21-E059 41ROMUTH aCo"U7R .
°_Y o TOWN OF YARMOUTH ,,-,01. T''', , F - fW-
�I ...t,hi
°• - r 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: (� Al^
Address of proposed work: -7 V ith-{rp \141Y y 11
Map/Lot# 1 3? - "110
Owner(s): ROb(r+ l bhn Phone#:SIB•f5a• (ogB5
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: (Ola /GroVCi1Orc COrne'S , Co b les v_ j I 1 N' I 0 M Year built: !qui
Email: SpOhnC,h@. 6101• c Preferred notification method: Phone I/ Email
Agent/Contractor: ► !►'jG Rifba Wppd ?tehrtS Phone#: 508 •A-136 ogoo
Mailing Address: a59 Queen ftnne_ Toad, Harw rch,mr batc -l5
Email: Icutra_e.pint hal bpi•to Lt... Preferred notification method: Phone 7 Email
Description of Proposed Work(Additional pages may be attached if necessary): I
6 ConsfrroCF a IC y Ia' shed placed 00 5olyd Corcrtf- bLoCt5 . Colors eC
� S
-Iv ktafth elrs-}i.-ei house . RECEIVED ' APPROVED
\(
JUN 2 5 2021 JUL — 8 2021
YARMUUIM YARMOUTH
OLD KING'S HIGHWAY �OLLDD'KING'S HIGHWAY
Signed (Owner or agent): I �/W Date: JUL
070,pOa1
r 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:(D f 2 j Q \ t/ Approved Approved with changes Denied
Amount VS •00 Reason for denial:
Cash/CK#: b��
Rcvd -yg—,
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Date Signed: 7 /`-' 6 2 I Signed: � �I � _L��e..�•�. APPLICATION#:X---)t-'-\40_
1 - �C'-5CA
/
ve 2017
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A°�.l,�o TOWN OF YARMOUTH
p' `� d y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
r 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 (plea e print): qm e S _)-1{Cartih
Applicant/Agent signatur . V Date: \J Une (90,OW I
Application #:
3/2020
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107
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MORTGAGE INSPECTION PLAN
THIS PLAN IS INTENDED FOR BANK MORTGAGE
LOCUS 7 WEBFOOT WAY PURPOSES ONLY. THIS IS NOT AN INSTRUMENT
SURVEY AND IS NOT TO BE USED FOR FENCING,
YARMOUTHPORT, MA CONSTRUCTION, DEED DESCRIPTIONS, RECORDING,
BUILDING OFFSETS OR PROPERTY LINE DEFINITION.
REF : LAND, COURT CASE #29821-A
PLAN PREPARED FOR :
CAPE COD COOPERATIVE BANK
SCALE : 1"=30' DATE : 10/15/2018
OWNER OF RECORD: ROBERT F. SPOHN ESTATE
THE DWELLING AS SHOWN COMPLIED WITH THE YARMOUTH !o/5 AS .,
ZONING BYLAW BUILDING SETBACK REQUIREMENTS WHEN CONSTRUCTED. • Ri. D
DATE � SUR EYOOR EXEMPT FROM VIOLATION UNDER M.G.L. TITLE VII, CHAPTER 40A,
SECTION 7.
THERE ARE NO VISIBLE EASEMENTS OR ENCROACHMENTS OTHER THAN JOHN Z. DEMAREST JR.. P.L.S.
' UNDERGROUND SITE UTILITIES OR AS NOTED ON THE PLAN.
THE DWELLING DOES NOT APPEAR TO BE LOCATED IN AN PROFESSIONAL LAND SURVEYOR
ESTABLISHED FLOOD HAZARD AREA AS DEFINED F.E.M.A. 338 MAYFAIR ROAD
COMMUNITY PANEL # 250015 0578 J SOUTH DENNIS, MA 02660
FiLE=t 8161.DwG 508-364-9049
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