HomeMy WebLinkAbout21-E067 RECEIVED
• TOWN OF YARMOUTH auG - 22o21
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N , 514• 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 YARMOUTH
c OLD KING'S HIGHWAY
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: //11
Address of proposed work: (.y(Q No-f f 1neihom Drive. Map/Lot# 150 / 9 g.1
Owner(s): a,J71CS * �(tmU bn Phone#: cS�E) • 737• ()ail 0
All applications must be submitt d by owner or accompanied by letter from owner approving submittal of application.
Mailing address: (Qs Noth'rne�ham Drive. Yarmarth,Retar)I 'Da(>a1iYear built: j gig q
Email: jkzaben G msn•CO. J Preferred notification method: Phone V Email
Agent/Contractor: 111 frac /% Ocd Pnd idS Phone#: 151 4430.L80OO
Mailing Address: 0set awn n tonne-` , HtrtthmA oa(0 f 5
Email: Laura. }intharbor•LDA4. Preferred notification method: Phone 7 Email
Description of Proposed Work(Additional pages may be attached if necessary):
To coni-frac) a_ 8 'x IUShed plated on 3olr'd C.oncrefe bac s. "The shed will
cOf,srst of a 3 'wrcJe battled doof, CIS a1+•I''w $8"Str le hurt, whi+e van l winclao cJ
411 RvC• Whi•e. *fin. T -Rbfrt t ualt wt t) have prectippcd cape cad tray cellae
Shfngif And -the rcAuu'ninfree walls two be, net-hi-al burets batien srtnq. The
pitch wen two ,Der ani Ax-Ierred will be- CrchiitrlUral ughPewitnoceel
-Cr-file totor.
Signed (Owner or agent): I� Date: \ Jt)ty ,v ..,g0 a
Owner/contractor/agent is aware t •-.e '" am y be required from the Building Department. (Check other departments,also.)
This certificate is good for one year rom approval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use only:
Date:g/r ��2��- o2J` Approved Approved with changes Denied
Amount Y:2 v
U Reason for denial: APPROVED
Cash/CK$6.0. AUG 2 J 2021•
Rcvd bL, YARMOUTH
OLD KING'S HIGHWAY
�Q
Date Signed:"((i( Signed: APPLICATION #:`
V5 2017
�o TOWN OF YARMOUTH
1_ y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
tAz" �' A' 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.
gui Applicant/Agent Name (please prin .0, Mc. (rafh
Applicant/Agent signature: . J Date: �UI ogq, aria
dIF
Application #: CD
C91*
3/2020
•
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PINE HARBOR
WOOD PRCflkUCTS
259 Queen Anne Road I Harwich MA;.02645
(508)430-2800 ( pineharbor.com I harwichoffice@pineharbor.com
•
Owner's Authorization dorm
14 e 56 , as owner of the
property located at 66, WUyii;�4/14 /2, Y iemov 3t j
Authorize Pine Harbor Wood Products to act on
my behalf in all matters relative to work
authorized by this building permit application.
JP/
Owner oftY ro er signature
p p g
Date 7/ 7/oa/
Pine Harbor Wood Products-259 Queen Anne Road. Harwich MA.02645
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