The URL can be used to link to this page

Home My WebLink Aboutbld-20-152 t 04 rYA v Office Use Only • •. y • • I ` Amount L'' ,,,,,,,-1,,* s� i '.. `°"mot{0 .d Permit expires 180 days from issue date EXPRESS SHED PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146Route28 South Yarmouth,MA 02664 eft 3,S (508) 398-2231 Ext. 1261 ..+V CONSTRUCTION ADDRESS: 40 Belvedere Terrace ASSESSOR'S INFORMATION: Map: /33 Parcel: 37 OWNER: Mike & Kat Marquis 40 belvedere terrace 6177808936 NAME PRESENT ADDRESS TEL. It CONTRACTOR: none NAME MAILING ADDRESS TEL.# PI Residential 0 Commercial Est.Cost of Construction$ 4,000 Home Improvement Contractor Lie.# Construction Supervisor Lic.# Workman's Compensation Insurance: (check one) X I am the homeowner C I am the sole proprietor 7. I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp.Policy# SHED INFORMATION New X Size L 10 x W 10 x H 8'6" Corner Lot: Yes No X 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* n/a Size L x W x H *The debris will be disposed of at: Yarmouth land fill/recycle center Location of Facility I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will be just cause for denial or revocation of my license and for prosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: Date: Owners Signature(or attachment) Date: '7 /7,5- t 1C( Approved By: Date: Building Official(or designee) EMAIL ADDRESS: Zoning District: Historical District: x Yes ❑ No Flood Plain Zone: _ Yes NocD( Water Resource Protection District: Within 100 ft.of Wetlands:*** \P N2� Yes No [�( Yes No ***Note:Conservation review required if within 100 ft.of Wetlands '7(2,6 /% / The Commonwealth of Massachusetts =V1===g Department of Industrial Accidents 1 Congress Street, Suite 100 =` Ec Boston, MA 02114-2017 --ir 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): Mike & Kat Marquis Address: 40 Belvedere Terrace City/State/Zip: Yarmouthport, MA 02675 Phone#: 6177808936 Are you an employer?Check the appropriate box: Type of project(required): l.❑I am a employer with employees(full and/or part-time).* ' 7. ❑New construction 2.0I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 3. I am a homeowner doingall work myself. t 9. ❑ Demolition ❑ y [No workers'comp.insurance required.] 4.® property. I am a homeowner and will be hiring contractors to conduct all work on myI 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 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.D Other Prefab shed 152,*I(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill 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. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation 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. I do hereby certify under the pains and penalties of perjury that the information provided above i true and correct. Signature: --� 23111 Date: Phone#: lQ ( t 0 et , 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#: The Ponderosa LIfTtohc� `<C C5 i_r r srk4 4- 6'uk<. .yffi (a p joo C S oJ-) r H k " 's ri" GHWA�' r t (,vinl�,cc1 t aO�Cis‘khor RECEIVED E JUL 2 6 ZU19 TOWN CLERK SOUTH YARMOUTH, MA (Sample) The Ponderosa is a traditional building style features, post & beam frame-work, board and batten siding. This handsomely rugged shed will last a lifetime. We support every 4th foot on center with solid cement blocks. We use a solid one inch board instead of 3/4 inch plywood. We use trusses and rafters throughout your sheds for added support When it comes to materials we utilize 1 inch solid pine roof board that carries the length of the shed. Features • Roof: 6/12 roof pitch (similar to a Ranch style house) • Windows: stationary divided light window w/flower box and shutters on left side • Doors: 60" Double doors • Roofing: 30 year asphalt shingles • Siding: Clapboard on front and sides board and batten on rear • Flooring: 1 inch roof and floor boards (not plywood) • Support: Pressure Treated 2x6 floor joists (16 inches on center) w/4x4 Pressure Treated runners • Ramp: Pressure Treated 2x6 • Framework: Post & beam • Ventilation: 2-12x12 wooden louver vents (sizes 8x8 and larger) • Hardware: Hot dipped galvanized hardware (will last for years of weathering and will not rust). ?O 9 Ponderosa Pines Wood Products,LLC l 9'�cob-7 ,- t II II9— A +9 �- :-, -fRV/NG ' SG /S • &"T -q z \ . _ ' n •• - ' • i • /? • \/. -.N,H/T, .s \ • .. .^ :r- fir �4E ,� \ - \4 _ A. ,,, 9 . .� •_ �h'39 • ,x (T/DAL) t ,A - 2.S' ? ::BE-i.v. o,E. RE. :TERR/icc • l L.v' _ /) . . • ;' EZ EI/47/0N,• .j2:1 P. ' 4-eQ T/C,N ' = f 11.• 'Gc-slE" :f'.. 6 ) riVEiD, - • • . . u ` LAUD'SURVFYORS r 6 �rCl'v'I. �. G ND'DPIVE • L JE 60i,,I3.)Fiivi;it;4�,�,�t'. 1 : , . '.SouT1t Y1RM0tfl". �t�ss. ;CERTIFIED 11: PLOT; PLAN • 4;: • f - •• O2644 ' LOCATION yf•V i1 ?7N, ! $:S • h,' I ` ' . . :SCALE . l;.-140� . DATE. t �/./9,7 ' . ' ,t PLAN REFER ENC : 1.N 'LGT •i'¢,r • • .• ) ., ; r . .• ' •_ 1 • T S"' ' �n ...ON! A.ZPZ4d w. .` ui�rvi5la&I 'Q�' . ♦ri l,• • • - K ' //•'fir /d ^ ' •� 'AD •. 4 11--i T7..ti--w until • • " 1 M •F.KI, . 4c Oel Y�AJY..0 I ye•Y/. 4.? -W i'' ::RE,CE `.:•_ . . . I'CERTIFY THAT '�4et•i!LT.7.(/)SHOWN • • .. • ON THIS PLAN IS, LOCATED ON THE GROUND _ i• RL 6 L��. • ' • AS-SHOWN HEREON AND THAT ITCONFORMS TO O :THE •ZONING "LA S OF THE TOWN OF 1 L'i'Q�!` ' Q: \S iUEENEY .._,3!�4�'.�'7 DATE. iHEN1URV • The Ponderosa 1 4 mAti.ch Het,Se t �CiiUUTh Si I0t: KING'S HiGHI , RECEIVES ,u iv 1 , JUL 2 6 2019 cAct-t s►�� TOWN CLERK SOUTH YARMOUTH, (Sample) The Ponderosa is a traditional building style features, post & beam frame-work, board and batten siding. This handsomely rugged shed will last a lifetime. We support every 4th foot on center with solid cement blocks. We use a solid one inch board instead of 3/4 inch plywood. We use trusses and rafters throughout your sheds for added support When it comes to materials we utilize 1 inch solid pine roof board that carries the length of the shed. Features • Roof: 6/12 roof pitch (similar to a Ranch style house) • Windows: stationary divided light window w/flower box and shutters on left side • Doors: 60" Double doors • Roofing: 30 year asphalt shingles • Siding: Clapboard on front and sides board and batten on rear • Flooring: 1 inch roof and floor boards (not plywood) • Support: Pressure Treated 2x6 floor joists (16 inches on center) w/4x4 Pressure Treated runners • Ramp: Pressure Treated 2x6 • Framework: Post & beam • Ventilation: 2-12x12 wooden louver vents (sizes 8x8 and larger) • Hardware: Hot dipped galvanized hardware (will last for years of weathering and will not rust). 7019 Ponderosa Pines Wood Products,LLC ` -• TOWN OF YARMOUTH 'R CE VED 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 r Telephone(508) 398-2231 Ext. 1292-Fax(508)398-0836 JUL 2 S 2019 RECEIVED � KING'S HIGHWAY HISTORIC DISTRICT COMMI iHKNiUU I h D KING'S HIGHWAY JOILICii Vi APPLICATION FOR �� CERTIFICATE OF EXEMPTION 1* App`�i is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: t 33 . 3 (f rs. Address of proposed work: (-t0 1 2 I VtCLS L ) (c C‘l\C— Map/Lot# i-fi' t'r1-1 r Owner(s): v n Al ke_ nil-CCL.v vS Phone#: 11)\1 -1 Z--°7-1'31 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: cA-1Ake Year built: I ' Email: 1"1\ L-€m/-7?•)'S€ Conte G4s� Art-4-t-4- Preferred notification method: Phone t/ Email Agent/Contractor: Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work(Additional pages may be attached if necessary): p,) -- Atvi I nx to C At - kyAC—� Signed(Owner or agent): Date: 1 F ( c( Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.) > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. For Committee use only: Date: ) c 1 q % Approved Approved with changes Dom. Amount 4C7 Reason for denial: APPROVED i Ca to.: / j li11L t i a Rcvd by: j ,i odip KINGS NRISWAk' Date Signed: 7 Z///7 Signed: (2 e0C---7...4....„..,„,*✓ APPLICATION#: i 9.L=io 6 7 vs.son • • a ; • , t • • II 1/9- a ¢e -- ` / /sue ' = � y > }� \ • . ` ��. • • .N.A/TES .. - • 1. a3,9C SQ F-r \c, • �Z �; : • Fo0NDATio. . ' \• • • :DEL -,,e7 -R T.Fe.R -K� - .�iir '' /� , *ELEI/ TONEjaP. t �gT! , •ct 4• . 1> • \)itrt\.\\\' . . hrivTItQ1aM E.:kELJSY CO. S • . z` K 'C , r.:,u :LAND'SURVF:YOR , , OL ,ii y 7. - •,. t:: 3y 0. v • • •CERTIFIED 11. PLOT PLAN ' ' It SO ••, i,• OisC4 �� a • LOCATION : .y•f��' TW, . , .' r t��nOUTt 1 • :SCALE' .:t:#._,<1G+ .- DATE. cam/•/•/9;73 ;. • .▪ ... 4 ,i r 1^!G' ahivKA112" "et �4I •• PLAN REFERENC /' LGT _� • • :.i• I. _-: OLI► ,� ....OM A.zoa cJ ... " u,�ry�s lQN cr.::• , - t, F .• • .I: CEJV 1 , ' .ThMZ v:L5' ?UE R. W ...:, a au • • I CERTIFY THAT T% tcit-V •nc.)SHOWN :' '=- ;.; • ON THIS PLAN IS, LOCATED ON THE GROUND:: • ''TOWN C-L 2k<. - •AS�S`HOWN HEREON AND THAT IT CONFORMS TO • ' SO.UTHdYAAMOUT . M/1 - • • - THE •ZONING ',LA S OF THE :TOWN OF , • •i -> . •.' : ::'•• - . 06441'DATE. 1HEN14ETITIONER:. T.E�t - r: /A E4.Y • A/./ URV � .. •-r '� ', ._ -'---•---I`-_ 1! /9—` 4'7 •_