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HomeMy WebLinkAbout21-E056 yp.,0,,Thm,„,,,_,::::R, °�Y ,c TOWN OF YARMOUTH f` 4. 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 try_ r,}r•7 R- Telephone (508)398-2231 Ext. 1292—Fax (508) 398-0836 s - 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: 1 7r£U u ex 6)a L Ya_.riil,C j,l t,k1 or t Map/Lot# i'3 /43 Owner(s): IL' Cha(d) (FO IdJ Phone#: .5-01-042-0O2?) All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: P Cje,rt('11ta y,,., 3y. No yti‘, Gyro./ f.()N, 615(.3 0 Year built:`/19G/ Email: f Preferred notification method: *hone Email Agent/Contractor: Geo r Pi �Q /uf 1K(.. Phone#:,510 O - l i(, kO Mailing Address: .k1 1\16 k ftIUL cit, c/Q( f.k )Qr{KQ (tk, MA OQ.66 Email: CdrJVLIU QCOyQ(.661/(f t(•(C„ eflit) Preferred notification method: Phone LI Email L, J JJ Description of Proposed Work(Additional pages may be attached if necessary): _,_�. ALL to vikatck excJt 1_1(9 - dike. for L(ik(, RECEIVED 1-cb u,LLd, o kL Ik.lA,t JUN 2 3 2021 ' a i,r r o tL i, frcLnc ,, YArtMUU-I't OLD KINGS HIGHWAY lc i'torc ext, c Lor 1cvI. L(skcc.t aAr Pt. ce-d.ed Signed(Owner or agent): i Date: 01/9/2 1 ➢ 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: �,�c}3PI Approved Approved with changes Denied Amount ;•ZO 800 Reason for denial: Aawt 1 viar�;n10 _ APPROVED 1 K (,13 effoodb (hr�fi Gf QI /7, ! Cash/C #�I� I JUN 2 4 2021 Rcvd by: C\4.. YARMOUTH OLD KING'S HIGHWA'."._' Date Signe0/ 02d2/ Signed: 3 i- EO 51IG APPLICATION#. v5.2017 -74 °1„. TOWN OF YARMOUTH , . 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: l Address of proposed work: (,1J E f e)( O y Ya rI.O I.I±VI,r or f, Map/Lot# I 3A/10 Owner(s): T.L C i (( rd (Ford) Phone#: 50i-c012-6):2",) All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: X Ve,rc/'Jkoj+., 3Y IYiytA, GIrLif,n1 G/h`JG Year built: `/J 1GU Email: Preferred notification method: *hone Email Agent/Contractor: aGe0r e, V�Q.�/t_:( 1rliilC, Phone /#: J(�,"))6-1460 Mailing Address: 3 I ( t L ft&u . crit, ,J OUIJA ?f t /%-OIA � t a 2 6 6 Email: (a(t1V(... COV CIO VLJ 14(f, enit) Preferred notification method:l �lJ Phone El Email Description of Proposed Work(Additional pages may be attached if necessary): ALL to ifika,tick e,xc.4tLik - l,ckz for L kc, RECEIVE 9 '-c-bu-cLi okteio-t1 JUN 232021 2t pair rott Likil fmarc YAhfMOu-, OLD KING'S HIGHWAY It itorc Ext c Lor f LiLJIL cP a,s ft Ccdtat, Signed (Owner or agent): 0/(____ Date: G I/(P/21 Y Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.) Y 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:'j;P3 ,JCO I Approved Approved with changes Denied Amount)2b #00 Reason for denial: Cash/CK#:1116'13 Rcvd by: l.'` Date Signed: Signed: APPLICATION#9 1- E056G V5.2017 k.toy.), TOWN OF YARMOUTH pio H 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 px 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): G eOl/C C 1�,Vtf Applicant/Agent signature: ___&_____ Date:_Glilja_ Application#: ) I L.._0 3/2020 T M__�` _ < 11111111 11111•111 11111•11Mr. I- a i , , , , '4 -- i i . ���...�.�� i ^t _, :... .. ... . tr7,47-1. —— "— — "'� rrt��rr�.r � �..�� ��it I(''al 7: � s. te--^ ._ wt r r ■ 1_ 4 �� rte. 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F ' \-l , June 17, 2021 Town of Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 Re: permit authorization for: 27 Essex Way Yarmouthport,MA 02675 I, Richard Ford, as owner of the subject property, hereby authorize George Davis, Inc.to act on my behalf, in all matters relative to work authorized by this building permit application form for the : .• e r- erenced property. Co1421 Signature � � Date 0,0u, vr©rO.) Print Name