HomeMy WebLinkAboutBld-20-002578 .Cif*Ydli TOWN OF YARMOUTH Building Department BUILDING
lippik'tr (508) 398-2231 ext.1261
0 _,v .;, PERMIT NO :BLD-20-002578 PERMIT
V' „„, 7, •s " ISSUE DATE :11/04/2019 JOB WEATHER CARD
APPLICANT •HENRY CASSIDY PERMIT TO New
AT(LOCATION) 1 MERGANSER LN,WEST YARMOUTH, MA 026 ZONING DISTRICT JR-25J Bldg.Type: Residential
SUBDIVISION MAP BLOCK LOT 049.210 BUILDING IS TO BE: CONST TYPE V B—I USE GROUP R-3
CONTRACTOR
REMARKS Repair-Install Insulation(508-775-1214)
LICENSE 153567
Home Improvement
CAPE COD INSULATION, INC 1
HENRY CASSIDY I
18 REARDON CIRCLE a
AREA(SQ FT) ILL436,427,640. EST COST($) 2500.00 PERMIT FEE($) 35.00 ISO.YARMOUTH, MA 02664 11
OWNER Petar Ralinoski BUILDING DEPT BY
ADDRESS CUNNINGHAM JOSEPH P, 1 MERGANSER L
WEST YARMOUTH MA 02673 - PHONE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET A R SIDEWA OR ANY PART THEREOF, EITHER TEMPORARILY
OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, N T SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE
APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE
OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM
THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE
CONSTRUCTION WORK: 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL SEPARATE PERMITS ARE
FOOTINGS.2)PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE. REQUIRED FOR ELECTRICAL
MEMBERS(READY FOR LATH OR FINISH WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBING/GAS AND
COVERING)3)FINAL INSPECTION BEFORE REQUIRED,SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS.
OCCUPIED UNTIL FINAL INSPECTION HAS
OCCUPANCY 4)REFER TO DETAILED INSPECTION BEEN MADE.
SCHEDULE
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTIONS APPROVALS
OTHER: I
WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD
UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN CAN BE ARRANGED FOR BY TELEPHONE
APPROVED THE VARIOUS SIX MONTHS OF DATE THE PERMIT IS ISSUED AS OR WRITTEN NOTIFICATION.
STAGES OF CONSTRUCTION NOTED ABOVE.
V 44
p 1Permit#
r: •
(per �,/.-y Amount `,6_�
ATTA H esC )
c '40.,..0 s'e,O Permit expires 180 days from
issue date
j Cb-2D-&S 7
EXPRESS BUILDING PERMIT APPLICATION
TOWN OF YARMOUTH 1 R r � p ,_
I armouth Building Department 0
1146 Route 28 I
South Yarmouth, MA 02664 1 1 Na 'l 4 /G'j
(508)398-2231 Ext. 1261 e;�
CONSTRUCTION ADDRESS: / //li e lBQ/vXa-/e x.N
ASSESSOR'S INFORMATION:
Map: Parcel:
OWNER: /V' ''i—,9/e �<1,I/ tov. '/
NAME PRESENT ADDRESS TEL. #
CONTRACTOR: .7717r �p//41.S1:42, '/e9/(I /9,,egd p ,r� C//e �//�%� UU 7lL �J•�2 7i% 2'
NAME MAILING ADD / TEL.#
Residential 0 Commercial Est.Cost of Construction$ (i-23 Q. O
Home Improvement Contractor Lie.# /`4.--' Lj‘ 7 Construction Supervisor Lic. # /B Q 9 8'
•
Workman's Compensation Insurance: (check one)
0 I am the homeowner 0 I am the sole proprietor 'I have Worker's Compensation Insurance
Insurance Company Name: /9TIIIAIJIC C4%/€j/� Worker's Comp.Policy# G1 r/ems 0/3 L.9 Q
WORK TO BE PERFORMED
Tent Duration (Fire Retardant Certificate attached?) Wood Stove
'Siding: #of Squares Replacement windows: # Replacement doors: #
Roofing: #of Squares ( )Remove existing* (max.2 layers) Insulation '
- Old Kings Highway/Historic Dist. ( )Replacing like for like Pool fencing
•
• *The debris will be disposed of at: 7g,,e/.0/cf)2.--'' '�v
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 rev cation ofmy�licens and for prosecution under M.G.L.Ch.268,Section 1. >> q
Applicant's Signature: �%/ G�%_ Date: /4 � !
Owners Signature(or attac nt) ®®® Date: p
Approved By: `� -?- :-/ I I Date: /��'�
Building tci or designee) EN DRESS:
Zoning District:
Historical District: 0 Yes 0 No Flood Plain Zone: 0 Yes 0 No
Water Resource Protection District: Within 100 ft. of Wetlands:
0 Yes 0 No 0 Yes 0 No
"Oft Permit Authorization
mass save Form
frro yr lialtKve.04V
Site ID: 3879431 Customer: Petar Ralinovski
FI, Z U 0 U S ,owner of the property located at:
(Owner's Name,printed)
1 Merganser Lane West Yarmouth, MA 02673
(Property Street Address) (City)
hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed
below to act on my behalf and obtain a building permit to perform insulation and/or weatherizatlon
work on my property.
Owner's Signature:
Date: /
FOR OFFICE USE ONLY
We have assigned the following Mass Save Home Energy Services Participating Contractor to the
above referenced project:
C2� Ca8 i rNl
Participating Contractor Date
Name: RISE Engineering
Phone: 401-784-3700
Email:
Page 1 of 1 For Office Use Only
Rev.102015