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. 7,,,::,7,,..,-,,, ,s el--*OKI& r colp 0 1---1->---- Ilti ¢rcf---Rk tr Office Use Only Ohe sif) rz4tDizZi Permit# aougi r‘„... »ATTASt-.0-3 '` 3 f.!A 6, 'e04 a�.«, �(GO Amount �i�(+L/r) Permit expires 180 days from issue date &'L) -C15 -6d 35i7 EXPRESS SHED PERMIT APPLICATI • ►.. TOWN OF YARMOUTH RECEIVED Yarmouth Building Department �' "�"� 1146 Route 28 NOV 2 8 2022 South Yarmouth, MA 02664 (508) 398-2231 Ext. 1261 i BUILDING DEPARTMENT By CONSTRUCTION ADDRESS: /9 C yd h I yY y J /I C SC2,1/4 i,,,1 y ?nevi% /1.4 el.? 7 OWNER: 7 Vc4; l /7 Yry Lii( Sr t/re dr,t"Ovl/1 .S P 3'1S99£ NAME PRESENT DRESS TEL. # D6 CONTRACTOR: C3' PeeL hi/7C S43,0e 4.4)1 e-a '7C iyD Pe 47G/iidAl9 ) /,z Y1,syc)4(.2 c,-6 NAME MAILING ADDRESS TEL.# esidential o Commercial Est.Cost of Construction$ J 000, 0 C) Home Improvement Contractor Lic.#l9 a 9 12CP 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 6 iL/.4&'p AfL l t New �C Size L /0 x W /ol x H Corner Lot: Yes X No I z _12, Per Town of Yarmouth Zoning By-Law Sec 203.5 Note E: J azeb�i 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 (72)feet to any other building on an adjacent parcel. All sheds are required to be located thirty(30)feet from anyfront 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 revo of my license an , rosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: _ e 11" ,^ Date: ( /.2 eAd j' Owners Signature(or ttachment) Date: /1 �j Approved By:_ __ L �% Date: �/ �'"• i Building Official l e ' ee) EMAIL A SS: Zoning District: _ Historical District: n Yes E. No Flood Plain Zone: n Yes No Water Resource Protection District: Within 100 ft.of Wetlands: *** Yes Ti No i Yes No ***NJote:Conservation review required if within 100 ft.of'Wetlands 3/22 Office Use Only O T H 1 /� Permit# 71 stizys .4.1" Amount 3 Permit expires 180 days from issue date EXPRESS SHED PERMIT APPLICATIQT TOWN OF YARMOUTH ! RECEIVED Yarmouth Building Department .._. 1146 Route 28. NOV 28 2022 South Yarmouth, MA 02664 Bb508 398-2231 Ext. 1261 "ILDING DEPARTMENT / K-B y CONSTRUCTION ADDRESS: /9 Cy e '7 LLJ Y t %�.1 C S 41314 ,✓ )27DO/l OWNER: 7 3 eH l� CY�I7 17'YY y1 C' J �0,7r ip0.04- .599 s� NAME / PRESENT DRESS TEL. # CONTRACTOR: C3lp� PODG. 4,)ndk oe 4,4.n e)/3,7e iyp!/P 4fr J/1 2 c%G NAME MAILING ADDRESS TEL.# Residential Commercial Est.Cost of Construction$ J 000, C7 Home Improvement Contractor Lic.#/9 a 9 AP Construction Supervisor Lic.# 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 / , 1 New ,x Size L /1) x W T 2 x H cf Corner Lot:Yes X No Per Town of Yarmouth Zoninj By-Law Sec 203.5 Note E: 5 Lek), 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 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 revo of my license an rosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: �/� �� Date: '/tr/J Owners Signature(or attachment) Date: ). )Jy ('. 22 • Approved By: Date: Building Official(or designee) EMAIL ADDRESS: Zoning District: Historical District: 0 Yes U No Flood Plain Zone: ❑ Yes U No Water Resource Protection District: Within 100 ft.of Wetlands:*** Yes No Yes No ***Note:Conservation review required if within 100 ft.ot�Wetlands 3/22 .,"� The Commonwealth of Massachusetts . =T _ /, Department of Industrial Accidents %Ea r/11- 1 Congress Street, Suite 100 •_ ,_ Boston, MA 02114-2017 5�.'''` 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): E i B`5 "0 o/ /a r7 o/s'Ca,,r Oe s i 9 7-7 Address:) A1-) p rdyovP 61/ - ' City/State/Zip: lye yi4 i'5, ,y 6'C ( Phone #: .' 7r29'S c2(C i,v 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. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. 0 Demolition 3.0 I am a homeowner doing all work myself. [No workers'comp. insurance required.]t 10 ❑ Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. - 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp. insurance.t 14.0 Other 6 We are a corporation and its officers have exercised their right of exemption per MGL c. 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: 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 pains and nalties of perjury that the information provided above is true'and correct. Signature: 7 /; Date: 7/ 8/ &- 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#: 83.32, s4 8s, cs 48.11 0 jx. 202.62' t 25.02 NEW 18'x32' INGROUND 1111111.. SWIMMING POOL W/ HOT TUB —a N N N ? NEW CABANA i 75.91' ^0 v N N �. I • a. V 1,34.90' POOL ASBUILT PLAN MBLU 109-37.1 �...v,k of wAss' 19 CRANBERRY LANE I CERTIFY THAT THE IMPROVEMENTS SHOWN 2*`` °# YARMOUTH. MA HAVE BEEN LOCATED BY A FIELD SURVEY. i alas P`, DATE: 10-26-2022 DRAWN: RBS o SYKES JOB ': 5962 No. 35418 "' SCALE: 1"=50' DWG. CPP ���F o�� EASTBOUND Fs �isTER LAND lk SURVEYING, INC. areQ Zit'''. s�0"AL Loos P.O. BOX 442 10-26-2022 FORESTDALE, MA 02644 ROBB SYKES, P.LS. DATE 508-477-4511 83.32' SQ BS, U 48,11 0 202.62' 25.02 NEW 18'x32' INGROUND �6 SWIMMING POOL a0 W/ HOT TUB N Ni NEW CABANA _ Z 175.91' ') v N in LO • (V • Z 444 VC 134.90, POOL ASBUILT PLAN MBLU 109-37.1 OF ac ss'c 19 ARMOUTHYMANE I CERTIFY THAT THE IMPROVEMENTS SHOWN (.1, 1- 'OBB HAVE BEEN LOCATED BY A FIELD SURVEY. R SYKESDATE: 10-25-2022 DRAJOB : RBS c SCALE i =50' JOB y.• 5962 No. 55418 " DWG. CPP y .: p �o EASTBOUND leg2 Zij"."'' ��Fss01s°N41 �k o S LANDP.O. RVOX EYI44 G, INC. 10-26-2022 FORESTDALE, MA 02644 ROBB SYKES, P.LS. DATE 508-477-4511 . . ••• . . . . Si 05 c..) I c c 0 1 cc c = 0 42 co co co 1 49. cp Ci) co 9_-Ki,-• 0J a; 45 .i b. 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O , u-.34 At laiioirc.7100,9.11'.•!r . 1,4 voll,f43/4---•....;.-,r:':,, --40, • it ..-!...,..: . :. i _.., D I.. 711,41:,,17 hilt,,„•.kt,,,,,,,'•'. ' .' cO 04 0 i ,..1 au 41•4Li...---...-•"."-..,,,.. .' ." ',&";',•-••;rwr,irii" ... _ _.1 r--2 ; tu ... 0•Iit%','%I...--:Ii.11;;I"'• -' ' ,,, Z Ca- . 'Al2;•‘,: s I ' • ' ,, 0 * ' - --. . 0 >-- ' ' ul - '''' Z >•S b •D 2 a 2 ' =w c. —0< LL1 u..(f) , uj ty 0 CL 2 <X i m w 0 2 0 ai i•• cn •u.i 2 0 0(I a N N C6.1)" 4Cc CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/15/22 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 CON rACr NAME: JIM HINDMAN Schlegel&Schlegel Ins Brokers,Inc. PHONE FAX Ext): 508-771-8381 (AVC,No): 508-771-0663 34 Main Street E- AIL ADDRESS: schlegelinsurance@gmail.com West Yarmouth,MA 02673 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ATLANTIC CASUALTY INSURED INSURER B: NGM EZIOS POOL AND LANDSCAPE INSURER C: DESIGN INC PO BOX 1272 INSURER D SOUTH YARMOUTH,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 500,000 MED EXP(Any one person) $ 10,000 A GL-45775211 10/15/22 10/15/23 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident) BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PER OTH- Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) INSURANCE COVERAGE IS LIMITED TO THE TERMS,CONDITIONS,EXCLUSIONS,OTHER LIMITATIONS AND ENDORSEMENTS OF THE POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF SANDWICH ACCORDANCE WITH THE POLICY PROVISIONS. 16 Jan Sebastian Dr, Sandwich,MA 02563 AUTHORIZED REPRESENTATIVE WILLIANA CASTRO I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD -pf(• Contractor Agreement This Agreement is made between 5-d )J1 Y e X ("Owner"), with a principal place of business at/9 Cr d4h.,) rsy Lane k 0 4" /1 and Sdr i'dc pod Zo)n 0640.Oe'S 1 -("Contractor"), with a principal place of business at 6- JP, ir licwr /-4,3 )1 _rf-1 0,2 1.Services to Be Performed Contractor shall furnish all labor and materials to construct and complete the project shown on the contract documents contained or specified in Exhibit A,which is attached to and made part of this Agreement. 2.Payment A.Owner shall pay Contractor for all labor and materials the sum of$ cd9 o D B. Owner shall pay Contractor$ for labor. Materials shall be paid for by Owner upon delivery to the worksite or as follows: _ • 3.Terms of Payment El A. Upon completing Contractor's services under this Agreement, Contractor shall submit an invoice. Owner shall pay Contractor within days from the date of Contractor's invoice. 0 B.Contractor shall be paid$ upon signing this Agreement and the remaining amount due when Contractor completes the services and submits an invoice. Owner shall pay Contractor within days from the date of Contractor's invoice. ciZr C.Contractor shall be paid according to the Schedule of Payments set forth in Exhibit attached to and made part of this agreement. El 4. Late Fees If Client is late paying Contractor,Contractor's damages will be difficult to measure.As a reasonable estimate of the damages Contractor will sustain, and as liquidated damages and not as a penalty, Client agrees-to pay Contractor an additional % per month interest charge on the amount owed,or the legally allowed maximum, whichever is less. 5.Time of Completion The work to be performed under this Agreement shall commence on and be substantially completed on or before S.Permits and Approvals El A.Owner shall be responsible for determining which state and local permits are nececsary for per forming the specified work and for obtaining and paying for the permits. B.Contractor shall be responsible for determining which state and local permits are necessary for performing the specified work and for obtaining and paying for the permits. ern*, www.nolo.cam 4 Fl SS Contractor Agreement 5-15.Pwl ` 7.Warranty Contractor warrants that all work shall b8 completed iO a oO0d workmanlike manner and in compli- ance with all building codes and other applicable laws. 8. Site Maintenance Contractor agrees to be bound by the following conditions when performing the specified work: * Contractor shall remove all debris and leave the premises in broom-clean condition, • Contractor shall perform the specified work during the following hours: . • Contractor agrees that disruptively loud activities shall be performed only at the following times: , •Atthe end of each deN/s work, Contractor's equipment shall be stored |n the following location: 9'Sub«ontraot»rm Contractor may at its discretion engage subcontractors to perform services under this Agreement, but Contractor shall remain responsible for proper completion of this Agreement. 10.kndmpendemt Contractor Status Contractor is an independent contractor, not Owner�employee. Contractor's employees or subcon- tractors are not Owner's employees. Contractor and Owner agree to the following rights consistent with an independent contractor relationship: K Contractor has the right to perform services for others during the term of this Agreement. 04 Contractor has the sole right to control and direct the means, manner, and method by which the services required by this Agreement will Ueperformed. 6d Contractor nr Contractor's employees orsubcontractors shall perform the services required by this Agreement; 1W Owner shall not hire, supervise, or pay any assistants to help Contractor. 4i� <�vvn��'m��|notrequinaConcactoror{�ontnsctortemp|oyemoorsubchntnactorstodevotefuUUnle � ^ � i �p��mmgthe services required by this Agreement. �l Neither Contractor nor Contractor's employees o,subcontractors are eligible toparticipate in any employee pension, health, vacation pay, sick pay, or other fringe benefit plan 0fOwner. I I. Local,State, and Feder-al Taxes Contnsctor shall pay all income taxes and FICA(Social Security and Medicare taxes) incurred while performing services under this Agreement. Owner will not: °vvithhokJ FICA from Contwactpr'm payments or make FICA payments on Contractor's behalf * make state or federal unemployment compensation contributions on Contractor's behalf, or °withhold state nr federal income tax from Contractor's payments. The charges included iA Paragraph 2do not include taxes. |f Contractor ia required to pay any federal, state, or local sales, use, property, or value added taxes based un the services provided under this Agreement, the taxes shall be billed separately to Owner. Owner shall be responsible for paying any interest or penalties incurred due to late payment or nonpayment of any taxes by Owner. LF156o=tm^oxmpmmem5-15,P92 12. Insurance Contractor agrees to obtain adequate business liability insurance for injuries to its employees and oth- ers incurring loss or injury as a result of the acts of Contractor or its employees or subcontractors. 13.Terminating the Agreement This Agreement may be terminated: *without cause by 3 days' prior written notice by either party, or •with cause, immediately upon material breach of any term of this Agreement by either party. KA.Client shall promptly pay Contractor for services performed before the effective date of termination. B.Client shall promptly pay Contractor the sum of$ for services performed before the effective date of termination. 14.Exclusive Agreement This writing(including any exhibits) is the entire Agreement between Contractor and Owner. The exhibits attached to this Agreement are • 60 15. Modifying the Agreement Owner and Contractor recognize that: •Contractor's original cost and time estimates may be too low due to unforeseen events or to factors unknown to Contractor when this Agreement was made. •Owner may desire a rnidproject change in Contractor's services that would add time and cost to the project and possibly inconvenience Contractor, or • Other provisions of this Agreement may be difficult to carry out due to unforeseen circumstances. If any intended changes or any other events beyond the parties' control require adjustments to this Agreement,the parties shall make a good faith effort to agree on all necessary particulars. Such agroc meats shall be put in writing, signed by the parties, and added to this Agreement. 16.Resolving Disputes El A. If a dispute arises under this Agreement, any party may take the matter to court. D if any court action is necessary to enforce this Agreement,the prevailing party shall be entitled to reasonable attorney fees, costs, and expenses in addition to any other relief to which the party may be entitled. B.if a dispute arises under this Agreement,the parties agree to first try to resolve the dispute with the help of a mutually agreed-upon mediator in . Any costs and fees other than attorney fees associated with the mediation shall be shared equally by the parties. If the dispute is not resolved within 30 days after it is referred to the mediator,any party may take the matter to court. til4 If any court action is necessary to enforce this Agreement,the prevailing party shall be entitled to reasonable attorney fees, costs, and expenses in addition to any other relief to which the party may be entitled. Casio MSS Went.110141.COM LF155 Goehnbtur Agreement 5-15,rg.3 0 C. If a dispute arises under this Agreement, the parties agree to first try to resolve the dispute with the help of a mutually agreed-upon mediator in Any costs and fees other than attorney fees associated with the mediation shall be shared equally by the par- ties. lf it proves impossible to arrive at a mutually satisfactory solution through mediation,the par- ties agree to submit the dispute to a mutually agreed-upon arbitrator in Judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction to do so. Costs of arbitration, including attorney fees, will be allocated by the arbitrator. 17. Notices All notices and other communications in connection with this Agreement shall be in writing and shall be considered given as follows: • when delivered personally to the recipient's address as stated on this Agreement • three days after being deposited in the United States mail, with postage prepaid to the recipient's address as stated on this Agreement, or •when sent by fax or electronic mail, such notice is effective upon receipt provided that a duplicate copy of the notice is promptly given by first class mail,or the recipient delivers a written confirmation of receipt. 18. No Partnership This Agreement does not create a partnership relationship. Neither party has authority to enter into contracts on the other's behalf. 19.Applicable Law and Jurisdiction This Agreement will be governed by the laws of the state of 42)-5.,i 5 e-A" /2 and any disputes arising from it must be handled exclusively in the federal and state courts located in Signatures Signature of Owner Date Printed Name of Owner Title Signs ure of Contractor Date Priffed Name of Contractor Title Taxpayer ID Number: CI This agreement may be signed by an electronic or digital signature. LF155 Contractor Agreement 5-15, ESTIMATE EST0115 Ezios pool & landscape design DATE Ezio Ferreira Marinho 09/12/2021 GST# 7745216240 P.O.box. 1272 TOTAL South Yarmouth USD $58,280.00 �s< Massachusetts MA 7745216240 eziomarinho@Hotmail.com TO Sam Tarek 19 Cranbarry Lane South Yarmouth, MA 02646 0 +15083159953 wissamt760@yahoo.com DESCRIPTION RATE QTY AMOUNT Dig pool and remove fill from the yard $2,800.00 1 $2,800.00 Vinil pool liner kit 18 x 36 wit 01 skimmer 02 and 2 return 01 light steps inside $13,850.00 1 $13,850.00 the pool cover with liner Cost to assemble the kit $1,800.00 1 $1,800.00 Pour concrete around pool and inside pool, on the flat part of the bottom and $1,400.00 1 $1,400.00 the flat part of the shallow Pour concrete on slope of the pool $1,100.00 1 $1,100.00 Concrete 12 yards and pump for poor concrete $3,300.00 1 $3,300.00 98 bags morta mix $1,150.00 1 $1,150.00 Plumbing material $1,900.00 1 $1,900.00 Plumbing installation $900.00 1 $900.00 Preparing pool to put liner and install liner $1,200.00 1 $1,200.00 Page 1 of 3 DESCRIPTION RATE QTY AMOUNT Plumbing finish $600.00 1 $600.00 Pool heater gas 300 btu propane $3,600.00 1 $3,600.00 Salt system $1,430.00 1 $1,430.00 Back fill $1,200.00 1 $1,200.00 Auto fill $950.00 1 $950.00 6"x 1"concrete base around pool $1,000.00 1 $1,000.00 Concrete $1,100.00 1 $1,100.00 Eletrica job with material including 01 time for pump $3,800.00 1 $3,800.00 The job not included the propane gas tank $0.00 1 $0.00 Plot plan (professional land surveyor) $2,200.00 1 $2,200.00 Construction spa on side the pool 7'x 7' 06 jats concrete like pictures $18,000.00 1 $18,000.00 SUBTOTAL $63,280.00 DISCOUNT -$5,000.00 TAX(0%) $0.00 The project does not include electricity service or gas supply.All materials are guaranteed to be as specified and TOTAL USD $58,280.00 the above work to be performed in accordance with the drawing and specifications submitted. The above work will be completed in substantial workmanlike manner for the sum of: $58.280,00 Payment to be made as follows: /i//t)( $30.000,00to start work $ 9 18.000,00 after installing the panels and before /. .61,)// concrete. $10.280,00 at the end of Pool construction. Respectfully -� submitted Any alteration or deviation from above specifications per Ezio l� �j�� -Z Marinho involving extra cost will be executed only upon ( GJ order, and will become an extra charge over and above the estimate. Acceptance of proposal. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date. Signature. Date. Page 2 of 3 • . 4•41-t4N, TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH,MA 02664-4451 Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 OLij G'S HIGHWAY HISTORIC DISTRICT COMMITTEE , . APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended,for proposed work as described below&on plans,drawings, photographs, &other supplemental info accompanying this application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS,PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial 1/ Residential 1) Exterior Building Construction: New Building Addition Alterations Reroof Garage Shed Solar Panels V Other: ZehO 2) Exterior Painting: Siding Shutters Doors Trim Other: 3)Signs/Billboards: New Sign Change to Existing Sign 4) Miscellaneous Structures: Fence Wall Flagpole Pool Other: Please type or print legibly: 0 #ve. ,eve log Address of proposed work: 1 9 C y ya h e Map/Lot# i 1 r. Owner(s): CI: 47 77) Phone#: 506) 3/5 9 „..? All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: /9 r: „,r) e' i/ e (i1001/ Year built: Email: e''.1,41),/le) 4 42140, 214,I1L Preferred notification method: t?<- Phone 1><, Email Agent/contractor: drj \5 /420 o 4fl eJ Phone#: /72..,;2 Mailing Address: (51 Email: 44,4 e ,e 42.4,-, Preferred notification method- „)<, Phone Email / '4/ Description of Proposed Work: ,D -me" Signed(Owner or agent): :2 Date: /7/777-72 Owner/contractortegent is aware that a permit is required from the Building Department.(Check other departments,also.) > If application is approved,approval is subject to a 10-day appeal period required by the Act. > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. > All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: Approved Approved with Modifications Denied Rcvd Date: il) DI)2?.. Reason for Denial: Amount 3 5:40 CashfCK#: C 601 5-- Signed: e[, 4,e • • Rcvd by: LA 7 46 Days: -41"..1141411r, • Date Signed: -2.7/74e iiitommmit ififialiliMPL ,./.• = APPLICATION#: TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE i 146 ROUTE 28. SOUTH YARMOUTH, MASSACHUSET1S 02664-4451 Telephone(508)398-2231 Ext.1292 Fax(508)398-0836 STATEMENT OF UNDERSTANDING CHANGES TO AN OLD KING'S HIGHWAY APPROVED PLAN As property owner/contractor/agent for construction at (r241‘elevil L2,1At , Map/Lot I 01 . C/A# 131 3- 13 -) Approval Date: ) -7 I certify that I understand the following requirements regarding any changes that may be required for this project: In accordance with paragraph 2(a) of section 1.03(General Procedures) of the OKH 972 CMR Rules and Regulations: Only minor changes may be approved by the Committee without the filing of a new application and a new hearing. Minor changes include alterations that can be done without a detrimental impact on the overall appearance of the project such as altering a single window or door change or a minor change of colors. All minor changes by amendment will require the local Committee's or its designee's approval. All changes to previously OKH approved plans require notification to and approval from the local OKH Committee. Change requests must be submitted to the Committee in writing on the appropriate request form, which may be obtained from the OKH office. All change approvals must be obtained before incorporating the change into the project. If the change has been implemented prior to receipt of OKH approval, a Minor Change approval or Certificate of Appropriateness application for the revised plans is still required and will result in a doubled filing fee for the appropriate category of work. Failure to comply with the above statements will result in the Building Department issuing a stop-work order or delaying issuance of an Occupancy Permit or final inspection approval. I have read and understand the above statements, 4 ) Date. / 27/ V-)- Signed. (Owner/Contractor/Agent) Signed: 4 (Chairman, OA King's Highway Committee) H 1014H COMMITTERApplicatIon FormssStdiernert of Understanding 2015 docx Updated 1212015 GENERAL SPECIFICATION SHEET Project Address: ., -0 . FOUNDATION: Material: 140.3 fm491 e Exposure(Not to exceed 18"): CHIMNEY: Material/Color: GUTTERS: Material/Color: ROOF: Material: .5 e e Pitch (7/12 min) Height to Ridge: Color: SIDING: Material/Style: Front: Sides/Rear: COLOR CHIPS Color: Front: Sides/Rear: TRIM: All windows& doors to be trimmed with: lx 4 1x5 (Circle one.) Material: Color: DOORS: Qty: Material: Color: Style/Size(if not listed/shown on elevations): STORM DOORS: Qty: Material: Color. GARAGE DOORS: Qty: Mat'l: Style: Color: WINDOWS: Qty/side:: Front: Left: Right: Rear: Color: Manufacturer/Series: Material: Grilles(Required): Pattern(6/6,2/1,etc.) Grille Type: True Divided Lite: Snap-In: Between Glass: Permanently Applied: _Exterior Interior STORM WINDOWS: Qty: Material: Color: SHUTTERS: Mar I: Style: Paneled Louvered Color: SKYLIGHTS: Qty: Fixed Vented Size Color: DECK: Size: Decking Mat'l: Color: Railing Mat'l: Style: Color: WALLS/FENCES* (Max 6'height): Height: Mat°1: Style: Color: (Show running footage& location on plot plan.) *Finished side of fence must face out from fenced in area. UTILITY METERS/HVAC UNITS: Location: Screening: LIGHTS: Qty: Style: Color: Location(s): LIGHT POSTS: Qty: Material: Color: Location(s): Additional information: 2-General APPLICATION#: I 3Y- . . TOWN OF YARMOUTH 9 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTFCF#‘10..E — -;-';-; • ‘;' ''''''h'' ABUTTERS' LIST g i Applicant's (Owner) Name L'•-aVItl 1-?..{e V-- Property Address/Location: t'f ____C_rivi' 1Q-P-01; 1.._ Hearing Date 7) 1 2j 23-- Notices must be sent to the Applicant and aoutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Apol;cant Please provide the Assessor's Tax Map and Lot numbers only. The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list Note !nstr,...ctIons for obtainmg tne abutters Map and Lot numbers can be found on tt'e DO K,ng's Kghway Debartment page on the Town website viAvLorcriputil ma us Map Number Lot Number Applicant Information' ; 1 °61 I 1 of) , , i Lii 57 i Abutter information ; 1 VI 7 ND li-lite?,- 1- t L.1 -3 7` 6)10 AY-11 kif 1 Ott I L'i plo iiii4.0 - I i oq -41 511 Plo i4-10,3 . , 1 1-. 1-- ,,y1,.:iy,1,,,,,,,,,,,,, i ! i 1CA:12:6iNu -,?h,1,-,11b,y,y,[„1.!.., .' . ! I -1 I , i : , Fr i 1 1 , - 1, , 1 I i ,-- i — __ !- [ .. .. _ _ ...._ i Apphoation # 3 8 2018 109! 37.1/ / TAREK WISSAM R 19 CRANBERRY IN Please use this signature to certify this list of properties SOUTH YARMOUTH,MA 02664 directly abutting and across the street from the parcel located at: 19 Cranberry Ln., Yarmouth Port, MA 02675 109/ 42/ / Assessors Map 109, Lot 37.1 / DAVENPORT DEWITT TR 4 _711a DAVENPORT REALTY TRUST 20 NORTH MAIN ST Andy Ma ado, Director of Assessing SOUTH YARMOUTH,MA 02664 November 23, 2022 109/ 44/ / / DAVENPORT DEWITT TR DAVENPORT REALTY TRUST 20 NORTH MAIN ST SOUTH YARMOUTH, MA 02664 d 109/ 54/ / I WILCOX EDWARD C WILCOX DIANNA L 2 OLD CEDAR IN SOUTH YARMOUTH,MA 02664-1027 109/ 37.2/ / / DAVENPORT DEWITT P TR DAVENPORT REALTY TRUST 20 NORTH MAIN ST SOUTH YARMOUTH,MA 02664 .44 4 OE( 1 2 n:?? yvve`1\ 36' P‘irl'S„i EC i 11/21/22,2:48 PM about:blank 19 Cranberry Lane i • 109.29 -, . . -4 -_ 109,33 �c 11 10934 '• ' 109.35 109.51 i 10 .35 10945: 1119.52 , i 109.53 'fIl l09e44Y 1 ` . 110.19.1 109.21 ' el 109:37.2 109,37.1 1 1 109:54 . . 1 E l09 55 . n 1 109 56 : '118'14 109. > m , _ < 1i0.15 110116 109.42 . 9, rn 109.58.1 ; '6 ce. 109.19 10939' ' ; i{t9.57 19 9,18 v£ .` 109.40 109 41 110,18 ',4" 110.17 1 P1.. =rUaL-t, ..I.o.?2 1.I> 35: Vie` about:bIank ill 8332* 48.11 0° o' 411E X. DWELLING 202 62' 25-02 NEW 18x32' INGROUND • SWIMMING POOL -1111111. W/ HOT TUB EJ :\\/ z ,44.1 NEW CABANA 0) 175 gi, 7.0 Nt • • • cNi Lo 4k- (Li Nt" 734..gof . , irri :OvEDI 1 .2 2U? ,,F1,0Qu = OLD HIQUWAY POOL ASBUILT PLAN MBLU 109-37.1 or m 19 CRANBERRY LANE YARMOU TH, MA I CERTIFY THAT THE IMPROVEMENTS SHOWN 4, ROBB HAVE BEEN LOCATED BY A FIELD SURVEY. DATE: /0-26-2 022 JOB01;sR986S2 if DWG. DPP NosYK35718 I SCALE 1"=50' p• EASTBOUND LAND SURVEYING, INC. 110 " 10-26-2022 I'es,1:s."‘c/s-T&44,4v N317 441. P.O. BOX 442 FORESTDALE, MA 02644 ROBB SYKES, P.LS. DATE 508-477-4511 (73—po 35- ' . 11/16/22,11:36 AM ' Hampton Bay Crownhill 11 ft.x 13 ft.Hardtop Gazebo with Wood Posts A102007506 = Ck pro ...... 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FREE e 1 Standard Deliver/ 1' . ... . . • • „ 2,?•--A13-Cm Well send up to 96 to Wareham for free pickup httpa://www.homedepotoom/p/Hampton-Bay-Crownhill-11-ft-x-1341-Hardtop-Gazebo-with-Wood-Posts-A102007506/317742487 1/4 11116/22,11:36 AM Hampton Bay Crownhill 11 ft.x 13 ft.Hardtop Gazebo with Wood Posts A102007506 Change Store 1 + Add to List Add to Quote Product Details , eA Specifications Dimensions:H 120.00 in,W 155,13 in,D 132,50 in Questions&Answers 141 Questions Customer Reviews 4.5 out of5*****(205) Frequently Bought Together {LJa.E S (Ih�: b � Price for all three: $180421 Add all three to cart This Item:Crownhiil 11 ft.x 13 ft.Hardtop Gazebo with Wood Posts $1649.00 Shettert ogic 30 in.Earth Anchcar Set(4-Piece)w/Heavy-Duty,Corrosion- Resistant Steel Construction and Spinnabie Corkscrew Design $36.28 VITA Pergola Dolt Down Bracket Kit(4pk), Galvanized Steel,VA80205 $118.1)6 Sponsored Products https://www,homedepot.corn/p/Hampton-Bay-Crownhill-11-fit-x-13-ft-Hardtop-Gazebo-with-Wood-Posts-A1 d2007506/317742487 2/4