HomeMy WebLinkAboutBLD-19-1576 A CERTIFIED AS BUILT IS REQUIRED
BEFORE FINAL INSPECTION 0 z
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SECTION Si.CONSTRUCTION SERVICES
5.1 Construction Supervisor License(Ca)
J .�ere CS -oS77/R -7-b-120S
/� D. Cott . License Number Expiration Date
Name of CSL Holder
t/1 E1h' hrn List CSL Type(see below) f 1
17TIK—
No�aannd Street ,,A ; TT e .. Description
j'//lS n AM'S �{�/ aC tf'g— C" J Unrestricted(Buildings up to 35,000 cu.R)
/I' �' i� Restricted lea Family Dwelling
City own,State,ZIP M Masonry
RC Roofing Covering •
WS Window and Siding _
? �' / SF Solid Fuel Burning Appliances
771-Jif-c/Gl ScolI re��jowgiKAwlee P.!'nin I Insulation
Telephone allail address D Demolition
5.2 Registered Home Improvement Contractor(BIC)
5au V( (/t4. car cisth ". Ek„� /n97f/
BIC Company Name or MC Registrant N e MC Registration Number piration Daze
'r cccoka( QZowc StL
colcv ,rgw._AJco%,cdm
No.and Street
Email address
W's-4- e •••)44%c 46. .77Y- 7f O/“'
City/ own, State,ZIP (j Gyg Telephone
SECTION 6:WORKERS' COIdPENSATION INSURANCE AFFIDAVIT(IYLG.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuan of the building permit
Signed Affidavit Attached? Yes No...........❑
SECTION 7a:OWNER Au iHORIZATION TO BE COMPLEEEL WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ..
I,as Owner of the subject property,hereby authorize Steve- 0. Cele_
to act on my behalf in all matters relative to work authorized by this building permit application
•
V...//r—
Print stir Name(Electronic Signature) Date
• ' SECTION 7b: OWNER'OR Au ujORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury Mat all of the information
contained in this application is true and accurate to the best of my knowledge and trader—standing.
Mit tee-.,. 7 Cole //r
Print Owner's or Authorized.4eent's Name(Electronic S ipaature) • Date
NOTES:
1. An Owner who obtains a building permit to do his her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contactor(HIC)Program),will not have access to the arbitration
program or guaranty find under M.G.L. c. 142A.Other important information on the HIC Progam can be found at
wwwmass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) 9761 7 (including garage,finished basement/altos,decks or porch)
Gross living area(sq ft) c TO o Habitable room count /p
Number of fireplaces / ems I hen" Number of bedrooms 4/
Number of bathrooms fir C Number ofhalf/baths /
Type of heating system /9VAC Number of decks/porches Y
Type of cooling system/,/y.4 C Enclosed / Open 3
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
' epartment o ndustrialAccldents
1 _ 1 Congress Street, Suite 100 •
•
ci 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): S+iewwrN. .C4c. Sm,tltvv is Cole
Address: P.0- gat IOoS
•
City/State/Zip:A/Ar ets 41:1/s ..4U Phone#: 7.7cf3/?—O/G3
Are you an employer?Check the appropriate box:
Type of roject(required):
1. I am a employer with I employees(full and/or part-time).
7. New construction
2.9 I am a sole proprietor or partnership and have no employees working for me in
any capacity.[No workers'camp.insurance required.)
8• 9 Remodeling
3.01 am a homeowner doing all work myself.[No workers'camp.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 0 Building addition
ensure that all contactors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
5.0 I am a general contractor and I have hired the sub-conn cmn listed on the attached sheet 12.❑Plumbing repairs or additions
These sub-contractors have employees and have workers'comp.insurance.: 13.0 Roof repairs
6.9 We area corporation and its officers have exercised their right of exemption per MGL e. 1 a.❑Other
152,§l(4),and we have no employees.[No workers'comp.insurance required]
*Any applicant that checirs box ril must also fill out the section below showing their workers'compensation policy information.
t Homeownen who submit this affidavit indicating they are doing all work and then hire outside conrtracton 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-contactors have employees,they must provide their workers'camp.policy number.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
informed:on-
Insurance Company Name: FAry1'N FA noir'
Policy#or Self-ins-Lic.#: a 001 W 8/147 /J Expiration Date: /,2-/Y' I V'
Job Site Address: 66 4- rhtt t s.4•rat - City/State/Zip:Sur,{I.
vocersAttach a copy of the workers' compensation policy declaration page(showing the policy number and expo ation da�a�y
).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to 51,500.00
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-
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: 1 :L. Date: • /07--
Phone#: 7 7 9-3/J-O/63
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 R:
�, •
• Information and Instructions
.1 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
t-- Pursuant to this statute,an employee is defined as"...every person in the service of another under any contact of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more '
• of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §2SC(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contact for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contacting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are tot required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
• Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple perraWlicense applications in any given year, need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fiiture permits or licenses. A new affidavit must be filled out each
year.where a home owner or citizen is obtaining a License or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit
•
The Department's address,telephone and fax number: •
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. r 617-727-4900 ext. 7406 or 1-877-IvIASSAFE
Fax# 617-727-7749
Revised 02-23-15 r'ry w.mass.govfdia
avvvin yr i14.11.1ViVV itl
tj� C BUILDING DEPARTMENT
''� 1146 Route 28 South Yarmouth MA 02664
H
s • fit' 508-398-2231 ext. 1261 Fax 508-398-0836
•
•
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR., Chapter 1, Section 1115,
[hereby certify that the debris resulting from the proposed work/demolition to be
conducted at O(,4- r,Svec , yc4--S yoxtv.•dlk
Work Address
Is to be disposed of at the following location: Cezeik WA*,
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Signature of Application Date
Permit No.
•
•
®� Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Constrgettenctif p,rvisor
CS-057712 E�1pires: 03/30/2020
STEVEN D COLE
61 EVERGREEN DMVE; r
MARSTONS MILLS MA 08 i "'`
t rJlcrTj0*\
Commissioner l/^`^
Joe iron i e nr(6`�7a.vadrefe(t}
Office of Consumer Affairs&Business Regulation
�7V HOME IMPROVEMENT CONTRACTOR
Type: Supplement Card
atqf r o? exam
^s 109761 09/23/2018
Bourque&Co ie Custom homes&
Rem.
Steven ere
80 Crocker Rd
West Bamstable,MA 02668
Undersecretary
—�_
Vtr G: ):10200i W €/y7 eoL 4a-Pf-17
r .
ONE or TWO FAMILY —BUILDING PERMIT .
. . APPLICATION REGULATORY APPROVALS NOTICE
4Address of Proposed Work: 6( 4- R ver 34rec-t—
Scope of Proposed Work: C'oAc4m'c' c'r. ae--- e '/ haft,
Date: Elenf/ (r .
Base on the scope of work described above,the applicant is required to obtain approval
si offs from the following departments as checked-off below: INITIALS
Health Dept.—503-398-2231 est. 1241
✓ Conservation Comm.—503-398-2231 eat. 1233 010C 9' 311
✓ I/ Water Dept.— 99 Buck Island Rd. phone no. 503-771-7921 ° � � 7 l 9—L"/
N14Old Kings Hwy.Hist Comm.—508-393-2231 ext. 1292 `qf V I/3/1
Engineering Dept—503-393-2231 ext. 1250
Fire Dept—Kevin Huck/James Armstrong,96 Old Main St. SY
Note: Please call Fire Department for an appointment. 508-393-2212
Other
Appropriate plans and/or application shall be provided to each of the departments
checked-off above. Each of these regulatory authorities has their own requirements
outside the jurisdiction of the Building Department All applicable approvals shall be
obtained prior to submitting a building permit application to the Building Dept.
Thank you for cooperation.
Receipt Acknowledgement:
----C %a
Applicant's Signature ate
Rev. Dec.2015
L3V-ii.tiAt TOWN OF YARMOUTH
: P HEALTH DEPARTMENT
o,.� a
• � •%/x PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: A2 t- f` ivel- S4-r-rv4— SyA,rMw{11
Proposed Improvement: h,•p e t+a it .-L C`7' oYclrcor:)
r
Applicant: S'#eVt.- D Co Tel.No.: 77 Y-3/.1-0/63
Address: (/ gt elr�►--e`,, D rt.,-- A4Ardc.-.3 , 14,1s Date Filed: `j//f/ti
"Ifyou would like e-mail notification of sign off please provide e-mail address:1,
.1
*
Owner Name: Sr -P-E Ch,fz r►.4.3
Owner Address: 6c 4- rtt.,4- S#re..4- S. yO.tuncv.a, Owner Tel.No:: an-in-1'4a%,
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: PrersDATE:- 7//3 406PLEASE NOTE
COMMENTS/CONDITIONS:
Co K .-ea -4- e t ra i t t1 Qc_l.tt t l 5 t Sy,.. ,o-C(/' 6.-- ,06/l-Yc/S
otrYgk TOWN OF YARMOUTH
af-,°e HEALTH DEPARTMENT
k'c ? PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 6" r-r S ja, i+
Proposed Improvement: r\ev✓ H-c y K.- ('J on/Non-.)
Applicant: S'{-e 1) C c (-c_ Tel.No.: -7`/- 3/3-/i/6.7
Address: (n/ Evej.r. ,�. 17 r AAA s ,v,lb Date Filed: 9/15/r
••!f you would like e-mail notification of sign off,please provide e-mail address:
Owner Name: -Tr -['-P C k r z n,i.S
1.,
Owner Address: 6:6 4- t k ,t r S-E r S. yam rna,, l L Owner Tel.No.: G/7-.2 T'S=/.2' ;
._..�_ Y I
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: c///3 /AP
VVV PLEASE NOTE
COMMENTS/CONDITIONS: /
Cl7c4e Cep x/ 4Lf ef-e e S
ifeet
Pr a/
o a- 2-n cp%_ 9a a�-
CC "C \ -4- e7 004A. l' j j Or Q c. t f ) ( /'C.A.. /' t ✓ &�C� p( ,s •�s.
TOWN OF YARMOUTH BUILDING DEPARTMENT
• PLAN REVIEW &BUILDING PERMIT APPLICATION REVIEW
Applicant Name
Permit Address 6G tvQr S )
Re tiewDate X0` 3,— 1$
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41,a.�.roor43 , Li`then, 0,1.;h3 re\ CTtehi c,m 4 �a bP►`h,‘ , 1•cAc 6-ArA5t
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9 X145
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Sears, Tim
From: Sears,Tim
Sent: Tuesday,September 18, 20184:46 PM
To: Steve Cole
Subject: 66a River St
Attachments: demo sign off.PDF
Steve,
I have reviewed your application for 66a River St and there are some items to address;
1. A demo sign off sheet needs to be submitted (attached)'" SLet`O tL ks-tre+Z l
2. Board of Health transmittal sheet needs to be submitted
3. Building height needs to be shown on the plan(see section 203.4 of the zoning bylaw for requirements)
4. A Rescheck or HERS Certificate needs to be submitted
Please submit the above items for review
Thank you
Timothy Sears CBO
Building Inspector
Town of Yarmouth
508-398-2231 Ext. 1259
mailto:tsears( varmouth.ma.us
1
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Commonws
Division of Professional
ealthofMasLicensure
Board of Building Regulations and Standards
Construbrt tilpervisor
CS-057712 d E�ires: 03/30/2 020
-c G
STEVEN D COLE •
`� *
61 EVERGREEN DRIVE-./ _ ?`
MARSTONS MILLS MA 02646
Commissioner •v
$oF•YR TOWN OF YARMOUTH
° BUILDING DEPARTMENT
? 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261
BUILDING DEPARTMENT
TOTAL DEMOLITION SIGN-OFF FORM
State Building Code (780 CMR) Chapter 33, Section 3303.6-Service Connections
"Before a building or structure is demolished or removed, the owner or agent shall notify all
utilities having service connections within the structure, suchas water, electric, gas sewer and
other connections. A permit to demolish or remove a building or structure shall not be issued
until a release is obtained from the utilities, stating that their respective service connections and
appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged
in a safe manner."
"All debris shall be disposed of in accordance with 780CMR 111.5."
Building or Structure Location:64 to R wed CMap: 1/7 Lot: .77
Owner's Name: 3? -cktzn.c.s Address: CQA. R:Kr.s+n-4- Phone: 0/7-01-T5--/-211P
Contractor's Name: flit..O F<<c Address:G/�, nt„,,C_ Phone: 77%'-3f3-ot6?
Eversource: Date: oc4- 4Pto/r
By: 3C{' Cbizt .&S
Title: Owrc—
National Grid: Date: gflr't8
By: 'Mk_ yNdkte+
Title: Se.--/tee.
Water Dept.: Date: 9b
T
Title: Astir
Board of Health: Date: er-11- 18
By: act' Arr4 4.C) ,
TitleiD
Condition:
Fire Dept.: Date: e{ -13- (2
By: Q 4P1 • {At) c1t-
Title:
M9f r •
Historic Commission: Date: /)04' I el
b�V/ci'V er 7s ltd
Title: t
Conservation: Date: R,'3llt \ -
By: lie,
Comcast: Date: 7/1 Q'l f
3/15
247
tation Drive
E V E R S=URGE Westwood,Massachusetts 02090
ENERGY
October 23, 2018
Jeffrey Chizmas
13 Jones Rd
Middleton, MA 01949
RE: 66A River St, S Yarmouth, MA 02664
Dear Jeffrey Chizmas:
At Eversource, we're committed to delivering great service.
This letter serves as confirmation that, as of 10/23/18, the electric service to
66A River St, S Yarmouth, MA 02664, has been removed.
Based on this information, there is no electric power at this address and you may
proceed with the demolition. If you have any questions, please contact me at
(888) 633-3797.
rel
Wanda Pimentel
Electric Services Support Center
nationaigrid
September 18, 2018
Steve Cole
Bourque and Cole Bldrs
To Whom It May Concern
RE:66A River St, House, S.Yarmouth
This letter is to confirm that National Grid has verified there is no natural gas service at the address
above. I can be reached directly at 508-760-7484 should there be any further questions.
p&itiott„,
Patti Weldon
nationalgrid
Senior Acct Mgr,Customer Connections
127 White's Path
S.Yarmouth,MA. 02664
508-760-7484 desk
508-400-5051 —cell
508-394-1109-fax
patricia.weldonGnationalgrid.com
v TOWN OF YARMOUTH
0 qR
}; w WATER DEPARTMENT
F A 99 Buck Island Road
w„¢xcE West Yarmouth, MA 02673
Telephone: (508) 771.7921 • Fax: (508) 771-7998
BUILDING PERMIT APPLICATION
DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET
Bldg. Site Location «nfi r 4— Map #: y3 Lot #: 27
Proposed Improvement: (\rvv^ riGrvC,.,
Applicant: S-�-ne, ,..,
Address ck _ de—. Tel. #: -77Y�j- PILi_ Date Filed: Vi /�
RESIDENTIAL AND / OR COMMERCIAL BUILDING �f�"
Water Department: Determines Compliance of Water Availability and or Existing Location
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, Ocean, Bogs, Bays, Marshland, Etc...
Health Department: • Determines Compliance to State and Town Regulations, i.e., Requirements
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 Systems, Etc...
Air .i- / .-
Signature
Signature of applicant 'ate
PLEASE NOTE:
COMMENTS:
•
e 9,3,
Revie ed by: Water i111110 Date
.st y y TOWN OF YARMOUTH
r, - °� HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 49 , (‘ ;.ren- s41-ct/4- S y6.r)..w4L
Proposed Improvement: Ne we 1-1-0 rest_ QI ercircor.)
Applicant: S'ekt n D C& Tel. No.: '77'Y-3/Y-0/C5
Address: ./ ,Sv+erz -I-..e{,.\ 'p er.,,._ A4,cri+e..3 , Lifts Date Filed: `J//f/
**Ifyou would like e-mail notification ofsign off please provide e-mail address:
Owner Name: 'Sr -P-P- Ckrz r►Ne.3
Owner Address: cc 4- P i t.<(' R4re-f - S. ya ttnc AL Owner Tel.No.: G/7-.28 S/2Vf,
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note:Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: 2r7/ DATE: 7/13
/'OG
PLEASE NOTE
COMMENTS/CONDITIONS: .
CC) A „ea + C$p 4frtd t D lxacLt j Sr<A.tA. /0-a., 61-7S,DC fK/S
o��!R
�,$#'"�o Town of Yarmouth
(0,� -c..,;,u' - y Conservation Commission
`,\�MATTACM ,
�,, M�, �1 Building Permit Sign-off Application
TO BE FILLED OUT BY APPLICANT:
Building Site Location: G ,/L rtvC S+Y+e & S yo.rrncv('l,
Map # 4713 Lot(s) # 77
Property Owner: —Ye•rC'-F C,1-.17 mAr
Applicant: a.-en 0, 0 o((� AA
Applicant Address: 0•/ F�.•er�.r-•�.-, D rt., _ j4n -A"r Alis A,-
Telephone: 77 y_ 3/p- p/ Date Filed 9AI/r
Proposed Project Description:
!tiny- y b K 1-I-c ru
Plans: . La is ' C & \ I ' a Ate_ Lfi /I 31511g
TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR:
Do You Have A Valid Permit From The Conservation Commission For The Proposed
Project?
Comments from Conse ,tion Commission:
Approved Conditionally Approved Rejected
All work related debris shall be taken o• • • or .isposed in a legal upland location
At the end of each day,the area shall be clean and no debris shall be in the Resource Area
Refer to: SE83- 2040 or DOA permit
Conservation Commission Sign-off Signature:
Date: Wisps