HomeMy WebLinkAboutBLD-19-1186 TOWN.OF:YARMOUTH
1146 Route 28;_South,Xarmouth, MA 02664
508-398-223 ,"ext: 12GLFag,508-398-0836
Office of tie Bui1ding,Commissioner
t4 tTn..^L •E
•
Betty J Stewart TRS
121 Ocean Ave
South Yarmouth, MA 02664 August 28,2018
Dear Ms. Stewart,
I have reviewed your application for the shed permit,and regret to inform you that the application is denied for the
following reason;
• The proposed location does not meet 30ft minimum setback from the front lot line as required in the Town
of Yarmouth Zoning Bylaws.
Questions in this matter may be directed to this department.
Very Truly ,/
Tim Sears CBO
Local Inspector
Town of Yarmouth
Ot'•"R,� Fe PLACED A MINIMUM OF 30 FEET Pe -/9 &a /I
` FROM THE FRONT LOT LINE AND A 1
1 shrr € C MINIMUM OF E FEET FROM SIDES AND Amount 35—
te ••�4, htEAR LOT LINES.
Permit expires 180 days from
•issue date
EXPRESS SHED PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department R
1146 Route 28 E C E12:18, l)
South Yarmouth,MA 02664
(508) 398-2231 Ext. 1261 AUG 2 7
BUILDING DEPART..
CONSTRUCTION ADDRESS: d , I. / 1 C
ASSESSOR'S INFORMATION:
Map: aS Parcel: riq
OWNER: Zi'_ c5{,rwer+ gr�IOtPan 4 nuetS. Yarmo h,allA -j- . (09•,ij57
NAM — PRES DRESS TEL #
CONTRACTOR: inr.}*rhyWA CaICIS QSe Ira yen ?AM
frdch,ml9 a2 P11 rjOB H3(3x800
NAME MA LINO RESS TEL 10
&4esidential - 0 Commercial Est.Cost of Construction S 3 0C9 q .0°
i
Home Improvement Contractor Lie.N )33 5 Construction Supervisor Lie.N 0738/05
Workman's Compensation Insurance: (check one)
0 I am the homeowner 0 I am the sole proprietor ISI have Worker's Compensation Insurance
Insurance Company Name:N&1 �htrL �1np'njet3 Worker'sComp.Policy,ECG-(,pon- HWI51 -2.01,6
Insurance meant' SHED INFORMATION
New V Size L I lx W 9 ' x H 9 'I w Corner Lot:Yes_ No -
Per Town of Yarmouth Zoning By-Law Sec 203.5 E:
Side and rear setbacks for accessory buildings less than 150 square feet and single story, shall be 6 feet in all districts, but
in no case built closer than 12 feet to any other building.
Replace existing* _ Size L x W x H
'The debris will be disposed of at: pm Graf Wtts4tm tad . I)r nn i3 . Os(I
Location of Faelli
I declare under penalties of perjury that t. .. in contained are true and correct to the best of my knowledge and ref I un d that any false answer(s)
will be just cause for denial or revoc: . . I I . prosecution under MAIL Ch.268,Section 1. f
Applicant's Signature: i / Date: 8
Owners Signature(or attachment) / Date:
Approved By: Date:
Building Official(or designee) EMAIL ADDRESS:
Zoning District:
Historical District: 0 Yes 0 No Flood Plain Zone: 0 Yes 0 No
Water Resource Protection District: Within 100 ft.of Wetlands:as
D Yes ❑ No ❑ Yes 0 No
***Note:Conservation review required if within 100 R of Wetlands
9/13 -
�_
V •
The Commonwealth of Massachusetts
1—ti Department of Industrial Accidents
1= 1 Congress Street,Suite 100
_ �_�_ Boston,MA 02114-2017
��, www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): �[• (j( "Rd v $enrn (%ipOraf(nil
Address: ;Ycfi4 Vten Anne. Toad r
City/State/Zip: }}n](4,, ran 020141 Phone#: 903 . 733 • LI-4
Are you an employer?Cheek the appropriate box: Type of,project(required):
am a employer with employees(full and/or part-time).* ' 7. ew construction
2.0 1 am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling
any capacity.[No workers'comp.insurance required.]
3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. Demolition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
10 ❑Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees. - 12.❑Plumbing repairs or additions
5.❑1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.0 We are a corporation and its officers have exercised their right of exemption per MOL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
'Any applicant that checks box WI must also 511 out the section below showing their workers'compensation policy information
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. n
Insurance Company Name: np h(fP FmptO3l/S 1f3Ufatel e l ompa q
Policy#or Self-ins.Lic.#:[,et.- lna -Ai 000157- 00 IBA Expiration Date: \17-A9 e, a01q
Job Site Address: t)y yrs Ord SiTfPt City/State/Zip: t�l+h 5�atmnll+h . fl f bb(gjzJ
Attach a copy of the wor ern ompensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify un•er t p• ns . d alties . perjury that the information provided aE2L(
is tru (rnd rrect.
Signature: I Date: I t0
phone#: 508• '�: _ : .•
Official use only. Do not write in this area,to be completed by city or town officiaL .
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
4 . • • PLOT PLAN
•
•
FOR LOT I
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well 0
flat Goy ,rear� w I
Abuttos�e
C. — — —' -
Name ) Abuttor'
Lot N I 1 + 11 Name
I 31 _. exit Lot i
Y this is a REAR YARD ?
=roar lot, R. If this
trite in name /IYI corner :
d street. ( writsI
it
13.
o� � ( fname
t eer of
v o street.
4 4,
: SIDE YARD
• HOUSE SIDE YARD ••
•
. .
• .
•
. .
•
�
.
. •
I .
,, SET SACK •
• .
ft .
4
4
IIa
(lot ft. frontage)
(NAME OF STREET)
Information
Supplied by
ARK NORTH POINT
. (I)
PINE HARBOR
WOOD PRODUCTS
It's all about the wood'
259 Queen Anne Road,Harwich MA 02645 326 Yarmouth Road,Hyannis MA 02601
508-430-2800 harwichoffice@pineharbor.com 508-771-5007 hyannis@pinehabor.com
Owner's Authorization
I
JP fly S - 11Q,ti,s,,as owner of the property
located at o?'f V/&ui ynro .Sf/ £LJ14 yintiovi4 nets
(Property Address)
authorize Pine Harbor Wood Products to act on my
behalf in all matters relative to work authorized
by this building permit a plication.
Owner's Signature , ( , C.Gc t orti__.(1
Date: P/ 7/a 0k-
• .--"'""•"‘ MCGRPOS-01 ZHELLWJG
•
.AR� CERTIFICATE OF LIABILITY INSURANCE DATE'"'"D
0512812D18ols
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH18
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED:BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED fl{
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policyfles)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsomeoL A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER ,FXRCT I
Rogers&Gray Insurance Agency,Inc. E.MTI
434 Rte 134 INC.PHONE ^ FAX noi,(877)816-2156
South Dennis,MA 02650 ADDREg :mod@rogersaray.com.con
INSURFRi Arfl pING COVERAGE - i fIAICS
INSURER A:Travelers Indemnity Company of America 25666
INSURED MUR.Ma:Travelers Indemnity Company 25558
McGrath Post 8 Seam Corp I INSURER c:New Hampshire Employers Insurance Compan ,13083
dba Pine Harbor Wood Products, i
259 Queen Anne Rd INSURE/1D: • . .
Harwich,MA 02645 ,INSISTER E:
, INSURER F: I
COVERAGES CERTIFI• • - iJ= R: REVISION NUMBER: I
THIS IS TO CERTIFY THAT THE POLICIES 0 INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEPUUD
INDICATED. NOTWITHSTANDING ANY REQUI-EMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PER AIN,ITHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED IIEREIN IS SUBJECT TO ALL THE TERMS,
X I N 76CONDITIONS OF SUCH RAOLI IES.LIMITS SHOWN MAY WAVE'SEEMP.E5t10ED B' PAID CLAIMS.' I
POLICY EFi POLICYFKP
TR 1YPa OrldstlltANC@-- NE,506,0, POLICYN 47fY'JYL_— LIMi S _—
A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE �.S 1,000,000'
CWMGMADE X OCCUR 1-860-03688196-TiA-18 ---0113172918-01/3112019 nnHAn6iDREN2D 100,000I ...
FNEMI.SE6(Ga prsimmce) ,3
, MED FN.(Myore person) 3 5,909)
PERSONAL A ADY INJURY S 1,ODOr000
GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE .3 2.000.006
X POLICY !in I_ LOC PRODUCTS•COMPOPAG3_P 2,ODO,DOD
OTHER: . . $
B AVTOMODILE LIABILITY .(Ea mexlerPIIED mrLE• $ 1,000,000
ANY ALTO I I BA-44878666.18SEL 01131(2018 01/3112019 BODILYINJURTFbrpoNon) I
1.AUUTTOS ONLY wED AU0TOOSWULED BODILY INJURYp (PS(=MIMI,I
x' AUTOS ONLY .X FUT/CS ONTT' PROPERTY
en9 MtaG- II $ ...._.
3
UMBRELLA MBOCCUR ,EACHOCLURRZNCE $
EXCESS LAa I CLAB%S MADE AGGREGATE _ $
DEO RETENTIONS I $
- C WORKERS COMPENSATION X
h
AND EY STATUTE EA
-.
P
ANY PROPRIETOR/PARTNER/EXECUTIVE I ECC-600-40009572018A 07/08/2018 07/082019 1C0r000
EL.EACH ACCIDENT j,9
OFFFICERary,17 RFq EXCLUDED/ N IIIA 100,000
(tkandalary5n�fiHJ I El.DISEASE�CA EMPLOYE ,S
If yes.Semite under I , 9
PESCR:mnH OF OPERATIONS WowI� ,- sa.pouQQYGJtnrr l F 500,000
DESCRIPTION OF OPERATIONS I LOCAT1ON5JVEHR:L 9( 01101101,Adteoed Remarks acheNle,may be attacked Snore space Is roqubedl
I I'
CERTIFICATE HOLDER CAPICELLATION
SHOULD ANY OF THE ABOVE DESCRISED POLICIES BE CANCELLED BEFORE
Town of Vermouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Building Dept '
1146 Main SR Route 23
South Yarmouth,MA 02634 AUTHORIZED REPRESENTATIVE I
ACORD 25(2016/03) 01908-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo aro registered marks of ACORD i
.
Z.-/he foo�n 7 a ea Th. at✓71,a,saolueaet a
E Office of Consumer Affairs and business Regulation
•
Final • 10 Park Plaza - Suite 5170
Boston, Massac• setts 02116 ,
. Home Improvement %e 6 t..'ctor Registration..
•
Massachusetts Department of Public Safety
McGRATH POST & BEAM CO.
pi =�"' l Board of Building Regulations and Standards
JAMES McGRATH m �_ I= v License:CSFA-073865
259 QUEEN ANNE RD. a,-r-z_--.i."-:. _ _ Construction supervisor 1&2 : ''
• HARWICH, MA 02645. w
,-- Family rt •:-g y.
r=`� r JAMES R MCGRATH pg",'%t •i;.` 'Lr'
• it,) 'air= ,.. . 204 CRANV1Ew RD ,.•, *f k •
'tti• �.�° BREWSTERMA 02631 "`�-51.4.74;
i
r.-/1t�., ` `-- Expiration:
•
Commissioner 03114t2015
•
•
•
__'. ..Er f'L
eV P {]/19?///lr�. E^�%GG3'G ti�i �i .ft 2CCieGLCl
.ry ° Office of Consumer Affairs and Business Regulation •
10 Park Plaza-Suite 5170
Boston, Massachusetts 02116
Home Improveme. c¢,ntractor Registration
• v1
E: '.-.�7 .
{41x_•1- -- i '' Type: Corporation
rit, = :,;CY .- • Registration: 132935
MCGRATH POST&BEAM CO. :'__If_ ,. rr Expiration: 10/30/2019
259 Queen Anne Rd. r 4.= t 1t'iU==y i;., E
Harwich, {�: _y •' " '
MA 02645 `,'
..v = _ -I
C. 7/i7;2-45:7:- ',../
Update Address and return card. Mark reason for change.
SCA' 4 20M-05,11 -_-
—
0 Address 0 Renewal 0 Employment 0 Lost Card
dna r'om-monuxrr/!%nhl(aaurdauelei
Office or Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
� - Registration valid for Individual use only
Type: Corporation before the expiration date. If found return to:
'_`RCaistretioR FxolratloR Office of Consumer Affairs and Business Regulation
10/00/M18 to Park Plaza-Suite 51 •
Boston,MA 02778
MCGRATH POS7_.SBEAM CO.
D/B/A Pate Harboe Wood.; /
Products ,�
James MCGRATH: ' i :, C
Harwich M 02645 Undersecretary Not v.�Q wi bout signature