21-E052 YAR001f:,..i,,TOWN e i FRK
TOIL NKa1 OF YARLi OUTH
1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451 =2. _. ,.
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: E...) \ L8 A Map/Lot#
Ownerq.)-: •(..!,.,t N-1.7.42,4 jr1j\> 6 S)c-NN l../32 1L. Phone#:
All applications must de submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built: 1
Email: t; .2%,-.a('?► e i-.tT' ( .(`i,M Preferred notification method: Phone - Email
Agent/Contractor: . IN _AE.._�c+c-�lek7-St"`E ___ Phone#:'AN yC�h-l)"ti l
Mailing Address: ,q. Y... I,�tiA 1'Y�?it ite �, C))({.�
Email: /' 1`C,7_?'t--Q _\5r.GC '1 Preferred notification method: Phone Email
Descri tion of Pro;osed Work Additional paces ma be attached if necessa rn APPROVED'
1/ i
[ EiEi /ED JUN 1 4 2021
JUN 1 4 2021 YARMOUTH
OLD KING'S HIGHWAY
1
YAhiMuJJ i h i
OLD KING'S HIGHWAY i
Signed(Owner or agent): 0i t,°,.,(ti Date: t! itkt .J(' 1
D Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.)
D 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 oni :
Date:tom'1 jJ2c2 I VApproved Approved with changes Denied
Amount Reason
for denial: ,,flpra.d.ct LJ C r ai r 67eQ'.�t(,c��-�h vi et
Cash/CK#: c1 L— .£ /'71a, /•J
Rcvd b6
Date Signed' fiy O2' Signed:
APPLICATION#:021—
. I — C Z
V5.2017
.., TOWN OF YARMOUTH
1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4.451
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):4 C \ \L7 Zl1 --
Applicant/Agent signature:, Dateap _'ye �1
I
Application#• -----
3/2020
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Rogers, Grayce
From: 'RICHARD GEGENWARTH' <r.gegenwarth@comcast.net>
Sent: Monday,June 14, 2021 4:52 PM
To: Rogers, Grayce
Subject: Re: FW: 28 Dartmoor Way
Proposed change is presented well . I approve.
Richard
On 06/14/2021 4:26 PM Rogers, Grayce<grogers@yarmouth.ma.us>wrote:
Hello Richard,
Here is a Certificate of Exemption for 28 Dartmoor Way for your review.
Thank you,
Grayce Rogers
Office Administrator
Old King's Highway Committee/ Historical Commission
508-398-2231 Ext. 1292
From: Kim Catallozzi [mailto:kcatallozzi@renewalsne.com]
Sent: Monday, June 14, 2021 1:38 PM
To: Rogers, Grayce <GRogers@yarmouth.ma.us>
Subject: 28 Dartmoor Way
i
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 COE for Rosemary Nicholls of 28 Dartmoor Way. I will mail the check as soon
as I receive it from Accounting. Please let me know if you may need anything additional.
Kim Catallozzi
Permit Coordinator
Renewal by Andersen of Southern New England
10 Reservoir Road
Smithfield, Rhode Island 02917
0: 401-450-0708
Kcatallozzi@renewalsne.corn
ESLERWINDOW r7 RENEWAL
wAspurug
COMPANIES of GIVING I rd • "'""""""`
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