HomeMy WebLinkAbout24-A083 161 Route 6ARECEIVED
°c TOWN OF YARMOUTH
° s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 MAY S 2D24
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 (ARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COS' III, GHWAY
APPLICATION FOR
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 Cateaories That Apoly: Indicate type of Building: Commercial Residential
1) Exterio Building Construction: New Building Addition Alterations Reroof Garage
Shed . Solar Panels Other:
2) Exterior Painting: Siding S
3) Signs/Billboards: New Sign _
4) Miscellaneous Structures: Fence
Please type or print legibly:
Address of proposed work: 1.D
Owner(s): �11J•
All appticat)
Mailing address:
Email:
Agent/contractor:
Mailing Address:
Email:.
5"tv
utters Doors Trim Other:
_ Change to Existing Sign
Wall Flagpole Pool Other:
must be submitbW by owner
Signed (Owner or agent):
w
1S G
TadDpi0l#
Phone #:
tpprj)ving submittal of application.
`C1 - —
notificabon method: Phone mail
Phone #:
notification method:
Date:
Phone "
➢ Ownedcontractorlagent is aware that a permit is required from the Building Department. (Check other departments, also.)
➢ If 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:
Amount
CashlCK #i:i cif
Rcvd by: L , 5 f
45 Days: i
Date Signed:
Approved Approved with Modifications Denied
Reason for Denial:
Signed:
i
APPLICATION #: qq—M�-3
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME iRF
C
WAIVER
`A1rtMUU � rr
Application #: 9q,/ *3 ova KINGS HAG"WAy
Project Address:
Application Received Date: Y/ ?It
45 Day Decision Deadline: 12Y
I/We, the undersigned owner, contractor, or agent, do hereby waive the
45-day timeframe for a determination on our application for a Certificate
of Appropriateness/Demolition/Exemption by the Old King's Highway
Historic District Committee for the following project:
Owner
Contractor/Agent
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
2023 MEETING SCHEDULE ?qA-k3
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: w{ LQ P C,
Property Address/Location: % Y
Hearing Date:_
Notices must be sent to the applicant and abutters (including owners of land on any
public or private street or way) whose property directly abuts or is across the street from
the applicant. 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 Kmg's
Highway Department page on the Town website: www varmouth ma.us
Map Number Lot Number
Applicant Information:
Abutter Information:
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MAY 2 8 2024
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Application #: %LI—AOI-�.3
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TOWN OF VARMOUTH
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