Loading...
HomeMy WebLinkAboutdenied tent application 82522 r ... ( e./-): e/.-- /vat .y ''Office Use Only aA . �� Permit# ��UV 0,�}{ Nl. Amount go.66 ' Permit expires 180 days from R issue date EXPRESS BUILDING PERMIT APPLICATII.3 TOWN OF YARMOUTH RECEIVED Yarmouth Building Department 1146 Route 28 AUG 25 2022 South Yarmouth,MA 02664 (508) 398-2231 Ext. 1261 BUILDING DEPARTMENT By: CONSTRUCTION ADDRESS: 32 New Hampshire Ave West Yarmouth, MA 0267 ASSESSOR'S INFORMATION: Map: Parcel: OWNER: Nicholas Fiorillo 32 New Hampshire Ave WI§ 5t).6 • 17 4) . 121 9 NAME PRESENT ADDRESS TEL. # CONTRACTOR: Party Cape Coqj 660 MacArthur Blvd Pocamr 508 564 6900 P 0 Ca' , 4 NAME MAILING ADDRESS TEL.# ❑Residential ❑Commercial Est.Cost of Construction$2500 0 ZS 5 q Home Improvement Contractor Lie.#A1 PAMA002-031743-08 Construction Supervisor Lie.# Workman's Compensation Insurance: (check one) ❑ I am the homeowner 0 I am the sole proprietor >d I have Worker's Compensation Insurance Insurance Company Name: AmeriTrust Insurance Worker's Comp.Policy#WC0870132 04 36 11 b &/okA frzzt q/k- 9iiz even 1-cn p WORK TO BE PERFORMED Tent I l Duration 5 days (Fire Retardant Certificate attached?) Wood Stove I I Siding: #of Squares Replacement windows:# Replacement doors: # Roofing: #of Squares (0)Remove existing*(max.2 layers) Insulation i i J Old Kings Highway/Historic Dist. CI)Replacing like for like Pool fencing *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 m license and for prosecution under M.G.L.Ch.268,Section 1. Applicant's Signature: Date: 8/19/22 Owners Signature(or attachment) Date: Approved By: _ Date: Building Official(or designee) EMAIL ADDRESS: • Zoning District: Historical District: - Yes No Flood Plain Zone: ' Yes -'. No Water Resource Protection District: Within I00 ft.of Wetlands: - Yes No Yes -. No T 0 CD 0 0. C et m m a IMPORTANT DOCUMENT Certificate of me e -tance Date of Shipment ISSUED BY 03/25/13 Registration Number •AiNDUTRIE,.., Tent identification F122.02 ..,-..t--.A),, 15153653 EVANSVILLE, INDIANA 47725 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described are inherently flame retardant and were supplied to: PARTY CAPE COD 660 MACARTHUR BLVD POCASSET, MA 025592230 STe4Ntil, N. CAL/AIN*: "k 53.A. "s%'% /Z44-1•Pq ir tht/ Certification is hereby made that: The articles described on this Certificate have been treated with a flame-re,tardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code. All fabric has been tested and passes NFPA 701-04. ULC 109. Serial# 8106200(5) Description of itern certified: 20x20'White Frame Tent Flame Retardant Process Used Will Not Be Removed By Washing And is Effective For The Life Of The Fabric HERO ULITE YORK PA Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC • The Commonwealth of Massachusetts Department of IndustrialAccidents Y^�y, Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02I1.1-1750 >a 5 www.nsass.gov/dia Workers Compensation insurance H tidavit: riuiiders/ContractursiEieccriciaansiriutnbers A flicant Information Please Print Le 'bl 1. anIe (Business/OigaiiiLatioiiandividual): Peaty (...,apt.. Address:660 MacArthur Blvd City/State/Zip:PocasSet, MA 02559 Phone#: 508-564-6900 Are you tin employer?Check the appropriate box: Type of project(required): 1.C®t I am a employer with full&part time 4, [J Lam a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.ri 1 am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' P ty, 9. 0 Building addition [No workers' comp. insurance comp. insurances required.] 5. 0 We are a corporation and its 10.LJ Electrical repairs or additions officersave exerci sed their 11. Plumbingrepairs or additions 3.01 am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] ' c. 152, §1(4),and we have no Tents employees. [No workers' 13.®©ther comp. insurance required.] Any appiietum that,clsccks hax in II'1U41 also llid e_t die sestien beiow sao virtg tavo WOtKCn iitiwuiutiuu. a 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 fob site information. Insurance Company Name: 'Alfieri i rust irisuriarice(-;orp Policy#or Self ins. Lic. #:INC0870132 04 — Expiration Date:02/09/2023 Job Site Aiiu.iti:ss. i liyr:iiaiut;lp' fHltdCti a tupy u the workers' cwupensadon policy tieciaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 a25b.dii a day against the violator. rse advised diet a copy of this statement may be dirwartied to rile i icc of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ,fir Q Signature: _{,4..) —c- -`�`— IF '1�---.— Date: Phone#: C __.<.7(e)4k�. ct Ci Official use only. Do not write in this area,to he completed by city or town officiaL City or Town: Permit/License ft Issuing Authority(cheek one): 10Board of Health 20 Building Department laity/Town Clerk 4.0 Electrical Inspector .numbing Inspector 6.00ther Contact Person: Phone#: From: Kate Perfetti<kperfetti rocklandrecoverv.com> Date:August 8, 2022 at 3:23:48 PM EDT To: KELLEYMCGRATHSPgmaii.com Subject: Fwd: Permission for Tent at 32 New Hampshire Ave Kate Perfetti LADC Il Director or Community Outreach and Alumni Services From:Tracy Fiorillo<tracyrnfioriilo(cpgmail.com> Sent: Monday,August 8, 2022 3:20 PM To: Kate Perfetti<kperfetti@rocklandrecovery.com> Subject: Re: Permission for Tent at 32 New Hampshire Ave I, Nicholas Fiorillo, owner of 32 New Hampshire Ave West Yarmouth, Ma gives Kate Perfetti, renter, permission to have a tent on the property of 32 New Hampshire during her stay. Thank you Nicholas Fiorillo Ocean Vacations On Mon,Aug 8, 2022 at 3:10 PM Kate Perfetti<kperfetti@rocklandrecovery.corn> wrote: Hi Tracy, guess the tent company is just asking for a note from the landlord confirming we can have a tent. Can you please just shoot me an email confirming. Thanks! Be well— Kate Perfetti, LADC II Director of Community Outreach and Alumni Services 781-789-8795 kperfetti@rocklandrecovery.com klandrecovery.com Rocklandrecovery,com 2 TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner Party Cape Cod 660 MacArthur BLVD Pocasset, MA 02559 August 29, 2022 RE: 32 New Hampshire Ave, West Yarmouth, MA—tent permit application To Whom it May Concern, This letter is regarding a tent permit application at this address for an event. The Yarmouth Zoning Board of Appeals held a hearing on November 17,2017,regarding the use of this property to hold events. The board denied this appeal and a subsequent court appeal was dismissed. I regret to inform you that your application is denied for the reason listed above. Questions in this matter may be directed to this department. Very Truly, Tim Sears CBO Deputy Building Commissioner Town of Yarmouth