21-E062 DocuSign Envelope ID:ECB446B7-3227-40D7-A67A-B4532460DBD9
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:
Address of proposed work: 82 Center Street Map/Lot# 132 115
Owner(s): Laura Moruzzi Phone#: 508-563-2200
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 82 Center Street,Yarmouthport,MA 02675 Year built:
Email: Preferred notification method: Phone Email
Agent/Contractor: Devaney Building Corp Phone#: 508-563-2200
Mailing Address: PO Box 1515,North Falmouth MA 02556
Email: don(a)devaney.com Preferred notification method: Phone X Email
Description of Proposed Work(Additional pages may be attached if necessary):
Addition of skylight(Velux 4'-0"x 4'-0")on rear side of kitchen as noted on attached drawings.
RECEIVED
JUL 2 3 2021
,..—DocuSigned by: YAr1NIUU i is
[atm , !. I ., !G'S HIGHWAY
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Signed(Owner or agent): A4' "1i Date:
"-75FOBA5D0F0144F...
Y 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: Approved Approved with changes T D-•'-• E
Amount10.0 o Reason for denial: , 0V lD
Cash/CK#:(1% ; JUL 2 8 2021
Rcvd by04..
YARMOUTH
OLD K NG'S HIGHWAY
Date Signed: Signed: APPLICATION;:a\---a(02.
V5.2017
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DocuSign Envelope ID. ECB446B7-3227-40D7-A67A-B4532460DBD9
°V_Y
ptoE-' TOWN OF YARMOUTH
y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
�I 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): Laura Moruzzi/Devaney Building Corp
DOCUSlpnad by:
7/19/2021
Applicant/Agent signature: (MAV'A. (I& 114.4YWLy5i Date:
75F08A500F0144F...
Application#:
3/2020
DocuSign Envelope ID:ECB446B7-3227-40D7-A67A-B4532460DBD9
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