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HomeMy WebLinkAboutBLD-22-006812 g(1,. Y -Q 4 �/ 7r ?f- ,(70��� Office Use Only (*,. yBu To,' � IA ,!I'J.�`�(N+ry', V o ) ✓) Permit# � 'd�MATTACM [SE��q `_ � 7./I V�� �\✓ �H.a. t �� 1 V ^` �y_JJ °% V21,, j? T� Amount 3.s ,OD Permit expires 180 days from Vissue date 0 itP16 4,o- ,2-02 -60 401/2_ EXPRESS SHED PERMIT APPLICATION iwt-/--- TOWN OF YARMOUTH D C. 4 - REE �- IV E Yarmouth Building Department _ 1146 Route 28 2 3 20 5 )ZLi I Z2 South Yarmouth, MA 02664 MAY (508) 398-2231 Ext. 1261e,®_ ` , B 21 A U►LDING DEPARTMENT 0ZA.L-LA �w E-- nnot' �y - CONSTRUCTION ADDRESS: ��� ,jh OWNER:JENN 1fF.R- L W�L�Ct p��I I UST l IZAtGA 4/. NAME tt,, PRESENT ADDRESS TEL.�4 CONTRACTORTFINZ IS nos 37G /AeNA%M'P IWU. F&AIs 50U -7? )5-00 . NAME MAILING ADDRESS TEL.# sidential D Commercial Est.Cost of Construction$ 500 V Home Improvement Contractor Lic.# Construction Supervisor Lic.# Workman's Compensation Insurance: (check one) Tam the homeowner I am the sole proprietor I have Worker's Compensation Insurance Insurance Company Name: 6tAco ko M Worker's Comp. Policy# l�.SHED INFORMATION lou N ew t.V Size L 73 x W (0 x H 0 Corner Lot: Yes No Per Town of Yarmouth Zoning Bp-Law Sec 203.5 Note E: Side and rear yard setbacks for accessory buildings containing one hundred fifty(150)square feel 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 o revocation of my license and for prosecution under M.Q.L.Ch.268.Section 1. Applicant's Signatu -- Date: /8mA/ p2 Owners Signature(or attachm Date: let //t/yol- Approved By: Date: Building Official d ee) EMAIL ESS: �/ �� � �' [�' Zoning District: tJ PO kL h~ Ilistorical District: Yes No Flood Plain Zone: Yes No n oi_vitAi 1 I rel(M i � Water Resource Protection District: Within 100 ft.of Wetlands: *** Se+hact.S' Yes No Yes No ***Note: Conservation review required if within 100 ft. of Wetlands 0 f J c f� 3/22 J'� _ \ The Commonwealth of Massachusetts — _ Department of Industrial Accidents __MEW: 1 Congress Street, Suite 100 —"• =...\ r�_ Boston, MA 02114-2017 tir •`'• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): �NN LFua. L WALLA c . ---(a,I 1- 9...u1- Address: g. 1 A 2P I LEA La City/State/Zip: 5.'] a( }f MR U 1p Phone #:j Are you an employer?Check the appropriate box: — 'type of project(required): 1._ I am a employer with employees(full and/or part-time).* [./7. New construction (4.4) 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity. [No workers'comp. insurance required.] 3.—1 am a homeowner doing all work myself. 9. U Demolition y [No workers'comp. insurance required.]t 4.©I am a homeowner and will be hiring contractors to conduct all work on my pro I ill 10 Building addition �' w _ . ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. — 12.7 Plumbing repairs or additions 5._I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp. insurance 13.❑Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14•❑Other 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$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature - Date: l O / 1 1 /)-7 Phone#: 008 K 36 6 C Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: SHEDS LESS THAN 150 SQ. FT. SHALL. BE PLACED A MINIMUM OF 30 FEET FROM THE FRONT LOT LINE AND A MINIMUM OF 6 FEET FROM SIDES AND PLOT PLAN REAR LOT LINES. FOR LOT # • Indicate location c# garage or accessory building Additions. with dashed lines Sewerage ell disposal (cesspool) ED /2 WI o 01`\ I Abutter's Name I Abutter's Lot# Name Lot# If this is a REAR YA-.• corner lot, If this is a write in ft. corner lot, M name of street. F'' write in "J. _ name of street. 1 Pew I . ... /),1)\ wtt ‘,\. U 4 �� ��� SIDE Y - . �/�' I HOUSE as•g YARD I • 99 .• • • • • • • • • SET BACK • • V 3b • 4 ' ft. (lot...1$Q k.- r ft fro ntage) • • / A 2vs � (NAME OF STREET) Infok lnaticn SE n1kF�e • > by (,ACC 02-( ( R-u-- - - TOWN OF YARMOUTH 1146 ROUTE 28,SOUTH YARMOUTH, MA 02664-4451 1 9 21I?;" Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 TAHMOu;r. OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE OLD VAG'S H1,0,12,1,,Li__ APPLICATION FOR CERTIFICATE OF EXEMPTION Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans,drawings, or photographs accompanying this application. Type or print legibly: Address of proposed work: (9s"I -tAt CA LAO ES ‘` Map/Lot# ) °I LI C. Owner(s). 31f4 1J r'V* 1 , CO Oat I tau ci Phone ft_ All applications musibe submitted,by owner or accompanied by letter from owner approving Mailing address: el( Mkt e Ct. l2r1/442- 07.64q Year built. I ISO.:3 Email: try iiria-(102 t'W Input.(oar% Preferred notification method Phone , V,Ecnall Agent/Contractor Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work(Additional napes may be attached if necessary): Signed(Owner or agent) " ' Date: cQz owneficoniractor,agen,is aware that a permit may be required from the Building Department (Check other departments,also) > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. For Committee use only: Date: eR4112, - V Approved Approved with chan ' (?Amount ti) Reason for denial' JUN ?-19—Jr1, CashICKS: 2' Revd by: Date Signed: .A4d3 Signed: 1)ee &711-eek .9,,w) I Ost, APPLICATION vb 2017 Sherman, Lisa From: RICHARD GEGENWARTH <rgegenwarth@comcastnet> Sent: Wednesday, June 29, 2022 3:10 PM To: Sherman, Lisa Subject: RE:22-E086 21 Azalea Lane 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. That's good Lisa. I'll give my approval to the project. Richard On 06/29/2022 2:56 PM Sherman, Lisa<Isherman@yarmouth.ma.us>wrote: Hi Richard, The resident says the small shed by the driveway is for rubbish; she keeps the trash cans in there to keep the animals out. Her lawnmower, bike, etc. are in that shed now which is why she wants the new shed; she wants to put "shed" items in the new shed, and return the rubbish shed to holding rubbish. Please let me know if you need any additional information, r--- 1 - A 11 It I J'UN 2 9 202, Thanks Richard, L-Qt KIM:3 S Lisa From:RICHARD GEGENWARTH<rgegenwarth@comcast.net> Sent:Wednesday,June 29, 2022 1:15 PM To: Sherman, Lisa<LSherman@yarmouth.ma.us> Subject: Re: 22-E086 21 Azalea Lane 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. Google shows another smaller shed at the opposite corner of the lot, Will that one remain, or is it already gone? The 30 ft dimension could be increased so the shed will not be in front of the front plane of the house, Richard On 06/29/2022 8:52 AM Sherman, Lisa<lsherman(cayarmouth.ma.us>wrote: Hi Richard, ,UN 29 ZO 22 YiktiMOU i OLD KiNgZi tit tl W Y Resident would like to build a shed at 21 Azalea Lane. Please let me know if you need any additional information. Thanks Richard, Lisa Lisa Sherman Office Administrator Old Kings Highway Committee/Yarmouth Historical Commission Town of Yarmouth 508-398-2231,ext. 1292 lsherman@yarmouth.ma.us 2 , ...... iff:, TOWN OF YARMOUTH . ,..,.. . 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 ;., Telephone(508)398-2231 Ext.1292 Fax(5 t':)398-0836 - . OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE WAIVER OF 45-DAY DETERMINATION The applicant/applicant's agent understands and agrees that due to the current declared National and State public health emergencies the determination of our Application for a Certificate of Appropriateness/Demolition/Exemption may not he made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to he made as required by the Old Kings Highway Regional Historic District Act. SECTION 9-Meetings,Hearings, Time for Making Determinations "As soon as convenient idler such public hearing; but in wit'event within forty-five (45) days after the filing(?1"application, or within such further time as the applicant shall allow in writing, the Committee shall make a determination on the application." Applicant understands that the review of this application will he scheduled as soon as the situation allows. Applicant/Agent Name(please p int): -37214414 1 kt.to_ WA-I--t-gt s. e L Applicant/Agent signatu tp ____ Date: .23 droA) . ..g.„.. 0,--- 1VE r0 47 . „,, ...,. jUN 29 2022 1 YAHMOUTH t'r,,hixtiL:1U; LD KIN-,4'S HIGHWAY OLD KINGS HIGHWAY Application It: 3/2020 '' s•i , 46 ' i{ <a; J ,^a t J ^ . .. .,..„.., .., aN � ,., r t../ i8 ;g #at. ..„ ry E - r t� 's rV+ C CO Q) NJ CO A �gta wK iitt4 Aiiiiri A 3 >z Iii 4 k.,0 sW . At*N;I:41' ....„,,,,,/ IP? ''. tiaU 03 , r / '"IIIIIIIIIW . .... ......— OVED F T E� JUN 2022 . t g . '.' - Rio k r.` ` w ,..$14,v ,„14..,i::.-,.„-,... ' *••• i,'•••:;4';''''3'2 . '''c' '111 :Aft ''''":‘ ' �i f;' d a ::' ! 0f, f 8 c en rya rx5 CO it U.1:3 i'. ,., !,',4 ' 4111,111'1: ---,,,,,, .4iii.: :fi,.., „., ..'. ! .• -;',mgloptiol. , ...-. „;,, 3 ;t tili I te '+a.' :is - • • -i1...!.:,:ti1.z.:;2.4.,,",?):':A,',,„•it.:.'. .k..„..i:i,v.i:,1'...„,,Iiii1::v:ik,„t,:l„i:„t... 9 . d 1 B 4 ,,, : „.' IIIP :41.11:....1..0:4.110...#14110i- ......„..........,.,....:„ _ ,i\,Alia;A it 'Aligkr7:7;:,:14" ''°'K 1 + a ti to V c gg "- Mine is the Quiyett Cape, but 8/x10'.These come with one window and one door on the front wall(see description under the main image) so slightly different than pictured here(smaller). No side doors. How is that?Sufficient? Peace, Jenn On Mon,Jun 27, 2022 at 11:23 Sherman, Lisa<LSherman@yarmouth.ma.us>wrote: Hi, ; 1 9 /Jo') I got your application in the mail. I -crw, OLO Do you have a picture of what the shed will look like? The OKH Committee is interested in the appearance of the shed. A picture from a brochure is fine. And they also need to know how large the shed will be. Larger sheds require a Certificate of Appropriateness, so need to know the size as well. Thanks, and please let me know if you have any questions. A PP(* jFJ Best regards, Lisa Sherman al)KING'S HICI AA/ Y From:Jennifer Wallace<mslenniferlynn2019@gmail.com> Sent:Saturday,June 25,2022 4:05 PM To:Sherman, Lisa<LSherman@yarmouth.rna.us> Subject: Re: Shed at 21 Azalea 3 VSS