HomeMy WebLinkAboutTrench permit 2-42 PompanoM
TOWN OF YARMOT]TII
BUILDING DEPARTMENT
1146 Route 2E, South Yarmouth, MA 02664
508-398-2231 ext" 1261 Fax 508-398-0836
Permit Number 6t,o -23
Date lssued 0b /o /L/k
Expiration Date (L#,A gtlb
$50.00
TREI\CHPERMTT
hrrsuent to G.L. c. t2A !l end 520 CMR 7.00 et seq.(as
IIIIS PENMTT MUST BE EULLY COMPLETED PRIOB TO COIYSIDERA
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Name of Competent Person (as defined by 520 CMR 7.02):
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Massachusetts Hoisrins License # e tt C- tCg 6 C/ {
Grade:License Date:
BY SIGNING TIIIS FORM' Try_g-Plry4ryI, OWNE& AND EXCAYATOR ALL ACKNOWLEDGE AIID CERTIT'TTHAT TIIEY ARf, FAMILIAR WIIH, OR, BEFbRE CO_fril;XCTUMNT OT'UIE WORK, WILL BECOME EAMILIARwrrH' ALL LAws AND REGULATTONS APPLTCABLE io wonx ptoposED;Nai6nra osHA REGgLArroNS,G.L. C. 82A, 520 CMR 7.00. Ct SEq., AND AI\Y APPLICABLE MTwICTPIL ONON.{ANCNS, BY.LAWS ANDREGIILATIONS AND TrrEY co!'ENAi\iT AND AGREE THAiALL woRK DoNE uuonn rim prrurrr IssuED FoRig:[#"* wrLL coMPLY rrrEREwrrH nv nri-xnipBcrs AI{D wrrH-irfi c6NDrrroNs str FoRrH
TIIE UNDERSIGNED OWNER AUTHORI?ES TIIE APPLICANT TO APPLY FOR TIIE PERMIT AND TIfiEXCAVATOR TO I]NDERTAKE SUCH WORK ON TIIE PXO_PNNTY OF TIIE OWNER, AND AIfO, FOR TIIEDIIRATION oF coNsrRUCTIoN, AUTHORTZES PERS-NS DULy AppoINTEn st:Tilr MUMCrpALrry roENTER IIFON TIm PRoPERTY To MoNrroR Nl nlSincr rIrE woRK ron-coirr.orulrry wrrH TrrEcoNDrrroNs ATTACITED HERETO AND TIrE LAws auo nncr,r,.s.floNs GOYERTNG sucH woRK.
TIfi UNDERSIGI\ED APPLICANT, OWIIER AND EXCAVATOR AGREE JOINTLY AND SE\'ERALLY TOREIMBTJRSE TIIE MUIICIPALITY FOR ANY AND AT,i COSiS AND E)(PENSES INCURRED BY TIIEMUMCIPALITY IN CONNECTION WITH TIIIS PERMN ANN rrM WORX COTOUCTNP TIMNNUT..UNN,TNCLUDTNG B,r NOT LTMTTEDTO_lyOl-gr!] TrrEnnqumm*Nrs or srnrr r,.q.waro coNurrlolls orTHIS PERMIT' INSPECTTONS MADE To ASsuRE couplil.ncp tueREwrrH, AND MEASuRES TAKEN By rIrEMUMCIPALITY To PRoTECT THE PIIBLIC wrmRE THE AppLrcANT owNTir oR Exa;v;roR HAS TATLED TocoMPLY THEREWTTH TNCLUDTNG POLICE DETATLs lxil orrren nn*TEDIAL MEASTJRES DEEMEDNECFSSARY BY TIM MUMCIPALITY.
TIIE UNDERSIGNED APPLICANT, OWNER AIYD EXCAVATOR AGREE JOIIITLY AIID SEYERALLY TO DEFEND,InDEMNTFY' AND HOLD ITARMLESS rHE MUMCTPALIY nxo nr,1-<ir mS A-citNis itD EMpLoyEEs FRoMlIY ryDALL LIABILTTY, c+qrys oR ACTIoN, cosrs, Ar\D E)GENSES nesuirn{c-FRoM oR ARrsrNG ourgl-ly^aJBr, DEATrr, Loss, oR oAIr.r.c.iE rb-ilrv pERsoN on pnopn-nrv-bunnrc rHE woRKCONDUCTED UNDER TIIIS PERMIT
APPLI SIG
OWNER'S SIGNATURE (IF DIITTRENT)
EXCAVATOR SIGNATIIRE GT' DITTERENT)
DATE
DATE
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Pae 2 ol3
Clarke, Kristin
From:
Sent:
To:
Subject:
Lima, Amanda
Monday, May 15, 2023 2:09 PM
Clarke, Kristin
RE: Pompano Road
We are finally all set with this permit and have reviewed & approved it.
Thanks
Amanda
Amanda Lima, P.E.
Town of Yarmouth DPW - Town Engineer
74 Town Brook Road West Yarmouth, MA 02573
Office (508)398-2231 Ext. 1253 - ALima@yarmouth.ma.us
From: Clarke, Kristin
Sent: Friday, May 5, 2023 10:24 AM
To: Lima. Amanda
Subject: RE: Pompano Road
Tha nk you!
From: Lima, Amanda <Alima @yarmouth.ma. us>
Sent: Friday, May 5, 2023 10:22 AM
To: Clarke, Kristin <KClarke@yarmouth.ma.us>
Subiect: Re: Pompano Road
l've been emailing with the applicant. Should be wrapped up today.
From: Clarke, Kristin <KClarke@varmouth.ma.us>
Sent: Friday, May 5, 2023 10:21:20 AM
To: Lima, Amanda <Alima@va rmouth.ma.us>
Subject: RE: Pompano Road
Hi Amanda,
Have you been able to review this permit? We are changing online systems and we will not be able to process any
permits next week, so lwanted to get it in the system today.
Thank you,
S0At-Otu]r"
Office Assistant
Building Department
508-398-2231 x1261
From: Lima, Amanda <Alima (ava rmouth.ma.uS>
1
Sent: Monday, May 1,2023 2:09 PM
To: Clarke, Kristi n <KClarke@va outh.ma.us>
Subject: RE: Pompano Road
Hi, they just swinSed by today. Bridget is pulling the drainage asbuilts for the area and I will review.
Tha nks
Amanda
Amanda [ima, P.E.
Yarmouth DPW -Town Engineer
Office (s08)3 98-2231 Ext. 1253 - ALima @ya rmouth. ma.us
From: Clarke,Kristin <KClarke@yarmouth.ma.us>
Sent: Monday, May 1, 2023 9:53 AM
To: Lima, Amanda <Alima @va rmouth.ma.us>
Subject: Pompano Road
Hi Amanda,
I have a trench permit for D and D Power LLC for Pompano Road. A copy of the trench permit is attached. Can you let
me know if / when it would be OK to issue this permit? I did advise him to see you this morning to apply for your
permit.
Thank you,
Kristin Clarke
Office Assistant
Building Department
508-398-2231x1261
2