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HomeMy WebLinkAboutBuilding Permits (2)1 Use only %.4^°of%qR`'� `CI SHEDS LESS THAN 150 SQ. FT. SHALL BE PLACED A MINIMUM OF 30 FEET t# Lee 0' FROM THE FRONT LOT LINE AND A i'lMINIMUM OF 6 FEET FROM SIDES AND texpires6monthsfromREAR LOT LINES. date. Q [] d--'EXPRESS BUILDING PERMIT APPLICATION TOWN OF YARMOUTH r t� 0 5 2003 Yarmouth Building Department 1146 Route 28 zV South Yannouth, MA 02664 (508) 398-2231 Ext. 261 CONSTRUCTION ADDRESS: 30 .4i L I /y <D,00y 57T' J-- 45^1 ?*f ASSESSOR'S INFORMATION: 1� Map: Parcel: 3� OWNER: I' P i� Z 1—� -GZ 61c-sT-n u T See f n .SOS 33b ZZ.O I NAME CONTRACTOR: NAME Residential PRESENT ADDRESS 0Z'71? 11 ce-1I (!) W nle,i` V00 gq H 1 as ADDRESS TEL.# Commercial Est. Cost of Construction $ goua A Home Improvement Contractor Lic. # Construction Supervisor Lic. # Work ation In rance: (check one) I am the homeowner am the sole proprietor I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp. Policy# WORK TO BE PERFORMED Tent (Fire Retardant Certificate attached) Duration Wood Stove Shed Siding: # of Squares Replacement windows: # Replacement doors: # Re -roof: # of Squares_ 0,,Stripping old shingles* () going over layers of existing roof *The debris will be disposed of at: U rL PS C �` n l%l S f 6-H f' Location of Facility I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will e just cause for denial or revocatio f my li se and for prosecution under M.G.L. Ch. 268, Section 1. Applicant's Signature: Date: 4?1, 2 /f Owners Signature (or attachment) ��''G Date: Approved By: Date: Building Official (or designee) Zoning District:_/ Historical District: Yes No Flood Plain Zone: es No Water Resource Protection District: Within 1�of Wetlands: Yes � Yes No STRIP — REROOF 3/01 PAPER — VENT TO CODE f 1 .OF MRSSRCMSLTrS Town of Yarmouth BUSINESS CERTIFICATE DATE FILED November 21, 2005 Expiration Date November 20, 2009 FILE Copy,7 TYPE: X New Renewal, no change Number 2005-217 Amount $20.00 Renewal with change In conformity with the provisions ofChapteronerhundred signed hereby ten, Section e five tof athe Massachusetts General Laws, as amended, the business is conducted under the title of: 0lq y.Ca0�ir��' at 0 11 ff I r n J —r - w type of business U) le - by the following named person(s): (Include corporal FULL NAME ©� �N u I S e(XCq/4V-Es on 11/21/05 , the above named person(s) an oath that the foregoing statement is true. JUOITH A. LUCIER NOTARY PUBLIC Commonwealth of Massachusetts My commission Expires Identificati te&ecember 1, 2006 State Tax M# r�, corporate RESIDENCE personally appeared before me and made 4"'C J di h A. Lucier, Notary Public M ormission Expires 12/01/06 S.S.# In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass General Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be renewed each four years thereafter. statement under oath must be filed with the town clerk upon discontinuing, retiring" or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred($300.00) and no/100 dollars for each month during which such violation continues. M PLOT PLAN butt or's ame of # this is a :)rner lot, rite in name street. FOR LOT # Indicate location of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal: ( cesspool) well zg SIDE YARD 0-- — . F'T— (lot................ft. rear) REAR YARD i HOUSE Q SET BACK a (lot..................ft. frontage) (NAME OF STREET) Information Supplied by SIDE YARD Abutt Name Lot # If th corn( writ .-. name other aai stree �o : . p30WWAM OF M%SSAI0WBM?S Town of Yarmouth BUSINESS CERTIFICATE DATE FILED November 29, 2005 Expiration Date November 28, 2009 TYPE: X New Renewal, no change 2005-222 Amount $20.00 Renewal With change Wnber of In conformity with the provisions ofchapter undersigned herebySection declare(s)ethat ae Massachusetts General Laws, as amended, business is conducted under the title of: 5 :J 6//UC No G0X1S '410T1 oN at 3 Og - le t�' �t 5- ��R��r� N 0 3 type of business 0/,009-/&-6 AND.�/pj; by the following named perscn(s): (Incluc FULL NAME 4 O liwS j (U I s 60kC191aFs corporate name corporate MIDENCG SiCM tares on 11/29 12005 the above named person(s) personally appeared before me and made an atement is true. JUDITH A. LUCIE NOTARY PUBLIC Notary Public Commonwealth of Massachusetts J d h A. Lucier, My Commission Expires 12/1/06 My December 1, 2006 fission Expires Id Presented State Tax ID# ' I S.S.# In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass General Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be renewed each four years thereafter- A statement under oath must be filed with the town clerk upon discontinuing, retiring, or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to anY person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred ($300.00) and no/100 dollars for each month during which such violation continues. 1 • • �� G6; Jim 4 TYPE • CLEARLY PRINr • ■ �/ • ■ UNWHEATER 1 ■ ■ • • ■ ■ COVE Mwmt rbi bInSUranm policy 1 l substantialOWWWt Fmeets.I : : 1 If YOU - M M: I XM please1 ✓. I: the type of coverage 1 checking appropriate 11 below. POLICYLIABILITY INSURANCE ff1 ■ : 1 1 ■ OWNER'Sft that Ihe Ikeraw Il1.r no haveto Insurance MI vamp re"ked by Chapter 142 of the Mmackisefts General Laws, and that my 1- 11 this Mud applicationL.Mr 1. LI uivemot SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY.OWNER ■ AGENT ■ h'mby cerfifji dW d of the detak and int mmdm I haw submitted (or entered) repdkthis appkadm am true and accurate to the best of my Knowledge and �tb work and Instailedons performed under the Permit Issued for this a0katlort will be In =V with all Perdnent Plumbing Cads and Chapter 142 of the General Laws, PLUMBER/GASFITTER NAME. �+ LICENSE #® SIGNATURE COMPANY NAME ADDRESS: CITY: -1 STATE i DP O FAX TEL CELL: i L: /� �c l '1 , �. MASTER ❑ JOURNLP INSTALLER ❑ coRPORATION 0 #(=PARTNERSHIP p #LLC 0 # TOWN OF YARMOUTH Bu• mg Department BUILDING )8) - 231 ext. 61 PERMIT NO ' _ 8-03-408 _/'PROPOSED' pERMIT ISSUE DATE ; _ _ - - - - -02_ _ SE _ _ _ _ _ _ _ _ - - - - - - - " JOB WEATHER CAR1Y APPLICANT William & Terry Mc - --------- -- - - --- ADDRESS '1 Mildred Road PERMIT TO Repair AT (LOCATION) 100030ARLINGTON ST jAjA ZONING DISTRICT R-25 ---I ] SUBDIVISION MAP LOT BLOCK 1028.29 BUILDING IS TO BE USE GROUP R-3 LOT SIZE I I CONST TYPE 5-13 CONTR'S 022316 reroof, going over one layer of existing roof. REMARKS AREA (SO FT) EST COST ($ $1,000.00 PERMIT FEE ($) $25.00 OWNER William & Terry McMahon ADDRESS 11 Mildred Road, (i ti V' BUILDING DEPT BY U INSPECTION RECORD LICENSE CONTR'S NAME Moskaluk, William FIELD COPY ..Note Progress :��.�wpw Office Use Only OCT 2 3 02 l e . Pyrtpr't expires 6 moaths.from By issue -date. EXPRESS BUILDING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route.28 South Yarmouth, MA 02664 (508) 398-2231 Ext. 261 CONSTRUCTION ADDRESS: 3 o A * /3 19Q-1 i Iry g T-N .STe -ec-r -W. ASSESSOR'S INFORMATION: Map: Parcel: OWNER: GcJi//�'i9wl �`-T�2,t';/ �aL%�h�Lie�,r / 2u,�li�taTni /"!►9 '>6�-�'7�1-39Sy NAME PRESENT ADDRESS TEL. . # CONTRACTOR: _ Gc/ i /l %N r, /1? a S,e�ip l �k 8 111//joD og i V c 12(,4)i ,v ,T N 140 7g z X2 3 NAME MAILING ADDRESS TEL.# 1 Residential ❑ Commercial Est. Cost of Construction S Home Improvement Contractor Lie. # Construction Supervisor Lic. # Workman's Compensation Insurance: (check one) ❑ I am the homeowner I am the sole proprietor ❑ I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp. Policyl# WORK TO BE PERFORMED ❑ Tent (Fire Retardant Certificate attached) Duration ❑ Siding: # of Squares ❑ Replacement windows: # ❑ Replacement doors: I Re -roof # of Squares Y / () Stripping old shingles* wing over layers of existing roof )The debris will be disposed of at: _ -7d w inL) � p r \ Location of Facility I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief I understand that any false answer(s) will be just cause for denial or revocation of my license and for prosecution under M.G.L. Ch. 268. Section 1. Applicant's Signature Owners Signature (or Approved Building Official (or designee) Date: 3/01 0 1= o a C.3.3 O MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTII G (Print or Type) �v ui�KYY>!Oc.�T�-� . Mass. Date �T— C19 cjCX.- j Permit # Building Location_ n f1 AAcir (_--ro I Owner's Name /Li-j)q rri mclnq -c I . T,02m Uc.(Tr_j Type of Occupancy Res i lD f i l err New ❑ Renovation ❑ Replacement Diane Submitted: Yes❑ 1 No471 .w .: •"XM^� w `'sh'tu,:. s.. �i� _.� "'Fr'rd �qy1.� 3!,� ZT ��Y � _ii � :�(J'• i r� q .5... �•i'�a� y ""=_p�. ni:�'.'. 4t.-�� '.f7;a �'d .r :y.�r .i-" . .�:.: d J �+". .jf�. •! ,`,,, YYY •N, . '•: ~,�,� _ N ',:,5.¢:' ; '{°ak;'il.r;i4i'•.,'..:... k;.;: � ..,-�ir .j.-'y - y;:Y� •y s'.a"% . '1b, : W' �'k•A. +(N.1 � ''` j ^,k . e- '�•+ 4i'ts �'ln •.C_. „� ty'( ',�;-Yi .t-Sft. ,'a' k'a ..�' _ •�,.1 "''y,�j'%. z C Cr ILI d Q o z 0 W G W < _ z f 0 C C z j " W N W Q yr Yl N W W z V t W z N Q W a d W 1- W F V S �n v r z W J_�_ ,W. ,a @ z v z O. oid i a= p W O W t rz z. M 3 0 0-1 v¢ y o d o B—BSMT. ASEMENT 1ST FLOOR ND FLOOR RD FLOOR _ 4TH FLOOR 5TH FLOOR 6TH FL'OOR' ' 7TH FLOOR ;. aTH FLOOR:J± Installing Company Name . S'R t `G 5 i `A �_ i nL_ L� Address10 1-1 i Tfa _MQk i T-%-4 R o tzi c. 1-1 u r_ n n r s YYi ra Ss C� I Business Telephone (Sal) _ —1"7 3 - Ors ► <' Name of Licensed Plumber or Gas Fitter \71700 L3' HE-, - "Check one: " Certificate tE�Corporation / 33 S ❑ Partnership ❑ Firm/Co, INSURANCE COVERAGE: I have a eurren�t�' bility Insurance policy or Its substantial equivalent which meets the requirements of MGL!Ch. 142. Yes yid No Cl If you have checked ve, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy ,2"' Other type of indemnity ❑ Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requir ment. r Check one: Owner[] Agent C3 Signature of -Owner orOwner's Agent ' hereby certilythat all of. the details and information.thave submitted (or entered) in above application are true and accurate to the best of my knowledge and -that all plumbing work and installations performed under the perntitlssued for is application will be in oompliande with all pertinent provisions of -the Massachusetts State Gas Code -and Chapter 142 ql?gnature eral By T of License: Plumber cense umber or s it T� GasfitterMaster Number Chy/Town Journeyman IC L I & MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLU (Print or Type) Aa2i17U .Ti+ . Mass. Date (CT- Permit Building Location 30 6 /�09Lr r C-7701 n Q— Owneea Name Ci f LLj /fi n" c.�J %�r2h'fU�c-rN' Type of Occupancy /t �-1-0-1 New ❑ Renovation ❑ Replacement)9 Plans Submitted: Yes FIXTURES IING � nce 7 No10 MENNEN Installing Company Name R 6fa5 E ne PL6 Et NCCheck one: Certificate Address 1 b H 77 Fr-(-m o c, rim D 19 Corporation 133 _ 1-4 y ra n n! 5 i� s.s O a o ❑ Partnership Business Telephone -7 -7 yr- 0 � I � ❑Firm/Co. Name of Licensed. Plumber T r1 (-2) 14 e- i n o INSURANCE COVERAGE: 1 have a current 1 blilty Insurance policy or its substantial equivalent which meets the requirements of GL Ch. 142. Yes B' No ❑ If you have checked Yes, please Indicate the type coverage by checking the appropriate box A liability Insurance policy ❑� Other type of Indemnity ❑ ' Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage) required by Chapter 142 of the Mass. General Laws, and that my signature on this permit appliicatio on waives this requirement. Owner ❑ Agent ❑ Signature of Owner or Owners Agem I hereby certify that all of the details and inform knowledge and that all plumbing work and inst pertinent provisions of the Massachusetts State TM Clty/Tow eparxi. VOW, W7 I have submitted (or entered) in above application are true and accurate 0 the best of my ryr�5 performed under the permit issued for this application will be in compliance with all j51ng Cade aytd chapter W of the General Laws. i Type of License: Master`9 Journeyman ❑ license Number m.� a 3