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HomeMy WebLinkAbout16-E0720 4M
°°---;a TOWN OF YARMOUTH
RECEIVED
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
rt Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 JUL 13 2016
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE YARMOUTH
OLD 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. PLEASE SUBMIT APPLICATION FORM & ACCOMPANYING INFORMATION
(INCLUDING PHOTOS).
Type or print legibly:
Address of proposed work: Ron Map/Lot #
Owners):Phone #:3q-7�97�(3P
Mailing address:.
Email: fl Ck
Aoent/contractor:
Mailing Address:
Email:
1 Preferred n
5o$-gu3-�c
Year built: 1 ?8 �)'
method:
Phone #:
Phone Email
Preferred notification method: Phone Email
Description of Proposed Work (Additional pages may be attached if necessary):
be
41 1 -�rQ V14 o ` i G tio U se- w t f( be
Ylo4 a i 4e rG d : 4-k, vi w ma(-00 rid 4he hofs"e, ujf
o cc, c� C -y G` --i" -,o-1
P
Signed (Owner or agent): �� Date: f
> Photos showing all sides of building MUST accompany application.
> 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: 7 3
Amount
Q _
Cash/CK #:
Rcvd by:
Date Signed: 7ZI 6
ZApproved
Reason for denial:
Approved with changes
HIGHWAY
Signed:
APPLICATION #: I
I%- Eo2Q
7/12/2016 Design Tool - 400 Series Double -Hung Window
400 Series Tilt -Wash Double -
Hung Window
Interior
RECEI VED
JUL 13 2016
YARMOUTH
oe_D KING'S HIGHWAY
Exterior
SUMMARY JUL 15 2016
..w...._. ���. . . ..
To purchase this product or customize it further,
take this summary to your Andersen dealer. YARIUIC3Ui'I-I
�.a 8 2016
T
�OWN CLERK
https://www.andersenwindows.com/design/aw 400doublehung_tw?exteriorTrim=3.5%26%2334%3B%20FIat%20w%2F%20Sr1l.6A 'ib . ; jol olor%3DW... 1/1
7/12/2016 Design Tool - 400 Series Frenchwood Gliding Patio Door
400 Series Frenchwood® Gliding
Patio Door
R E -C-E - - - -
JUL 13 2016
OLD Kil�� SC�t�TH
GHWAY
Interior
Exterior FAORC,"WED,
SUMMARY
. ...... .......... ....... ..................
To purchase this product or customize it further, take this summary to your Andersen dealer.
Interior
White
Exterior Door Color _
White
.............. ........ ...............
_ .... ........ ...........
Hardware Options
Anvers°, Satin Nickel
Grille Style
Colonial
Exterior Trim Profile
3.5" Flat
Exterior Trim Color White
JUL 15-2016
YARMOUTH
®LCD K NG'S HflG.HWAY
* Distressed bronze and oil rubbed bronze are 'living' finishes that will change with time and use.
* Options shown are not available for.all products within the series. Computer monitor limitations prevent exact color duplication. For an
accurate representation of color options please view actual color samples available at your Andersen window & patio door supplier.,
JUL 18
7-rO�Lk
007
https://www.andersenwindows.com/design/aw_400frenchwoodgliderdoor?exteriorTrim=3 5%26%2334%3B°/o20FIat%3B%20color%3DWhite&exteriorTrimCola.. 1/1
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