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. i i 1 / ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department : "y., 1146 Route 28,South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ‘;;;t;§H Massachusetts State Building Code,780 CMR • Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use 0 Building Permit Number: 8 LD-a3 -OU N 7 in Date Applie . , R E C E ! E D \ ip c�c 5 _l -,/ 1 13 '- _..._ Building Official(Print Name) Signature FEB,a2 3 2023 SECTION 1:SITE INFORMATION • 1.1 Property Address: BUILDING DEPARTMENT i D , R.: ✓r �� 1.2 Assessors Map&Parcel Numbers By. 1.1 a Is this an accepted street?yes y no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public l ' Private 0 —Zone: Outside Flood Zone? Municipal 0 On site disposal system ®' Check if yesEr SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: / f DsMI /I, L /ileti Jn; / t tv. 1OFTs 44>k Name(Print) � City,State,ZIP G i o 9,5" 11 ,4/ /41744 a(`"' 2//3-53I- lktJ5 'J/r'lihics)h/,,,. eA.) `,,,,9,4e..›,1-1 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building 0 I Owner-Occupied 0 I Repairs(s) );Q Alteration(s) 0 T Addition 0 Demolition ❑ Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work2: N ) ,I o{ r^ i £ .i a P , c?,tJ ai /b,"r 9 � ©© r'44 a SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) Nif SD 1.Building $ 0 c o , 1. Building Permit Fee:$7 j Indicate how eetkr er in 2.Electrical $ — DI Standard City/Town Application Fee 1. pr'- - 0 Total Project Cost3(Item 6)x multiplier x 2 Vin 3.Plumbing $ — 2. Other Fees: $3 7,de) t 4.Mechanical (HVAC) $ — List: / _ I D . BUI� 5.Mechanical (Fire $ y Suppression) Total All Fees:$ Check No. Check Amount: Cash oun 6.Total Project Cost: $ t,•, -0 L' 0 Paid in Full El Outstanding Balance ue: C, a� J ' \ t SECTION 5: CONSTRUCTION SERVICES 5.1 Copsrtruction Super is L else(CSL) 06�7 j� Oi License Number Expiration Date Name of CSL Holder 1 7 t-cou tt- fie List CSL Type(see below) No.an Street �� Type i Description j/�O i - MO, 0 10 57 U t Unrestricted(Buildings up to 35,000 Cu.ft.) �ty/T'own,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC I Roofing Covering WS Window and Siding g� 6 F Solid Fuel Burning Appliances 7 7 "'7— b�"' J-!`C(�`O�e),`/` (j'G�1'4,C Insulation Telephone Email address j D I Demolition . 5.2 Registered Home Impr ve alit Contractor(HIC) HIC Con any•Name or HIC x,eg strant Name ) HT egistration Number Expiration Date {i No. trees rik,(1- ( 16 of Y 7 ��r3,-537 7? Email ddress City/Town,State,ZIP Telephone ✓ SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERNIIT I,as Owner of the subject property,hereby authorize 2 -( vc g v r �J to act on behalf,in all matters relative to work authorized by this building permit application. D/"1/;hi ,- A ,�u�, , Print er's Name(Electronic Signature) Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information conta in this application is true and accurate to the best of my knowledge and understanding. 07177/2/( // `/``/ .— .L 2 e)z 3 Print Owner's or Authorized Agent s Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.nov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • The Commonwealth of Massachusetts . L Department of Industrial.Accidents _ M�� � 1 Congress Street, Suite 100 'f� t. Boston,MA 02114-2017 r4.\'."•` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH TUE PERMITTING AUTHORITY. Applicant Information r ( Please Print Legibly Name (Business/Organization/Individual): Ro 1, (\ ey),,p ��I �� / C—I J Address: - � .5n " /fo 1\ }� ('a l� l J City/State/Zip: tit96,S Of\ 0 {0, 0f0 r)Plione y/3-,e5 3 7 7 MO Are you an employer?Check the appropriate box: Type of project(required): l.Rl am a employer with I employees(full and/or part-time).* 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in • any capacity.[No workers'comp.insurance required.] 8. [ Remodeling 3.0 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]ElectricaI repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per iMIGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'co/npensat' n insurance for my employees. Below is the policy and job site information. 1 /Insurance Company Name: PICSOC.J/°\.P' �"r�L J! c s s Policy r;.-'or Self-ins.Lic.#: Lk)C,C SOC SP a ` i] Eiiiration Date: Job Site Address: /6` ' fit' 6 f f" / . City/State/Zip: Oyd`f'I0c f1\,, 0\ • Attach a copy of the workers' compensation o icy declarationpa ge(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ider he p 'is and of alti of perjury that the information provided above is true and correct. Sisnature: /1✓ Date: A/ 3 �':,S Phone#: cp3 J 3 -. ,Q" 111 7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# . Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: A DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/3/2023 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 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 endorsement(s). PRODUCER CONTACT Debbie Mac Neal, Ext 105 NAME: Foley Insurance Group Inc. PHONE No.Extl: (413)214-7474 FAX No)_ (413)214-7447 37 Elm Street E-MAIL dmacneal@foleyinsurancegroup.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# West Springfield MA 01089-2703 INSURER A:Vermont Mutual Insurance Co. 26018 INSURED INSURER B:Safety Property and Casualty 12808 Robinson Remodeling LLC INSURER C:Associated Employers Ins Co. 283 Lower Hampden Rd INSURERD: • INSURER E: _ Monson MA 01057 INSURERF: COVERAGES CERTIFICATE NUMBER:CL232316545 REVISION NUMBER: 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 OR 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 PAID CLAIMS. INSR TYPE OF INSURANCE ADDLHSUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMI3ER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR PR TORENTED PREMISES (RENTED occurrence) -$ 50,000 sP11058383 10/23/2022 10/23/2023 MED EXP(Any one person) _$ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENII_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 PRO- JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ (Ea accident) - B ANY AUTO BODILY INJURY(Per person) $ 250,000 ALL OWNED X SCHEDULED 5913639 6/12/2022 6/12/2023 BODILY INJURY(Per accident) $ 500,000 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? Y C (Mandatory in NH) WCC50050236202022A 11/2/2022 11/2/2023 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ($ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION dominicmaloni@hotmail.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Dominic Maloni THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 11 McIntosh Drive ACCORDANCE WITH THE POLICY PROVISIONS. Wilbraham, MA 01095 AUTHORIZED REPRESENTATIVE Brian Foley/DMACNE C/^'�o� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-223!1 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at / 0 1 GA( Work AddVes Is to be disposed of oat the following location: d u/kp. tP� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. Signature of App ication Date Permit No. _ -„ 0 (in ,.... 0 0 . ocoo mi co too tri- ,,,, ,,- . , al ((.,,) 0 m 0 .., Q. 0 km) 44 . 2 oits* (4./ 2 0 m0 4#1/144 4105, A.) „..,..,,,,,. ..... r-, ,.., ..... .., 0 ) a 0 MOW , o= • , 4.410 )1' tk t" ,.. X r' ,....... ,',',•, „ , ,,. 06100., ' '•0,4T:%' '4I.,,';',.:1: -,*.' , '',£*31. :It' ' CV •., 0 .., .....1 ,.... \ (11 *few Nor i 0' '1°4, :, .',,,*-,.;'' • ,,,.. ,,,,, , , SZtx.* 44r* , w rem' n 4110.. 'Sji0 Ve( 1 404,14 WNW 4r ct, . e...... , 0.4. ..,.. 10 ,v .--,-.- - ,,,„, „,,,,,› , ,,...: ,, •!'q ail • ..*1 ct. . ,.... PO ‘444.4 .....„,„,. <„,, , '1.::01.•" '''*‘,1-1'-'"':-. '''''711"7'Fr-7'4* ....,'4',!22''..,,?,, • * ,., At' , ' 4 ,. -','10/414''''''''-;,,,,,,,'''','''''', ,.- -.., , ,, „,,,,,,.4,, ,'',,, /tle,';',7,-; ''' ''''-'' •'^ ...., "!‘!'''11:;;;'4„iA',,,;'4,`?,,,S,' ,,,,',''',",e'' '''' °X., -- ''',, -,.',,,-,,' -„rt.2• ,, Registration Lookup To search by registration number, enter the 1. istrtion umber in the textbax 13 - la click „„. t e 'S arch' button. PI - • se note pr .i. ss,1 * E it - r - v xifl ci r fie' s. Search by Registration Number Search St Chr the "Search Registrant" butte n to search y na e or location. Pleas - note pre the Eitr k .y iiU cIar s • Search by Registrant Company name Search Reg stiant Search by Registrant Last name Robinson Search by Registrant First name Steven City/Town Monson State Ma Zoo code 0,0 CliC on the registration nu ser to view co plaint history. You can also view 011•11111111111111111111111111111111111111111111111 arbitrati on and Guaranty Fund hi or Th list is current as of Thursday, February 23, 2023. search Results RegistrantName RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATU• INDIVIDUAL NUMBER DATE ROBINSON REMODELING ROBINSON,STEVEN 145920 283 LOWER HAMPDEN 03/10/2009 Expired — RD Mt'SQRMAO1Q57 - 3TEVEN ROBINSON ROBINSON,STEVEN 167802 283 LOWER HAMPDEN 12/15/2024 Current RD MONSON,MA 01057 3/10/23, 12:53 PM Mail-Sears,Tim-Outlook 101 Route 6a Sears, Tim <tsears@yarmouth.ma.us> Fri 3/10/2023 12:53 PM To: rremodeling@comcast.net <rremodeling@comcast.net> Steven, I have reviewed your application and there are some items needed. /Copy of CSL & HIC V/2 copies of framing plans including footings '13. Water Department sign off in new footings are needed Please submit these items for review This email is considered a written denial of your permit application per Section 105.3.1 of the Massachusetts State Building Code. Section 105.3.2 states in part that "an application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith" You may appeal this denial to the Building Code Appeals Board in accordance with M.G.L. c. 143 §100, within 45 days of this notice. Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsfyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQAP8L4N081TIGpZyvcp35... 1/1 v•Yq {.o , .� TOWN OF YARMOUTH ° HEALTH DEPARTMENT I< tt PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant:Building Site Location: 101 kauk__ 6 4 yrmd Po-r-3( Proposed Improvement: Re,b(,(,, I 4 s l ou_ a_ Ley V 1 C Applicant: b d VYj j li (L' // [C{j, ( Tel. No.: I 1 v 5 p l Address: f 1 1C I fl 7L0r l r Wi/ f//10) 5Date Filed: "If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: bo m j / ni Owner Address: ek, v vis Owner Tel. No.: RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, OC1CD and septic system location; — (2.) Floor plan labeling ALL rooms within building FEB z 3 2023 (all existing and proposed)— HEALTH DEPT. Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer fee. REVIEWED BY: DATE: /7cA 3 P EASE NOTE COMMENTS/CONDITIONS: To\‘.'N O vAR\to()T 11 ,047.47 • A 0 WATER DEPARTMENT 40 99 Buck Island Road Nest Yarmouth. MA 026- Telephone 1508) 771-7921 • Fax: 1 '081 771-799ti BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION; 1 o 1 \64•Pre (A / • PROPOSED WORK: eC ret fr( APPLICANT: ; ADDRESS: 11 Al(../— 4111).k b /0 TELNIONE: /-t.,z/5". RESIDENTIAL AND IOR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or existing location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Act: i e. If lot(s) border any type of wetlands, streams, ponds, rivers,ocean, bogs, boys, marshland. ETC... I lealth Department: Determines Compliance to State and Town Regulations, i.e. requirements for Septage Disposal and oilier Public Health Activites Fire Department: Determines Compliance to State and Town Requirements for Personal Safety, Property Protections, i.e. Smoke Detectors. Sprinkler Systems,etc 2 -2 3 PLICANDSrGINAIURE DATE OFFICE LSE: COMMENTS ON PERM II APPROVAL OR DENIAL REVIEWED BY WATER DIVISION(SIGNATURE) VI E 4111fr • YARMOUTH TOWN CLERK o TOWN OF YARMOUTH ' 3MAR2pr : REC 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ' . Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 EC $D KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE -Cc! :1 3 ` `== APPLICATION FOR Ylir a CERTIFICATE OF EXEMPTION ril ar HIt NvyAY 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: 101 Route 6a, Yarmouth Port Map/Lot# P l'i a Owner(s): Dominic and Meggan Maloni Phone#. y/ - 3)—/a LS- All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 11 McIntosh Dr Wilbraham MA 01095 Year built: 1834 Email: dominicmaloni@hotmaii.com Preferred notification method: X Phone Email Robinson Remodelin 9/3 Agent/Contractor: g Phone#: 53 �O Mailing Address: 283 Lower Hamdpend Road, Monson MA 01057 Email: RRemodeling@comcast.net Preferred notification method: Phone ® Email Description of Proposed Work(Additional pages may be attached if necessary): Repair side deck and roof overhang from years of rot/weather. Reusing most floor boards if possible, if not matching with similiar floor boards. Signed(Owner or agent): Date: rl ➢ Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.) > 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: 91 f,?.. Approved Approved with changes Amount Reason for denial: CashICK#: 15 5 Rcvd by: Date Signed: Signed: APPLICATION#: V62011 3,14/23,2:52 PM ()Tice of Consumer Affairs&Business Regulation-Mass.Gov 7:,..-.,-,..,„ . t',: 97 ' Mass.gov \ MNIONIIIIIIMIIM e., .0 e"4* '''''''4A ' 1-,"' I • I IC' '46' ° "1 ' ' 11 ' tj1114;119) . . ,i'A 1 .,t,,0„,„ ..„„, :,..„„„ , -„,! ' -"i . 9, ..eS.,,,4 ,610,._„,i, rc,- rinci lot . . inokr,, o ,s. i'A. I, A ia,,,,Ai. k *A., -Ame# 1 — ;- . v ', 41 - A J , 1 , I R) HIC Registration Complaints Registration # 167802 Registrant STEVEN ROBINSON Name STEVEN ROBINSON Address 283 LOWER HAMPDEN RD City, State Zip MONSON, MA 01057 Expiration Date 12/15/2024 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ' https://services.oca.state.ma.usticilicdetails.aspx?txtSearchLN=167802 I ---,11.11.111.41 ..... .. :. / "'a^ r"*. g IN cr t— .,.. r y� f g i 1 W ....:.i..., "via.`." "'°.p. c...* -ri,„.,...e:::,, (.4) :5 - I 7 A r 3I14i23,2:52 PM Office of Consumer Affairs&Business Regulation-Mass Gov �ass.gov 4_ .. I l �.,. A r CA 41 ,AT LA t Lit HIC Registration Complaints Registration # 167802 Registrant STEVEN ROBINSON Name STEVEN ROBINSON Address 283 LOWER HAMPDEN RD City, State Zip MONSON. MA 01057 Expiration Date 12/15/2024 Complaints Details .h::s A i k.a£t n: n. i„J 4"%i .i �� £C; s e.,y You can also view arbitration and Guaranty Fund history. sack To Search https:;iservices.oca.state.ma.usfhicJlicdetails,aspx?txtSearchLN=167802 • • Ceti D t Ot r_s v‘e-il e a . O Y, � TOWN Or YAR iOuT1i (1 WATER DEPARTMENT 4 9m#Bud, Island Road West Yarmouth. MA 0267.1 Telephony c5t)8i 771-79n + tax, 1508) 771-*9 BUILDING PERMIT APPLICATION FOR WATER DEPARTMENT SIGN OFF TRANSMITTAL FORM BUILDING SITE LOCATION: 0 I j6,4 "A r P f )4 PROPOSED WORK: e(►t re u>t ki APPLICANT: ADDRESS: ._. I I ..tikrXti 54 b get,44 en cy TELPHO }E: .._.. RESIDENTIAL AND OR COMMERCIAL BUILDING Water Department, Determines Compliance of Water A+ailahilit) and or existing location ngineering Department- Determines Compliance for Parking and Drainage f~unscnation Commission Detcmuncs Compliance to Wetlands Act: i e If lots)border any type of uctlands.streams,ponds,rivers.ocean, bogs,h ys, marshland,ETC Health Department. Determines Compliance to State and Town Regulations,i.c. requirements for Septage Disposal and<+ihcr Public health Acu%itcs I=ire t)epanment: Dclennincs Compliance to State and Town Requirements for Personal --. Safety,Property Protections, i.e Smoke Detectors,Sprinkler Systems,etc l.ICAN GN `RE DATE OFF ICE t SE:COMMIENTS ON PERMIT APPROVAL OR DENIAL. 46W, REVIEW D BY WATER DIVISION(SIGNATURE) 2 z3 D TE •••S �,, ..„v - ,, .1 „: : ... :::::: - - '.: • .a- -.. 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