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Home My WebLink AboutBLDTR-23-003316 O 12)1L'/?2_. .Q ""Yq TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.1261 0 .... ,;,,,i, ` — PERMIT NO BLDTR-23-003316 PERMIT ti" mat ' -" • ,. 70 ISSUE DATE 12/14/2022 JOB WEATHER CARD ,. APPLICANT -Elecnor Hawkeye PERMIT TO AT(LOCATION) 130 JIBSTAY RD,YARMOUTH,MA 02675 ZONING DISTRICT 1 Bldg.Type: SUBDIVISION MAP BLOCK LOT 134.110 BUILDING IS TO BE: CONST TYPE USE GROUP REMARKS Trench-Replace underground electric for Eversource in front of transformers ' CONTRACTOR and test hole existing utilities of side of roadway 3 x 5 holes. (Barnacle Rd, LICENSE Jibstay Rd and Eileen St) Digsafe#'s 20224812252,20224812232, 20224812229-(774-451-1400)****No pavement cut allowed per Town Engineer i AREA(SQ FT) ;493,360,560. EST COST($) 1 PERMIT FEE($) 50.00 OWNER SHAUGHNESSY MATTHEW J BUILDING DEPT BY ADDRESS 30 JIBSTAY RD , 'YARMOUTH PORT IMA —T02675 2036 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: 1 WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS 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 OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION ARn\/F T -e rna) \ pcoo -ir, i Y TOWN OF YARMOUTH °o A 40 k b Th -:BUILDING DEPARTMENT Permit Number L3- .,A[4, c ' 1146 Route 28,South Yarmouth,MA 02664 .t.MM tTTAi„ 3 dkV, 508-398-2231 ext. 1261 Fax 508-398-0836 Date Issued 1 l67 Expiration Date (1;y --) -?- $50.00 TRENCH PERMIT ! RECEIVED Pursuant to G.L. C.82A §1 and 520 CMR 7.00 et seq.(as amended) _. _T,_._.-___— THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION ! I DEC 0 9 2022 Name of Applicant ' Phone ell fAa U lLuirv� DEPARTMENT CkC Street Address �%b(2 14 A41\\ h r1�� Y,�-/_,,�dCt, y 3'')6 A 'To \\ a oti f t)Ili- Email Address: ., City/Town MA ZIP 0 MAN aNe 5 tt=k C`i 0 O Li g. Si-tVI . rose @ C I((ivc1 e) Name of Excavator(if different from applicant) Phone Cell — f/irl f jil n ( Street Address i 1Pwcidi' Rti 5; J g'f y kJ ,'i„,„, s Email Address: City/Town ) MA I ZIP, o (o- 5 YA R MeV tik fl 1t _ ri a & i 9 Name of Owneris)yit of Property Phone Cell Address trlo / J( Email Address: City/Town MA ZIP Other Contact I Permit Fee Received No(- ) Yes( ) Description,location and purpose of proposed trench: A f/� y Please describe the exact location of the proposed trench ant its ((nc1 da(a(feacription of what is(or is intended)to be laid in proposed trench(ea;pipes/cable lines etc..)Please use reverse side if additional space is needed. TNPof or TRAWSPOrINERY ANti fii f 61 c ( if "iv U.t► /. ,'e 0Vf sit) / by toRclwri JX5— Ho1�• fro ri h L,,,4m C` Cc ki c Pock EveRSav/C( insurance Certificate 0: , Name and Contact Information of Insurer: LJi I \ ( 5' TowcRs \". 0i Polk!Expiration Date: I Dig Safe if: ace A.A -\ s \ aa� a © a,�i ‘°aag , L Name of Competent Person i as defined by 520 CMR 742)) SItcOviv Io$t. _c-, Name of Competent Person(as defined by 520 CMR 7.02): t A) 05i Massachusetts Hoisting License#j E '" I a 3 9 y a License Grade: I C. `r a k3 Expiration Date: 0 3 3(),) 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. APPLI ANT S GNATURE 72C, DATE I n EXCAVATOR SIGNATURE(IF DIFFERENT) DATE OWNER'S SIGNATURE(IF DIFFERENT) DATE: ... "` f t -c f„ ., o "'"'• o,' iA - _ . V.r ,i•:: ,: .v *xt%- ¢ --. - • `•cxF i " yes �a'7aLs.«.'mod'�-�SFh.�.,. i�: � ,.1''r. a �i t�„„_ 44 4_11 '' °. 4 .. _.,.-,. ...uBr�.:�.� .. tee.c .,r`#.'.�. .,7.,. _ Page 1 of 1 .� l daDATE(MM/DDlYYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE 12/05/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE RT! "'-- -- _ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORD - -" --- _ _ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE ---- REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED pr:= If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an ender:;=-` ` • ' • this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). (PRODUCER CONTACT Willis Towers Watson Certificate Center NAME: Willis Towers Watson Northeast, Inc. PHONE { AX 1-888-467-2378 c/o 26 Century Blvd 1-677-945-7378 1_{FA/C,No}: E-MAIL P.O- Box 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE j NAlC$ INSURER A: Travelers Indemnity Company 25658 INSURED INSURER B: Travelers Property Casualty Company of Amej 25674 Ele 100 Marcusoor e, LLC 100 Boulevard, Suite 1 INSURER C: The Charter Oak Fire Insurance Company 25615 'I Hauppauge, NY 11788 INSURER D: INSURER E: INSURER FS--------__._- --------- __ ----- COVERAGES CERTIFICATE NUMBER:W26832479 REVISION NUMBER: UM1 - 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED i=='_= -.._ INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT`. -- _ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ice. 3t= r-' . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ---- --- ADDLISUBR POLICY EFF POLICY EXP INTSRR TYPE OF INSURANCE INSD I WVD I POLICY NUMBER (MM/DD/YYYY). (MM/DENTYYYZI _ LIMITS I X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE j$ 3,000,000; DAMAGE TO RENTED 300,000 CLAIMS-MADE I X I OCCUR PREMISES(Ea occurrence) 1$ A MED EXP(Any one person) I$ 10,000 Y VTC2X-CO-5G429112-IND-22 11/01/2022 11/01/2023 PERSONAL&ADV INJURY I$ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I$ 6,000,000 ;POLICY I X PRO-CT ^LOC PRODUCTS-COMP/OP AGG, $ 6,000,000 Fla L OTHER: -_-, _ — — -COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 2,000,000: X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED VTC2J-CAP-5G429124-TIL-22 11/01/2022 11/01/2023 BODILY INJURY(Per accident)I$ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE I$ Included AUTOS ONLY AUTOS ONLY (Per accident) X UMBRELLA LIAB X I OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB I CLAIMS-MADE CUP-2P677468-22-25 11/O1/2022 11/01/2023 AGGREGATE $ 5,000,000', DED _ RETENTION___ WORKERS COMPENSATION o X I STATUTE !ER AND EMPLOYERS'LIABILITY V/N 2,000,000 C ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERJMEMBEREXCLUDED? No N/A OB-OL331819-22-25-D 11/01/2022 11/01/2023 2,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under E.L.DISEASE-POLICY LIMIT I$ 2,000,000 DESCRIPTION OF OPERATIONS below j DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,AdditIonal Remarks Schedule,may be attached if more space Is required) Re: Permit application i 'The Certificate Holder is included as an Additional Insured with respects to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Yarmouth Port AUTHORIZED REPRESENTATIVE Yarmouth Town Hall �� 1146 Route 28 South Yarmouth, MA 02664 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 23397447 BATCH: 2761962 Hoisting Engineer Restricted to: HE-1C-Telescoping Booms w/o Cables HE-28-Front End Loader/Backhoes 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 �r T nweatth of Massachusetts SUP: DivistonHc {�3f cCiSigQa` tdonat `L;cen Airs,er HE i2S442 ( pires:03l3012023 STEPHEN ROSE 306 WINTROONfsA STREET#220 TAUNT M 02780 4-Gr:Lv.Lt)a4 • ', Commissioner ,c , 0- is 6_ . ] 14,0 2 9 } cet 0 » _ # ? , < % k ¥ $ / % 0 $ \ ` N | % ` � § » § ¥ t \ /to� \ § ; '9 9/?,, ; \ k e+ k tn ! a ? t � | ( � / Clarke, Kristin From: Lima,Amanda Sent: Tuesday, December 13, 2022 1:57 PM To: Clarke, Kristin Subject: FW: Re: Hi, Steve says below that he can stay out of the roadway. DPW would be okay with that condition. DPW would like to review any trenches that have pavement cuts.We will check it against our roadway list. Thanks! Amanda Amanda Lima, P.E. Town of Yarmouth DPW-Town Engineer 74 Town Brook Road West Yarmouth, MA 02673 Office(508)398-2231 Ext. 1253 -ALima@yarmouth.ma.us From:STEVE ROSE Sent:Tuesday, December 13, 2022 11:38 AM To: Lima,Amanda Cc:Clarke, Kristin; Creech, Bridget Subject: Re: Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsur-. Otherwise delete this email. Yes, I will. On Tue, Dec 13, 2022, 11:25 AM Lima,Amanda<Alima@varmouth.ma.us>wrote: Hi Steve,all those roads you requested a trench permit for have been recently chipsealed in 2021 and are un Der a pavement moratorium until July 2026. No pavement cuts would be allowed. Can you keep your work off the roadway? Thanks Amanda Amanda Lima, P.E. Yarmouth DPW-Town Engineer Office (508)398-2231 Ext. 1253-ALima@varmouth.ma.us 1 From:STEVE ROSE<steve.rose@elecnorhawkevellc.com> Sent:Tuesday, December 13, 2022 8:53 AM To: Lima, Amanda <Alima@yarmouth.ma.us> Subject: Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure Otherwise delete this email. Hi were replacing primary electric cable. Not services to the houses. Need to cut blacktop on Jibstay 3'by 5" Mostly be in the easement in the dirt Thank you 2