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21-E123 208 Center Street°� Cl TOWN OF YARMOUTH v 0 „fin n z 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ' b Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE APPLICATION FOR RECEIVED CERTIFICATE OF EXEMPTION OFF 2 7 ?021 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. Tvpe or print legibly: Address of proposed work: t2o C STREL--j- YA-OJZM Map/Lot # 41 O �.4 i57 Owners}: 1'��1:.ReC) i NAN INN Phone#: All applications must be submitted 6y owner or accompanied by letter from owner approving submittal of application. Mailing address: e20e CQjTjX 6�jl9# Year built: I S` Email: YA i++1 G✓ ►kPreferred notification method Agent/Contractor: 1!t t� Mailing Address: '32 H ❑M Phone ✓ Email Phone #: 5-6'e — 771 - 1500 -+- Email: hila KX'5 & fltyiZ�r10.�I� , C. - Preferred notification method: gj Phone U Email Descri tion of Pro osed Work Additional pages may be attached if necessary): (IN « ya0-'D-0Ei0ab _,t,5�.k1 of h`Ov% oS - 10 X 12. Q "t VtZ� A -94,S !-lie - Hrtx�S E� S PAsSEll-tD BEAD 130A -D DIDQZLE D002 0/5A54; �,pA�►rsr� %hCk A 69, $AWE" o'i t'i r is 3 rl W t WD O NJ [�0.�'cl�t G�FiS fou sG • �3 Ac'iU R -A V Gt'l0 Ari. S H I Ntrik� C �R.o a") d o o v -j • t30 ASD � t3 ArtiC� C5 t.0 � 5 + Ririh+�. W A i,d.� Wirt avJS /st2.CrttIT,Cxog-jcL. 51�rvaGtx�. • W 1N'DO�N Signed (Owner or agent}: o �c�.LI_�ti�. }�,(sA.-ru..4� Date: 12, 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: Id01- � Amount a 0_ ('0 Cash1CK #: Li ftcvd by: 1--s Date Signed: Approved Reason for denial: Signed: Approved with changes Denied APPLICATION #: C 123 TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 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): N,4NU f 6 K/N/'V e7,-7 Applicant/Agent signature: Date: / a- z a a. RECEIVED DEC 2 7 2021 YAHMOUTId Application #: a l --e l ?31 3/2020 • PLOT PECAN FOR LOT # L. C P 1 "5,68 4 9 - D I-ot- 6- i Abutter's Name Lot # 3 If this is a corner lot, write in name of street. SIDE YARD a s i ��,�yy t 6-$ qq Lot- (e (16t ................ ft�.ZjMWj �axti� ✓(�.��jj ISR YARD • 4a' off P'OK ot= : I"�ihRkt� 1 SET SAGA SIDE YARD j� 1 Abutter's Rt) Marne aw O Lot # ;Gr If this is a 0.—VCO— comer lot,A (�', write in Ac name of stre EIVED EC 2 7 2021 Y hh4MW i h M*..................ft. frmtage) . --- — 1 / (NAMS OF STREET) Dif=Mati n f &Wlied by Rbvfar Z � w Abutter's Name Lot # 3 If this is a corner lot, write in name of street. c Y PLOT FLAN FOR LOT # LC P WS 9 9 V. i - � V„ � •. i' .'.a � if _ Y • w~ i( ................Ze=) • SME YARD r REAR YARD --ft. C w i .., i i f f�• f e f` 4 kb RCKI t WNE 4a/ or-; POlrit. of SET BACK =19 YARD '0 — — rffl> .a Pot ..................ftw frmtaw) cl"rSk sr¢**.r� 00LQ 2.5 'nuc (NAME OF STREET) DE Ss�I''�t►�,S �OS.��. Abutter's Name CONS Lot # ,� If this is a corner lot,•, write in � name of str, a 93 di . • :11 !l GD j7 2021 t. uv��1U l r� d C �,_ 0 I Abutter's Name Lot # If this is a corner lot, write in name of street. PLOT PLAN FOR LOT # L. C P 15rS 49-D LOQ- S' Add�a M� °r y b�q W �� disPoeai ri C"Spo 1) 45B STDG YARD i tLot-(4? (116t ....... ......... t. zMar) REAR YAR ........ ....ft. WNr. SET BACK SIDE YARD 0 —r-- --.. — ZT* ClaL.................. ft. -flm aw ) (NAMS OF STREET) .Laded" I Abutter's Name CG�15 Lot # 'Cti0 If this is a 0 -w -ed corner lot, -T, write in A name of stre, ro 'WED 7 2021 HIGHWAY j r • I -- t? 12"3 I Abu ori Sub, Sho- Fl 1 Sieg: Sep. 5hol R11 t' Dec.27,,14 Reco er. s pvwKc kwt iR�K- jL5 SUBDIVISION PLA; TAND IN YAMOUTH TIT O ` CopyofilledlAaKaln—fplsn .— LAND REGISTRATION OFFICE 0ecem1per P74w Scale of this plan 50 Leet to an inch LoUlsA. Moore, EnglnserfofGowt E E 7 2021 leo T N Abu ori Sub( Shat milt Regi Sep: Shov By pec; 2T, •/9B4¢'' Reco 19f SUBDIVISION PLR 9F TAND IN YARMOUTH N w 1 Copyofpparta/plan frlsd fn ---. LAND REGISTRATION OFFICE December R7, #,W Scale of this plan 50 feef to an Inch LoulsA, Moore, EngineerforCourf . IVED 2 7 2021 HM Jul "...,.., f N Abu, orij Subc Shov Fl l e Regi Saps shoe By Reco r. Dec. 2T /534T ;Zc7X- PV1%f%LA%WKA ,D SUBDIVISION FLkk 9NTLAND IN YARMOUTH N_ 0 !SCD1!n 1 CopyofppaIofplan filedIn LAND REGISTRATION OFFICE December 9T, fm¢ Scale of this plan 50 feet to an inch Lou1SA. Moore, Engineer for Court 2 2021 T O 22 C� OG 3 r - N 7 0 cr ■ ON" O r) 0 C m OrMl O 0 0(� O O ��Q P h O 7Oa Ncn c�o O V1 -p -0 0 cu a O Z d apT Yp Rf XN 09 O pQ. 3� H C TA O ODq NC' • I D N N C D 0i3 0 L% G N. n N a N x a 3 r - 00 °vNR O vg Q A N x .A al N C N� ai 7 x% -A 7 m crM 1%j a = `�-. W 0x0. C vQ d M ." 000 0 0(� O P Q Qi 47 ab V1 -p -0 0 s Rf XN 09 N pQ. 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IN I rA "E7 oil wilm 0 MW 1. i .1al lono Ire - I K.- 7 W- -vt 'I W-•1 gx� 1091 - :1 M -a Ullf 2 1 ♦ f IF 6 s r_ OLD KING'S HIGHWAY HISTORIC DISTRICT SHEDS A single wooden shed may be allowed, for residential use, if appropriate for site and associated structures, and if meeting the following criteria: • SIZE - A. Less than or equal to 120 Square feet in floor and no more than 12 feet in height to ridgeline requires an Application for a Certificate of Exemption B. Greater than 120 Square feet in floor area requires an Application for a Certificate of Appropriateness • ROOF PITCH -The roof must have at least a 7/12 pitch. The roof must rise at least 7 inches for every 12 inches of run or match the roof pitch of the existing house. • ROOF MATERIAL- Asphalt or wood shingles. If asphalt shingles are used, they should match the roof color of the house. • SIDING -Clapboards and/or cedar shingles are preferred; Barn board is acceptable; Texture T1-11 is not acceptable. • DOORS and WINDOWS- At least one door and one proportional window. • COLOR -Natural (unpainted), white, light gray or a color matching the existing house. • FOUNDATION -No more than 12 inches of foundation exposed. • LOCATION -at least the minimum distance required by the town from the side and rear lot lines. The front of the shed shall not be extended farther forward on the lot than the rear wall of the existing house. rVE _CEE V ® APPLICATION REQUIREMENTS: DEC 2 7 2021 A. C:71 icate of Exemption (to be reviewed by OKH Chairman) Y/ -j i o OLID-KING.SGHW copy: Certificate of Exemption Application ✓3 copies: Site/plot plan showing the location of shed in relation to other structures / on the property. 3 copies: Elevation drawings (%" scale) of all sides of shed /or manufacturer brochure containing the shed specifications Yset: Color Photos (Front of house & area where shed is to be placed) 20 application fee B. Certificate of Appropriateness (to be presented at an OKH Committee meeting) 1 copy: Certificate of Appropriateness Application — 4 copies: General specification sheet (listing foundation, doors, windows, siding, roof) T 1 Abutters list (Map and Lot numbers of direct and across the street abutting parcels) 4 copies: Site/plot plan showing the location of shed in relation to other structures on the property 4 copies: elevation drawings (%" scale) of all sides of shed or manufacturer brochure containing the shed specifications _ 4 copies: color photos of front of the house and the area where shed is to be placed $25 application Fee