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Home My WebLink About21-E080TOWN OF YARMOUTH ,e+i 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664.4451 Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 /approu"a Approved with changes stp a o uz-r !,fugp,nOLD KING'S HIGHWAY HISTORIC DISTRICT COMM 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. by letle. from owner approving submittal of application. Year built: Preferred notillcation method:/rnon. eoenvcontactor: E4-( f€rtJ Pro Pa nQ- enone *: Mailing Address: Email: Date: erornt 00 cashtcK#: qh ncra oy, KP must be submittsd by own Mailing address: Owner/contractor/agent is aware that a permit may be required from the Building Department. (Check other departments, also.) Thas certiflcate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shalt be later. For Committee use onlv: sts*a, (iZ f 4-,**z*APPLTCAIoN#: Ql-8090 6nrt-,. itfui?)\ "''::"$' i/t_.':gga-; Tvpe or orint leoiblv: O Address orprop€se onon t.< HeA tl zL Xa.*-o- nr"prL"t* l[5/31 pnone*: Lt7-?')o-4051Owner(s): A 5<r- -e*-A*'J h"o Date Signed: v5.2017 Bsasorrfoftraialj Denied TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 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, Timefor 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 situation allows. ApplicanVAgent Name (please print):4t1e5 Applicant/Agent signature : application will be scheduled as soon as the t oate7*3d7-oLl / 7 -L1 b^ /soo AFPm_vED 0c1 0 5 2021 3t2020 Application #:el -t0s0 EAS'ERII Propane&O Srnce1932 SOUTH DENNIS MA 02660 8OO. Proposal Proposal Name: NEW TANK INSTALLName: JAI\4ES KIRBY Address: 15 HEATHER LANE Proposal lD: 30000013441 1252City, State, Zip: YARMOUTH PORT,MA,02675 Email: NONEPhone: 617-276 4300 Proposal Comments: THtS PROPOSAL lS TO INSTALL 1 120 GALLON TANK WITH GASLINE TO THE HOUSE Sale of: . 123201801 '4r MISCELLANEOUS MATERIAL Applicable Sales Tax: 6.25%(On items shown above $400.00) ROVED PERMIT - GAS FITTING PERMIT - TANK STORAGE Amount of llems Shown Above: Total Amount Less Deposit: lnstallment payment plan available, subject lo credit approval. Payments are determined by dividrng the total installment purchase amount, less the down payment, by the number of paymenl months. Final installment payment schedule will be senl by mail after completion of work. Tank Rental lnvoice Amount:B] Annual fl rvtonrhly 100 Gallons of Fuel @ 53.99 (Purchase price for addrtional fuel subject to increase or decrease wrth market cond trons and Eastern s posted pr ce.) Grand Total (less deposit) Oue: Upon lnvoice $ 1474.00 Customer Responsibilities: ALL TRENCHING AND BACKFILLING Proposal does not include any necessary permit fees not quoted above. Time & Materials lobs wrll be billed according to actuallabor hours, and actual materials including applicable taxes, as required for the Job and according lo rates applicable on the date work is performed. lnvoiced amounls are payable in full upon receipt of the lnvoice. A late payment charge of 1.5% per month is applicable for amounts past due. Equipment warranties are provided solely by the manufacturer. Work is warranted lo be completed in a workmanlike manner according to standard industry pTactices. ALL OTHER WARRANTIES AND REPRESENTATIONS OF ANY KIND ARE EXCLUDED, INCLUDING WARRANTIES oF i,4ERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE (specific state limitations on exclusions of warranties may apply). Any changes to the above specifications requiring additronal labor or materials are subject to additional charges. Any additional site work or requirements (e.9., plumbing, electrical, trenching, concrete fencing, etc.) not specifically included above are the responsibility of the Customer. All orders and fuel deliveries are subject solely to lhe terms stated in this Proposal, togetherwith Eastern's current standard terms and conditions for Heating Oil & Kerosene Supply and/or Propane Supply and Equipment, as applicable, a copy of which has been delivered herewith, as amended by any addenda thereto executed by Customer and Eastern. Customer is responsible for maintaining its own insurances (property, casualty, liability and olher necessary insurance). Any changes, additions or delelions by Customer (handwritten or otherwise) to this Proposal shall not brnd or be accepted by Eastern. This Proposal shall be deemed withdrawn if not accepted by Customer within 30 days of the date hereof. Eastern Propane Gas, lnc.: Authorized Representative: PROPOSAL SUBMITTED TO Account #: Oatei 0913012021 s400.00 $ 25.00 Amount of Labor:$450.00 Other: 1CT 0 5 tnr $ s0.00 YARMoT lrq $ 50.00 I ULU ruNG'S H'GHWAY I $975.00 Deposit Amount Due:$o. oo $975.00 Equipment Rental, Fuel and Additional ltems $100 $399.00 ---'/?'-4 File numher: 210308-8 TINRECIS'TERED LANt) IAW OFFTCES OF ALBERT J. SCHUI..Z,LLC Oeel Book 333il Pase 1fi THE CAPE COD FIVE CENTS SAVINGS BANK p1o, 3oo11 198 Pape 39 Lotk) 12 Ott LEWIS BAY REALTY IWESTMENTS. INC REGISTERED I-ANI) Rep, Book Sheet l.ot(s): 3t11t2021 Cedificate of Tille RTK:f ,ol Census Trscl MORTGAGE INSPECTION PLAN Sica/c.. 1"=30' ;;trf:Hb V m ffi-f* ,HER L,tNE' YARM,^H' MA I orrosz,?1 i KING'S H qt,'{rb LOT 11 I LOT 12 14,120* S.F. If oo t)N CERTIFICATION I1IE MAIN BT'ILDING, FOUNDAT'ION OR DWELLING WAS IN COMPLL{NCf, WTTII TIIE LOCAL ZONING BYLAWS IN EFFf,CT WHEN CONS-I'RUCI'ED (WTTH RESPECTTO STRUCTURAL SETBACK Rf,QUIRf,}IINTS ONLY) OR IS EXEMPT FROM VIOI-A'[ION l:NT'OR(:EMEN't {CTION UNDER MASS. CENERAL LAW 'I'I'I'LE VII. CTIAITTER 4OA. SEC:TION 7. FLOOD DETERMINATI0N Y SCALE. l'}IE DWELLING SHOWN HERE DOES NO FALL WITHIN A SPECIAL ITLOOD HAZ^RD ZONE AS DELINEATED ON ^ MAP OF COMMUNITY 25OO ICO578J AS ZONE X DA1'EI) 7116/14 I}Y I'HE NATION/\I, FLOC)D INSIJRANCE PROGRAM Alde Stone Plot Plan Service, P.O. Box 7166 Lakeuille, ilIA A2347- Tel: (8OO) 993-3302 ?a-x: (8OO) 993-3304 LLC #r*s .i I LABNIE 1:5l N^ z^r,ac I A GA|IY S. LABNIE No. 40(139 PLEASE NOTE: This inspection is not the result of an instrument survey, The structures as shown are approximate only. An instrument suruey would be requircd for an accurate detemination of building loetions, encroachments. property line dimensions, fencs and lot contiguration and may reflect difierent infomation than shown here. The land as shown is based on client furnished intomation only or assessof s map & occupation and may be subject to further out-sales, lakings, easements and rights of way. No esponsibility is exlended to the landowner or surveyor, or occupant. This is merely a mortgage inspection and is not be be reBrded. f !'#.- ApPn oCT 0 5 2021 , F APFRGVF.U Ocr 0 5 2o2r a )