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21-E006 o�wy � TOWN OF YARMOUTH !„,z. , 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451`f Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 ( —' FEB 1 c I RECFJVED OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE T , Moi EB — 3 2021 OLU ',NG'S HIC APPLICATION FOR CERTIFICATE OF EXEMPTION • I OLD KING'S HIGHWAY 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. Type or print legibly: rr ti Address of proposed work: . b P i r1C r't � A 10.f Mc g,i(4 kr\ c)L aj Map/Lot# Owner(s): L. Sae. Phone#: 7)4 -Cal( -M9.5 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 06 50A.c14ei /AR— (4,14,a4.,. ;rf, Year built: 1 Email: 1%?? 9rnR. .Corp Preferred notification method: Phone Email Agent/Contractor: Sart r Naaoh Phone#: 7 7 Mailing Address: 76 (161.1101CrIi'. - L,, , 4yanni:s , MtA o.;t(•,c Email: S a n C(5 Con4+1,..0+.c., e (QAc.A.31 rid- Preferred notification method: F Phone Email Description of Proposed Work(Additional pages may be attached if necessary): Re.PIACC ()0(1) 0 x- l61.v.e1c. ) L . - L;kc (C. cc-ft &ay) )1c�!acc IN'• IL.a:r. Raw // ) L. kc - Ls/T. pbvlelc (4 6 &cr 6 Cha. N°w�c I &.L ) 5c'-v Corr 5(4. Q,c,„0 „(�.r.� a�Pl114 f j� YARMOUTH IOU--[[=H E OWN CLERI. R/ '2 A?"E I2p 3:4E RFC Signed (Owner or agent): Date: l a I OA 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: I'� �;,. Approved Approved with changes Denied Amount ' 0 Reason for denial: Cash/CK#:1_41A Rcvd by: -42-- Date Date Signed:/) 7:2°2/ Signed: C'. ,I C / f)L4yr'+4i APPLICATION#: Clirp(avG OI—H-ct 0€— RECEIVED. FEB - 3 2021 YM-ff LUTn OLD KING'S HIGHWAY , Property Owner Must Complete and Sign This Section I, )ohms C Sic.,. , as Owner of the subject property hereby authorize S1 1-. AIL-Ge to act on my behalf, in all matters relative to work authorized by this building permit application for: (1,10 (Address of Job) Signature of Owner Signature of Applicant C. chc �kMt I N AtO Print Name Print Name -9-laoat Date ao TOWN OF YARMOUT p� y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-44 1 FEB ' 3 2021 n > $ Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 rr.rl�o��1r. OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTtroo KING'S N G ,H NA WAIVER OF 45-DAY DETERMINATION The applicant/applicant's agent understands and agrees that due to the current declared National and State public health emergencies the determination of our Application for a Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to be made as required by the Old King's Highway Regional Historic District Act. SECTION 9-Meetings,Hearings, Time for Making Determinations "As soon as convenient after such public hearing; but in any event within forty-five (45) days after the filing of application, or within such further time as the applicant shall allow in writing, the Committee shall make a determination on the application. " Applicant understands that the review of this application will be scheduled as soon as the situation allows. c Applicant/Agent Name (please print): Sam uc 1 (. luaoonv Applicant/Agent signature: Date: a Ia I aa3t Application#: 3/2020 ; .- \ \ .f y. . \ « { 2 . . 4` I / < \ \ . y . « :t2 ,. • _,. • 4 .\ < - / /. 2 _.., \` ` . . ..1 =° , .w : • , -, y ° , / � \ ��. � ~ : . \ ; , , i.,, A 1 b-t x . . »I > y; �® lga~ 1 ¥\ ,_ . y2/.■§:* y • it ?, �: 1 % - \ *. � „.+1:,,,...7..,,t,.,,,..,%,'.1,...,;-_,,, w ©. <.\ �a > ¥«dam < I, � . a / • s . « . 1•• . f 1 \\ .. . . rt i..... ` / f � • 0 2�. y. , ) » t 6.-I* §f : , I «:1 4> a _ I. § yy . .� / . ` \ \ u_ i , y � . \ ?: \ , . .� • € ° 1 i " . , Rogers, Grayce From: 'RICHARD GEGENWARTH' <r.gegenwarth@comcast.net> Sent: Friday, February 12, 2021 3:29 PM To: Rogers, Grayce Subject: Re: FW: photos and info requested Attachments: RICHARDGEGENWARTH.vcf Good door selection. Rest is all like for like so I approve. Richard On 02/12/2021 2:26 PM Rogers, Grayce <grogers@yarmouth.ma.us>wrote: Hello Richard, Could you review this Certificate of Exemption for 16 Pine Street?The links provided in the forwarded email are more visual specifications. APPROVED Thank you, FEB 1 2 2023 GrayceYARMOUTH Rogers OLD KING'S HIGHWAY Office Administrator Old King's Highway Committee/Historical Commission 508-398-2231 Ext. 1292 From: sandsconstruction [mailto:sandsconstruction@comcast.net] Sent: Friday, February 12, 2021 1:57 PM To: Rogers, Grayce<GRogers@yarmouth.ma.us> Subject: FW: photos and info requested 1