22-D004 15 Railroad Ave ApprovedQFY TOWN OF YARMOUTH
"n
SC
1146 ROUTE 28, SOUTH YARMOUTH, MA 026644451
REG I Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836
NOV 1. 0 20bLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
�ARMOU I h
<ING'S HIGHWAY APPLICATION FOR
CERTIFICATE OF DEMOLITION OR REMOVAL
Application is hereby made for the issuance of a permit for the Demolition or Removal of a building or structure or
part thereof, under Section 6 of Chapter 470, Acts of 1973, as amended, for the proposed work described below
and on plans, drawings, or photographs accompanying this application. PLEASE SUBMIT FOUR `) COPIES
OF SITE PLAN AND PHOTOS ALONG WITH APPLICATION FORM AND ABUTTERS LIST.
Type or print leuibly:
Address of proposed work: MaplLot #
Owner(s): V- L.t Phone #:
All applications must be submitted by owner or accompanied by letter from ownerapproving submittal of application.
Mailing address: k � 2A\\ Q� b &\jp, Jf 0QT�i_QIJZT, a� Year built:
Email: 4`e LO M3 (�! 6io ��� 1_ Preferred notification method: US Mail ®
�Email
Agent/contractor: EW-VL '[ WC Phone #: 3b Z 809
Mailing Address:
Email: (2 rNFLZej . e0OA Preferred notification method:
Description of Proposed Work
Signed (Owner or agen le. "Cd
US Mail
Date: k%p 11- Jo - Z u z 2.
➢ Photos (4 sets) showing s of building MUST accompany application. ➢ If building is to be moved, give new location.
➢ If relocation is granted, Certificate of Appropriateness application is required if new location is within the Yarmouth OKH District.
➢ Ownericontractorlagent is aware that a permit is required from the Building Department, (Check other departments, also.)
➢ If application is approved, approval is subject to a IMay 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.
For Committee use only: �_ Approved Approved with modifications Denied
Rcvd Date: I1 0 .3
Amount `5 , co
Cash1CK #: 49 �]
Rcvd by: �! -5,
45 Days:
Signed:
IJ
�J mow.• DEC 12
YAl- mt ,.r I F-j
Date Signed: Z L-
272020a
APPLICATION #: 912-0 a)
TOWN OF YARMOUTH
° OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836
STATEMENT OF UNDERSTANDING
CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN
As property owner/contractor/agent for construction at J f ad lrbt .
Map/Lot 0 21 CIA # IP' 006LI Approval Date:
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.
I have read and understand the above statements.
Date: / / Z6 Zz Signed: ' ' //��
(OWnbr/Contractor/Agent)
APPROVED � e- 4.1
Signed: r('
DEC 12 2022 (Chairman, Old K g's Highway Committee)
YARMOUTH
HACKH COMMITTEE64pplication FormsXStatemenl of Understanding 2015 docx
Updated 1212015
o-BAR 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 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): ��NNIL 7PKX ej kv—ul. &UCSM-ruar. 1 nx,
ApplicantJAgent signature: Date: i \O •24rl Z
RE�EiVEii �
Nov 10 2022
Y ARMOUI"h
312020
APPROVED,
DEC 12 2022
YARMOUTH
Application 4: X, 0(z `7
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: - --_ f_� �,Azl�-
Property Address/Location: �S I a ibael A-O< .
Hearing Date: 12,-2-
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.ya-r_mouth.ma.us
Applicant Information:
Abutter Information:
Rm sVED
NOV 10 2022
YAFt OUI h
APPROVED
DEC 12 2022
YARMOUTH
Map Number Lot Number
112 �I
Pip ►y34o
Prp,y-�,3�
1
a� �.D ttao�rs�
11 �z
-3s
P/o ly3
Application #: ' Q Q6
1121 221 1 1
FLEMING CAROLYN L
P O BOX 1372
ORLEANS , MA 02653-1372
1121 201 1 I
KLINE JUDITH ANNE
25 RAILROAD AVE
YARMOUTH PORT, MA 02675-1619
1121 25,11 1 1
MYERS SALLY R
C10 GORMAN THOMAS
13 ROUTE 6A,
YARMOUTH PORT, MA 02675
1121 21/ 1 1
WILEY KYLE J
WILEY CHRISTINE
15 RAILROAD AVE
YARMOUTH PORT, MA 02675
1121 351 1 1
TOWN OF YARMOUTH
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664-4463
1121 25.21 1 1
SILVERMAN STEPHEN H TR
SILVERMAN RHONDA C TR
7 ROUTE 6A ,
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:
15 Railroad Ave., Yarmouth Part, MA 02675
Assessors Map 112, Lot 21
Andy Machado, Director of Assessing
November 23, 2022
RECEIVED
110V 2 3 2022
YAHMOUTH
<ING'S HIGHVti
APPROVED
DEC 12 2022
YARMUU I-H
;;9--Oa�l
11l10122, 11:48 AM
about:blank
15 Railroad Ave
I_ vvw�, izl.l
■
f1229 112.30
112.28
112.27 ' 112.31
■ R OA �
1-12:24 112.45
W 112.32
i1.2.23
112.33
112.46
121.93.1
112.60
112.55
112i254b 112.61 112.62.2
+ 112.54
77
l � 112.22
MIT12.34
SLEEPING DOG pq
y_
z
112.6�1.1
112.21
112.35
O
Lf 2.25.2
112.44 112.63
. 4
r
.
•
_
112.36
A
112.26 >E1,1.2.20
�
�` 112.64
1724.37
112.43
112.65
112.17 112719
on
112.66
112.38
is 112.4Z
Noverober 10 2022
RECFI ED
NOV 1 0 2022
YAHMOU i rr
112.53
112.62.3.1
112.52
112.79
1 2,257
0 75 150 Yo R
0 20 40 80 m
W Arhq 0: USFi. hZA. NIZA MA-t N 4ow W. Ncmk3
ri.S. 4.. wA, cwv�sry�nen. + a�awa�r. Gs. s...n sEu
xsLla?x :*e a:s �6tr xnrnT..�
a•ra a� �:m w-nn:ntr�r.*q as ¢avea rorPar. ug ana,xmr.mtnss
APPROVED
DEC 12 2022
YARMOUTH 1
about blank
P'-O(X'L/
111
op— V-
7 r;
�Mft 'i�!
WA
w 4
AT-
M)l
40
mA
?"gum.. ��ni
VN
AN
W51L
rap
jvmar
m , r4q
at
. . . . . . . . . .
kits, L.. L,l
low one
OF
Vp
Mom M 0 F
MWV
I W 01, 470.
11 k I L MW A
WO
1,0'l
, 0%. NNNA . Mo.
ISI"
5
IN
MIN OM7 N
iEM
96 J
I Ewer
- _ - .�■
Allar—
A Nei_ �
r- A
AQW Wd=
-� ® ..��,
Nam
r;� � `,�. � .: .:�•,.' .4`x .��� , `lid - ��� ��_�..-r" L �►�3't'� b
RE
. i.`Y'v� - $L��1�`Q '� i�- fir,■ � � q; 'l'�rI�T��.�y'.� �.�"�
Z 1,441 ra'7C'3w'_�i��+, Wo
yI 'r ;rE
� ?fir .{�L A � Y t r � ��/.��� f �`y y� i#�•f T�/' � •1�� I� .ps
1i�4~ , .�t'',Y � F'r •• �c- '�.�^�,��5ti�+, a. 1P�` ' � 1 � f �A"•-��i �i. ��l , 6�p�$ '�f `a
�s�•�� o f
AA
€'tti � -. ��'t� ��g�c�" �. Y � aL F, •''�:� �ic'f?1c:i►�`. � '�"��� /'."s r��'l�
PAM
_. -
i,y..
c I:, f y .
r � -
31,
Z1.
i7._
Ad
f-,Aw
ig
T - - �` j.:r r : y-s� '� `. � �•'`��/i/ I _ \.=" � S�`t ^r " � �`^.�-�� v� L i � M
--1,11♦\�t��5 ��: 4.'-,t d-� 1, f � �'"_ � l�r yha,�� }!.r =1:,� .•fi���". �-1 � ' ki'v"ASP `. �, _'_'� _ �. � �.
+�J � ,. � � � i S ��� .i � ,r!=' " /; " - i.. z �YE�., .� s^`� �: � ff •' S�^� � ` 4' � ,., � f�`�_ �`� 'A'
h r n \C 4��" 1 7
�moc'lElliil �.
�M
_. '♦�4� �
�e4- �,br�1, Fc
tea` is wi r ,t�
I.• rL ��+'v`�_'-as`;sati4,k
..-n`' v.'SLY•- l'?' .5 ti I J k
+' • �" 9h:::c r�r��y �i il�1Y\\�i $ ip� wi y {
2•�>- C,x t 4 i1 cL� k-'�tG(1N' . �. -a%►
e�"�''-;r1_ pw� cg • Y / i-1^
`-� N'M c.-1��[a�.9 �I ,mac 5`lc E TA' s� itl ,�, - i /(��
i�% '� i� �J tyrlK � vl fa !p1 1 � ��
\ 'of ld�' i a "Q� xy f/ ,I.i` T r r �-
a. f ��ca !. 1 1�A�i} i3fa1 ry d q-/ �� %.! fi"€ GesJ.•
rY !� � m � �%�� � a��77YY�� �,��•��-�' � '-� � I y� w: Y � - 4 J �g i f �toy
- r .� •r�-a�`el����1 � j ��f$�
s�
o ...L ,� 7"`>i`^�\S�Ffrlll� 117�j'�.•��}!P'*�yr'ON
�/fj`
d e tr
t may,
•� _._,� r �-I � � � '� 91 'l !_:.. Il�-
ij
�''
I'L-
Z I.
LZL
�[ Ir '{.jf� k 5ll[tx44i j� tl - Msmwo �
ITS
Lk
I j P
-r A''�
4-'I
v r '�. x �.
�pi