HomeMy WebLinkAbout21-E101 9 Pheasant Cove CircleD�O Y 0 TOWN OF YARMOUTH _
H� 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 REGds^��®
°' ' ✓ Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI*t95 2021
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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.
Tvve or print legibly:
Address of proposed work: it Map/Lot # �r
Owners): 7z c, Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: oc vt(IF ✓G � P Year built: C7
Email
Agent/Contractor:
Preferred notification method: )(� Phone Email
Mailing Address: 0CIL
1
Email: t.I' OC6 4,,CA Y10 f Preferred notification method:
Phone #: U % r e -0
Phone L.ZI Email
i tion of Proposed Work Additional pages may be attached if necessary):
,A 86 L( � / 0 1Z I' -� [ -, & jA C— ,- f - 6- 6-1 1" ,1 () U c Ic 0
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IAICIry
Signed (Owner or agent): Date: I f td?_041
➢ 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 dale shall be later.
For Committee use onl :
Date: TT11
Amount Q,QQ7
Cash/CK M
Rcvd by: L `
Date Signed:
vs.zon
Approved
Reason for denial:
Signed:
Approved with changes
Denied
APPLICATION #: 'RN " t7
0 TOWN OF YARMOUTH
0 H 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-
�` Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 ECEI�®
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OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI TE1 0�1 05 2021
J YAHi�iUU"r"r�
WAIVER OF 45 -DAY DETERMINATION OLD NiGHwav
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): I`� 4
Applicant/Agent signature:
Application #:
3/2020
Date: I c (fir(
,;�I-e-1D
zdT -3s
C/,e c 4,,-
RECEIVED
NOV 0 5 2021
YAHMUU) h
OLD KING'S HIGHWAY
CERTIFIED„,, PLOT PLAN
L O C A T t O N _ZAP O }i
SCALE: ” 3 O D ATE C7 t. 43 7--
R E F E R E N C E 3E/N C7 �aT 3/ Al �f,yAcr3Al
�-eA.v or L AA! &J,C�AR,.✓,S i A �� C� �S i. e �/
a'zr Z>�K DS oao.t .vv. zx 9
�ACjr 3i
— Ca�
DATEy
I HEREBY CE RTI FY rkiA.7
THE 5UI L D I N G
REG LAND suRvEY0R
SHOWN ON THIS PLAN S S
LOC AT E D O N
THE GROUND A S SHOWN
HERE G N A N D
T H AT I r �o.s C O N FORM
T O r H E
Z ONIN G BY-LAWS OF THE
TOWN OF
D1'8
w H E N C
O N 5 T R U C r E D
;
BARN5TABLE 5URVEY CONSULTANTS, INC
WE 5T YARAA0UrH. kA A 5
GENERAL SPECIFICATION SHEET
Pr0'ect Address:
-
Exposure (Not to exceed 18"): 4�
FOUNDATION: Material:
GLITTERS: Material/Color:, [� 11 ,1_ E
CHIMNEY: Material/Color:
� Height to'Ridge:�Color:
ROOF: Material: 1����-��� Pitch (7112 min)
in
w �, � V
COLOR CHIPS
Sides/Rear:
SIDING: Material/Style: Front:
Color: Front:
Sides/Rear:
RECEIVED
TRIM: All windows & doors to be trimmed with:
1x 4 1x5 ` (Circle lone.
�
NOV 0 5 2021
Material: ' �'
Color:
-
i. Material:
L
Color: i jZ
I HhivUU i i't
OLD KING'S HIGHWAY
DOORS: Qty:
StylelSize (if not listed/shown on elevations):
STORM DOORS: Qty: Material:
Color:
GARAGE DOORS: Qty. Mat'l:
Style: _. Color:
Rear. Color:
WINDOWS: Qt^ylside:: Front: Left- Right: —�--
�` �.�� Material: e ✓e !�
�
Manufacturer/Series:
Grilles (Required): Pattern (616, 211,1 etc.) �iL� Grille Ty True Divided Lite: �^
y lied: Exterior interior
Glass: Permanentl App
Snap -In: Between
L_
STORM WINDOWS: Qty: Material:
Color.
.I
St le: Paneled
SHUTTERS: Mat]: Y
Louvered � Color: L✓ i
_
SKYLIGHTS: Qty: � Fixed,_ Vented
Size - Color: _ LV
�--
Decking MatT
DECK: Size: g
Color:
Railing Mat'I. Style:
Color.
WALLSIFENCES* (Max 6' height): Height
Mat'l:
Style: Color. out from fenced in area.
& location on plot plan.) *Finished side of fence must face
(Show running footage
UTILITY METERSIHVAC UNITS: Location:
J�
Screening,kk �-
L'
LIGHTS: Qty: , i Style: +h cr�1i
; t r Color: Lam, l l�
Location(s):
LIGHT POSTS: Qty: Material:
Color:
Location(s):
Additional information:
2-General0
,
APPLICATION #.
I
711
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