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Permir sued ires 180 days fr
G E 1 4 sr,-- ' ;+ EXPRESS SHED PERMIT APPLICATION
TOWN OF YARMOUTH
Lt.-------
2920\% Yarmouth Building Department
1146 Route 28
h. NARI tJ aSOt
South Yarmouth,MA 02664
BY. ! (508)398-2231 Ext. 1261
• CONSTRUCTION ADDRESS i I 'D(x&n LBK2�� •
ASSESSOR'S INFORMATION:1
IMSP: 4t9 I Parcel: / 4 1
•
OWNER.am 3k(.4cocNan4 l I qt acs js _2d 7?< •au)• 1158
NAME PRESENT ADDRESS TEL 8
CONTRACT°' AME I- „ „ILO ` _•ni6 d O8µ A Z8w
MAILING—ADDRESS TEL.!!
l esidential 0 Commercial Est Cost of Construction s 38OO,od
Home Improvement Contractor Lied/ V a `l 0) Construction SuC3CA-tai 3 (--)perviwr Lia N
Workman's Compensation Insurwice: (check one)
❑ I am the homeowner ( ❑ I am th-sole propriet LI have Worker's Compensation Insurance
Insurance Company Name: h'i((
�A v �lG� Worker's Comp.Poliry/lf L'C Cp(ap• 951-20184
�/ SHED INFORMATION
New X Size L I�` K W 1 pt x H i Oto is
Corner Lot:Yes%1C No
Per Town of Yarmouth Zonins By-Law Sec 203.5 E:
Side ands a setbacks for accessory buildings less than ISO square feet and single story,shall be 6feet in all districts, but
in no cave built closer than 12 feet to any other building.
Repiaceexisting* _ Siie L z W (� t H ) — �/�
*The debris will be disposed of at�9 C-Wet,CI-WV-RA (tJ h,, 1 rB
Loestion of Facility
I declare under penalties of• • that the • herein contained are we and correct to the best of my knowledge a and belief I understand that any false enswer(s)
will be just cause for denial . I... .!. of y Name and for prosecution ander M.O.L.Ch
.768,Section 1.
• Appticam's Signature: I l 1 -
)4Owners Signature(or a clime. F' / ' I
Date:
Approved ay; C._ . //--2-5-1--Vg
Date
Bnildine OAT/"er�.,�.�_)_ i .a DRESS:
�, i J
Zoning District:
Historical District: 0 Yes ❑ No Flood Plain Zone: ❑ Yes ❑ No
Water Resource Protection District: Within 100 ft.of Wetlands:***
❑ wires ❑ No ❑ Yes ❑ No
***Note Conservation review required if within 100 ft.of Wetlands
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• in, Office of i onsumer Affairs and Business Aegulat on
4f=a' 10 Park Plaza - Suite 5170
Boston,Massac?E.Jetts 02116 _ ,
Home provement 41Y/ft? for Regis .tions
•
,� Commonwealth of Massachusetts
McGRATH POST& BEAM CO. - tit_= 'ow a Ru of Professional aLicensors
JAMES McGRATH ^s Regulations and standards
cony,
259 QUEEN ANNE RD. = E °d►o�►,So Gtsegt a 2 FamilyHARWICH, I AA 02645• _ kit CSFA-073865 a
Lick‘
ptpires:03/14/2020
S'rey 'AMESR.IthRATII c v
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BREW$ t MA-$2531 •
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Imo:, Office s Consumer Affairs and Business R
10 Park Plaza- Suite 5170
Boston, MaSINhusetts 0211E
Ho : improverntattractorI Registration
`` Type Corporation
McGRATH POST&B • CO. ti
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)�s;1 RogabaUta 132935
259 Queen
A Anne
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itl:`F � :Oli
ti.:::;-"' Update M*ea and fatted Card. Mark reason for change.
au* A 200441511 1 •
612.cenosorrangi 1- 0 Address C Renewal 0 Employment 0 Lost Card
.
—7 .
:, HOUR IMPROVEMENT ..
fir' Type' C j Registration valid for IndWidm moody
before the s�trationdata. Cfound reWrnto:
•.* ! .,,,_r OMIC.of Consmmr AUabs end 8ushap Iegulaton
':. i"'�: ;f0/9gr1 1-
1"10 Pc. Were-Sone 5170
McGRATH PORT $�16�1 i Q,
YA 01176
D/B/A Phe
,4
258 Queen Anne Rd.- "
..PIA 02045 Not valid without*mato'se
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