HomeMy WebLinkAbout21-E013 Deck 4:0*
TOWN OF YARMOUTH
3
. 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451
Telephone(508)398-2231 Ext.1292-Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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.
Type or print legibly:
Address of proposed work: ha 141,41-De/L) 1.4-,4)d Map/Lot#
Owner(s): AAA/Cy ,if✓] x'01-1 AD4^+eZyk_ Phone#:A/13 237-6090
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: /57 ICIAXWOLP:.SN 22 v, SPFt.6. p-l.4 01085 Year built: 2 01 r
Email: 1143.4 NO AOI.•COY Prefoaed•notification method: V.-Phone v Email
RECEIVED
/Went/Contractor: SC-GF Phone#:
I-EB `L 3 2021
Mailing Address:
YARMOU7r.
Email: OLD icihlri'S Lii(** tiedlnotification method: El Phone 111 Email
Description of Proposed Work(Additional paces may be attached if necessary):
Co^-,S vcr 2,/ 1c2/' JCC-1G A - FQe - of ROUSE
RAIL1A.)4s r0 86 3b' f-If6tl. COLO2 AA-,b sryLE --1-0 SE
A s /A) ,4rr,4cFE6.-- P1 comic CO w2 OF 71) [Zan_ ro 86
�-�Gi- ) Nom°b,9JoY
Signed(Owner or agent): Date: 2-23-21
) Ownerlcontractorlagent 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:
_ /Approved _Approved with changes Denied
Date:
Amount Reason for denial: A ',11 Jai , -Er U f t 1,-,ic-4't1 C'- tc' L
VI�;( ,1t'i�'1i .I}1Ca I., 1 YARMOUTH TOWN CERK
Cash/CK#:
Revd by: .r - '2iMARi5rti3:18REC:
Date Signed:2 Ptlidigi Signed: APPLICATION 0'-\:=U
V5.2e17
.0%%. TOWN OF YARMOUTH
p`. y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
N Telephone(508)398-2231 Ext.1292 Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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.
Applicant/Agent Name (please print): -Tom AbAtiCZ`ik.
Applicant/Agent signature: Date: Z-23 2/
Application#: 2_ 1 CO 13
312020
Rogers, Grayce
From: Richard Gegenwarth <r.gegenwarth@comcast.net>
Sent: Wednesday, February 24, 2021 5:36 PM
To: Rogers, Grayce
Subject: Re: Certificate of Exemption -42 Walden Way
Attention! This email originates outside of the organization. Do not open attachments or click links unless you
are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
This looks very good Grayce; I approve.
Richard
On 02/24/2021 3:45 PM Rogers, Grayce<grogers@yarmouth.ma.us> wrote:
Hello Richard,
I have attached a Certificate of Exemption for 42 Walden Way for your review.
APPROVED
Thank you, FEB 2 4 2021
Grayce Rogers YARMOUTH
OLD KING'S HIGHWAY
Office Administrator
Old King's Highway Committee/ Historical Commission YARIYIOJITH TO CLERK
508-398-2231 Ext. 1292 ,, __EC_,
1 M ii _5F*3=18
1
The Commonwealth of Massachusetts Fee
Town of Yarmouth $150.00
HANDLING AND STORAGE OF TOXIC OR HAZARDOUS MATERIALS
Number: BOHHM-17-0427-01 Issue Date: 7/1/2018
Mailing Address: Location Address:
FOUR SEASONS LANDSCAPE 324 ROUTE 28
WEST YARMOUTH, MA 02673
P.O. BOX 391
WEST YARMOUTH, MA 02673
IS HEREBY GRANTED A 2018-2019 LICENSE
This license is granted in conformity with the statutes and ordinances relating thereto,
and expires June 30, 2019 unless sooner suspended or revoked and is not transferable.
Conditions
Yarmouth Board of Health Hazardous Materials Regulation, Section 12A:Must report any spills over one
gallon in size to the Health and Fire departments.
Board Hillard Boskey,M.D.,Chairman
Mary Craig, Vice Chairman
Of Charles T. Holway, Clerk
Debra Bruinooge
Health Paul M. O'Bryan,PhD
Bruce G. Murphy,MPH,R.S., CHO/Amy L. von Hone, R.S.,CHO
Health Director/Assistant Health Director
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9.,t.,, ISTf.`-_L bow ' TOP OF FOUNDATION IS 3.6'+
ABOVE HIGH POINT IN ROAD.
TO THE BEST OF MY INFORMATION, "AS-BUILT" PLOT PLAN
KNOWLEDGE, AND BELIEF THE YARMOUTH, MASS.
FOUNDATION SHOWN ON THIS PLAN LOT 4, PL BK. 589 PG. 94
HAS BEEN LOCATED ON THE GROUND DATE 7/31/2014 SCALE 1" = 60'
AS INDICATED. JOB_ 5607-04 CLIENT ADAMCZYK
7/31/2014 SWEETSER ENGINEERING
DATE PROFESSIONAL LAND SURVEYOR 203 sEET ROAD
DENNIS, MA 02660
off. 50PO BO6-365-6900X713 SOUUTHTh Dfo,,. 508-385-6991
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0 r' 9 N m DESIGNER Nancy and Tom Adamczyk
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