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Home My WebLink AboutBLDTR-23-002226 -wog •'? -r TOWN OF YARMOUTH Building Department BUILDING ' •� �r0 (508) 398-2231 ext.1261 4 ` ;i,; , „ PERMIT NO BLDTR-23-002226 PERMIT "O s, N Sp ISSUE DATE 10/25/2022 JOB WEATHER CARD - APPLICANT Walter Seaberg PERMIT TO IAT(LOCATION) 482 BUCK ISLAND RD,WEST YARMOUTH, MA 02 ZONING DISTRICT Bldg.Type: SUBDIVISION MAP BLOCK LOT 046.24 BUILDING IS TO BE: CONST TYPE USE GROUP REMARKS Trench-water line and drainage to dry well for splash pad--(508-823-6699) CONTRACTOR LICENSE AREA(SQ FT) 131,172,358, EST COST($) PERMIT FEE($) 0.00 OWNER TOWN OF YARMOUTH ADDRESS RECREATION DEPT, 1146 ROUTE 28 BUILDING DEPT BY SOUTH YARMOUTH MA 02664-4463 PHONE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE CONSTRUCTION WORK: 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR FOOTINGS.2)PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE.WHERE ELECTRICAL PLUMBING/GAS MEMBERS(READY FOR LATH OR FINISH COVERING) A CERTIFICATE OF OCCUPANCY IS AND MECHANICAL 3)FINAL INSPECTION BEFORE OCCUPANCY 4) REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS. REFER TO DETAILED INSPECTION SCHEDULE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTIONS APPROVALS OTHER: WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF UNTIL THE INSPECTOR HAS INPSECTIONS INDICATED ON THIS CARD CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED STAGES OF CONSTRUCTION OR WRITTEN NOTIFICATION. AR(l\/F Ca,tL lal3�az_ of:YR�� , TOWN OF YARMOUTH IA/ ; i 1 pot 0� BUILDING DEPARTMENT Permit Number 6UY,- 3_ g —y , 1146 Route 28,South Yarmouth,MA 02664 MATTACM «E_ 508-398-2231 ext. 1261 Fax 508-398-0836 Date Issued 6 b 26 Zlo Expiration Date $50.Q0 TRENCH PERMIT aI ' Pursuant to G.L. c. 82A §1 and 520 CMR 7.00 et seq.(as amende ) OCT 25 2021 THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION Pp 6-liQ"n PctLQS I�3SCa t• Phone BUILDING DEPARTMENT Name of Applicant r eonsdn-�c. bn C�v��a —�oC� tCell Street Address l 11,oc e .sivoue..4 Email Address: City/town MA I ZIP Name of Excavator(if different from applicant) Phone Cell Street Address J 3-- c3(,cq `1(„a r L/5) ) Email Address: GO Sec:bcizi 6 9(ze-e,naCa2SLi -.1- Cityli'own I MA ZIP L�.1Ji) AM o -3-r) PName of Owners)of Property \ p X il A6n� �O^e Cell Street Address /� y8.)- &Glc Ic lam() (//2°a3 Email Address: City/Town I MA ZIP tJ \k,rcrno,,)'1, 1 AAA 0gG' 3 Other Contact 1 Permit Fee Received No( ) Yes( ) Description,location and purpose of proposed trench: Please describe the exact location of the proposed trench and its purpose(include a description of what is(or is intended)to be laid in proposed trench(eg;pipes/cabk lines etc..)Please use reverse side if additional space is needed. L/06(. ,2. Li a- ' �-« )2 -ir bee. i 1 -G__ Insurance Certificate;M: CA ooco s�ac -02 Name and Contact Information of Insurer: Policy Expiration Date: Dig Sale>t: --- Li, i Name of Competent Person 1as defined by 520 CMR 7.02): Wc.1 F + „ 2 I _C'1 Name of Competent Person(as defined by 520 CMR 7.02): \ cL F Scg"`\, J 2 , Massachusetts Hoisting License# 69a License Grade: 1 C t I\ Expiration Date: BY SIGNING THIS FORM, THE APPLICANT, OWNER, AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT THEY ARE FAMILIAR WITH,OR,BEFORE COMMENCEMENT OF THE WORK,WILL BECOME FAMILIAR WITH,ALL LAWS AND REGULATIONS APPLICABLE TO WORK PROPOSED,INCLUDING OSHA REGULATIONS, G.L. c. 82A, 520 CMR 7.00 et seq., AND ANY APPLICABLE MUNICIPAL ORDINANCES, BY-LAWS AND REGULATIONS AND THEY COVENANT AND AGREE THAT ALL WORK DONE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN ALL RESPECTS AND WITH THE CONDITIONS SET FORTH BELOW. THE UNDERSIGNED OWNER AUTHORIZES THE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO UNDERTAKE SUCH WORK ON THE PROPERTY OF THE OWNER, AND ALSO, FOR THE DURATION OF CONSTRUCTION, AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR AND INSPECT THE WORK FOR CONFORMITY WITH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND REGULATIONS GOVERING SUCH WORK. THE UNDERSIGNED APPLICANT,OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO REIMBURSE THE MUNICIPALITY FOR ANY AND ALL COSTS AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNECTION WITH THIS PERMIT AND THE WORK CONDUCTED THEREUNDER, INCLUDING BUT NOT LIMITED TO ENFORCING THE REQUIREMENTS OF STATE LAW AND CONDITIONS OF THIS PERMIT,INSPECTIONS MADE TO ASSURE COMPLIANCE THEREWITH,AND MEASURES TAKEN BY THE MUNICIPALITY TO PROTECT THE PUBLIC WHERE THE APPLICANT OWNER OR EXCAVATOR HAS FAILED TO COMPLY THEREWITH INCLUDING POLICE DETAILS AND OTHER REMEDIAL MEASURES DEEMED NECESSARY BY THE MUNICIPALITY. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE MUNICIPALITY AND ALL OF ITS AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY, CAUSES OR ACTION, COSTS, AND EXPENSES RESULTING FROM OR ARISING OUT OF ANY INJURY, DEATH, LOSS, OR DAMAGE TO ANY PERSON OR PROPERTY DURING THE WORK CONDUCTED UNDER THIS PERMIT. APPLICANT SIGNATURE DATE .ad/Dd- EX AV TOR SIGNAT IF DIFFERENT) DATE gOad-JOj OWNER'S SIGNATURE ( RENT) DATE: Ps°' ?"1.),)•r • 4 M `or �y -Do not writ tbLs section .= .M 'PVEII RY - Rk AT$OkITY Commonwealth of Massachusetts Division of Occupational Licensure H atieffg tri fower HE-198966 expires:05/20/2024 WALTER SEgiBERG 17 MALBONE'iSTREET 1 LAKEVILLE IAA 02347 t„ • Commissioner . ?Jjzvnc Hoisting Engineer Restricted to: HE-1C-Telescoping Booms w/o Cables HE-2A-Excavators DIG SAFE Call Center:(888)344-7233 In case of accident call: (508)820-1444 Contact OPSI:(617)727-3200 or visit www.mass.gov/dpl/opsi