BLD-93-607• SP '� 93 —z-f/
eoare7h,kg
` 4 TOWN OF YARMOUTH eta.) T1t0/cs
O i .i. ix -i st
MAt.4 ;,..;,. ,-4./
eCte«.a.,a• 0 ' Application for a Permit to Build No. &07
UPON FINAL A PRDVAL /;7.-93 MAP /Oa LOT OS CLOT 2SA)
FEE MUST ACCOMPANY THIS APPLICATION. DATE 19 " -
The undersigned hereby applies for a permit to build - Kos?.ou ,6K. $ /-
according to the following specifications ktbtn Ca %-eltuec1/2
1. Name of property owner Lawrence A.t{tpa-)r�eK, 4-I gam Te /n-40L O
Address U'1 VMOV: h 1?-aslYPITatikporir
2.Name of Architect(if any) Tel.
a Name of builder Sdrue as aunty _Address
4. License No. 00c133D Tel.
5. Name of MasonS&n.c a.t c 0W______Address
6. License No. Tel.
7. Construction address q G ovaoo Lace ,vsau-rnDuktkcDrk
FoDis
8. Date of subdivision Approval 9/ 2z` 7 o pllainod 'zone G Zonetrict 12, d
9. Private dwelling NI Estimated Cost . `ZUI'° DO NOT WRITE IN THIS SPACE
7-6 1,,3rp,�5a',o-a sIrr/43 Type of room No.
10. Multi family ❑ tk S5 ,vub
11. Commercial 0 i i fret, . ~ `t-
J s1pt4 93 6 sF Kitchen
12. Other 0 ;No it, s'/- Dining Rm. /
13. No. of stories a Jr y
7 Z 4+4
5F - ^9-R�DY ,I/ ,
s- Bed Rm. 7
14. Foundation — Full LV Half 0 Crawl ❑ Slab 0 i Bath _ y
I
15. Materials — Wood D Cement 0 Other NI �4 Deck ;o;,g, 02-
D� 1) 7°.� Closed porch
16.Type of heat — Oil 0 Gas ® Electric 0 Other 0 &� ���
17. Garage — 1 0 2 �1 3 ,� Family Rm. J
Sun room
18. Swimming pool - Size NIA OP .S•O9 Garage o2
19. Storage shed — Size NLA �6 /-�,`� Da Shed
20. Stove — Wood NI Coal ® I , b Y' 94-L. Alterations
21. Size of lot: No. of feet front NQ9, g6 \ No. of feet rear /31, 910 No. of feet deep /4405
22. Size of building. No. of feet front 31; No. of feet side '9l0 No. of feet rear 3 l
2a Distance from nearest building: Front' areFt. side Ft. side Rear
24. Distance back from line or street 55 1 From rear lot line _ 58 Side line a 51
25. H.I.C.R. No. ;—
LOT RELEASED BY Signature ot ► i
PLANNING BOARD+I844B Address I/
II
Date 12/5/ 84 1
rRdcoa',a - PLA+Jif 43-04-,7ccogDea If/ itt70 (/� — / 1 '5
// •
BUILDING PERMIT APPLICATION SIGN OFF
L
APPLICANT: anii i'It cclrt2Jt BUILDING PERMIT ll:
ADDRESS: 119 r0.U(tworlhla6L-1U-rVnolA` tnpor-ETELE. NO. ; 3(a-1...,O40 DATE FILED:
BLDG. SITE LOCATION: 9 okd nn Lan' J J ctrrnadhcov1-MAPll: / o a- LOU: �
@or 2SA)
THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD,
ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER-
MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD
PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
THE FOLLOWING DEPARTMENTS:
i . i '' ''= 1 i PRESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. 0
ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE.
CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E. : IF LOT(S) BORDER ANY
TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH
LAND, ETC.
HEALThi DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E. : REQUIRE-
MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES.
FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL
SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEM
ETC.
THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
ISSUING THE REQUIRED BUILDING PERMIT:
REVIEWED BY:
1. WATER DEPARTMENT /tel C.. C. p ., ;, IVN DATE: (.972--(33 N/A:
2. ENGINEERING DEPAR T:' E._ . ' A. DATE: 63o/93
3. CONSERVATION: �`1, '
t1, ' 4et DATE: 6/gp/ 93 N/A: ✓
4. HEALTH DEPART`HENT� , ONDATE: 7/j/�/i N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: 'N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE
DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT.
COMMENTS:h4M • 40l/47,444.ah /v de sgwd Ly lis/rev per h m534413'0;7 of'P* cjthr1
) ,0/N, , r 7 U //�`,,4 77 c.fT7-ter — tis,- op. 11,24Cc o
H V O ac
* ✓a-n T �f UZ if t r r4 / ,CKlXT a
/L
fr t.(7 ,^, LL
. Lu Let 'a a, D /Z _Infra? IS
U - i 1 - . n / /24 -• -
•
sthi
BLM/89
• BUILDING DEPARTMENT .
/ CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: ' sr .
•
JOB LOCATION: , .9 GOROOJ /Awe Mt►�otn4 PORT
NUMBER • • ' . STREET . . VILLAGE .
OWNER OF PROPERTY: ' LA'try Frit?Arat01C
CONSTRUCTION SUPERVISOR: i.,gRRY /—ITZPATRICIC • 001330 36- 6040
NAME .. LICENSE NO. PHONE NO. •
ADDRESS:' i n W F3T y1112 rnoum K D. • y4R+novi PoRT, X19 OZG) S
LICENSED DESIGNEE: ..
(IF OTHER•THAN SUPERVISOR) NAMELICENSE NO.
2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: - '
2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COM2LETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE
IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE
BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL - - :•
2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION,
ALTERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING
AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE
COMMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB–
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. •
2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE
DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT.
2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY
OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL 3E SUBJECT
TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD.
2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF
THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON–
STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.. OF THE
CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING
SAID PERSONS, THE WORK SHALL I,^•IEDIATEL'Y CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED
ON THE RECORDS OF THE BUILDING DEPARTMENT. . ,
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING C(::
STRUCTION SUPERVISORS IN ACCORDANCE riITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAN
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL. .
INSURANCE COVERAGE: • .
I have a current liability insurance pet icy or its substantial equivalent which meets the requirements of MGLth.152
Yes De ' . No ❑
If you have checked v`s, „ease indicate the type c average by checking the ap::cpriate bcx.
A liability insurance pciicy .C:her type ct :..demnity 0 2end 0 •
OWNER'S INSURANCE WAIVER: I am awarie that the ccensee does rot have the insurance coverage require: =y
Chatter 152 cf the Etats. General bws. ane that my signa:ure cn t`:s perms ccp:iccticn waves this requirerren:
/y r , / 7'ael�U�( �• , . .- Check one:
((J1C-91 7 ecLC('[ Owners Agent 12----
_S,gn tut et Co.ner cr Uvner s Agent
SIGNATURE: BUILDING OFFICIAL APPROVAL: ~ --
#14; : - TOWN OF YARMOUTH
WATIER DEDAIT�VIIENT
i r 0124%e r h'_ '. 102 UMON STRMT
YARMOUTH PORT,MASS.02675
! • - r (508)362-4974
L7rteo 1' %r ze,
Date of Issue : Jun 17, 1993
Letter of Water Availability
1. Single Family Dwelling' X 2. Duplex Family Dwelling
3. Condominium Dwelling 4. Commercial / Industrial
5. Other (Specify)
Reference; Massachusetts General Laws Chapter 40, Section 54
To : Town of Yarmouth Building Inspector
Please be advised that the Town of Yarmouth Public water supply
is available to service lot/parcel(s) Z 25 Street 9 GORDON LANE
as shown on Assessors sheet/map # 102
Issuance of this Letter of Availability is subject to the
following provisions/restrictions.
(1) The property owner agrees to comply with all Federal, State,
and Local Laws, Rules and Regulations as they pertain to the use of the
Public water Supply.
(2) The Yarmouth Water Department shall have exclusive rights as
to the size, number, type and location of all water service lines, fire
service lines orappurtenant items connected to the water distribution
system.
(3) The Yarmouth Water Department reserves the right to require,
at the property owners expense, the installation of water mains and
appurtenant items to meet water demand requisites within any structure
relevant to this Letter of Availability.
(4) This Letter of Availability will expire 180 days from
the date of issue.
I have read and understand the provisions/restrictions of this Letter of
Water Availability. '' 00 ,,� • �
outo1/2f
Owner (S ThaQt -tex,
Reference
: LARRY FITZPATRICK
: 117 WEST YARMOUTH RD
: YARMOUTHPORT, MA. 02675
A.
Yarmouth Water D partment
• • •O� Y
\o' TOWN OF YARMOUTH
'� .• ti SOUTH YARMOUTH MASSACHUSETTS 02664
BOARD OF HEALTH
Karen Cappellucci Variance from Provisions of Title 5:
69 Michelle's Path Regulation:
West Yarmouth, Ma. 02673 Town Amendments: Section: 3.7
Re: 9 Gordon Lane Date: 7-1-93
• Yarmouthport, MA. 02675 As Shown On Engineered Plans By:
R.J. O'Hearn
Dated: 6-21-93 •
Dear Ms. Cappellucci :
The Yarmouth Board of Health has received your application for a Variance from
the provisions of Regulation of Title 5 of the State Environmental
Code and/or Section 3.7 of the Town of Yarmouth Amendments for Subsurface
Disposal of Sewage.
Having determined that strict enforcement of the above Regulations in this
instance would do manifest injustice, and further, that your requested variance
does not conflict with the spirit of the State Environmental Code or the
Regulations of the Town of Yarmouth Amendments, the variance is hereby granted
on this date July 1. 1993 , as follows:
A variance to allow the top of the foundation to be set elevation 100.0 which
is 0.0 feet above the high point of the fronting road. High point of fronting •
is elevation 100.0. This is a total variance of 2.0 feet from the required
two feet above the high point of the fronting road. •
•
You must provide a 3/4 ine: negative grade for fifteen feet surrounding the
foundation.
You are hereby advised that the variance granted herein will expire in 90 days
from date of issue unless all work authorized by said variance has been
completed Fria' to the date of expiration.
•
In grarting this variance the Town of Yarmotrl: will not be responsible for any
water damage to the f undatic:, septic system or adjoining lousy.
i
I have read art fully understand the 1 /5 #����
conditions of :e abc:-e variare and ,Br..e M--pay, M.P.H.
accept them as critter. Eeaiith Officer
Tr.= of Yar cut`:
/1 `,-u 2 l � : C:Ou,-,-
:at e: - •'f 3 r_: Eui.ii-• :epi_-err
` Application to • 3 t'7 LI-
_,.,..,.......,,,. ... --ii,., . Old King's Highway Regional Historic District Committee
0 .( ••, 1,1 in the Town of Yarmouth for a
Uters '�i
CERTIFICATE OF APPROPRIATENESS •
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470%
Acts and Resolves of Massachusetts.1973,for proposed work as described below and on, cans,drawings or photographs
accompanying this application for: zp w 7 .
rz
CHECK CATEGORIES THAT APPLY: x
1. Exterior Building Construction: O'44ew Building 0 Addition 0 Alteration � t a " 1
Indicate type of building:t 'House 0 Garage 0 Commercial 0 Other ter,
2. Exterior Painting: Ile m� W 71
3. Signs or Billboards:0 New sign 0 Existing sign 0 Repainting existing sign ,E 8
4. Structure: (➢'Fence Walt 0 Flagpole 0 Other
c:: .. .
(Please read other side for explanation and requirerttents). -
TYPE OR PRINT LEGIBLY . DATE 51gf in
ADDRESS OF PROPOSED WORK Q caroon !lineou.4hp-pt* ASSESSORS MAP NO, foo-
rFlu*P,.b�:
OWNER �-AtRQflt2 . A.� 0..-t-tc\<- IYi eatePeifi e fh/ �a5
f cisASSESSORS LOT NO. •
HOME ADDRESS lt`I W.kAjxmDw44 M1 (yrmouvhWor4- 1 -)1U°- oat.-1 TEL. NO. 3taa-(0046
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary .
' M &e4-k 1a z R• Buil 3 Govdcv. Ln na 1 �a+-r\oupb.*
zi-)5 7l 0.v;d to.`Drohan R.q ViCiVel2ceit24.3 It
f.9" TOIArvt ab t ouvM I P4.-K- nee,- •,
Fate Lanadl& IL). Tsom a3 Gordon LAkR 1 11
t \ NosixZM.c }t o -tr.Gtita) (a- Gowcv. to-'. i t1 .
ra3- 0.mnit'o ,T, .iIG(!t) % Go.dovt \A.ttm , tt
AGENT OR CONTRACTOR Iocorenee P••ft-t talk;GI i TEL. NO. 31a'-0046
ADDRESS 11I Wuyt'tou4-h RA1 1PLa-t-11ol44 } 1rntri oaL75
DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,dtRie 4Yg@),including
materials to be used, if specifications do not accompany plans. In the case of signs, give IocatY6�SP' VitAfsltH IUTUE
7proposed locations of new signs. (Attach additional sheet, if necessary). U q KHRD
Signed V w "'
✓✓ Owner-CJontractor-Agent
Space oelow line for Committee use. -
Received by H.D.C. APPROVED WITH RED CEDAR CLAPBOARD FRONT. /
Date S 2 ,.The`irttificate is_h 4 !n/%22-. 4Le-i.,
\_ - t� / :,
1 /,Date/
Time �— '.• 47-- /'�` '�... ..\ 1i ,.f/ % > 2;e2
_77:///,;;;;_7•4.2v :
::-.a 0 IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal per:ca
prov cep in the Act.
sap:rove. 0 Please return to: Yarmouth Histcrlc District Committee.
Town Hall, 1146 Ht. 28, South Yarmouth, Mass. 02664
\I •
•
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION •
•
FOR A CERTIFICATE OF APPROPRIATENESS
The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a
separate form).
1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows,doors,siding,roof, light etc.,that will be visible from any public street,
way or public place.The following scale drawings are required in duplicate with application:two plot plans(if addition-show
existing buildings in outline),four sets of elevations.Also required are snap shots of existing buildings,where additions or
alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground.
2.EXTERIOR PAINTING:An application is required for any portion of a building,structure or sign to be painted that is visible
from a public street,way or public place.Color samples must be attached to these applications.An application is not required
when repainting existing colors,changing to white,or using colors approved by the Town Historic District Committee.
3.SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District,with the
following exceptions: •
`
•a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved
Certificate of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they
are removed within three days of the event.Certain temporary signs that the Committee feels does not detract from
the Act may be allowed with the prior permission of the Committee.
c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they
are erected or displayed.
d. A single sign of not more than I square foot in area showing the name,occupation or address of the occupant of the '
premises on which they are erected or displayed in a residential zone.
4.STRUCTURE:An application is required to build or alter any structure within the District which is defined by the Act as a
combination of materials other than a building,sign or billboard,but including stone walls,flagpoles,hedges,gates,fences,
etc.
GENERAL REQUIREMENTS
5.Work on projects re uiring approval shall not be started until.the Certificate of Appropriateness has been filed with the
Town Clerk by the Committee.-Approval is subject to the 10 day appeal period provided in the Act. I
6.No changes shall be made from the original approved specifications without advance approval of the Commission on an
amended application filed with the Committee.
7.A separate application must be filed with each project requiring a Certificate of Appropriateness.
't •
S. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as:
foundation,chimney,siding,roofing,roof pitch,sash and doors,window and doorframes.trim,gutters-leaders,roofing and
pont color. •
9.Unless application is complete and legible and all material required is supplied,application will not be accepted or acted
upon.
•
' Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall.
TOWN OF YARMOUTH
OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMSiITTEE
•
SPECIFICATION SHEET
APPLICANT NAME L,.AwveAce FOR: Q (,ovcun LaktR_
j.,!e
FOUNDATION: Ccw rcire b\oC-K- Is COLOR Yea' a
hen.a ib C2 Lr
SIDING:^ + £rON3 f whe.0- be JrQar COLOR: na /aI
CflNEY: FjYtc,Fc, COLOR: Y10.4114-
ROOF MATERIAL: C 1A-0-Ai 4 PITCH: 7 0 COLOR: bl0.LK-
io
w2\D0'HS:V4ab'u3&Llnuvci \.r.*SS SIZE: 3`1 � at
, .y .
R5 • r:
TR Lw COLOR: W�+�� m 7 rn
-crunk - Site 2 (owr lt%-e +e,1 '
DOORS: batK- to o Os glass Sh a eCOLOR: W Va.(
1 r •- S•4u-.e t'r t ..<..< .12i.k.t v �'
SHUTTERS: $o&ct'(' Cpho4oeopy tine.° cC) COLOR: 'oleic-VC
CRS:RS: 0-9"r` COLOR: UYL*.a
•
DECK: let'(',+nrelA- SIZE: IUB to COLOR: nth
Gr../AGF. DOORS:. A. SIZE: IIlc7' COLOR: 1/0'('`
STORM WINDOWS & DOORS: w1 alwr�tv�un' Cbos� COLOR:
r
no Skorn +.Sindow6
SKILIGHTS (FLAT ONLY) wJc SIZE: COLOR:
ADDITIONAL INFORMATION: Er ' 1-4-+1 Conte. alum crr-v F - nAAti'm% -- apronot. 1b' "F/
lot `f-S+ Skoce Ctou alchq St& ,Jbficr - ektma:t - 0.�(-Ees -apprOI( alb' ut-Q-
e-Aask se-ak aat&hc1 wa Q e c-,= an Slee Aco-S 'e1 Jplo* 'Ict,
to\9 k2PPROVED
"' "', • YARMOUTH COMAITTEE
9/b8:c1 OKHRD
cam` • —in COMMONWEALTH OF MASSACHUSETTS
•
•pct ; - - - DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 WASHINGTON STREET
JamesCampo is BOSTON, MASSACHUSETTS 02111 •
rp nn:ss one WORKERS' COMPENSATION INSURANCE AFFIDAVIT
I, LARRY F'T2.PAT12tCIC
(l iccnsee/permittee)
• with a principal place of business/residence an
•
•
11"i West yl9R►Mnc H RIS Y ;IR kiousrm Porn, 141145.) ow(
(City/sure/Zip)
do hereby certify, under the pains and penalties of perjury, that:
1] I am an employer providing the following workers' compensation coverage for my employees working on this
job.
1.4 SEAM/ I1(rruflL VICI— 3I 46q/ 47 023
Insurance Company Policy Number
H I am a sole proprietor and have no one working for me.
• kt I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following work rs' compensation insurance policies: •
} Lift have rat- hires an yo+.� eget- when we da we wl ll reek-est ' heir
7asul an e t totoiart atew CVbrattUAA. v-e14-e
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number .
Name of Contractor Insurance Company/Policy Number
0 1 am a homeowner performing all the work myself. •
NOTE.Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dweiiinz of not more than three units in which the homeowner also resides or oo the grounds appurtenant thereto are not generally
considered to be employers under the Worken' Compensation Act(GL C. 152,sect. 1(5)),application by a homeowner for a license
or permit may evidence the legal status of an employer under the Workers' Compensation Act.
I understand that : copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage
verification and that failure to iecure coverage as required under Section 25A'of MM. 152 cern lead to tin:imposition of criminal penalties
concis:ng of a rine of uo to 51500.00 and/or imprisonment of up to one year and civil pen:icier in the form of:Stop Work Order and a
fine 015100.00 a day against me.
Signed this — €2- y day of
�tWM1C , 19 girl
_icer-_. Licenser;Perm:.._,
•
•
•
•
RALPH V. PHILLIPS
Attorney at Law -
1292 Route 28
South Yarmouth, Massachusetts 02664-4452
(308) 394-1336
Telefax (508) 394-3139
F
August 10, 1993
Town of Yarmouth
1146 Main Street
South Yarmouth, MA 02664
Attn: Forrest E. White
Building Inspector
Ree Lawrence A. Fitzpatrick et ua
Lot 25A in Plan Book 241 Page 109
9 Gordon Lane, Yarmouthport
Dear Forrest:
I have researched at the Barnstable County Registry of Deeds the
, ownership of Lot 25A as shown on a plan recorded with the
Registry of Deeds in Plan Book 241 Page 109 as of April 29,
1980, the date of the increase of the minimum lot size to 40,000
square feet.
In addition, I have researched at the Registry of Deeds the
ownership of all the lots contiguous to Lot 25A as of that date,
namely, lot 26A on the above plan, lot 24 as shown on a plan
recorded in Plan Book 218 Page 83 and lot 45 as shown on a plan
recorded with the Barnstable County Registry of Deeds in Plan
Book 241 Page 109.
On April 29, 1980 Harold M. Bull and Gertrude A. Bull owned lots
24 and 25A. As of that date, all the other above mentioned lots
were owned by individuals other than Mr. & Mrs. Bull.
In my opinion lot 25A is a non-conforming lot pursuant to
paragraph two of section 104.3.4 of the Yarmouth Zoning By-Law.
r
Towtt of Yarmouth
Attn: Forrest E. White
Building Inspector
Page II
If you need additional information, please advise me.
Thank you.
Very truly yours,
17
/ ,/
Ralph/ Phillips
RVP/hjp
cc: Lawrence A. Fitzpatrick
LTR\8-93FITZ
• BIFC•h4'
qh,,o/93
• Lot 26A
I
I ` 91-
2K {
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•
Cpp6 , JIB-Is-L,�.1
I . ; .LCL
$ I
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-- I — Lor ZVA r LI
Z4.9o3"stE CPP,) 442
• Z46Z35cr (t .p)
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• 6-.3 74t
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NOTES' •
LTMS PLAN IS VALID ONLY IF IT IS STAMPED AND - FWD. ae - 10o.o (s ITC pATun)
-
SIGNED IN RED. THIS OFFICE ASSUMES NO
RESPONSIBILITY FOR INFORMATION CONTAINED ON PHD. Is CIIUAL_..lin-r HIGH Pt IN P-o,PI
COPIES WHICH 00 NOT HAVE ORIGINAL STAMPS II II
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