HomeMy WebLinkAbout25-A132 169 173 Route 6A Approved 10.08.25TOWN OF YARMOUTH
r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIEE02,,
ARNOUTH TOW14 CLERK RE APPLICATION FOR Old Kings Highway
OCT 9 f25 AK8:21 CERTIFICATE OF APPROPRIATENESS Historic District
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, & SUPPLEME�iTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed _ Solar Panels
2) Exterior Painting: Siding _
3) Signs/Billboards: V New Sign
Other:
Shutters Doors _Trim Other:
Change to Existing Sign
4) Miscellaneous Structures:
Fence Wall
Flagpole Pool
Other:
Please type or print legibly:
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Address ofppproposed work:—.
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MaplLot # ,
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Phone #: �" I - J�F T I
All applications must be submitted by owner or actonioanidd
by letter from owner
approving submittal of application.
Mailing address: ) l
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Year built:
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Email: C�� 6 t`L✓ �i :t .a �f i''i' �,.�-...( L?+'Yi
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Preferred notification method: Phone t' Email
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Agent/contractor.,
Phone M
Mailing Address:
Email:
Preferred notification method
Description of Pro osed Work:
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C. i 1J r CCU, k t iZ
Signed (Owner or agent):
Phone Email
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Date: OCT Q 8 2025
> Ownerlcontractorlagent is aware that a permit is required from the Building Department. (Check other departrry�r{ $f I 's H I hwa
D If application is approved, approval is subject to a 10-day appeal period required by the Act. IIJJ�� r�i 9 g
D This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever d%"gtgz
> All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for fra i af�66rTs
Rcvd Date: q(a
Amount _�_ • 6o _
Cash/CK M /Z{o'� Tr
Rcvd by: L' S,
45 Days: 10 l7 )25
Date Signed:
Approved
Reason for Denial.
Approved with Modifications Denied
2 5 — A
APPLICATION #.