HomeMy WebLinkAboutUntitled °4Y1a, TOWN OF YARMOUTH
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µ 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
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, Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836
RECADLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
OCT 2 9 2019 APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
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Application is hereby made 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 V Residential
1) Exte for Building Construction: New Building Addition Alterations Reroof Garage
Shed Solar Panels Other:
2) Exterior Painting: Ti:-eY Siding Vim`(Shutters RA Doors Trim((/hif: .Other: (D0015 -(--__ShiL1T-e/ w/(J X ti ii()U.5'
3) Signs/Billboards: ki Il- New Sign Change to Existing Sign
4) Miscellaneous Structures: Qu}- Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: l D 7 1/44'0:-I1 Z vt T 4 ',...k.,...k. 2 Map/Lot# I J b/ I D
Owner(s): U T 11 (-7 .'11 Phone#: 5 G `-''' S.fl Z
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
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Mailing address: 00 b'( E(5 il 107 11?.n,C h 14 �'c rot OL'i- WT. Year built: C 6r C
Email: (7C3/1 j L(() (- twi C ,--,7 _ n4 r Preferred notification method: / Phone Email
Agent/contractor: lig,/ Phone#:
Mailing Address: A/1---e__
Email: Preferred notification method: Phone Email
Description of Proposed Work:
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OCT 29 2919
Signed(Owner or agent): YARMOUTH Date: %D'r I ( f
" OLD KING'S HIGHWAY
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: /O—/ '/ 9 , Reason for Denial: .
Amount
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Rcvd by:
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45 Days: hi--45---/9
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Date Signed: /12.q2-0/? 111Prir
1 APPLICATION#:
Ifto TOWN OF YARMOUTH
° G? OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
RECEIVED Telephone(508) 398-2231 Ext.1292 Fax(508)398-0836
OCT.2 9 2019 STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
TOWN CLERK
SOUTH YARMOUTH, MA
As property owner/contractor/agent for construction at /0 ? , - - - .4-
Map/Lot /3(p. /Ols C/A# A 0 P - Approval Date: /O9 -/ 9
I certify that I understand the following requirements regarding any changes that may
be required for this project:
In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the filing of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
colors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification to and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writing on the appropriate request form, which may be obtained from the OKH office.
All change approvals must be obtained before incorporating the change into the
project.
If the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop-work order or delaying issuance of an Occupancy Permit or final
inspection approval.
I have read and understand the above statements.
ie 2 S Zo/q Signed:
Date: / =---
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(Owner/ infractor/Agent)
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Signed: ,,>(
(Chairman, OId'King's Highway Committee)
H:\OKH COMMITTEE\Application Forms\Statement of Understanding 2015.docx
Updated 12/2015