HomeMy WebLinkAbout26-A078 970 Route 6Ao Y TOWN OF YARMOUTH ZDi,{� fl
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6 ROUTE 28. SOUTH YARMOUTH. MA 02664�451
Telephone (508) 398-2231 Ext. 1292--Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMIft k026
APPLICATION FOR Old Kin, s Highway
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 8, on plans, drawings, photographs, & other supplemental info accompanying this
application. PLEASE SUBMIT 4 CORies; OF SPEC SHEET(S), ELEVATIONS, PHOTOS, & SUPPLEMENTAL INFORMATION.
Check All Catecories That Apply: Indicate type of Building: Commercial Residential
1) Exter Building Construction: New Building
Shed _ Solar Panels Other:
Addition Alterations Reroof Garage
2) Exterior Painting: Siding Shutters Doors Trim Other:
3) Signs/Bil[boards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool
Other:
Please type or print legibly:
Address of proposed work: `{C ��"- {�, , O! t,? Map/Lot # f ��'•
Owner(s): Apra r Cam.. o t e e # _ Phone #: - 7 `f - rf q— 19-7 5!
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: `f— Year built: 1 q 9 q
Email: _. C " t7 @ �t mc„ (• C UY'! Preferred notification method: Phone l/ Email
Agent/contractor:
Mailing Address:
Email:
Description of Proposed Work:
Shed- ?,ne- 4c r-60r
Phone #:
Preferred notification method
0C)4 Qe_ [ 5ki1e_ 141t
4, r, a ,t, h hcuus-Q-
t. h i�e_ Sheet ) rno , fe.,Slc�L. oiw,c 7 KA_07c � refit �vv r
Signed (Owner or agent):
Phone Email
Date: 6 - l - ou o-L
➢ Owner/contractor/agent is aware that a permit is required from the Building Department. (Check other departments, also.)
D 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.
D All new construction will be subject to inspection by OKH. OKH-approved plans MUST be available on -site for framing 8 final inspections.
Rcvd Date: &I r�
Amount ��-
Cash/CK
Rcvd by: I4 S,
45 Days: -1I ,74 dab
Date Signed:
Approved
Reason for Denial:
Signed:
Approved with TModifications _ Denied
APPLIATIDN #: AO 8
TOWN OF YARMOUTH
1146 ROUTE 28, SO[ ITH VARMOUTH, MASSACHUSETTS 026644451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
45-DAY TIMEFRAME V9VM@WAIVER
Please sign and date this form JUN o 9 2026
Old King's Highway
Application #: 2 6- A 0 7 8 Historic District
Project Address: G-p eoAe (eA
Application Received Date: ("Of Ila
45 Day Decision Deadline:
-71>qf;t6
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:
Date: . Signed:
Owner
Owner
Contractor/Agent
2 6 - A 078
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
KYJ 9 Ri
ABUTTERS' LIST �W. 5
1L� /n��A JUN 0 9 )p26
Applicant's (Owner) Name: �ica*v «t-r— nl icing's Highway
Property Address/Location: _ ��(7 �j,� Historic District
Hearing Date: _703126
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 King's
Highway Department page on the Town website: www.yarmouth.ma.us
Map Number Lot Number
Applicant Information:
Abutter information:
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TO THE BEST OF MY INFORMATION,
KNOWLEDGE. AND BELIEF THE
&---. SHOWN ON THIS
PLAN HAS BEEN ON THE
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Lam' YARMOUTH, MASS.
DATE 4GT. ,74 /9 9y SCALE
JOB
SIYEETSER ENGINEERING
235 GREAT WESTERN ROAD
P.O. BOX 713
D SURVEYOR SOUTH DENNIS, MASS.
398-3922 02660 (FAX) 398-3063
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