21-A171 42 Sisters Circle ApprovedTOWN OF YARMOUTH
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1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTAL' 2021
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APPLICATION FOR u-�t� /ltl�s jL
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended, for proposed work as described below & on plans, drawings, photographs, & other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: indicate type of Building: Commercial
1) Exterior Building Construction: New Building Addition Alterations
Shed Solar Panels
2) Exterior Painting: Siding _
Other:
Shutters Doors Trim Other:
Residential
Reroof ,(_Garage
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
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Please type or print legibly:
Address of proposed work: C Map/Lot #
Owner(s): Phone #:
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address:
Year built: _ `c c'= I
Email: Preferred notification method: Phone Email
Agent/contractor: Phone #: _a506 Z 3 ZY/ 7-b
Mailing Address:
Email:
Description of Proposed Work:
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P���� �, ,.r;� car• ,
0'ove1
Preferred notification method: Phone Email
Signed (Owner or agent): Date:
Owner/contractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
It application is approved, approval is subject to a 10 -day appeal period required by the Act.
This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on-site for framing & final inspections.
Rcvd Date: llkol
Amount _Ao, Lt)
Cash/CK #:l 30 6
Rcvd by: L�
45 Days:
Approved
Reason for Denial:
Date Signed: 7 013/2-,, 2
Signed:
Approved with _Modifications Denied
1 APPLICATION #: 'Ri - Ani
}°EY``�� TOWN OF YARMOUTH
° OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1 146 ROUTE 28. SOUTH YARMOUTH. MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 ExL1292 Fax (508) 398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at �� _? 15ke V5 oc CJL
Map/Lot q3 q, CIA # i i��, Approval
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I certify that I understand the following requirements regarding any changes that may
be required for this project:
In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972
CMR Rules and Regulations: Only minor changes may be approved by the Committee
without the filing of a new application and a new hearing. Minor changes include
alterations that can be done without a detrimental impact on the overall appearance of
the project such as altering a single window or door change or a minor change of
colors. All minor changes by amendment will require the local Committee's or its
designee's approval.
All changes to previously OKH approved plans require notification to and approval
from the local OKH Committee. Change requests must be submitted to the Committee
in writing on the appropriate request form, which may be obtained from the OKH office.
All change approvals must be obtained before incorporating the change into the
project.
If the change has been implemented prior to receipt of OKH approval, a Minor Change
approval or Certificate of Appropriateness application for the revised plans is still
required and will result in a doubled filing fee for the appropriate category of work.
Failure to comply with the above statements will result in the Building Department
issuing a stop -work order or delaying issuance of an Occupancy Permit or final
inspection approval.
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I have read and understand the above statements.
YARMOU T' i
Date: /Z 3 2 Signed:
(Owner/Contractor/Agent)
Signed: -
(Chairma , Oldfng's Highway Committee)
HAOKH COMMITTFFVApplication FormsSStatement o1 Understanding 2015.docx
Updated 12/2015
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT4 RECEIVED
NOV C 8 2021
WAIVER OF 45 -DAY DETERMINATION I YAhiv10UT'h
The app] icant/applie ant'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 Appropriatenes s/Demo I ition/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, Tune for Making Determinations
"As soon cis convenient after such public hearing; but in an11 event within forty-five (45) days
after the filing of application, or vvithin such fitrther time as the applicant shall allow hi
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): 4L& RarYJ
Applicant/Agent signature: Date:
APPRO1 IE
DEC 13 2021
Application #: 90111
312020
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name:
Property Address/Location:
Hearing Date:✓ I
ECEIVED
NOV 6 8 2021
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www.varmouth.ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
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DEC Y 3 202
YARMOU # 1I
Application #: 'An
8.2018 3
931 4.181 1 1
ENRIGHT SEAN
ENRIGHT SHARON
94 SISTERS CIR
YARMOUTH PORT, MA 02675
931 4.161 1 1
ALLEN CRAIG E
ALLEN JESSICA A
23 FOREST LN
YORKTOWN HEIGHTS, NY 10598-6507
931 4.151 ! 1
BASSIL ELIE
8 HEADWATERS DR
WEST YARMOUTH, MA 02673
931 4.141 1 1
REIMER JENNIFER A
CEFOLE MICHAEL
110 SISTERS CIR
YARMOUTH PORT, MA 02675
931 4.31 I 1
BASSIL RABIH
87 WEIR RD
YARMOUTH PORT, MA 02675
931 4.21 1 1
BRENZEL IRWIN M
27 SISTERS CIR
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
directly abutting and across the street from the parcel located at:
42 Sisters Cir., Yarmouth Port, MA 02675
Assessors Map 93, Lot 4.15
Att64_
Andy kfachado, Director of Assessing
November 18, 2021
ECEIVED
NOV 17 2021
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APPROVED
DEC 13 2021
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