22-EB065 86 Eileen St Approved.O�•"t�
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I Permit#
Amount
Permit expires 180 days from
issue date
Vp SS BUILDING PERMIT APPLI LVED
APPROVE TOWN OF YARMOUTH
Yarmouth Building Department MAY 2 5 2022
MAY 2 5 2022 1146 Route 28
YARMOUTH South Yarmouth, MA 02664 Y tirslviJu
OLD KING'S HIGHWAY (508) 398-2231 Ext. 1261 OLD KING'S HIGHWAY
CONSTRUCTION ADDRESS: rr^ G J
ASSESSOR'S INFORMATION:
Map: Parcel:
NAME PRESENT ADDRESS PTEL. #
1' t
CONTRACTOR: 6 k h m eri l�+C•� �.I�• r
NAME ivIAILING ADDRESS TEL. #
�.Kesidential ❑ Commercial Est. Cost of Construction $ 2 50
Home Improvement Contractor Lie. # Construction Supervisor Lie. #—(\ S 1,0 5-9 L'
Workman's Compensation Insurance: (Sbeck one)
�] I am the homeowner V1 am the sole proprietor D I have Worker's Compensation Insurance
Insurance Company Name:
l� 17 r e P 'I
Tent Duration
Siding: # of Squares
Worker's Comp. Policy#
WORK TO BE PERFORMED
(Fire Retardant Certificate attached?)
Replacement windows: #
Roofing: # of Squares ( L Aemove existing* (max. 2 layers)
Old Kings Highway/Historic Dist. ( ) Replacing like for like
Lt V
5hlr�,�es an hzG(c
Wood Stove
Replacement doors: #
Pool fencin
Insulation
i rN`� t& ?1S� 7 't S- -,
*The debris will be disposed of at: s
Location of Facility
1 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. 263, Section 1.
Applicant's Signature: Date:
Z/ Zf Z
-)Owners Signature (or attachment)/ 1 Date: / .t h / Z AIP-
—
Approved By:
Building Official (or designee)
Zoning District:
Historical ]district: ] Yes No
Water Resource Protection District:
D Yes ;D No
Date:
Flood Plain Zone: a Yes �] No
Within 100 ft. of Wetlands:
L Yes _ No
ILS
Sherman, Lisa
From: RICHARD GEGENWARTH <r.gegenwarth@comcast.net>
Sent: Wednesday, May 25, 2022 10:53 AM
To: Sherman, Lisa
Subject: Re: 22-EB065 86 Eileen St
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.
Looks fine Lisa. I approve.
Richard
On 05/25/2022 9:42 AM Sherman, Lisa <Isherman@yarmouth.ma.us> wrote:
Hi Richard,
APPRQVEDI
MAY 2 5 2022
YARMOUTH
Request to replace shingles on the back roof of 85 Eileen St. Like for like; gray
shingles to match the current color.
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