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HomeMy WebLinkAboutBLD-22-007380 CP /Z'1Z . r t .�..;� � �..�. � _... ','OfficeUse Only ! • � 4 '- � ' �O k ms Permit# �/i t. ,,. t , RL.e ) :ANDC Amount ,00 �+ „ Permit expires 180 days from E� issue date 6 LAD -- c9-.. - —Oo 138O EXPRESS SHED PERMIT APPLICATION_ E I V E D M TOWN OF YAROUTH ----- Yarmouth Building Department U N 2 2 2022 1146 Route 28 South Yarmouth,MA 02664 — - ��- (508)398-2231 Ext. 1261 Bl.i I IegDA El--- BY _ CONSTRUCTION ADDRESS: 82 Harbor Rd West Yarmouth ASSESSOR'S INFORMATION: Map: Parcel: OWNER: Adriana Parianos 10 Turtleback Rd Essex MA 01929 978-833-1.373 r/' NAME PRESENT ADDRESS TEL. # CONTRACTOR: NAME Walpole Fence Falmouth MA MAILING ADDRESS TEL.# lXtesidential 0 Commercial Est.Cost of Construction$ 8,000 Rome Improvement Contractor Lic.# Construction Supervisor Lic.# Workman's Compensation Insurance: (check one) X I am the homeowner C I am the sole proprietor C..'. I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp.Policy# SHED INFORMATION New Size L 14. x w 14 x H Corner Lot:Yes X No Per Town of Yarmouth Zoning By-Law Sec 203.5 E: Side and rear setbacks for accessory buildings less than 150 square feet and single story, shall be 6 feet in all districts, but in no case built closer than 12 feet to any other building. 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 revocatio f my license and for prosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: Date: 1 1/24/22 Owners Signature(or attachment) v`G Date:_ Approved By: Date: --2.1 '2' Building O al designee) EMA ADDRESS: Zoning District: Historical District: "i Yes No Flood Plain Zone: ".'. Yes No Water Resource Protection District: Within 100 ft.of Wetlands:*** _= Yes Noy Yes I No ***Note:Conservation review required if within 100 ft.of Wetlands 9/13 p 0 r� The Commonwealth of Massachusetts Department of Industrial Accidents -7400M. 1 Congress Street,Suite 100 —NM' Boston,MA 02114-2017 www.mass.gov/dia %Yorkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): A d r%G( /1 A Pa/i Gt/7 U S Address: /0 fC /�aL� ei X City/State/Zip: /k/t/t b 19 21 Phone#: 78 e 3 i 3 73 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑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. El Remodeling 3.4 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my pro 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole I will 11. Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.0 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 MGL c. 14.0 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. tContractors 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.Lie.#: Expiration Date: Job Site Address: City/State/Zip: 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 'its and penalties of perjury that the information provided above is true and correct. Signature: 6/�� la Date: / Phone#: 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#: • DoL:1 s 461 r 735 06--22-2022 10:17 BARNSTABLE LAND COURT REGISTRY f Y ; '4 TOWN OF YARMOUTII -fi= BOARD OF APPEALS g16-'......__:.1;-.3-- t y DECISION r 1 ►, x -..1 • FILED WITS TOWN CLERK: April 29,2022 PETITION NO: 4943 BEARING DATE: March 24,2022 PETITIONER: Adriana Parianes '- PROPERTY: Map 21,Lot 10, 82 Harbor Rd.West Yarmouth,MA Zoning District:R-25 Book 152 Page 68 ..- . - Certificate 220819 Land Court Lot 43 MEMBERS PRESENT AND VOTING:,Chairman Sean Igoe,Richard Martin,Jay Fraprie,and Megan Seiner. thereof to the Petitioner and all those owners of Notice of the hearing has been given by sending notice propertynotice of the hearing and publishing in The as required by law,and to the public by posting Cape Cod Ames,the hearing opened and held on the date stated above. The Petitioner seeks a Variance pursuant to section 203.5 of the Bylaw and in the altematiye,a to allow a 14 x 14 Shade Pergola to be built within thug Hof strict The Petitioner line setback and 16 Permit is located i n a R-25 and required feet off r the eived administrative Theapproval from the Yarmouth Conservation Commission was and received admfnistm due to it being within 100 feet of a wetland. d as well as the south The prop'is abutted by conservation land along the rear property boim aty, facing side bounty where the Pergola would be located so there would never be a detrimental impact to any neighbor. whether there was an alternative location for the Pergola that could be Board further discussed line however,after hearing testimony from the Petitioner it was placed off the property determined that the proposed location was the most feasible. a motion was made by Mr.Martin,seconded by Mr.Fraprie,to grant the Variance. TAccordingly, e e mmemembbeers voted unanimously in favor of the motion. Thr �t ifff TFIlit. ISTTEsT: f s. •'ts IIfIM CMG` Tf.) N CLERK �, 4.7rAcotiAY 2 3 2022 lie ,r -i cs motion was made by Mr.Martin to allow the Petitioner to withdraw her request for a gpecisi d Permit without prejudice.The motion was seconded by Mr.Frappe and the Board voted. .• /- unanimously in favor of the motion. shall issue until 20 days from the filing of this decision with the Town Clerk. Appeals ' No permit from this decision shall be made pursuant to MOL c40A section 17 and must be filed within 20 ' days after filing of thisnotice/decision with the Town Clerk. Unless otherwise provided herein,the Special Permit shall lapse if a substantial use thereof has not begun within 24 months.(See bylaw §103.2.5,MOL c40A§9). S go Chairman 7 411111 CERTIFICATION OF TOWN CLERK I, Mary A Maslowski,Town Clerk,Town of Yarmouth,do hereby certify that 20 days have elapsed since the filing with me of the above Board of Appeals Decision#4943 that no notice of appeal of said decision has been filed with me, or,if such appeal has been filed it has been dismissed or denied. All appeals have been exhausted. { Mary A.Maslowski MAY 2 3 2022 Y T• U ATTEST: • •t•i tj. ..,' ,'...CMitlie I i. WN CLEFat .4'ft ` � /efts' , >' F!Y COMMONWEALTH OF MASSACHUSETTS •*t:'rq TOWN OF YARMOUTH ot.S�cti G 'r j,1:::t§ BOARD OF APPEALS • Appeal#4943 Date: May 20,2022 Certificate of Granting Variance (General Laws Chapter 40A,section 11) The Board of Appeals of the Town of Yatmouth Massachusetts hereby certifies that a Variance has been granted to: Adriana Parianos 10 Turtleback Road Essex,MA 01929 Affecting the rights of the owner with respect to land or buildings at: 82 Harbor Road,West Yarmouth,MA 02673;Map&lot#:21.10;Zoning District:R-25;Book/Page:152/68;Certificate#220819;Land Court Lot 43,and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Variance,and copies of said decision and of all plans referred to in the decision have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws,Chapter 40A, Section 11 (last paragraph)and Section 13,provides that no Special Permit and/or Variance,or any extension, modification or renewal thereof,shall take effect until a copy of the decision bearing the certification of the Town Clerk that twenty(20)days have elapsed after the decision has been filed in the office of the Town Clerk and no appeal has been filed or that, if such appeal has been filed,that it has been dismissed or denied, is recorded in the Registry of Deeds for the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such - a a a g or registering shall be paid by the owner or applicant. Sean Igo �'-- A' 1 13TEST a BARNSTABLE REGISTRY OF DEEDS Amu _ Gi i_ERK :( BARNSTABLE COUNTY .:.T""i.�;r� A REGISTRY OF DEEDS John F. Meade, Register w y�T 2Q22 A TRUE DOPY,ATTEST � -jh..::-.", rACtt� JOHN F.MEADE,REGISTER, oV*---- )�t CONSERVATION o � OFFICE N � 4" kgrant(a�varmouth.ma.us Yarmouth Conservation Commission Administrative Review Applicant Information: Name: Michael &Adriana Parianos Mailing Address: 10 Turtleback Rd Essex, MA 01929 Phone: 978-833-1373 Email: adrianaparianos@gmail.com Signature: �� Location of Work: 82 Harbor Road Street Name and Number Detailed Description and Reason for Proposed Work: Place a 14x14 shade pergola onto back corner of patio See attached photo Closest Distance to Resource Area: Abutter Proposed Start Date: 5/1/22 Company to do Work: Name: Walpole Outdoor Address: 958 East Falmouth Highway Falmouth and 255 Patriot Place Foxboro Phone: 781-622-9099 978-618-5293 Email: Russ.culligan@walpoleoutdoors.com Administrative Approval: /coey4.44tt- This approval is valid for one year. This Approval does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of property. Yarmouth Conservation Commission • 1146 Route 28,South Yarmouth,MA 02664•(508)398-2231• Ext 1288 4 1R 1= The Commonwealth of Massachusetts —Ali— t Department of ofIndustrial Accidents 1 Congress Street,Suite 100 "if Boston, MA 02114-2017 ti:" 4 www.mass.gov/dia IMP Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Name(Business/Organization/Individual): ctr-i"a Please Print Le 'bl �� Gti, A/toS Address: 0 7 r C-, /.01_r✓k__ ed ESseX City/State/Zip: A b 19 2 Phone#: 9 28 g 3 '3 i3 7 3 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).* 7. 2.❑1 am a sole proprietor or partnership and have no employees working for me in ❑New construction any capacity.[No workers'comp.insurance required.] 8. Remodeling 3. I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. 0 Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 1 ❑Budding addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.0 Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees. 14.0 Other P oyees.[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 or information. f my employees. Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: Attach a copy of thw e orkers' 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the 'ns and penalties of perjury that the information provided above Is true and correct. iS Si nature: Phone#: Date: 6)- a Official use only. Do not write in this area,to be completed by city or town official City or Town: Issuing Authority(circle one): Permit/License# I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing g Inspector Contact Person: Phone#: us i Office Use Only�}t ° " 'r ''Pertnit#E ei t& J5 f i' 2 , 7"'` k ._ i x ,,Di ..,�<��i'_ %Amount, JC ,V Y hw �, s + 'Permit expires 180 days from '+«.a,U' issue date < EXPRESS SHED PERMIT APPLICAT *�' C E I V E D TOWN OF YARMOUTH — �- Yarmouth Building Department �UN 2 2 2022 1146 Route 28 South Yarmouth,MA 02664 B u i � T .E T (50$) 398-2231 Ext. 1261 CONSTRUCTION ADDRESS: 82 Harbor Rd West Yarmouth ASSESSOR'S INFORMATION: Map: I Parcel: OWNER: Adriana Parianos 10 Turtleback Rd Essex MA 01929 978-833-1.375 NAME PRESENT ADDRESS TEL. # CONTRACTOR: Walpolel Fence Falmouth MA ESSTEL.# NAME [Xtesidential 0 Commercial Est.Cost of Construction$ 8,000 Rome Improvement Contractor Lie.# Construction Supervisor Lie.# Workman's Compensation Insurance: (check one) X I am the homeowner E I am the sole proprietor ❑ I have Worker's Compensation Insurance Insurance Company Name: Worker's Comp.Policy# SHED INFORMATION New Size L 14. x W 14 x H Corner Lot:Yes X No Per Town of Yarmouth Zoning By-Law Sec 203.5 E: Side and rear setbacks for accessory buildings less than 150 square feet and single story, shall be b feet in all districts, but in no case built closer than 12 feet to any other building. 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 revocatio f my license and for prosecution under M.G.L.Ch.2b8,Section 1. 1 1�24�22 Date: Applicant's Signature: Date:____.__... Owners Signature(or attachment) / 21 -22-2_. Date: Approved By: - Building Oi al • designee) EMA ADDRESS: Zoning District: Historical District: `:1 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 9J13 p 0 . Z*--D p� CONSERVATION OFFICE ��re, T kerantCa�yarmouth.ma.us Yarmouth Conservation Commission Administrative Review Applicant Information: Name: Michael &Adriana Parianos Mailing Address: 10 Turtleback Rd Essex, MA 01929 Phone: 978-833-1373 Email: adrianaparianos@gmail.com Signature: ( I/v �y Location of Work: 82 Harbor Road Street Name and Number Detailed Description and Reason for Proposed Work: Place a 14x14 shade pergola onto back corner of patio See attached photo Closest Distance to Resource Area: Abutter Proposed Start Date: 5/1/22 Company to do Work: Name: Walpole Outdoor Address: 958 East Falmouth Highway Falmouth and 255 Patriot Place Foxboro Phone: 781-622-9099 978-618-5293 Email: Russ.culligan@walpoleoutdoors.com Administrative Approval: /cQy1.a4rt- This approval is valid for one year. This Approval does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of property. Yarmouth Conservation Commission • 1146 Route 28,South Yarmouth,MA 02664•(508)398-2231• Ext 1288