BLD-23-005766 Pay
,"�.F�*'• _ 4p �Q fi L /�O/2�/ Office Use Only
C� . -y Permit#
te HATTA H 5, /���(`
^nIO.RILO�'{"�� Amount V�J /CTCD
Permit expires 180 days from
issue date
EXPRESS SHED PERMIT APPLIC �'Lp Z D D 71A
TOWN OF YARMOUTH E 1 V E D
Yarmouth Building Department
1146 Route 28 APR 14 2023
South Yarmouth, MA 02664
)( (508) 398-2231 Ext. 1261 BUILDING DEPARTMENT
/ ' By:
CONSTRUCTION ADDRESS: -3 Coves D V ---- \icy rno Y.04- MA- D 7.6- s
)C
OWNER: T.C1gritZtYle. L e. . .ip$.2-4 1•"5-13�
NAME
PRESENT ADDRESS TEL. #
CONTRACTOR:
NAME MAILING ADDRESS TEL.#
Residerr ial0 Commercial Est.Cost of Construction$ /600,
Home Improvement Contractor Lic.# Construction Supervisor Lic.#
Workman's Compensation Insurance: (check one)
AI
am the homeowner I am the sole proprietor I have Worker's Compensation Insurance
Insurance Company Name: Worker's Comp.Policy#
/a Y SHED INFORMATION'
New Size L 10c b1"�x$W ' �"c�
x H 44 Corner Lot:Yes No
OW Per Town of Yarmouth Zoning By-Law Sec 203.5 Note E: UKYthei i��ht�
Side and rear yard setbacks for accessory buildings containing one hundred fifty(150)square feet or less and single story,
shall be six(6)feet in all districts, but in no case shall said accessory buildings be built closer than twelve (12)feet to any
other building on an adjacent parcel.All sheds are required to be located thirty(30)feet from any front lot line
Replace existing* Size L x W x H
*The debris will be disposed of at:
Location of Facility
I daclare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s)
will be just cause for denial or revocation of my license and for prosecution under M.G.L.Ch.268,Section 1.
Applicant's Signature: Date:
Owners Signature(or attachment) .--`•'t
1 •
Date: LA L . l . 2-OZ,%
Approved By: Date: r'/04f"'
Building Official(or rgne EMAIL ADDRES 0
Zoning District:
Historical District: . Yes No Flood Plain Zone: Yes No
Water Resource Protection District: Within 100 ft.of Wetlands:***
***NoYes No (, Yes No
te:Conservation review required if within 100 ft.o�Wetlands
3/22
,_ .� -
• SHEDS LESS THAN 150 SQ. FT. SHALL
BE PLACED A MINIMUM OF 30 FEET
FROM THE FRONT LOT LINE AND A
PLOT PLAN MINIMUM OF 6 FEET FROM SIDES AND
REAR LOT LINES.
FOR LOT
Indicate
Additions try on of garage ca. a` essa building
ines
Sewerage disposal (cesspool) el,
Weil a
I
__._ ._•. _ I
rear) I
Abutter's
Name 1 1 b Abutter's
Lot 1 Name
If this is a � 6- Lot#
REAR YARD
corner lot,
write in ''A If this is a
name of street. ...-....�•...f X corner lot,
n$ write in
' _ '� - 'I+�1 name of street.
41 0.
• • 1
4
4
SIDE YARD
MDR D$ YARD •
•
• s`J•---- .r.FTs. 0 •
•
•
•
•
SET RAM
•
•
ft. .
.
1
1
a
•
(lot fe. fta9e) 30
/
• /
\ (NAME OF STREET)
"7
/ ` Information
/ \• PPlfed by