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HomeMy WebLinkAbout22-EB027 22 Chase Garden Lane.y ! Office Use Only 7 $ ! Permit4 0. C � EAmount N "AT -T-. A ii 3Permit expires 180 days from issue date RECEIVEKESS BUILDING PERMIT APPLICATION MAR 10 2022 TOWN OF YARMOUTH Yarmouth Building Department APP YARMOUTH 1146 Route 28 OLD KING'S HIGHWAY South Yarmouth, MA 02664 MAR 10 2022 (508) 398-2231 Ext. 1261 Y�\RMOU'' CONSTRUCTION ADDRESS: Z' NGS Hf ASSESSOR'S INFORMATION: Lhas,c t'si a✓► �- Map: Parcel: OWNER: 2 11 ; •X3"3 6) NAME PRESENT ADDRESS TEL. # CONTRACTOR: 7),VPh1 11,1V "C"y m�/i Cir �.r C.-- — NAME — MAILING ADDRESS TEL. # /Residential ❑ Commercial Est. Cost of Construction $__� Home Improvement Contractor Lic. # © Construction Supervisor Lic. Workman's Compensation Insurance: (check one) ❑ I am the homeowner 11 I am the sole proprietor t�I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp. Policy#_����/�� Tent Duration Siding: # of Squares WORK TO BE PERFORMED (Fire Retardant Certificate attached?) Replacement windows: # Roofing: # of Squares -- —so (\/) Remove existing* (max. 2 layers) Old Kings Highway/Historic Dist. (� Replacing like for like 15 Wood Stove Replacement doors: # Pool fencing Insulation CQ�l�airM"eszZ _ l��z�'h2�W0.� *The debris will be disposed of at: ' Location of Facility I declare under penalties of perjury that fhe 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 revoca n of my license and fo prosecution under M.G.L. Ch, 268, Section 1, Applicant's Signature: Date: &Zz & 'z '' 2 Owners Signature (or attachment) Date: } Approved By: Date: Building Official (or designee) EMAIL ADDRESS: Zoning District: Historical District; C1 Yes ❑ No Water Resource Protection District: ❑ Yes 0 No Flood Plain Zone: ❑ Yes ❑ No Within 100 ft. of Wetlands: 0 Yes 0 No Sherman, Lisa From: RICHARD GEGENWARTH < r.gegenwa rth@comcast. net> Sent: Thursday, March 10, 2022 3:29 PM To: Sherman, Lisa Subject: Re: 22-EB027 Chase Garden P"tV Attention!: This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. You have my blessing. Richard On 03/10/2022 3:00 PM Sherman, Lisa <lsherman@yarmouth.ma.us> wrote: Hi Richard, Request to replace the roof at 27 Chase Garden, like for like, Certainteed Weathered Wood. Please let me know if you need any additional information. Thanks Richard, Lisa Lisa Sherman Office Administrator Old Kings. Highway Committee/Yarmouth Historical Commission Town of Yarmouth 508-398-2231, ext. 1292 APPROVED. MAR 1 0 2022 YARMOUTH