20-D001�cf.Y ,e TOWN OF YAR OUT"
r= r, .. -
�,- 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 ,x- 3 ;;u;.;V4
RECEIVE ��, r,, rrri
OLD KINGS HIGHWAY HISTORIC D'BSTt�,uT
APR 15 2020 APPLICATION FOR
TOWN CLERK CERTIFICATE OF DEMOLITION OR REMOVAL
SOUTH YARMOUTH, MA or or
of t h, ,LYt::r =170, ^.=.ts of 1973, L:s .nmsn&d, For the proposed work described below
aid on ,Mails, u'rLi° Vis, or f l: ivy tt5 accotilpOnying this application. PLEASE SUBMIT FOUR (4) COPIES
OF vlTt* PLA,"] AND ?', OTOS AL(DiNG VVITN APPLICATION FORM AND ABUTTERS LIST.
Type or print legibl
Adorco., ej� t,;�,i,.. _ - .....- .� _ � Nis,; �. --\'5 L I LET ----------- _
Owner(s). Phone #:
All a}z1-Hr�±"L ns rrmst n c ohm t+r. by ott ner or acconnp?.nsed by letter fromovmZ -r approving S;ei .,.4tai of ?.7,!;ntinn..
p /
Mailing address: �S �lC�,�� r I+ "7(G Year built: i / %
Er;iait � --�� --- -.. _. __.._- -- --._ .. .. _._.- -- - ..._ ...:. .: -- ........:; ;;:=t'.:od--------i1=> '•,f.�iE - - ----F:nail
01
Agent/contractor: _.. (Z LT `[ i� Phone #: 62 '� 8
Mailing Address: �[� 1 Y,L �� �a�1e1 F:2,,Y&11,K0. G4
Email: LekPreferred notification method: _ US Mail — V_—Email
Description of Proposed Work 1 r
Signed (Otr:,:m:j i. .:::. ,t i Dal�—
r Photos (4 sets) showing all sides of building MUST accompany application. > If building is to be moved. give new IOcation.
> If relocation is granted, Certificate of Appropriateness appGcatio;i is rcauired if new location is within the Yarmouth 0KIFI District
> Ownerlcontractodagent 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 a ui .' _
For Committee use only:
Rcvd Date: r7
Amount
Cash "� 7
Rcvd by:
i
46 i7ays: ,
I -"Ca VE
—ZApproved Approved with mod'ificabons gePiiie I
A 3 2020
OLD KIARMovrH
NWA!'
Signed: 20-DO01 42 Liverpool Dr 4/13/2020
Approved Remotely by:
— - - Richard Gegenwarth Robert Wilkins -
]ane Hildebrandt Rosemary Nicholls
Dawn -Marie Flett
Date Signed: — 20-D001 42 Liverpool Dr 4113/2020
zrzozoa Applicant agrees to obtain OKH approval for any
changes to these approved plans prior to the
change being incorporated into the project.
Rt -mately agreed to by: Gary Ellis/ERT Architects
APPLICATION #2 0 m Do 0 1
TOWN OF YARMOUTH
1 146 Rot I'1•: 28, SOU Ili 1',UZ;1I(?I' I'I1, MASS 'AC11US11:'I" 1'S 11266#--1-151
I'e1epik noe {51)8)198-2231 Ext. 1292 Fci,� (5118) 39840816
01A) KING'S I11c.r1►1AV rlr�'ft.)ItrC Uri Trtl(`r' CE)llrt�lr l"r`I�,
WAIVER OF 45 -DAV DETEliNlINATION
ECEIVED
MAR 19 2020
YARMOUTH
The agent 111idci:tildlldti =111d ;1,91-eeti 111,11 dere 10 1110 CUI'I•ellt (leelarcEl
National alld stale public health elnelycncies the delcrnlinaticlrl of our A1111licatioli list• a
(•ert111i:ille of AI1111•(111!'iamicss/Denloliticltl:'L-retll Ill ion Illay I14)t be made within SIS days 171 Clic.
Iilin�" ol'such application.
The applicalit agree" to extend the time itatllc x ithin which rI delcrlllinali,in is to hc• wade as
rcquired bythe Old Kim's I li�ghway Rc� ional I I Isj ►r1c District .del,
.S`E(WON 9-rlleelings, lle(rrirr,,s, Time.%vr ,11a1•ing Determinations
''As sooll cr.c ('0111•r/d011 (00''.rrch pliNiC in (111V c•ivill 11•rthili inr11•-lil•r (4) clans
cr/irr 11tc• .filing r,/' applir(rlirm, ol. film, a -v 11re (1pplic•ant shrill rrllnu. ill
i1.1'ilin'�' 111c• ('currruillec• .viral/ make a (Ic'rr)•rlrirtalion on (he applic•atirr)r• -
Applirull uncic:l:titancls that the 1'eview (it' this �11)111iCaliiu1 Will hr reschecltlled as N0011 ,i, tllc
situation hilt?ws.
Applic:Iltion bf:
ProJect Address: -lea
Application lilino dale: od, _c�,5- au��
.t pplicanCAgcni Nume (pteau prim): �1L
A11111irant%Arclil si��n,ltur�:
312020
Dam
RECEIVED
APR 15 2020
TOWN CLERK
SOUTH YARMOUTH, MA
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TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: �L-KJ \9t-'`�
Property Address/Location: � uwy=- P M l _
Hearing Date:
RECEIVE[
FEB 2 5 2020
YARMOUTH
OLD KING'S HIGHWAY
Notices trust be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www.yarmouth.ma.us
Applicant Information
Abutter Information:
Map Number Lot Number
1 S\ ,'
RECEIVED
APR 15 2020
TOWN CLERK
SOUTH YARMOUTH, MA
Application #: `
20 -AO
1431 631 1 1
KRUEGER MEREDITH P
37 LIVERPOOL DR
YARMOUTH PORT, MA 02675
1511 111 1 1
RIDEOUT ROBERT 0
6 SHELTERED HOLLOW LN
YARMOUTH PORT, MA 02675
1431 641 1 1
WEBBER WADSWORTH H JR TRS (LIFE
EST)
34 LIVERPOOL DR
YARMOUTH PORT, MA 02675
1511 61 1 1 v
HAYES EDMUND M
17 SHELTERED HOLLOW LANE
YARMOUTH PORT, MA 02675-1544
1511 51 1 1
KELLY DAVID JOHN
25 HOMER RD
ARLINGTON, MA 02476
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
42 Liverpool Dr., Yarmouth Port, MA 02675
Assessors Map 151, Lot 5
Andy Ma&ado, Director of Assessing
ERT Architects, Inc
299 White's Path
South Yarmouth, MA 02664
151/ 101 1 1
FINN PAUL V
12 SHELTERED HOLLOW LN
YARMOUTH PORT, MA 02675
1431 691 1 1
Y00 WILLIAM W ✓
67 COLLINGWOOD DR
YARMOUTH PORT, MA 02675-1513
RECPIOU
"
MAR 11 2020
Y �1liVsV V I n
RECEIVED
APR 15 2020
SOOT ARo wN CLERK
MOUTH, MA
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