HomeMy WebLinkAbout22-E031 42 Early Red Berry Ln ApprovedEC TOWN OF YARMOUTH
.� 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
MAR 2 4 2O Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836
VAHMOU'i H OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
<ING'S HIGHWA'r
APPLICATION FOR
CERTIFICATE OF EXEMPTION
Application 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:
Address of proposed work: ;to ISL �t�i�— Map/Lot #
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Owner(s).L&�� Phone #:.. 0 __e&6f
All applications must be submitted by owner or a�ccc�ompanied by tett r fro owyr approving submittal of application.
Mailing address: � &I_ , Year built:
Email:,Q C d /, e G✓l/i Preferred notification method: Phone Email
Agent/Contractor:
Maifing Address:
Email: V'fAtOZz,1 � y1ir,G�h('`��2�/�rrgd.notificationmethod
Description of Proposed Work (Additional pages may be attached if necessary):
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Signed (Owner or agent): Date: '
Ownerlcontractortagent is aware that a permit may be required from the Building Department. (Check other departments, also.)
D 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: � � y ;�1
Amount O` V . w
Cash/CK #: r6sh
Rcvd by: L' 5'
Date Signed 271?
V5 2017
__V/Approved Approved with c
Reason for denial:
PPR�1�
Signed: em z 0,..,,_..—
APPLICATION# 6_0� i
Sherman, Lisa
From: RICHARD GEGENWARTH <r.gegenwarth@comcast.net>
Sent: Thursday, March 24, 2022 2:52 PM
To: Sherman, Lisa
Subject: Re: 22-EO31 42 Early Red Berry Lane
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.
Shed design and location are good. l approve.
Richard
On 03/24/2022 9:50 AM Sherman, Lisa Asherman @ yarmouth.ma.us> wrote:
Hi Richard,
Please see attached request to construct a shed at 42 Early Red Berry Lane. The
shed colors will match the house.
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 2 4 2022
YARM001 H
I ��_ 6r31
TOWN OF YARMOUTH
p " y 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
E^ Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMTTEE
WAIVER OF 45 -DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such
application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 -Meetings, Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (45) days
after the filing of application, or within such further time as the applicant shall allow in writing,
the Committee shall make a determination on the application. "
Applicant understands that the review of
situation allows.
Applicant/Agent Name (please print):
Applicant/Agent signature:
�ECEIV ED
MAR 2 4 2022
Y AnNIOU �i_ i
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will/he scheduled as soon as the
MAR 2 4 2022
YARMOUTH
Application #: ;P-EO3(
312020
RECEIVE]
MAR 2 4 2022
YAHMOUTh
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MAR 2 4 2022
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A6;� MARDATE tMMIDDIYYYY}
CERTIFICATE OF LIABILITY INSURANCE 10/29/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
Marsh &McLennan Agency LLC
100 Front St, Ste 800
Worcester MA 01608
APPROwn ;
MAR 2 4 2021.
cONTPF2CDUGER
NAME:
P>{aNE
c o E t • 888 850 9400 alc Nn : 8fi6 795 8016
nMaREss: M?,AA.NewEn fand.CLines mamhmc.com
INSURERS AFFORDING COVERAGE NAIC`a
INSURER A: Associated Industries of MA Mut Ins Co 33758
INSURED YARJVIOu (i"� MAIESCONST
Majestic Construction, Inc OLD KING'S i-IIGHVV,
344 John Dleisch Boulevard. Unit 14
North Attleboro MA 02763
INSURERB : Phoenix Insurance Company 25623
INSURERC : Travelers Prope5y Casually Ce of Amer 25674
INSURERO: Charter Oak Fire Insurance Company 25615
INSURER e: Travelers indemnity Company 25658
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1198981898 REVISION NUMi3EK:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT (3R OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS.
INSRL7R
TYPE OF INSURANCE IADDI,ISUBR
I
POLICY NUMBER
kPAID
MMIDDYIYYYYEFF
ii
PMJDDNYYY I
umas
S
X COMMERCIAL GENERAI.LIABILITY
6HIS3292
1111/2021
111112022
EACH OCCURRENCE 51,000,D03
PREMISES lFa occurrance) 5300,000
CLAIAIS-MADE OCCUR
{
MED EXP (A one person} I s 5.000
PERSONAL & ADV INJURY S 1,000.001)
GEN'LAGGREGATEUMITAPPLIESPER:
ICL�t LOC
POLY � jE0
OTHER:
GENERAL AGGREGATE S2,o00.000
PRODUCTS -COAIPIOPAGG 52,000.000
s
E
AUTOMOBILE LIABiLrrY I
X ANY AUTO
7N366936
11/1/2021
11/1/2022 I
2,1.16aINdEO SINGLE LIMIT S 1.000,D
IEa a^ept OD
BODILY INJURY (Per person) 15
BODILY INJURY (Per ecodmt) S
—
OLVNED SCHEDULED
AUTOS ONLY AUTOS
HIRER NON -OWNED
AUTOS ONLYHAUTOS ONLY
PROPERTY DAMAGE S
Par acc'rdenl
5
C
UMBRELLA LIAB OCCUR
BJBD6103
111112021
111512022
;ACH OCCURRENCE S 14,00D,000
AGGREGATE S 10,OD0.000
HX
HX
EXCESS LI4AR CLAIMS-MADEI.
f
I DEOX_1 RETENTION S
Is
A
-1
WCRKERS COMPENSATION1
AND EMPLOYERS' L#ABILITY
ANPROPRIETORIPARTNERIEXECLrTIVE Y
800718€1
1ill 12D21
11/112022
X I STATUTE I OERP
E.L. EACH ACCIDENT 151,OD0,000
E.L. DSREASE -'eP. EMPLOYEE S 1,000,000
OFFICE'L"IEMBERFXCEUDEO?
(Mandatary in NH}
NfA
E.L. DISEASE - POLICY LIMIT S 1,000.000
II yes, describe ,order
DESCRIPTION OF OPERATIONS be?ow
D
Equipment Floalcr
6608H695925
111112021
I 111112022
Rented) Leased From $100,000
Others
DESCRIPTION OF OPERATIONS 1 LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If mote spacers required)
RE: Burlington Woods -1 &3 Burlington Woods, Burlington, MA 01803
MG Burlington, LLC., Griffith Properties, LLC, CBRE, Inc., and CBRE Technical Services, are included as additional insured as respects the general (ability and
auto liability if required by written contract. Waiver of subrogation applies in favor of the additional insured as respects the workers compensation if required by
written contract. The umbrella is follow form -
MG Burlington, LLC
cIo CBRE, Inc,
3 Burlington Woods
Burlington NIA 01803
SHOULD ANY OFT HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHOnrXED R_ EPRESENTATFVE
W Ivoondy I F4l.vr%Lr r,,, .---
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD