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Home My WebLink AboutNational Sclerosis Comm Event 8823 ti Camp n E t�Z nau'L. 911 • "' ° TOWN OF YARMOUTH BUILDING DEPARTMENT °\ ; ; 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 SIGN PERMIT APPLICATION Date May 22, 2023 Application Accepted Permit No. —I Applicant Instructions 1) Applicant shall complete both sides of application. 2) One application form is required for each sign. Each sign will be assigned its own permit number. 3) Applicant shall attach separate 8 '/2"x 11"sheets including the following diagrams: A) Design, dimensions and colors of the proposed sign B) Freestanding Signs:provide certified plan by a professional land surveyor that describes how the proposed sign meets the zoning requirements included in Zoning Bylaw 303.5.6 or 303.5.4.2 (as applicable). A stamped and sealed"as-built"will be required before the permit will be issued. C) Attached Signs: show length of portion of building frontage that is occupied by applicant. D) Temporary Signs: show location for sign 4) Sign permits are$40.00 each,payable at the time of application. Address of proposed sign Signs will be posted along the walking route, route attached. District Name of Business for proposed sign National Multiple Sclerosis Society Name of Business owner Contact:Angela Garger Mailing Address of Business owner465 Waverly Oaks Road, Suite 202, Waltham, Ma. 02452 Business Owner Phone:Business Contact: 781-858-4247 Home Name of Building Owner Not Available Phone Sign Builder Not Available Sign Materials Cardboard Sign Builder Address Not Available Phone Singly Occupied Building Business Center Internal Light External Light Freestanding Sign Size: Attached Sign Size: Temporary Sign Size: 8" X 11 -Signs will be attached to telephone poles and light posts without blocking any wording of symbols. Final sign color TBD. I am attaching a sample in yellow.All signs will be removed at the end of the day. Dates: Friday September 8, 2023 Please complete other side of Sign Permit Application All Permits are subject to the approval of the Sian Inspector I hereby agree to conform to the provisions of Town of Yarmouth Zoning By-law Section 303 governing sign construction and installation. I further agree that this sign will not be altered,added to or changed in any way unless a new permit has been issued. Sign Permits are not valid until the Building Commissioner issues Use and Occupancy Permits (where applicable). Freestanding sign permits are not valid until the "as-built" from a professional land surveyor has been received. Signature of Applicant: 'Rini ji O Date May 22, 2023 Property Owner Authorization: I hereby authorize the applicant to act on my behalf in all matters related to this sign application. (Signature) . 14-0(j// j Date Approved by: Date G` / With the following conditions: I have read and understood the conditions of this Sign Permit listed above:- A at CERTIFICATE OF LIABILITY INSURANCE DAT11/20IODt(YYY) ' Ot/ti12023 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 have ADDITIONAL INSURED provisions or 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 MARSH USA,INC. PHONE .;FAX 445 SOUTH STREET ..(ANc,No.fld); _ MORRISTOWN,NJ 07960-6454 EMAIL AWt:MOO town.CertRequest@marsh.cocl Fax 212-948-0979 ADDRESS: RISUREKSJ AFFORDING COVERAGE IYAIC X WALTH INSURER A:Federal insurance Co 120281 INSURED INSURER II NATIONAL.MULTIPLE SCLEROSIS SOCIETY __ �......_____ i._,..,a_...... GREATER NEW ENGLAND CHAPTER INSURER c: 465 WAVERLY OAKS RD,SUITE 202 INSURER a ..... WALTHAM,MA 02452 _.... .... W.�....._,_. INSURER:S. INSURER P: I_»,._.___�___. COVERAGES CERTIFICATE NUMBER: NYC-009902091.24 REVISION NUMBER:3 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. LUR12/31/2022 PdLICY=FF -POLICYEfP LIR TYPE OF INSURANCE I POLICY �O� LMTS A X COMMERCIAL GENERAL LIABILITY 83.3349 12/31/20'22 12/31/2023 i EACH OCCURRENCE S 1000000 RENTED j CLAIMSMADE ,OCCUR ` {PREMISES�X occurrence) S 1,000000 MED EXP(Anyone P S 10.000 •, PERSONAL&ADV INJURY S 1,000,000 GFN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE i y_S 2,D00000 POLICY 1 ._1�T X 1 LOC ', PRODUCTS COMPIOP AGG 1 S 1,000,000 OTHER: F { } I S A AUTOMOBILE LIABILITY j 7353.02-37 ;12/31/2022 112/3000 1/2023 j COMBINED SINGLE:LIMIT p(Ea accident) _ _....... $ .._._ X ANY AUTO BODILY INJURY(Per person) S • OWNED • (Pa:cadent)SCHEDULED t BODILY INJURY(P :cadent)I S. _. ..... AUTOS ONLY ' ,AUTOS I X HIRED NON-OWNED - ._- X PROPERTY DAMAGE - "- �„_.W,;AUTOS ONLYr ,AUTOS ONLY I I (Per aaci¢eM) $ i 1 Comp/Coll Deductible ,$ I,t100 A ; X UMBRELLA LIAR X OCCUR } j9364-93-75 12/31/2022 12/3112023 EACH OCCURREN(X I S 5,000.000 EXCESSLUUi _�� _._.. _. 1.CLAIMS•MADE i0 AGGREGATES 50DD 000 A 'WORKER X .DED I RETENTIONS I i $ S COMPENSATION 717$3467 '12r3112022 I 12131l2023 x I PER � •OTH i AND EMPLOYERS'LtABI1.ITY Y 1 N i STATUTE _-6Rr,� ,ANVPROPRFETORIPARTNERIEXECUTIVE EACH ACCIDENT :9 1,06000 j O'FICERIMEMBEREXCLUDED? ( N .Ni Ai - ._ (MandatarytnNH) 1 E. - .EL.DISEASE EAEMPLOYEEJ$ 1,000,000 i If yes,descrile under I .. ----- ------ -- DESCRIPTION OF OPERATIONS below 7 I 1 EL.DISEASE-POLICY LIMIT i$ - 1,000,000 1 1 , DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached Winer*space is required) THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT,BUT LIMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT,PER THE APPLICABLE ENDORSEMENT WITH RESPECT TO THE GENERAL LIABILITY AND AUTOMOBILE U ABIIJTY POLICIES, CERTIFICATE HOLDER CANCELLATION TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1148 RT.28 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN YARMOUTH,MA 02684 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Challenge2023 Cape • RIDE WITH GPS (Tentatve) A. Rest Stop 1 m Antique Center of Yarmouth / E. Rest Stop 5- CCRT & N Main St B. Rest Stop 2/Finish- Parker River Seat ✓ Rest Stop - CCRT Parkins Lot Route 134 C. Rest Stop /8- Pass River Farmer's Market F est Stop 7- Swan River Seafood Parkins Lo Rest Stop 4 (Lund)_ Old Town House Park ✓✓✓✓ 21,3 miles, + 36 1 - 326 feet l'4';'' - ' ' ,„„,:„:„,,,,,,„‘,,a,:,,,ii,•tt ,",,,,:: ,.op, �5 gip, '-r. p -#s € y p 8 ') t - - - �t B i k A 0 CC rni ff .,, - ... _._ % y / , „ . '`.�.. u/ c, o�:Erristreet €asp 2023 Challenge Walk Cape Cod Day 1 (Tentative) Type Dist Note Type Dist Note 9 0.0 Start of route 9.6 Right t 0.0 Start- Hyannis Village Green I ♦ ' 9.7 Rest Stop 4 (Lunch)-Old Town House Park 0.1 Left onto South St ; ♦ ` 9.7 Right onto Cape Cod Rail Trail 4. 0.4 Left onto Lewis Bay Rd ♦ 11.7 Rest Stop 5- CCRT& N Main St ..� 0.6 Right onto Main St - 13.5 Sharp right to stay on Cape Cod Rail 2.1 Rest Stop 1-Antique Center of Trail Yarmouth ♦ 13.7 Rest Stop 6- CCRT Parking Lot Route ..� 3.8 Right onto Seaview Ave 134 4.. 4.5 Left onto S Shore Dr 13.7 Left onto East-West Dennis Rd ♦ 4.8 Rest Stop 2- Parker River Beach t '; 15.3 Continue onto Swan River Rd t 5.4 Continue onto South St 4. 16.3 Left onto Lower County Rd ' 6.3 Right onto Old Main St 16.5 Rest Stop 7- Swan River Seafood ♦ 7.4 Rest Stop 3- Bass River Farmer's 4116.5 Around and head left out of rest stop Market parking lot and back down Lower County Rd ♦ 7.4 Slight left onto N Main St t 17.3 Continue onto School St 4- 7.5 Slight left onto Station Ave I ♦ 17.8 Left onto MA-28 S/Main St ♦. 9.1 Left onto Old Town House Rd ♦ 18.7 Left onto Old Main St 9.1 miles. +150/-127 feet 9.6 miles. +154/-168 feet Type Dist Note ; 4. 18.7 Rest Stop 8- Bass River Farmer's ; Market Parking Lot 4 19.7 Left onto South St t 20.6 Continue onto S Shore Dr 4.. 21.3 Finish- Parker River Beach Parking Lot ; 9 21.3 End of route 2.6 miles. +4/-14 feet 144) vA. 605 ?et. 60,p1.4-3 , TOWN OF YARMOUTH APPLICATION FOR USE OF TOWN-OWNED PROPERTY A Angela Garger National MS Society pplicant Affiliation or Group Telephone Nurnber 781-858 Mailing Address -4247 465 Waverly Oaks Road, Suite 202 Waltham, MA 02452 Email Address: Angela,Garger@nmss.org Town Property to be used(Include specific area):---""‘" " Annual charity walk that will be passing through town(see attached routes). Describe Use and purpose: We WM use Parker Riser Beach era rest slop,the Bass Rarer Farmer's Market Parking Lot,and N Main St/CCRT as rest stop locatrons Peter Homer Park parking tot tor our lunch location Friday September 8,20'23/Parker Rarer Beach and Famier's Market Lot Barn,N Main St/CCR1 10am and Peter Homer Park lOarr Beginning Date and Time of Event: Friday September 8,2023/Parker River Beach,N Mare SUCCRTE Farmer's Market Lot 3pm,Peter Homer Park 3pm Ending Date and Time of Event: Date and Time you need Location for Set Up: Same as above Total Guests/Participants Expected: 300 Will alcohol be served? D Yes Ej No Will a fee be charged? 0Yes [I No Amount(s): $ Will an auction or raffle be held?Li Yes E] No Will signs/banners be posted? P]Yes ri No Will Traffic Control be needed? 0 Yes 0 No Will music/amusement devices be at event?D Yes [Id No Will tents be erected?ltYes El No Will sanitary facilities be provided'? [ }Yes ONo Will food be served or sold? Ej Yes 0 No If Yes to food, please describe where food is being prepared and what is being served Prepackaged snacks will be served to walkers free of charge at the rest stops ***IMPORTANT*** Certificate of liability insurance must be submitted to cover the event prior to granting permission for use of Town property. Action Town Administrator: Approved as submitted Approved with the following condition(s): Disapproved for the following reasons: ,4,57///23 Town Administrator's Si turn Date iVt National Multiple Sclerosis Society Greater New England Chapter The National Multiple Sclerosis Society of Greater New England has informed the Town of Yarmouth,Town Administrator's Office of its intent to hold Challenge Walk MS: Cape Cod in which walkers will pass through the town on Friday,September 8,20223 The Town of Yarmouth grants the National MS Society a proval: LZ-Signature: Ro ipaar L kr f?,-rovrode,TR. - Title: Tak.-4,4 AD pkiOtSrfe-ATT)9-. Date: Please return this form to Angela Garger at the National MS Society: • Mail: 465 Waverly Oaks Rd,Suite 202,Waltham,MA 02452 • Email: Angela.Garger@nmss.org