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Bld-20-002371
ID/3 te "Y4 TOWN OF YARMOUTH Building Department V (508) 398-2231 ext.1261 BUILDING -0, IL .0 3 � 4< PERMIT NO BLD 20 002371 PERMIT ce "* s �, F `' ISSUE DATE 10/30/2019 JOB WEATHER CARD APPLICANT Kathleen N Yerkes PERMIT TO : Repair AT(LOCATION) 398 LONG POND DR,SOUTH YARMOUTH, MA 0 9 ZONING DISTRICT - *1 Bldg.Type: Residential SUBDIVISION MAP BLOCK LOT 069.39 j BUILDING IS TO BE: CONST TYPE «r USE GROUP l _re., CONTRACTOR REMARKS Repair-Shingle siding,entire house , 1 } Deck painting,3 locations LICENSE 104167 _.. ..._I I I 'Construction Supervisor 11 1 r IChristopher Yerkes 32 Beechtree Drive ro 1Brewster,MA 02631 1 AREA(SQ FT) 436,427,640.1 EST COST($) 29500.00 1 PERMIT FEE($) 50.00 L OWNER MARTONE BARBARA R TR 1 BUILDING DEPT BY I ADDRESS MARTONE REALTY TRUST II a 16 GRANDVIE ' [WAKEFIELD A 01880-3657 PHONE ., THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT 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. The Commonwealth•of1l r ssachusetts ',:i ,v, �'el:. Department.o,f`, str%alAccidents 1� 1 Congress Street,a r e 1 M0 R Bosion,�0.2114- f117 ,,;, wwl,mass; ov/dl'a Wor ers'Compensation Insurance Affidavit:BuildersjContraetorsiElectrieians/Plumbers. TO'BE SIZED WITH PERKati,,ING ALITHOO;12ITY. " A,pplica-ntInftrmation. Please Print Legibly ame(BuslnesslQrganiiano%ifIntIividaal)? �;•,Z :(j< -{J C \s! {�' ' Address: �} , r, City/StatZ1p , on :°c- r . ' ' Are you an.employer?Cheek the appropriate bexs Type ofiproiect;(required}: I. am.a employer'with. - employees(full-andtorpart e),* - 7. New construction 3.E1I-am-a-sole proprietor-or partnership and have°no employees working'for me in 8. emodeling any capaeiy;[Na`ivorkeis'oornp,insurance required.) 3.Q r ain.a:homeowner doing-all•work myself,[No wow'comp;-insurance required.J.t 9 �-r:De ►olItion 4,0 I ain a`homepwner and will be luring contractors to conuct ail work on roc 10 `Building addition m5'�P property. I�.wiIl ensure that air_contractors either have workers'•compensation insurauee or are sole 11.El Electrical repairs or additions Proprietofswith-no employees 12:.0 Plumbing repairs or addi�itions 5 I am.a general;contractor and T have'hared thub-contractors listed tlre attached sheet Tom. `Roof Tap irs These sob-contracto s have employees ansi have workera'co3np."inon- surance t 5�We are a corporrtion and its of icers grave cxeressed tfteirz ght o1 e emptian per,MGLc 1 .©:Otl1er , ' 152,§l(41 aridwe haven employees [No workers'ramp inseiiance-reginred j, "Any apphchnt the;checks box#1 must aiso'fill outdo*:sectkn beloyr dxt�swusg tho rworkers compensatiOn:policy information. f Iosneowners who su t*,,,,* ViGmdic 'na Beet a3I work a d"t i hI outside cc rthrcors must submit a new,affidavit indicating.such. : tContractorartliateher r sk bQX oust attached s6ov+�r g he x e of the sub,contractors and state whether or not those entities have employees Iftile s}l contra'tdrsjhave empl. ' ` Y „4.1ii*de yra cthp policy,m mbar., ram an employe &at rr' rovrdtreg.*.0:e v crarrrp isu suruiu;e rir ny ptvyees: Betvw is the policy and job site bforination. Insurance-'Company I�laine `> �. Policy. or Self it s Lie W � -- Expiration:Dater LQ' '-411 . r�jj ;lib Site A ddr ss !k`-- � b City/State/Zip ''- ,/r/1 1 `' ,Attach a copy of the workers'co 'ensatkm policy d a anon page(showing the policy nd.ritt ir'an l'expiration;date). Failure to"secure cciverag:e;as required under MGL.c lS2',§ Ais<a crimi aal,Violation,punishable:by a fine up to'$1,500.00 and/or,oneryear impri'soninent,as'well civil pet#alties it th form of a S OP WORK:ORbER:and a fine of up to$250:00 a stay againstthe v+iol"ator.;A copy oftashi-s statement:may be forwarded to the Off`ce of Investigations of the DIA for insurance coverage verifcation. I do hereby certify. ri the pains penalties of per ' acme `iyi utio ipro ded above is true and x<orr et, signature: Date: : 'Offielnl.use oly .no notwr'ite:irt this.area,to be completedby city:or:towit official CityorTown::, OlokitnifOonse# Issuing:'Authority(circle olae) . ' I.Board of Health 2.'Buildii Department: 3 City/Towri ierl 4.Electrical Inspector;5:P umbing Inspector 6..Other - G ct Person:.. „ _. - . Phone ; A--''.-„'11-',4-'3-$d 0 s differ rzr c rlor is - dStain:` ll exposed concrete *j 'zll'e `r a � s zznt if all three jc bs are chose pt3 total).Discount to be -fake*, send of e ob� 1 U �' e acem repair work,or other ektra wok ofany kind;,that is not included �' ��ld parately at our-,.:_szzdrd � 75/lir. lUr � ° on mats,o by seliat tit . NT Cedarwor 1I chea •ts to•remove any and t all precious�� gs frro 'walls<and ceilings before a work 1 itemscan be re-hung sre-set�1:a rt� l as completed. Soule typica•l rte z ca d r lode,but not . limit h tutors,▪ pies wall hangings,glass or fragile objects,breakable'items.and sbely .' edaro� Inc.will not be held liable for�a'ny da tage incurred for the t. 6 reasonsb 'e. s'i ng this contract,,the client,agrees that tlie�r'"have read � pagree tt b � harm ss, greement. tre a posit do with a signed,contract c requir a j1- progress b �balance due atjob eompletiou .any balance iziitzg; tlzzrty d y �co▪mpletionczl fob ill he`subject to a 5%interest charge. ` CONTRACTAGREEMENT: :;,,,,,:',' I/we agree to th a iv cork described,and to the terms asset within this contr ict on. 1•0/ SJI Cl en der s there:wil be;norrn 1.wear .and tear on•grounds luring, . �� 1. �3 , �s iGNEAr 4 -chi ��n parks,Ixac. ST I f3 � .� e ��o T3AT . { • grit `ham {� �S ("4 ^a f "F`.. to aavr �tV�n� uJm> �.Ya rv.a*.c4a�m&,v'r.::.2Yo-em im+.''Ju adL.vu�Mr:vr. n•-,•eS.v/''...pi'...vra,,., xvc �... ,. »..,.,...."«.. ... n..._, ,•e•ic AL# rni iY.lgtu" 1.s RCeTgG llr,6 Office of'Consumer Affairs-&Business Regulation HOM E'�IMPROVEMENT'CONTRACTOR TVPgCorporation. RegistratI n , Expiratlon 171S7 09/24/2021 CEDAR>1VORKS jislQ � GHRIS N.YERKES f l C BE Er TREE DRi >s x � + BREWSTER,MA 02631 Undersecretary „� Commonwealth of'r+assachusetts t Division of Professional tioensure Board of Building Regulations and standards Cons t 2 $visor GS-I04167 4'. cp07(0612021 CHRISTOPHER N YE irz.,,," lres: , 32$EECHTREE DR BRE D WS1"ER $ • � Commissioner f�,y�IJl' •��6 --..«:_. . /j