The URL can be used to link to this page

Home My WebLink AboutBSHD-23-40 ' *A---", c:A` Y Office Use Only /y9 JUL 31 2023 Permit# tCSC_ J H Amount J l/Li' PUILDING DER- l Permit expires 180 days from LI issue date EXPRESS SHED PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 37�"t-{`Q 1146 Route 28 South Yarmouth, MA 02664 q (508) 398-2231 Ext. 1261 CONSTRUCTION ADDRESS: 5" 1 mbQk �Qc r\ �j, Nth aykrc\ ' „. I,\ ' + t PI,Q,fr ]k OWNER: klo aoci‘ 14 -l1`(1C, 5 o 5 1 Lif`(\ (SI C T3 1 " ?Ili �'O 51 V NAME PR�SENT ADDRESS TEL. # CONTRACTOR: NAME MAILING ADDRESS TEL.# Residential Commercial Est. Cost of Construction$ 5 k Home Improvement Contractor Lic.# Construction Supervisor Lie.# Workman's Compensation Insurance: (check one) I am the homeowner I am the sole proprietor I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp. Policy# �( SHED INFORMATION c New ,� ` Size L 7 x W 7 x H Corner Lot: Yes No Per Town of Yarmouth Zonu1 R � By-Law See 203.5 Note E. Side and rear yard sethacks,for accessory buildings containing one hlllldred fifty (150) square feet or less and single story, shall he six (6).feet in all districts, but in no case shall said accessory buildings he built closer than twelve (12)feet to any other building on an adjacent parcel. All sheds are required to be located thirty(.30)Jeet front cum front lot line Replace existing* Size L x W x H *The debris will be disposed of at: Location of Facility I 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.268,Section I. Applicant's Signature: Date: Owners Signature(or attachment) Date: Approved By: Buil mg Official(or designee) EMAIL ADDRESS: Date: ( r� Zoning District: Historical District: Yes No Flood Plain Zone: Yes No Water Resource Protection District: Within 100 ft.of Wetlands: *** Yes No Yes No ***Note:Conservation review required if within 100 ft. of Wetlands 3/22 . :Y13/e J S 'L/71C'L ftkv • The Commonwealth of Massachusetts =4-44h I Department of Industrial Accidents 1 Congress Street, Suite 100 -~•=- Boston, MA 02114-2017 • www.mass.;o v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): d 4 f(7ha Address: 51 kkArv\be qok City/State/Zip: / Z one #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* — 2.0 I am a sole proprietor or partnership and have no employees working for me in 7. New construction any capacity. [No workers'comp.insurance required.] 8• Remodeling 3. m a homeowner doing all work myself. [No workers'comp. insurance required.]; 9. El] Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my or are roe I will 10 Building addition ensure that all contractors either have workers'compensation insurance sole proprietors with no employees. 11. Electrical repairs or additions 12.0 Plumbing repairs or additions 5.[:I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp. insurance.i 1 •❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL 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. $Contractors 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'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy# or Self-ins. Lic. #: Expiration Date: Job Site Address: Attach a copy of the workers' compensation policy declaration page(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 under the pains and penalties of perjury that the information provided above is true and correct. ✓S ianature: Phone#: Date: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority (circle one): Permit/License# 1. Board of Health 2. Building Inspector 5. Department 3. City/Town Clerk 4. Electrical 6. OtherPlumbing Inspector Contact Person: Phone#: _ .1. % Z., ,•,-!1}.--i1S t Fs THAt4 15'7' F.,..•-, r. • .',3,HC' 1 • i ::.,:, 31%:' 1Ht-, • :-?C)r\'' : ' r . ','' : '`,;'. - • .,.,,,,' ,,,..', :ro L''! ,,'- •'",LE .1 P 'N.; .-• - ' r. - ' • PLOT PLAN FOR LOT # - ----- -- Indicate location of garage ar accessary ed --- uilxling Additions. with dash lines ---- b Sewerage dispose/ (cesspool) 4S9 Wel/ co I 6 I near) , ................ft. s — — — Abutters ( ..••••• ......... . ANAbutterss ' ) Name I Lot# I Lot# If this is a REAR YARD If this is a corner lot, corner lot, write in write in •.......,.•..ft. 1I name of street. name of street. . . ...- 410 . 4 0, . : SIDE YARD SEDE YARD . Norms . : 0.........._.7.-.E1:... f> .: • • IF* • . . • SET sAcx . • • ..'........ft. • A' I i 1 4Z). • (lot..................ft. frontage) 30 . , • /, \ 1 (NAME OF STREET) Information / \ ' Supplied by 1 TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner VIOLATION NOTICE Adriana M Nascimento Luiz 0 Nascimento 51 Lumberjack Trail West Yarmouth, MA 02673 July 18, 2023 RE: 51 Lumberjack Trail—shed without permit This letter constitutes a formal zoning enforcement order under MGL Ch 40A. Dear Ms. Nascimento, It has come to the attention of the Building Department that a shed has been constructed on this property without the benefit of as required permit. This is a violation of Section 103.1.1 of the Town of Yarmouth Zoning Bylaw; 103.1.1 Compliance certification. Buildings, structures or land may not be erected, substantially altered or changed in use without certification by the Building Inspector that such action is incompliance with then applicable zoning, or without review by him regarding whether all necessary permits have been received from those governmental agencies from which approvals required by federal, state or local law. Issuance of a building permit or certificate of use and occupancy, where required under the Commonwealth of Massachusetts State Building Code, may serve as such certification. Failure to comply with the Town of Yarmouth Zoning Bylaw is subject to fines and penalties as allowed per section 101.3 101.3 Penalties.Any person violating any of the provisions of this bylaw shall be fined not more than three hundred dollars ($300.00)for each offense. Each day that such violation continues shall constitute a separate offense. You are hereby ordered to abate and or correct said violations or seek relief from the Zoning Board of Appeals as allowed by MGL Ch 40a§7 & §15.You are required to respond within 7 days of receiving this letter. You also have the right to appeal this decision with the Zoning Board of Appeals within 30 days of this letter. Questions regarding this matter may be directed to this department Very Truly, . 2.,' Tim Sears CBO Deputy Building Commissioner Town of Yarmouth