21-E093 58 Miriah DriveTOWN OF YARMOUTECtI E� D
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 OCT 2-(p2021
Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836
YAR MOUiH
OLD KING'S HIGHWAY HISTORIC DISTRICT CO s HIGHWAY
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 le-gibly: i i /�
Address of proposed work: ' 1 t r+ r• {W�{!�'�l�of� Map/Lot # %L ' I 1.r -t
Owners : C a V -0t (t ?V1&V T( Phone CJS 2. � i � 18 e(C
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: S� Mf (t a �� �}�Q i�t�Ctli�^ ��s/ t Year built: 1
Email: Z �`L qvC/✓Oq gQ oko t L• COM Preferred notification method: Phone _Email
Agent/ContraCtor: Ch
Mailing Address: 115
Si newt &A
c.Vodd +eel so .
VM
Phone #:
1 M11141A S Preferred notification method: Phone Email
j0 ff ded-< e � s tart
Signed (Owner or agent): Date: to/ z l Z
➢ 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 date shall be later.
For Committee use only:
Date:
Amount $ r r
Cash/CK #:Ottfl
Rcvd by: al
Date Signed:
V5.2017
Approved Approved with changes
Reason for denial:
Signed:
Denied
APPLICATION #:
GENERAL SPECIFICATION SHEET
Project Address:
FOUNDATION: Material: Exposure (Not to exceed 18"):
CHIMNEY: Material/Color: GUTTERS: Material/Color:
ROOF: Material: Pitch (7112 min) Height to Ridge: Color:
SIDING: Material/Style: Front:
Calor: Front:
_ Sides/Rear:
Sides/Rear:
TRIM: All windows & doors to be trimmed with: 1x4 1x5 (Circle one.)
Material: Color:
DOORS: Qty: Material: Calor:
Style/Size (if not listed/shown on elevations):
STORM DOORS: Qty: Material: Color:
GARAGE DOORS: Qty: Mat'I: Style: Color:
WINDOWS: Qtvlside:: Front: Left: Right: Rear: Color:
Manufacturer/Series: Material:
Grilles (Required : Pattern (616, 211, etc.) Grille Type: True Divided Lite:
Snap -In: _II Between Glass f7 Permanently Applied: =Exterior Interior
STORM WINDOWS: Qty: Material: Color:
SHUTTERS: MatT
Style: Paneled Louvered Color:
COLOR CHIPS
ECEIVED
OCT 2 6 2021
�'AHMOUTH
SKYLIGHTS: Qty: Fixed Vented Size Color:
DECK: Size:)JI X 12-l6Decking Mat'I:` feX Color: rec- �pG�� Oavr6ve
Railing Mat'I: Q Uy►i�ly fYl Style: Color:yJR7tQ� f�lY1be VCiM�,�p5s�
WALLSIFENCES" (Max 6' height): Height: Mat'I:
Style: Color
(Show running footage & location on plot plan.) {Finished side of fence must face out from fenced in area.
UTILITY METERS/HVAC UNITS: Location: Screening:
LIGHTS: Qty: Style: Color:
Location(s):
LIGHT POSTS: Qty: _
Location(s):
Additional information:
Material:
Color:
2 -General
APPLICATION 4: 2LEO�1�5
November 11, 2021
Ms. Carol Prior
58 Miriah Drive
Yarmouth Port
Dear Carol,
Adele Lally, Chairman
David Lewis, Treasurer
Janice Martin, Secretary
Brad Clemens, Trustee
Ruddy Goddard, Trustee
Paul Baron, Manager
RECEIVF®
NOV 15 2021
YARMOU 1 r -
RE: DECK RENOVATION AND EXTENSION - 58 MIRIAH DRIVE, YARMOUTHPORT
In response to your request, at the Board of Trustees meeting on November 10th your
submitted documents were reviewed and there were no objections to your proceeding with
the rebuilding of the deck at 58 Miriah Drive.
Thank you for your comprehensive submission and we wish you every success with this
project.
Adele Lally
Chairman
29 Miriah Drive, Yarmouth Port, MA 02675 dhca.ypma(d)camail.com
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 RECEI IED
F' Z' Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
YA MO
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTE 2021
OLD KING S HYARMO�GHWAY
TH
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 9-4Ieetings, Hearings, Time fair Making Determinations
"As soon cis convenient after such public hearing; but in any event tivilhin forty-five (45) days
alter the filing oJ' application, or within such further time ars the applicant .Shall aillotii, in
writing, the Committee shaill 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 p t): a' V r Iy-
r i
Applicant/Agent signature: Date: 10 a S► �
3!2020
Application #: _Z___E03
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