Untitled RECEIVED ._T.
YA H TIMN CLERK
MAY 1 1 2021
TOWN OF YARMOUTH
_
OLD KING'S HIGHW r� 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
: 4'' `x.3
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: //CJ .-Br FC'cc\ Oc ' rmo, t'}- Map/Lot# 51 /3 /7
Owner(s): ��4- '5QrneS VJ�t� A3.0 ' 02(D75
Phone#: 2t{$-`a2t7-(94]3
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 21 "15 0 t �S V t �-n Year built: )
Email: ?•iter \JCS Int Icor d . C_UrYI Preferred notification method: Phone X Email
Agent/Contractor:,,��SeLtic, IO Co ocn &S LL C. Phone#: 6o$ g 56,1 0
Mailing Address: L-56i G4 AA- -4,:back fSookAN I.,�a O2(4(00
Email: t tre Cd, u- c Ottar CoSlc_wf1S.Lom Preferred notification method: Li Phone ® Email
Description of Proposed Work(Additional pages may be attached if necessary):
rc:mov''c, re. c ** c c�e� kin and :s
ost�e dec�� s�cx'.;
reptc�c.e, w i-kh co m P � and 5 rv►e a.n c1
Qk-Q n n c mcg:n Si:X.1Y\
Signed(Owner or agent): (./ Date: 5/H/21
Owner/contractor/agent is aware that pe t may be required from the Building Department.(Check other departments,also.)
This certificate is good for one year fro proval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use
lonly: \ /
Dater II 2U_l \ Approved Approved with changes Denied
Amount(' -00 Reason for denial: APPI ED
Cash/CK#: 1175 b% °ca,r C�1�oI ei
Rcvd by�
V iA Ct C Inec� e-crincx; I MAY 1 8 2021
YARMOUTH
OLU KING'S HIGHWAY
Date Signed: ISPf I Signed: APPLICATION#:p?fr ®3(0
V5.2017
•
TOWN OF YARMOUTH
lay 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
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 p 'nt): V V (TAX Oa r j - ,
.R\Applicant/Agent signature: Date: 5./ 11)? )
Application#:
3/2020
I
1.
s
. .f
k'
,.a.yrbs
•
„ .....
_ ---„-,.;.:._ ii ;.;.:,:-..g..---.1.,.. ,, ,,., . ,, , _ ,
vs� .. INV ' . {
iii! ►� i�r�r�si� 1 �1 m vl.es i� , -v
♦ 1
a �- s "sw.. II
y` • .
a
mssw `.
.-F a _ -
" tit,
.
3
tF
: ,...
x
Rogers, Grayce
From: 'RICHARD GEGENWARTH' <r.gegenwarth@comcast.net>
Sent: Monday, May 17, 2021 10:29 PM
To: Rogers, Grayce
Subject: Re: FW: Certificate of Exemption,45 Day Waiver for 65 Bray Farm Road in Yarmouthport
Looks good, Grayce, I approve.
Richard
On 05/17/2021 4:00 PM Rogers, Grayce<grogers@yarmouth.ma.us> wrote:
Hello Richard,
Could you please review this Certificate of Exemption for 65 Bray Farm Road?
Thank you,
Grayce Rogers
Office Administrator
Old King's Highway Committee/ Historical Commission
508-398-2231 Ext. 1292
From: Sanddollar Customs [mailto:office@sanddollarcustoms.com]
Sent: Tuesday, May 11, 2021 1:32 PM
To: Rogers, Grayce<GRogers@yarmouth.ma.us>
Cc: Randi Mellot <Randi@sanddollarcustoms.com>
Subject: Certificate of Exemption, 45 Day Waiver for 65 Bray Farm Road in Yarmouthport
1
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.
Hi Grayce,
Attached is the application for certificate of exemption and waiver for 45 day determination for
65 Bray Farm Road in Yarmouthport.
I have also attached images of the rear deck that is to be replaced, an image of the material it will
be replaced with, and an image as a view from the road.
If you need any other information, please let us know.
Best,
Katie Hoffman
Administrative Assistant
Sand Dollar Customs
259 Great Western Rd. Unit B
South Dennis MA 02660
508-694-5618
www.sanddollarcustoms.com
�p DOS,
1
c, HB RACC
U4
'r oo Home Dodders&Remodelar*
v 1 n eVxiabon of Cape Cod
2