bld-20-000935 . a 0 F
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5i110;,. 4 ftd.l{ 1 f f F i ,(M r.f_f 1_rt'j
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Permit expires Igo days from
kr=date
!. __ ..;
EXPRESS SHED PERMIT APPLICA'1 c : C ., . .—.I
TOWN OF YARMOUTH AUG >() 1��
Yarmouth Building Department .i I
1146 Route 28 B u, , c
T191
South Yarmouth,MA 02664 —('
(508)398-2231 Ext. 1261
CONSTRUCTION ADDRESS: 4 0 CA-ArP-Nii):::FP___ Rh c"-.-)c) YAELloc,e71)
ASSESSOR'S INFORMATION:
Map: Parcel:
OWNER: ®u u e_.
NAME PRESENT ADDRESS TEL. it
CONTRACTORMV \-(arbor mod lita ocIS Z9 6/U0,n )mire Pei \claa k)/d W. 0 'ascc
NAME MAILING ADDRESS TEL.,#
iitResidential 0 Commercial 3`7C
Est.Cost of Construction$ G
Home Improvement Contractor Lit.# 1 3 2 `9 5 Construction Supervisor Lit.# e,�Vt'1/� -c)1 ? o ccF-D
Workman's Compensation Insurance: (check one)
D I am the homeowner G I am the sole proprietor k have Worker's Compensation Insurance
Insurance Company Name:tQ.,k,v \611/1011trQ 'CY4)l0Y11j(S Worker's Comp.Policy# G C-(ttL0— lit()R5- - $
Ir S- SHED IlYFO TION Al
New Size L JO x w /2— x H 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:
Location of Facility
I declare ender penalties of, '1 i , statements herein=Mined are true and correct to the best of my knowledge and belief I understand that
will be just cause for den'1 ,r revocati.,of my license and for prosecution under M.G.L.Ch.268,Section 1. my false {s)
/ 4
Applicant's Signature: v ♦I Date:
�/ C� I1 I 1
Owners Signature(or ' - mcnt)rC Date:
Approved By: �-.4,.- ,` Date:
Building Official(or designee) EMAIL ADDRESS:
Zoning District: 1
Historical District: [3 Yes 0 No Flood Plain Zone: 0 Yes U No
Water Resource Protection District Within 100 ft.of Wetlands:***
Li Yes O No C Yes 0 No
***Note:Conservation review required if within 100 ft.of Wetlands
9/13
'` . . PLOT PLAN
FOR LOT
Indicate location
Additions with dash lines orarage building
WellSew disposal (cesspool) a)
I
I (lot ft rear)
Abut0or's / 'I
l� Abutter
Name
Lot 0
I
Name
Lot i
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xcner lot,
canter .
trite in name , ft. If this
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otherof
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4
4
. SIDE YARD
SIDE YARD
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.
.
.
.
.
SET BACK
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.
I41
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{Jot..................ft. frontage)
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0 C 4 E d-eir- go(,
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(NAME OF STREET)
/ ♦ Information
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Supplied by
ARK NORTH POINT
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PINE HARBOR
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on pawls
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-�9 gr' Office of Consumer Affairs and usineess ReguiatiokeG?
10 Park P1aia-- Suite 5170
Boston, Massac ens 0.2116
Home Improvement-�'�`�, for R
. Registration,.
- - jt ..-7-77.---,--:71--- --_-------iu---------_ ft Man of Proles:mai Licsasure
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McGRATH POST& BEAM CO. _=-ti : - 1 Boaliiofg „g ,v
JAIES 1cGRATH 'c -1, — rd
_.._., !&2 Vanity
259 QUEEN ANNE RD. ----
- HARWICH,MA 02645- �� = - J AB ' *' � fr&.,ins.03/14020
MAR �J '`:: 2�
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4ye4aleieze43e/4.
Office of Consumer Affairs and Business Regulation
1000 Washi-,..1ys n Street-Suite 710
Boston, :27.. « usetts 02118
Home Impro = ,.r Registration
ii! Y Type; Corporation
MCGRATH POST s BEAM CO -- ) _ R ore 132935
D/13/A PINE HARBOR WOOD PRODUCTS 1 Corr 10V3Q!10d0
259 QUEEN ANNE RD. =
HARWICH,MA 02645ti4 Ilitillir 19 .
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CrosofConsa nwintaisa,_nonsas Mgr Won
NONE Y • - CONTRACTOR Regleiredon valid for indNtdud use
only
before the expiration date. if found mean!x
Mao of Costumer Maas and Ruins,Rupoirgen
MCGRATH •► - ,+ - 10/9Q�p 16Yif waabi�an/M�-Sups
DNA PINE jTie
Roston,IAAA2T1e
Z89 QUEEN/4ME .r-
fAtWiCIl,MA 02145 Not valid
without signature
Eiredoisecretary
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,
�.„"'1 MCGRPOS-01 THORNE
A RL' CERTIFICATE OF LIABILITY INSURANCE DA 7r
8/2019
THIS CERTFICATE IS IISSt1ED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TIE CERTIFICATE HOLDER THS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE SvW.E APMRSr BY TIE PSLIS I
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: N the cerliRcate holder Is an ADDITIONAL INSURED,the poiicy(fes)east have ADDITIONAL R1SIJAED prorislons or be endorsed
N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain polk4es may require an endorsenwnL A aiaiement on
this oerfNkate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER ACT
&Gray Insurance Agency,kw. PRONE
43 srs aZ660 )553-i�1 G N,x(8TT)8i6-2156
South Dennis,MA greyer
INSURER(S)AFFORDMG COVERAGE RAIL*
INSURER A:Travelers Indemnity Company 25650
11cc,11a111 PostDewier B:New Fitunpslnle Employers I fce Campan 113083
dim Pine Hs =Wood '_mac:
259
IlaxvriNtICe 02s46neSt:88/19 Rd INSIDER E: —
�$" , MSURERF:
COVERAGES _s : C�FIC�-NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT�ThE POLICIES O SURANLISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY" J MENT T OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR , AIN, TH SU AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF S OLICIES.LIMITSMHO Y HAVE BEEN REDUCED BY PAID CLAIMS.
" DDL/SAWPOLICYHlER f�oorrr m{[IaiooRrw» Laris
L� TYPE OF sMIIRANCE r
A X COW/ERCIAL GENERAL LMBaJTY EACH OCCURRENCE S 1,000,000
co AaLS.1W F X OCCUR 1860-2 0-IND-19, 1/31/2019 1/31/2020 s e.I ; 100,000
5,000
c M®EXP(Paw aos person) , $
PERSONAL&NN INJURY $
1,000,000
GEN L AGGREGATE LIMO - GENERAL AGGREGATE ; 2,000,000
2,000,000
X POLICY t t; ` I PROOUC1S-COMPIOP AGG $
i
A A1fOMOBa.E COMBINEDlEa rti SINGLE LMAIT $
ANY AUTO BA-4487B686-1 C ,.: 1404919 'f� BODILY M.NR2Y(Per remora $
,000,000
X AUTOS ONLY x �; ' (Per ) i; 1
:
=‘ :- . ,. , v' $
INRE.A LIAR OCCUR .
CCURREN( $
E UAB CLA) DE
DEP 1i i
I RETEImoN$ .. 1$
B wanton DOIa�E11SA110N ?� '',',,`'--A:'`''''' t ` \�vi PER t. .,T.l
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AND!!lROY61S'MUMMY K s ' �BA 7 19=r '*STATUTE t E R
ANY PROPRIETORIPARfNERIEXECUTIVE Y/�I
EXCLWEM N%X a �itir :
yyesss, 500,000
F. $
OESC RPT14N OPERATIONS below 500,000
4 k r P . b E L D�EJ1 ICY LEYiI4 r
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DEBCRPIION OF OPBIAIIDNS/LOCA1NINS/VEESCLES(AMID 101.Adalana(Ram"Sch$$*$': gay Ark." l nvx.apse is ru p*u
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
Town of Yarmouth THE EXPRIATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Dept ACCORDANCE WITH TIE POLICY PROVISIONS.
1146 Main St,Route 2B
South Yarmouth,MA 02664 AUTHOR ED RE�RESFMAINE
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