HomeMy WebLinkAbout21-E105 11 Seminole DriveTOWN OF YARMOUT
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 RECEI�/ED
Telephone (508) 398.2231 Ext. 1292 -Fax (508) 398-0836
NOV 12 2021
OLD KINGS HIGHWAY HISTORIC DISTRICT COM ITTEE
Of_D KING' YAHiUFiIGHWAY
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: 11 .Ser--r-li n Q 1 er „I ✓f__„__±C0-)Q✓J: _ pyr� Map/Lot
Owners : Jul - c,n� an D1 3 ere,% G.� _!)OW01--.....- Phone #:-603
All applications) !must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 1 r ��rY! I HD �! ' 1 ^jam �h PO' � , W4 D 5� Year built: / Y UU
Email: QoA4,5.JV 'AA0- ®l9w�w'� ` Preferred notification method: Phone ��Email
Ac entlContractor: WK
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Phone.
Mailing Address: 10 C) 3
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Email: r -P, P. a+A"�
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Preferred notification method: U Phone�E
irk (Additional P!alges maybe at#ached if necessary):
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Signed (Owner or agent):
Date: A !r Z I
Y OwnerlcontractorlagM is aware that a permit may be required from the Building Department. (Check other departments, also.)
Y 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:
Amount 0 tp
Cash/CK #: 3q.�,
Rcvd by: L 5,
Date Signed:
V5.2017
Approved
Reason for denial:
Signed:
Approved with changes
Denied
APPLICATION* �)-CJDS—
• 1093 Main Street (Rte. 28) Duer5U y¢ors / &?ce /956 ORDER NO.
' S. Yarmouth, MA 02664 SALES AGREEMENT
�I I 508-398-6041 / 800-352-7785 DATE
°'"" • sales@capecodfence.com J
'GOOD FENCES MAKE GOOD NEIGHBORS' Follow Us On Facebook EMAIL - J 0 C,
NAME ��
UNIT
SHIP TO
STREET
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ST11 S
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CITY),�j
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STATE
ZIP CODE
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YAHM
Illi,
77
CITY y
TATE ZIP CODE
INSTALLATION
NOTIFIGATiON
OME HONEBU
W3
S PNTELEPHONE E
A ()Ot-
STYLE
NO. OF RAILS
I
HEIGHT
.lfY
LESS: 50% DEPOSIT
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BALANCE DUE
UPON COMPLETION
T ON YOUR PROPEPTY IN ACCORDANCE WITH QUANTITIES AND LAYOUT SHOWN BELOW
OUANTITY DESCRIPTION
UNIT
TOTAL
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3 t p <"
YAHM
Illi,
77_ 7T-_1_
_..,_
SUB TOTAL
TAX
I
TOTAL
LESS: 50% DEPOSIT
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BALANCE DUE
UPON COMPLETION
2. A credit Card nwrba nausl be left on file al Cape Cod Fence Co.. Any remaining balance alter job
completion will be charged to this credit card. In the event cf an overpayment, the Cape Cod Fence Co. will
process your fefund >ytittk fourteen days.
3. inslaltarfon extras may fryJude labor. compressor and cement charges in the event of striking ledge, rock
or other dilfcult ground.
4. 20% Restocking charge. No returns on custom orders,
5. Cuslomefs to incur all collection charges, including attorney's fees, on past due accounts. ANY UNPAID
BALANCE AFTER 315 DAYS IS SUBJECT TO A 1 112'6 PER MONTHFINANCE CHARGE.
BY_ 6�
UHLUK LI5 I
OR ❑ DEL. ONLY
CU ER AT HOME
ES ❑ NO
TAKE DOWN OLD fRtCr
❑ YES
TAKE AWAY OLDS Fes_
❑ YES fg
CLEAR BRUSH OR�EES
❑ YES
FACE FINISH SSDE
TOP OF FENCE
TO FO GROUND
❑ NO
SIGN LOCATION
DIG -SAFE INFO
Innes.
7. All property lines and grades to be established by purchaser.
8. Cape Cad Farce Co. is not responsible for damage to unmarked undequond pipes or wrier; septic,
irrigation, invisible lefices, etc.
9. Price is delemrined by Cape Cod Fence Co. based upon footage shown, but may vary depending upon
actual loolage used.
10. Additional terms apply schen wrillen. �, 3
ACCEPTED BY
MORTGAGE INSPECTIO N PLAN
lIpplicant.. -Douai Location: l�"Woatfll
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NOV 1 {
2 2021
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`Citle ref 5-5-6-7=5LE g - Mood Panel:. -v5 -o -L a 57.8_ T o ��„Y
—._Mood Zone: _9 E
9 hereby certif that this morAtrtgage inspection was prep r d for ?�
-- -- --- - - ...- --- +sre�
- - - _ ___ Q
[!�e dwelling shown Glereon�(�s . fall in a special 7.�.1V1A flood zone �� su
with an effective date of r7_r�-«. and the location of the dwelling
_les -_conform to tele local zoning by-laws in effect at tjte time of Scale: I"-
construction with respect to horizontal dimensional setback requirements bate:_ _!a 27 2L_
or is exempt from violation enforcement action underlVl.G.L. Ch, 404, sect.?.
3ileNo. _ ?,L15 - _-
Please note the ,trurturPs Shown tin this mortgage in5pection are shown approximate only. 4n instrument survey is necessary to
determine a precrce location o f ;rr�rctLrreti and property lines. 'i hitt rrtorr age inspect+on must not he used for recording purposes or rot
use in
preparing deed descriptions and must not he used for voriavr;.e or urlding department purposes. 'Vernccation of building locations,
propery Imre dimensions, Cerrces sir lot configuration can only be accomplished by an accurate instrument survey ,vhich may rejlec t different
inCormatrontLlanwharisshowrnhterean.
NOTE- THIS ISNOTA BOU\L7:\R1' SURVEI' A\'p IS FOR \lORTO.\CE PURPOSES O\L1f
COLONIAL LAND SURVEYING COMPANY, INC.
POST 0FFIC F hL--)X '50 NU\1 \ftO� h. \i:\ P-781-826-7186 - F: 781-826-482' F: l l
-- — -L�L�\I,\LSUR\'E!'@O,\-I:\ILcO\Y
ed�.efds
aYR TOWN OF YARMOUTH
p, 0 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-445 RECEIVED
Telephone (508) 398-2231 Eat. 1292 Fax (508) 398-0836
NOV 12 2021
OLD KING'S HIGHWAY HISTORIC DISTRICT COMAR E
YAHIViuu I r,
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): r
Applicant/Agent signature: - Date: /1 2
Application #.-
3/2020
:312020
RMEIVED
NOV 2 2021
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RMEIVED
NOV 2 2021
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