HomeMy WebLinkAbout24-D007 86 Starbuck LaneTOWN OF YARMOUTH RE FIVER
° 1146 ROUTE 28, SOUTH YARMOUTH_ MA 02664-4451 JUN 27 2024
. Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
rNl MUU 1 t
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMItYt4 `.IN,3'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 (4) COPIES
OF SITE PLAN AND PHOTOS ALONG WITH APPLICATION FORM AND ABUTTERS LIST.
Type or print legibly:
Address i
Owner(s)
I l Map/Lot #
1 �� Phone #
owner approving submittal of application.
Mailing address C
Year built l -1 Lir
Email �� 1A0iy
/��ya��{//D4�c�lp�
L ,_I'f
j
qrL (Q�referred notificalon method. US Mail Email
Agent/contractor 5awt Phone #
Mailing Address
Email.
Preferred notification method: US Mail Email
Description of Proposed Work
DP,4A01,6 i 0(U 4A(MIv6/
Signed (Owner or agent) Date
Photos (4 sets) shoving al' s des of bu Id ng MUST accompany appaication : If budding is to be moved. give new location
If relocat on is granted. Certificale of Appropriateness application is required 'if new local on is within the Yarmouth OKH District
Owner+contractodagenl is aware that a permit is required from the Building Department ':C heck 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
For Committee use only: Approved Approved with _ modifcations Denied
Rcvd Date
Amount N
Cash/CK M r'
Rcvd by irr +t 5'
45 Days: ?I 2q
Reason for denial
Signed
Date Signed-
M02Qa APPLICATION #
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 E:t. 1292 Paz (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
RFF1V1F()
JUN 2 7 2024
Y Ah(vtUU I h
OLD KINGS HIGHWAY
1'he 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+l✓xemption may not be made within 45 days of the tiling 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 I lighway Regional Ilistoric District Act.
SECTION 9 -Meetings, Hearings, Time for Making Determinations
"As soon as convenient after .such public hearing; but in any event it ithin f r7y-five (45) day7
after the filing of application, or within such farther lime 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 he scheduled as soon as the
situation allows.
Applicant/Agent Name leaseprint):C /I e * kPk ON dlf�
Applicant/Agent signature: pate: 6/J 7-/2 G�
Application irr: `' -0007
a 21020
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: d,►'t 2 aVld G( sovt ��d�l` z
Property Address/Location: ?TP
Hearing Date:-'�'�3i:i
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 onto. 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 Y.irmou.V). n-a us
Map Number Lot Number
Applicant Information:
I�bgn
Abutter Information: 11� 1 110
CVED tr ly4�
JUN 2 7 2024 ly.
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nLo KIIVG'S HIGHWAY
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Application #. 214- W7
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