HomeMy WebLinkAboutUntitled APPROVED UARt lg I{l-1i_ i CLERK
MAY 10, 2021 '21 AY z 4:}0REC
YARMOUTH /, . TOWN OF YARMOUTH
OLD KING'S HIGH 11146 ROUTE 26,SOUTH YARMOUTH,AAA 02684-4451
Telephone(508)398-2231 Ext. 1292-Fax(508)398 0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
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 COples OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION.
Check All Categories That .!
g App Indicate type of Building: Commercial �, Residential
1)Exterior Build=Construction: �II New Building LiAddition erations Reroof nGarage
Shed _Solar Panels I\Other:' '\tri}/•V.( t VEQ
IJ
2)Exterior Painting: Siding Shutters n Doors Trim UOther._
3)Signs/Billboards: n New Sin Change to fisting Sign , 1 9 2021
4)Miscellaneous Structures: Fence j Wall Flagpole _ Pool Other. ARL100Tti
Please type or print legibly: OLD ING'S HIGHWAY
Address of proposed work. `. R 2k4-3/44,212 L i_i_ Map/Lot# � C'
Owner(s): „\5.i i, r- s L Zt�L�l"f' Phone#: ;`-�• `1 �1._? \
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: ";-,;-‘1,-v- , Year built
Email: \J-NIN ie1.(P41•XfQ ;f...A? x‘ •G ly Preferred notification method. U Phone Email
Agent/contractor.tsi,ve t ��11 P & l Phone#:LkL tl'LkU1•(511-A
Malting Address: k(j.-R to 01(C_;\12 PNnI F i C' -t.. �(-I 0_
EmellAINe kAk\0ZTt Qtr L,IN\c„,e. C.�--t Preferred notification method:_Li Phone E0 Email
Description of Proposed Work:
tti ,z itn ( 03,634e- L \�d►cx-zc
Signed(Owner or agent):_Z 1 ( c rVe t. 'r t Date: y,
�➢ Owner/contractor/agent is aware that a permit is required from the Bulding Deportment.(Check other departments,also.)
ID 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.
D All new construction will be subject to Inspection by OKH,0i0-1-approved plans MUST be available on-ake for framing&final Inspections.
For Committee use only: 11 Approved Approved with_Modifications Denied
Rcvd Datil- 1 �- '21 Reason for Dental; Applicant shall seek OKH approval for any changes
Amount �lU.00 to these plans prior to the change
Cash/CKttt:z_crto being incorporated into the project.
Signed:
Rcvd by: pproved By:
45 Days: Ric - . -a - T,.
Robe.�t-T-Wo, -s -- — i
Date Signed: Roseinary_Nic to ) t
Paula Morrispn
John Stuart APPLICATION#:_ _ _