIMATED CONSTRUCTION COSTS'. �/ ' '(
Estimated Costs: -
Item Official Use Only "' 4
(Labor and Materials) �(� �. � :e: � .a1 I=_ (
1.Building $ °t out..) I. Building Permit Fee:$ e($ Indicate how fee determined: i
tp Standard City/Town Application Fee n+q I
2.Electrical $ S'ov JAN 0 3 2
❑Total Project Costs(Ite 6)x multiplier 1
3.Plumbing $ _ 2 Other Fees $ ^'35 it, I4' +1 r ,
4.Mechanical (HVAC) $ List. �iv f` 4 l l
5.Mechanical (Fire
J Suppression) $ Total All Fees $
CheckNo Check Amount: Cas ount:
6.Total Project Cost: $ Vail.c b paid in Full IS Outstanding Balanc Due:6'...)
M
' SECTION 5:.CONSTRUCTION SERVICES .
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street - ; Type . Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted I°d2 Family Dwelling
City/Town,State,ZIP M Masonry
• RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes ❑ No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ..
I,as Owner of the subject property,hereby authorize
to act on my behalf in all matters relative to work authorized by this building permit application.
•
Print Owner's Name(Electronic Signature) Date
•SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest i . - the pains and penalties of perjury that all of the information
contained in thi applic ,.,i e and accurate to) best of my knowledge and understanding. //
LEO • n / ? / 2.01
Print Owner's o uthorized Agent's Name(Electronic Signature) Date
•
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
•
t
=Et a= Department ofIndusirialAccidents
=7 �1_ t 1 Congress Street,Suite 100 .
:te="�e1_ Boston, MA 02119-2017
�c4 www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information }/ Please Print Legibly
Name (Business/Organization/Individual): (J l 1 I (4-w._ (1)(A-*u 104-15�1(-JC—
L// Address: ( t_ex;"_s.4-0.4.) L4^-C_
City/State/Zip: \IAAvvbc,499,17r hill- &C?C Phone #: '5 -0? a4 (0 ^ ( '-(76
Are you an employer?Check the appropriate box:
Type of project(required):
L fl lam a employer with employees(full and/or part-time).* 7. D New construction
2.0 lam a sole proprietor or partnership and have no employees working for me in 8. p Remodeling '
y capacity.[No workers'comp.insurance required.]
3. ✓ I am a homeowner doingall work t 9. ❑Demolition
myself.[No workers'comp.insurance required.]
4.0 I am a homeowner and will be hiring contractors to conduct all work on my proPn3•
e I will10 Q Building addition
ensure that all contractors either have workers'compensation insurance or are sole - 11.0 Electrical repairs or additions
--- - - - proprietors with no employees. _
12.0 Plumbing repairs or additions
5.0 lam a general contractor and I have hired the sub-contractors listed on the attached sheet
These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other
152,§I(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
•
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
IIdo hereby certify and to pains and •- i1 of perjury thilt information provided above is true and correct.
Signature: �� 4 .�• Date: /// 'D Lao(
----_
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License# •
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
•
04 YRA TOWN OF YARMOUTH
�$ •
IL BUILDING DEPARTMENT
:% _• 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE: «/17 1//
1./ /� /
JOB LOCATION: 1vUfan— () tri /5-163,,zret +l
L"' ktignwestkPo454 -
NAME STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" IAA( (•Aw. PI,Awi+LsLe(c so( .2k((0 l76 II
NAME HOME PHQNE WORK PHONE
PRESENT MAILING ADDRESS /5 Lc tig 4-o., LA-)
- -- --
‘14(1“4.01.-.441.0 0,14- MA 02 67C
CITY OR TOWN STATE ZIP CODE
The current exemption for 'Homeowner' was extended to include owner—occupied dwellines of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor.-(State Building Code Section 110 R5.1.3.1)
Definition of Homeowner.
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to
be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who
constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner"shall
submit to the building official,on a form acceptable to the building official,that he/she shall be responsible for all
such work performed under the building permit. (Section 110 R5.1.3.1)
The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes,by-laws,rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Y.•. outh Building Department
minimum inspection procedures and requirements and that he / she will co • ith said procedures and
requirements.
HOMEOWNER"S SIGNATURE : a /
APPROVAL OF BUILDING O1•1-1CIAL
INSURANCE COVERAGE:
I have a curren ility insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Ye No
If you have checked ves,please indicate the type coverage by checking the appropriate box.
A liability insurance p�hcy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 42 o I ass. Gene"I% s and that my signature on this permit application waives this requirement.
i, Ch one:
Signature of Owner or Owner's • : Owner Agent
h:homeownrlicexemp
L kir r qR o TOWN OF YARMOUTH
• o vg y BUILDING DEPARTMENT
_r — 3. 1146 Route 28, South Yarmouth, MA 02664
di 508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
1
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L Chapter 40,Section 54 and 780 CMR, Chapter I. Section 1115.
I hereby certify that the debris resulting from the/ proposed work/demolition to be
conducted at /S 1--eXr.1S-�c.° i.),... wtcxJ 4pon�T
Work Address 11
Is to be disposed of at the following location: Allwtoork. TOc.Vlb 1_04,,ci Nr'CL
11
adv.-CD
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
/ 1 / 7 / aci(j
Signa of Application Date
Permit No.
'\ r°`' o TOWN OF YARMOUTH yyyy�
c.
� �'J.z 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451 I R E C F I VE p g
�� , Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 i a ` ie�
!VCei OW KING'S HIGHWAY HISTORIC DISTRICT COMMI I EEWP 1 2 2C:3
DEC l 'C0);4 YHKIVIUU I H
APPLICATION FOR OLD KING'S HIGHWAY
FOIA jT.%. . CERTIFICATE OF APPROPRIATENESS
SOUTH Xmc;✓
Application is}tereo mar for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended,for proposed work as described below&on plans,drawings,photographs, &other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS, PHOTOS,&SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial VResidential
1) Exterior Building Construction: " New Buildingp Addition _Alterations Reroof_Garage
_Shed _Solar Panels _Other. /fcces5 0
2) Exterior Painting: Siding Shutters '�Doors fTrim Other. App, V ®'
3)Signs/Billboards: _New Sign _Change to Existing Sign
4)Miscellaneous Structures: Fence Wall _Flagpole _Pool Other: DEC j 2018
Please type or print legibly: OLD K(NG SOUTHWgy
Address of proposed work: /5.-- elC r� to." Val✓t1oV-16(4 # I t
Owner(s): tilt(( iA-w pt.AoVt;t-SLt-eIC. Phone#: 5-O? .-KC /104.
All applications must be submitted by owner or accompanied by letterfromowner approving submittal of application.
Mailing address: / C taw 54-at, Lv \'J�;Nvv1o. 'LLo321 Year built /5)4.
Email: f— 4-0A I-vA-x( W t( 15. b CAM c.AST MCI—PreferredInotification method: Phone !� Email
AgenUcontractor: oW'-r✓t WlI(IA 1S' `eQ-wch+5Le(C Phone#: cot2Le.E ICRC
Mailing Address: c A-'&—C
Email: Preferred notification method: Phone �� Email
Description of Proposed Work:
A6c-c55O- Gam,Ic n-s j-otLt (p-e,a ia.,._ 5,L -
Signed(Owner or agent): IA14 V (K Date: / 1 (7 /aU( r
> Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.)
> If application Is approved,approval Is subject to a 10-day appeal period required by the Act.
> This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
> All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee use only: /Approved _Approved with_Modifications _Denied
Rcvd Date: IN13 4 Q Reason for Denial:
Amount a.5"
Cash/CK#: I a ,3 _ ,� �0 , / 1r WIT T /i
461/1Signed: ,�-..� . _ - IRcvd by: «YY//--cc%t7
45 Days: *ate � ffe41 41744 17/
/
Date Signed: 2
/2//d/ a/!3 A
/ 1 APPLICATION#: 7 8 v 7 7 4
r k
S.
-_F. y` BUYER:
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�tzt EL NOV "1'3 2018
1 0(0,44040u IGH�yAY
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193,9127 0
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_ - G'3 HIGHWAY
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To THE ( . , Al4 A , r • a i C• ' I.
) MORTGAGE INSPECTION PI)
LOCATED IN
Arm ITS BILE INSURERS.
I THAT BUILDINGS 9OWN DO 1 CONFORM TD SETBAIX REOUIRFIIENTS
(FR� RUT &RERSET ( OOnp Rtr
. STRUOED ARE EXEMPT FRI NOLA6N NF ACTION UNDER MASS. 6A"�YAt2F'io-
�-'r'�.
101
OR
MASSACHUSETTS
TivrttnEii"cR
TITLE t'4 GRAPIER AOA• SECTION T.UNLESS OTNERNISE NOTED. m THE_ESTABLISHED ROOD DEED
w�"'•:.,,,,,..• - T1FT- T-1NIS PROPERTY IS- -TA .. -
E - cooIT7 Dn-. -. Z-"t BOOR__._-----------
e :Y^h TOWN OF YARMOUTH
*into nto HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: f
Building Site Location: / '1 Le i'cs ) Od1/4-) 1.N 1/4A-vnoc )l0 .
Proposed Improvement: i—}CC.eSSD� c�
aot ) .‘vls 7 It rA. 2%D
Applicant: W t �4A ^^ QL4-,ti tn,S�2� C Tel. No.:50d" 11(%)
Address: l Cie X'tvt-S-f-ct Date Filed: 1.7 I c( 1201 f/
— **/fyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: % .c_. lI % A- t2iJ-�—
Owner Address: Owner Tel. No.:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: /al////
PLEASE NOTE
COMMENTS/CONDITIONS:
. 2
}•0E y� TOWN OF YARMOUTH
o WATER DEPARTMENT
3 lir • 99 Buck Island Road
West Yarmouth, MA 02673
•
Telephone: (508) 771-7921 • Fax: (508) 771-7998
•
• BUILDINGFERMIT APPLICATION •
DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET •
•
Bldg. Site Location A C'KvS^te-,) 61J Map #: . Lot #:
Proposed Improvement: Her ijU coQ, aft
Applicant: . 9/)/ (// V' 4
L w% L- (
Address /S—A0
ex._L;n Tel. #: `- J'47' Date Filed: (50 /rr•
RESIDENTIAL AND / OR COMMERCIAL BUILDING
Water Department: Determines Compliance of Water Availability and or Existing Location
Engineering Department: Determines Compliance for Parking and Drainage
Cccnse^iation Comm-issior: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type cc
Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc...
• Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements
for Septage Disposal and other Public Health Activities
Fire Department:. Determines Compliance to Sr. - . • Town Requirements for Persona!,
Sa - Pr1..- Protection;, i,- Smo - -tectors, Sprinkler Systems, Etc...
i
(e /r
Signature of apps can Date
PLEASE NOTE:
COMMENTS: ,
471-4211—/ r •
Reviewed b : Water Div ion Date
a •
<,t it`gyp
�/ C CONSERVATION
C+\ ,r „ �,J2 OFFICE
,`"'„°` a�� Yarmouth Conservation Commission
` ' Administrative Review Application
Applicant Information: (n/
Name: CJJ( \( ( V (40/I✓�LIr
C I p
Address: 5 I �'t125 `v /-s'4-`Ait l vam ,ta 0`� -
Phone: cOS o9 LC I <-CU 41111111
Signature: 6.
_
Location of Work: C -lL9 ) (°2S lJ Lk—) I (ileLen- M„rtlt lic
Street Name and Number VVV
Detailed Description and Reason for Proposed Work:
Cd-&-5 trtuc—cl- ,q--c.-A--, 4 C sc-,0 ? bo i tattm
-Ctn.- 400 L 54-0 .art--e_._.______________
I J
Closest Distance to Resource Area: 35 a- 649✓►1; vie //^ 7e/c,
Proposed Start Date: l,t //a (.2-0 1 f
Company to do Work:
J
Name: N' A071-L/ in g i s �/l S /
Address: / Sc ,ex/ 1---e-1.../S 1---e-1.1---e-1.../ La- /� tM
AcI .
`-
Phone: 5-05r ? ( (o / Y7C ///
Administrative Review Comments: C' ,0 Vali 4- c('
/ 2 / 13 / 201E .
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i REC IVED
--.\ 5cpl ', iJ DEC 12018
TOWN CLERK
1 SOUTH YAf MOUTH, MA
i
LL-i ITC=H ok-1- W;' I I& C NFORM TO ALL
TOWN BYL S'& REGULATIONS
ARMO�ATER DEPT DATE
Y
tie 7.2.4.4e, Gi 13 pv alrL.II-JGi ZoN>r C,
TO THE (
Ah( A — •• A , G ' .j. 1 MORTGAGE INSPECTION Pt)
- LOCATED IN
Aero ITS TIM INSURERS. Va.»t�.X ,rti..l
1 CERTIFY THAT THE BIRD$CS WOTNT DO ( 3 CONFORM TO SETBACK REOIRRTLDTT3
T.E. (FRONT. 3uE. &REAR SETBACK ONLY) OF .AA17_t-05-/LWir MASSACHUSETTS WEN CONSTRUCTED, OR ME EXEMPT FROM NOIAIIoN £NECK ACTION UNDER MASS. O.L
TITLE W. CHAPTER 40A. SECTION 7. UM,ESS OTHERNISE NOTED.
•1`FUATHER CHAT Ties PROPERTY 1 '5 AT
LOCED IN THE..ESTA�SHED FLOOD DEED
..... "CA
-•••
........• CAAICI rJn.:25cO1S 000112 DATE:7-2-97,.. root(._ ---.
X323 d
SERVICE NO d '
NAMt .! 1 -8
W3i83lliam Planinshek
1, 5-3-95
STREET 15 Lexington LANE-- Lot, 34
VILLAGE Yarmouth •
51376 9t, " PRo i is•98
METER NO. - " - I"r'2 -
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o� YmTOWN OF YARMOUTH RECEIVED
'tii•' ! -c 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 ;
rto +r Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 ,
DEC 1 9 2018
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE YH ctV1UU t ri
OLD KING'S HIGHWAY
AMENDMENT FORM
("MINOR CHANGE REQUEST")
A minor change request must be submitted within one year of the original approval date or while the work is still in
progress. Only a minor change may be approved by the Committee without the filing of a new application.
PLEASE TYPE OR PRINT LEGIBLY
Original Application#: /2 A//y Original Approval Date: -
L7m 8
Address of proposed work: /-5 Je y. n rA.-M , n. rr- rev-, Por---i-
Owner(s):
^t I rev-, co -h Imo;-E'
Owner(s): ttj W 1111 G)LA€A-4✓-5 ke(L Phone#: 502 t(G /(41 C
Mailing address: /" I, eV./i-c...s 4-e c . ( .
n Cpctt
N/Email. f✓ �/ '- (`-WA-rd� _ C44`T. asarP-eferrednotificationmethod:_Phone_ mailUS_ Mail
C Agent/Contractor: 5...t (.5:1---III Phone#:
Email: Preferred notification method: Phone Email
Please describe proposed change(s)and attach plans/photos(as necessary):
Q‘51,;(- 51cic et 7---n_0,4.4- o- ' ? 64J,...._3 eK.ka,4
g1-p-t _ G)l 5 I,7/- c.,;,/,_ fs -lam J-e_ l a ` Op.
A.)0 ei-A..4-fie -,,, -A- J� e 4-/Ac.-t-C o-f.v
J - 1 Val t''
\
•
Signed (Owner or Agent) ,( PP Date 1 i (Dot
Approved by OKH Denied by OKH New C/A require. _Yes _No
Reason for Denial: RECEIVED APPROVED
GEC 2 1 1U)8 DEL `L 1 [0)8
I OWN CLERK YHKiviOUTH
SOUTH YARMOUTH. MA OLD KING'S HIGHWAY
Signed OKH Chairman WE Date / z12//Z o /l
AMENDMENT* j$-/SII y-41
11/2015
11-11I_1_1 A F. ? • . . --
9UYER: a
UarLTrA- Fe�11/,�j i .
�%11 . WAiztFl_. A Nov 13 2018
I OLD K;NG OUTH
_ HIG HWWy
Iz4. 97�J
1 !p>" 77 t
RECEIVED IEG1 �`E®
131917 DEC 21 2018 DEC:viUu
32018TOWN CLERK YHI HSOUTHYARMOUIHuMA . _ LDKINS HIGHWAY
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