HomeMy WebLinkAbout19-A077 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 APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended,for proposed work as described below&on plans,drawings, photographs, &other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS,PHOTOS,&SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition Alterations Reroof Garage
Shed Solar Panels Other:
2) Exterior Painting: X Siding X Shutters -7( Doors X Trim Other:
3)Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: X Fence Wall Flagpole Pool Ni( Other: &kfl
Please type or print legibly: /
Address of proposed work: �$ A 0 u t rt C) Z. —/4QA.1O F 1)6,44- Map/Lot# //S— '/S
Owner(s): PH/a-LiS 6. L/c 4()0 6c%/Lb— Phone#: Ce:" • 15 D.
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: P b V' > 1 c27 (4/A/�i�c —j H 104>,.--11— Year built: 1 9 7/
Email: Pa Ea. (y SG L„, D eferred notification method: "Phone Email
Agent/contractor: Phone#:
Mailing Address:
Email: Preferred notification rhetq \ Phone Email
Description of Proposed Work:
Signed(Owner or agent): Cati / ,• (lif-t—r--r ,L„.-{..,,—‘?--..„,& Date: Ff/?
> Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.)
> If application is approved,approval is subject to a 10-day appeal period required by the Act.
> This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
> All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee use only: V Approved Approved with Modifications Denied
Rcvd Date: g (o— G Reason for Denial:
Amount
Cash: a d D 1 /,�U/.1�
Signed: L�
Rcvd by: LA/
45 Days: /O./D./?i WOK,'
Date Signed: /41/D-1 zei 1
fay} SJbN : La{ °^ � �,I CAle-,d CA, 4,k3 l� f?
a c e d !a' q ^iy '!1e n rc� APPLICATION#: r .`
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PREPARED FOR: PI-M..1.15 13. \1 1.iN105i /, 8&- 254
CERTIFIED PLOT PLAN
LOCATION- '6Wt-'1Otf1-t'OfLT
SCALE' 1"=,2n' DATE: SErr• IS 19136
REFERENCE LOT 4Z OUI it., . ,0
P. B. lei P. 101_
L.C. P. TOV`,i;v '..'L.c.,,
FLOOD ZONE G ' SOUTH YARMOUTH, M� ��1.�5�OF 4, 1'
/ HEREBY CERTIFY THAT THE BUILDING . 1 , G� ii , / -
SHOWN ON THIS PLAN IS LOCATED ON THE - 1=i = ' .07 1,"'1
GROUND AS SHOWN HEREON AND THAT IT �� f " '4..4-
_f»!✓S CONFORM TO THE ZON�(NG 1.o SURA
BY-LAWS OF THE TOWN OF -fAljt-47i M-1
WHEN CONSTRUCTED.
LOW & WEL L ER, INC.
7/4 MAIN S7RE£T S E/ /8, /y 8(v
YARMOUTH, MASS. _DATE
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TOWN C,L.ERK
SOUTH YAF(VIC)LiThi, MA