HomeMy WebLinkAbout21-E113 28 Alexander DriveTOWN OF YARMOUTH RECOVED
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1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451�U 2 2�2�
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836
YA.FiNiuul H
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT LD KING'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 lanibly:
Address of proposed work:P, L�3�(�Y Map/Lot fIy
Owners : ?Y - F Phone #: 54)p) - St'Q • ��5�
All applications must be submitted by owner r accompanied by letter from owner approving submittal
lohof application.
Mailing address; �� Year built: kCi `)CA
Email: c 4XA4 e_ V m rrz�.y"Cy Preferred notification method: Phone 1 -,-' Email
Agent/Contractor: f1 Phone #: 1-40►. yC'0 •(�``1L`t`
Mailing Address: U ) 1 1
Email: 1l 1�A��O� l t'�ry� sic► ,Csy1 Preferred notification method: 0 Phone
L
Signed (Owner or agent): Date:
Ownerlconiractor/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: I r /
Amount '_(%. tAj _
CashlCK M M
Rcvd by: L' S
Date Signed:
W2017
Approved Approved with changes
Reason for denial:
Signed:
Denied
APPLICATION M ?I- E03
#eyi- TOWN OF YARMOUTH
RECEIVED
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 NOV 12 2021
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 Tint
I 1 a? -,Z
Applicant/Agent signtature:cv,,,
Date; A I -D l
Application #E 6 I'
312020
Itemized Order Receipt
dha: Renewal By Andersen of Southern New England
Legal Name: Southern New England Windows, LLC
RENEWAL RI #36079, MA #173245, CT #0634555, Lead Firm #1237
bYANDERSEN
auwmr waoor. em,an.aWn 10 Reservoir Rd I Smithfield, RI 02917
Phone: 401-349-13841 Fax: 401-633-66021 sales@renewalsne,com
ECEIVE
NOV 12 2021 FI:
C:
YARMOUTH
Misc: Misc, TO CONSTRUCTION DEPARTMENT:
& Maria Fitzpatrick
ruder Drive
h Port, MA 02675
12-4964
Misc: Misc, THANK YOU!, As a reminder, it is the customer's
responsibility to do any painting, staining or touch up work
after installation. We appreciate your business and look
forward to exceeding your expectations.
Misc: Misc, PERMIT, Customer has paid for Renewal by
Andersen to secure a building permit for their project. Permit
fees are non-refundable once Renewal By Andersen applies for
a permit.
101 Room i Patio Door: Gliding, 400 Series Frenchwood, 2 Panel,
Stationary / Active, Exterior White, Interior White, Glass: All
Sash: Tempered High Perf., No Pattern, Hardware: Anvers®,
Bright Brass, Screen: Gliding, Full Screen, Grille Style: Grilles
Between Glass (GBG), Grille Pattern: All Sash: Colonial 3w x
5h, Misc: None
WINDOWS: 0 PATIO DOORS: 1 SPECIALTY: 0 MISC: 3
?)_611I I
' Renewal by Andersen is committed to our customers'safety by
nEPP` . complying with the rules and lead -safe work practices specified by the EPA.
UPDATED: 10/07/21 Page 3 / 12
WEWA
Order Summary l RECI'a1IE®di RENEWAL BY ANDERSEN OF SOUTHERN NEW ENGLANLOLD
yIRLLO��BERT MARIA FITZPATRICK
Legal Name: Southern New England Windows, LLC I License # R!#360OV 12 Zx¢Y111exand r Drive
R E L MA#173245 CT#0634555
byANDERSEN 10 Reservoir Road I Smithfield, RI 02917 AF�mou i Barmouth P rt, MA 02675
R" n°'°A0 1°00 'fW6 -3255 1 C: (774)212-4964
Phone: 866-563-2235 I Fax: 401-633-fi602 I tdesjardin�renewalsne.cING'S Hifi
Measure Tech: Ken Pendleton, 860-682-2976
Ii ROOM SIZE DETAILS
JOB
0" 0" Misc: Misc, TO CONSTRUCTION DEPARTMENT:, Tap to add notes
Construction: None Material: None
011 011 Misc: Misc, THANK YOUI, As a reminder, it is the customer's responsibility to
do any painting, staining or touch up work after installation. We appreciate
your business and look forward to exceeding your expectations. Construction:
None Material: None
0" 0' Misc: Misc, PERMIT, Customer has paid for Renewal by Andersen to secure a
building permit for their project. Permit fees are non-refundable once Renewal
By Andersen applies for a permit. Construction: None Material: None
101 Roam 1 71 " 79" Patio Door: Gliding, 400 Series Frenchwood, 2 Panel, Stationary / Active,
71-1/4" 79-1/2" Exterior White, Interior White Glass: All Sash: Tempered High Pei No Pattern
Hardware: Anvers® , Bright Brass Screen: Gliding, Full Screen Grille Style:
Grilles Between Glass (GBG) Grille Pattern: All Sash: Colonial 3w x 5h Misc:
None Construction: Door - Drip Cap (1), Door - Sill Pan Flashing (1), Cut Siding
Back- Per Foot (28), Exterior Casings (Per Piece) (2) Material: ***Coil -
WH*** (0.2), ***Ext. Caulk - WH *** (2), Caulk - PVC Bright White (2), ***Ice
& Water Shield - 4 inch*** (1), Ice & Water Shield - 9 inch (1), Paintable Caulk
- White (0.25), Spray Foam (O.2), Cortex Screws (1), 5/4"x8" PVC- 8 (1),
5/4"x4" PVC- 8 (3), WC1 8' (3), * * * 1"x4" Primed Pine* * * - 8 (3)
PRODUCTS: 4 WINDOWS: 0 PATIO DOORS: 1 SPECIALTY: 0 li 3
1 PSGD, SA
Estimated Duration: 1 days
Updated 10/11121
-3
10/11/21
Page 2 / 12
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