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Home My WebLink About21-E119 6 Pine Reach VillageTOWN OF YARMOUTH RECEIVED .0 x 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 DEC 0 9 2021 Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT LD KING'S H�Y 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 pians, drawings, or photographs accompanying this application. Tvoe or print legibly: Address of proposed work:, l'1p_��s-'_ Map/Lot # Owners : Phone M._ ` All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address:'� Year built: Email: _. 2Yc-n&ai12 2X31 -!`4� Preferred lot n m mod: _ Phone _A,e!!�Emall AA ent/Contractor: Picone #: yql -c4Q6 - b10b Mailing Address: � IIt AAA W C'iP- xn Email:.CC)M Preferred notification method: U Phone r_9v r�vxC i�w� r■v ,(J,uv��a a m a■■aw vue �nas`anr � C -z }y `r — C! j Signed (Owner or agent4y � Date: Owner/contractor/agent is aware that a permit maybe required from the Building Department. (Check other departments, also,) D Th Is 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 -2Q. 00` Cash/CK <�2_ Rovd by: Li SS Date Signed: V52017 Approved Approved with changes Reason for denial: Signed: Denied APPLICATION #: � I —� III TOWN OF YARMOUTH[RECEIVED ° p 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02564-4451 Y 1x Telephone (508) 398-2231 Ext, 1292 Fax (508) 398-0836 DEC 0 9 2021 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE YAhiarOU i rt 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 fort), -five (45) days after the filing of application, or within suchfurther 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) �E�Cj-Z1 Applicant/Agent signaturetLc,-)76-�Date, 1d&-� 3I2p20 Application #l,. 91— El 11 AFAF Itemized Order Receipt RC��E� dba: Renewal By Andersen of Southern New England A n Evans Legal Name: Southern New England Windows, LLC 6 Pine Reach RENEWAL RI #36079, MA #173245, CT #0634555, Lead Firm #1247 DEC 0 9 2021 Yfrmouth Port, MA 02675 erANDERSEP! 10 Reservoir Rd I Smithfield, RI 02917 (772)713-5173 ausunuw�cureon muarw Phone: 401-349-13841 Fax: 401.633-6602 1 sales@renewalsne.com YAr MOU l h (978)303-7047 OLD KING'S HIGHWAY Misc: Misc, TO CONSTRUCTION DEPARTMENT: 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. Misc: Misc, CONDO/HOA APPROVAL NEEDED, Job will need condo/HOA approval for installation, delays may impact estimated installation date. 101 living room Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Active / Stationary, Exterior White, Interior White, Glass: All Sash: Tempered High Pert, Hardware: Albany, White, Screen: Gliding, Full Screen, Grille Style: No Grille, Misc: None 102 living room Patio Door: Gliding, 200 Series Perma-Shield, 1 Panel, Stationary, Exterior White, Interior White, Glass: All Sash: Tempered High Perf., Grille Style: No Grille, Misc: None ;? 1- eoef UPDATED: 10/27/21 Page 3 / 13 Itemized Order Receipt dba: Renewal By Andersen of Southern New England Legal Name: Southern New England Windows, LLC RENEWAL Rl #36079, MA #173245, CT #0634555, Lead Firm #1237 b V"*WSEN aur*Wr�gow oaoeunxum 10 Reservoir Rd I Smithfield, RI 02917 i Phone: 401-349-13841 Fax: 401-633-6602 1 sales®renewalsne.com "`CEIVED DEC 0 9 2021 YAhlviUU 1 n in Evans Pine Reach rmouth Port, MA 02675 (772)713-5173 (978)303-1047 103 living room Window: Picture, Full Frame, Exterior White, Interior White, Glass: All Sash: High Performance, No Pattern, Grille Style: No Grille, Misc: NEW Int. STANDARD Casing - Pine, 2.5" colonial, Traditional, stool and apron, PRIMED, NEW Ext. Casing - Composite (Bright White), Picture Frame or Traditional, Includes sill nose. 104 living room Window: Picture, Full Frame, Exterior White, Interior White, Glass: All Sash: High Performance, No Pattern, Grille Style: No Grille, Misc: NEW Int. STANDARD Casing - Pine, 2.5" colonial, Traditional, stool and apron, PRIMED, NEW Ext. Casing - Composite (Bright White), Picture Frame or Traditional, Includes sill nose., Multiple Full Frame Mulled Unit Credit, CREDIT for multiple full frame units in one opening 105 living room Window: Picture, Full Frame, Exterior White, Interior White, Glass: All Sash: High Performance, No Pattern, Grille Style: No Grille, Misc: NEW Int STANDARD Casing - Pine, 2.5" colonial, Traditional, stool and apron, PRIMED, NEW Ext. Casing - Composite (Bright White), Picture Frame or Traditional, Includes sill nose. WINDOWS: 3 PATIO DOORS: 2 SPECIALTY: 0 MISC: 4 Renewal by Andersen is committed to our customers'safety by `� _ r EPA complying with the rules and lead -safe work practices specified by the EPA. Or 1 — e, I UPDATED: 10/27/21 Page 4 / 13 J ECEIVE® DEC 0 9 2021 YAi�WJOU', ri M rw I 1 I � r ❑X c •� D . r� � 0 ❑x V On h+y (D ---(D . . . . . . . . . . . . . . . . . . . . . . . . .............. .......