HomeMy WebLinkAboutUntitled APPROVED YARMOUTH TOWN CLERK
;4A.10 TOWN OF YARMOUTH '21 Y _7P; #:10 RE
MAY 10, 2021 s 1146 ROUTE 28,SOUTH YARMOUTH,MA 02664-4451
' Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
OLD KING'S HIGHWAY 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 copies OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial 71 Residential
1)Exterior Buildin• Construction: New Building n Addition Iterations Reroof RriGarage
OShed Solar Panels Other: a �,�
2)Exterior Painting: nSidingShutters n Doors Tirrim IIOther:
3)Signs/Billboards: n New 2,,n Chane to Existing
9 Sign
4)Miscellaneous Structures: Fence IWall IIFIagpole nPool Other:
Please type or print legibly.
Address of proposed work: I y I-I l LI-sc-A (L� Map/Lot# it) — 2/
Owner(s): 1 TZiA. + ROSAN1-1A tjikirrY Phone#: ,e 7.?71. 38yw
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: /7 ///t E•4 r7� Year built: J;i'
Email: hr;a n ha r-f98 eV 1,vt '1' O r'r1 Preferred notification method: `Phone 2 Email
Agent/contractor: A L I SO�1 is i t ..-.'-,t7- ;Phone#: Ct ,OP/ 7 F e 7
Mailing Address: `", 2), r•1 Ai 0 r/...7 'QE V,V I I tit A 0?4*,,4
t.
Email:a j t SD n Q 12.;d r('/^,;"':_n---/.:. 'he--, COYYJ Preferred notification method: Phone El Email
Description of Proposed Work:
t1/41 -.,60 2 6, ,,, , p .-(-) ,cry - s7A 4t /'Jf K -;•,-
Signed(Owner or agent): I it 1 I f0v SS/ Date: O �1
1T �/Z
/
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: X Approved Approved with_Modifications Denied
Rcvd Date. (1 2_0 Reason for Denial_Applicant shall seek OKH approval for any changes
Amount -60 to these plans prior to the change
Cash/CK#: )CII 5 Signed: being incorporated into the project.
Rcvd by:
Approved By:
45 Days: Richard Gegenwarth
Robert Wilkins
Date Signed: Rosemary Nicholls
-
Paula Morrison 1 I'A 0 VI
John Stuart APPLICATION#: