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EXPRESS SHED PERMIT APPLIC: a r
TOWN OF YARMOUTH E I V E D
�.' Yarmouth Building Department
1146 Route 28 OCT 3 O 2018
South Yarmouth,MA 026E4
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(508)398-2231 Ext 1261 su 'e' R - . T
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tONzt*UCT'IONADDI Scre--E `J"'-7 S .> /i,2t-7
As$ESSO t' Avont4A710:+(:
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a--� Parcel:
41-te 4 ( 4 , L flirt St, —2.-.o —PcP SIC
PRESENT ADDRESSTEL a
CONIRACTO N -}�(bCf' P2�cx-k .'1 •.
� C3 f J�xw �n.cnl� ci t ) •28 On
MAILWG ADDRESS TEL M
Constructor'Si(Resldentlal ❑Commercial Est.Cost ofConstructor'$ CI C OO Q • °O
Home Improvement Contractor Lia ii I a>1C135 Construction s rpervisor Lia e St A ^ (31 YSLp3
Workman's Compensation Insurance: (check one)
D I am the homeowner ❑ I am the sole proprietor ' 41 I have Worker's Comp nsation L�
Insurance Company Name: CL.l-54 mp f&&ph r' Worker's Cnp.Policy&C,'GM•(((to951-2a871
SHED INFORMATION
'it n t
New X , Stu L I y z t1' U z H ICJ'Q II
Corner Lot:Yes No
Per Town of Yarmouth Zoning Bv-Law Sec 203.5 E:
Side and rear setbacks for accessory buildings less than 150 square feet and:angle story,shall be 6feet in all districts, but
in no case built closer than 12 feet to any other building.
Replace existing* _ She L z W x If
*The debris will p. axe,be disposed of at: AnCl1R8-4{]l)i(Il me cone _)
Location of FaeWty
I declare under penalties of. u . that the ..,-i . herein Contained are true end confect to the best of
will be• mate for denial.' - my mowhdge belief I understand that any false answer(s)
1mi •�,on of � license and for ender M.O.L.Ch.268.Section I.
Applicant' :.o. .• / - f 1 pp
i� i Cate: i�l�l)C )
Gn.. v4 der rri
Date: .14f4' ciita �•
Approved :y: 7 ..� Date: Y/ "j `/a
BuildM -,cial-747.1 ignee) EMAIL ADDRESS:
Zoning District
Historical District: ❑ Yes 0 No Flood Plain Zone ❑ Yes 0 No
Water Resource Protection District: Within 100 ft.of Wetlands:"""
❑ Yes O No ❑ Yes ❑ No
"*Note:Conservation review required if within 100 ft.of Wetlands
9/13
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_ 20001/0001
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The Commonwealth ofMassach
Department Ind ialAchkih
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�'� Bosom MA 02111
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L , Workers'Compe: dam, ranee Affidavit:B:aders/Contra in I t .•-4:. . i . '!nm
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aAnt a. - .. .f, rn « _I (4 a . ' Phone#: VKr' gr 11
1.❑ lam a Cie appro1rhtte box:
�Ployarwtfb 4. 01amag �I •
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2.0 employees aka andorp } Iir • haveed the sub-contractors 6. 111 New••.... , .:.
lam a sok proprietor et partner. ` fisted on the attached sheet.
ship and have no employees Those ave7. ■ _,... , .
working fit me in any capacity. employees workers' 8. IIo hien Dem
(No waders'camp. nae comp.iawranoe,i 9. ■ adt5tion
hmm
3.0 tam edh m s.0 We are aoorponafonand its 10 $ a mayor
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ped their 11.■eowner doing Plum : or tdamems
er ItiGL
. insurance regcmed.]t e.152.§i(4),and we ha i ■ Roof
employos.(No waken' 13.■ Other
'� ---- cdu6m:Its�ldwtmortmewoke Mm •.insurancer
r_eweaswheateaiO'saag dry atedohyAwowed 04 ....
Slacks -
oaaseatdwelt te Isnot aioneda acleaad eoeeooeoa mast m
aaplvoa. Mit se w)bere )s.dry'knee work�oreoo 9.policymataroft subiosinpica a0raet .. thoree terra
fass tat employerdist bprvrrdbtgworkers'comeanadoir6r ft, ;,
&Win the
lacenradom
Irotrm'e°Compal'Name .y !'iU I)� / t l 141. r
PblirySorSc ins, ,/y /► a ufa. /,
•W��� i�Ra bastion ' . I I S I . �1
•,ttaeb a copy of the workers'een 't�tateJZtp I r
Altace to seem as ceder Sarum 23A of P
!' poll'dae4ratbn aYawk,thep I • -
penalties of
Pate op to 81.500.00 aedhr Mal.0.132 an leada Itirm oft•
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atop to$250.00 a day ; •••_ _ C°t'as wd[as civil txaetdea m the firm oft i a p , • . ORDER and a}lam
Investigations of the D advised catjot °fes statement may be •I to ,...018ce of
fbkeel,we •-eirigmr of afirrydmtt4ebeormttkorpr t
•r�llk
!o I - aware
rIgaIIIIIIIIIIIIIIIIMIIIIII
ane4t as net rite blWsarea,A►beconpletedbyelyortown pfida(
City or?owr: pereiteieene g
tants Arritwtiy(deck oneyt •
I.nowt',Meet* 2.DaDaliandDeparture 3. '
41.Other CttytTawa Clerk 4.Electrical Inspect* 5.Plumb eg Inspector
Ginn Finer
nere to:
^'. • Informadon and ' 9ti4cdon9 •
rawre•wnr
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boyssa
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expos a Implied,oral or at'
Aaafter isdated mesa 3odieideel,p ►apoetYdaa. -. . . . . edit 110 anal Nwarts
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abe bet pataleall seteptaMe Sawnw Sans asevrap nate
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saes sesand OadapeitasOp lsworkteetd Wa -a
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Pans beaxe Is peasilkaas alba • mass aliteks.se applies
do soma site mi*bpladelleare*pleads Isankle sanest
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7teleae Mat a hw ast tip wadi Ie dads se is stow barn y .. . ad abed/yew awe asf____s,
sive us s
the Daweasts saes whilst ahead
The Ctmema:w idth of . . • .
Demented of Sushi
Orbs ethraupthaw
600 Wa Steel
MA 02111
TeL M 6174274900axb100a 1-1177
Raised 111424/11Fad I617.7I7.17�19
www,msp.ger/3a
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AIn Indicate a location of garage or .. •,_L e, b
ions with dashed lines --------
r Sewerage ---�----
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FF I t": (let................ft. rear) f
Abuitti rs d '
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Lot t - v `, '+ I Abutbor
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Lot t
r this is 6A REAR YARD
artier let,
Arita in name •••••••.1..•.ft• If this
g street. corner
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G f write i
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f .. name of
0
other
I E ,o• street.
41 • 4
• SIDE YARD
SIDE YARD .
HOUSE•
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30
// a -re� w a
\ (NAME OF STREET)
/ \
/ \ Information
Supplied by
-----7
ARK NORTH POINT ---- `-
AC RO_ MCGRPOS-01 ZHELLWIG
�� CERTIFICATE OF LIABILITY INS RANGE I DATE DIIIMEMEM
8
THIS CER WICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS . RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTE- THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B EN T4 ISSUING INSURER(S),AUTHORED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder leen ADDITIONAL INSURED,the poCey(les)must ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,Certain isles may require an endorsement A statement on
this certificate does not confer fights to the certifiese holder In lieu of such endorsement(s).
PRODUCER
Writ:X dray Insurance Agency,hi
South Dennis,MA 02660 A . . - FPN�c,rl p(s77)816 2156
"Das mei rode 8rax.co n —
---
---.1- MAC II
gasment?ll
.NaN81A:NEMlers ndemnity�C�ompanyofAmMa '25566
McGrath Post 6 Beam Corp .- wme p;Trtwelere rrdemnHy�Canpeny . ..
dbs Pine Harbor Woos Products ,mpimele:New Ham. .hire Employers Insurance Compsn ,13083
259 Queen Anne Rd - :INSURER p;
Harwich,MA 02645 _.._.._. ..
INSURER r:
COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBET(:
THIS Lt TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO NSURISCI NAMED ABOVE FOR THE POLICY PER CO
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT. - OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CATS TE MAY BE CONDIsum TIONS OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLL±$ .a..- _.a, HEREIN IS SUBJECT TO ALL TME
FOR ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY- . CLAIMS. '
ANOSOI.:WAvYBoR� POLICY NUMBER -
TB arnmuuxca l IM 1Bp l ' ..., FA MITE
A X cOMMnnaALoersearamny
C AeASATAOE X'OCCUR
poiGccultaIraf .:1 1,000,000
1.660-036613196-TIA-16 01/31/2010 01/11@019 £ 100,000
I El0•{AM cop
Pram) 5
5,000
.GIM AGGREGATE LAWTAPPLIES PER: PEf'ISOµA,s ADP INJURY ! 1,000,000
X:POLICY' L LOC IBEARRAI,AGGREGATE _.! 2,000,000
..
ODER •
PRoPtIOT!•mREFOGAGG;! 2,000.000
B I s
AUTOMOBILE . i
I .CCABN ,RaaE LW . ,$ 1,000,000
. . -:
owtair ANY AUIO ro, BA-44670666.18.5a 01/31/216 01/31/219 �1E�si
UTO ONLY X AAURMpOIAEDp WDLV H.MiY1 P?!! ) $
.X:"n1ITOs agar .X ;Sint?
ilk' DOOILY FLOURY IP.,.vb.q 5
1• !
IaON�IA LIAO OCCUR i s
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•EXCESS LIAR ' IRIMS-MADE. I •ACCG OCCURRENCE ,$ .
DED % ;RETEN OI$ I .AGdeEGATE S
C WORKERS oYERPs°ueaTOMirr r/n X 1aIPER TAnne _:oT _at
AQNFYCPREOPRIMETaOERRFARTNERIE)(ECUrIyE ECC•600-4000957.2015A 07/00120111 07/04/2019 r' F�A��G�1�ACtIOEN1, .! 100,000
eNy.e,iF�d,r 9s NN)EXCLUDED? N' N/A
.OrkRI�ON OF OPFRATIONS Son I I ,EL weEA.9E•EA B.&LDYEE,f 100,000
EL DISEASE-FOGGY IIMIT'$ .DDD
DESCRIPTION OP OPERATIONS/LOCATIONS(VNSCLM(ACORD ley AdelloselRamas absda.,sr be swd,ed a.Ewe ser.Is Ise*M
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE A67VE DESCRIBED POLICES SE CANCELLED fl
Torn of YarmouthTHE EXPIRATION DATE THEREOF. NOTICE YELL BE DELIVERED se
Bonding Dept ACCORDANCE PATH THE POLICY PROVISIONS.
1145 Main SC Routs 26
South Yarmouth,MA 02684 AVINORDiD REEREeprTMNE
ACORD 25(MOM)
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01908.2015 ACORD CORPORATION. All rights resorved
The ACORD name and logo are registered marks of ACO RD
teezteal
r Office of Consumer Affairs and Business 1 egula ion
-1 10 Park Plaia - Suite 5170
Boston, Massae�,setts 02116 _
s Home Improvement.+tt ;.i tor Regist ation•.
�• C•C . wealth of assachusetts
MCGRATH POST & BEAM CO.• 1= " D ilio^of Proles ` nal Licensure
ears .u St
__ Board o Building Regul ons and Standards
JAMES MCGRATH w : _. 'a I!.,SVbfek4 .1 d 2 Family
253 QUEEN ANNE RD. , con. uetio
HARWICH MA 02645• d CSF•-073865 ;•,
;wail i ' - Edpves 03114!2029
� $.4* JAMES CIRCGRAD/1 i : '4"" sl
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TO
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s .:r J C4- is,
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I 1 'y Office of Consumer Affairs and Busine • Regu -tion
10 Park Plaza- Suite 5170
Boston, Mahusetts 0211:
Home Improvemgt • tractor Regi• 1 ation
in _ ,,, Type Corporation
MCGRATH POST&BEAM CO. ,.,_ -` s` b R:• stration: .132935
W 1 ' ••?ration: 10/30/2018
259 Queen Anne Rd. i --` 1.�
Harwich, MA 02645 �N`� _ '1-1-_:72/ .1-1
Mt'. _
`- 1�.: Update .. _sand • seal. Mark reason for change.
scat 0 201+41111
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Qj g> O Address ■ Renew: 0 Employment 0 Lost Card
a1aesaciaseita
.15
.C Consumer Anne BusinessRegulation
R "''"".. HOME IMPROVEMENT CONTRACTOR Registration valid for lndM• I use only Z.a. ,'.- , Type: CaPaaOm before the expiration date. If •and to:
'/l"'' -4,pri alptnafion Fxdretbll Office of Consumer Affairs a • Business •egulation
�� I-f 5 10FtW2018 10P. Plaza-Suite5170
,, . Bost•n,MA 02116
McGRATH POST 'BEAfufCQ. Q fie.
D/B/A Pine Harpai i/00121" i
Products James McGRATH Is- U t al %r if
259 Queen Mine Rd.- `' or
/ Not valid withou signatu -
Hwwich.MA 0264S