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Home My WebLink AboutBLDTR-23-000077 PU 7/0/ - o Y� TOWN OF 5 ARNIOI'TII 6z BUILDINGDEPARTMENT Permit Number 0ddo'717 (p; ). 1146 Route 28, South Yarmouth, MA 02664 t A-T y', 508-398-2231 ext. 261 Fax 508-398-0836 Date Issued MO- ble-1 g � h °OO 5Expiration Date RECEIVED TRENCH PERMIT r�... Pursuant to G.L. c. 82A §1 and 520 CMR 7.00 et seq.(as ameln d)' - 06 2022 THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERAT1O�NU I L D I N G DEPARTMENT Name of Applicant/ �6Gt'7 C�t, 0 N Phone L � .Cell��[l/��/�— $ q _ - __-- Street Address 36,3 Tj W ie d h City/Town MA ZIP Name of Excavator(if different from applicant) Phone Cell Street Address City/Town MA ZIP Name of Owner(s)of Property 4 ,//y ��G. Phone Cell ifiroy Street Address �Q�mock f'G Rd 7' City/Town MA I ZIP 4rmou/ 1 * Off- 496 755 Other Contact 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/cable lines etc..)Please use reverse side if additional space is needed. geCV0 froptrir, 7n'iv'n�, ' 9%441 ce,fiALYL( )b Aim) 1-box ,t9 reek) Ca) SAO 6 i/o" leark71 `o/mimis/ct-A ((cow__ Pea), } Insurance Certificate#: QM/30/1/25.� 30 Name and Contact Information of Insurer: #46 7n,i colt rki New ,E 4/11 #P tize. I4wrc, —- Policy Expiration Date: /a a?Qa. Dig Safe#: �Ov?,20?4d/O l6 Name of Competent Person(as defined by 520 CMR 7.02): gqac f 1 of leo kw RE - 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 G AT DATE C- '- o?aa� EXCAVATOR SIGNATURE(IF DIFFERENT) DATE OWNER'S SIGNATURE/ (IF DIFFERENNT) lq 111 1 TV r (1 DATE: I(;/2.2_ For City/Town use--Do not write in this section PERMIT APPROVED BY PERMITTING AUTHORITY DATE CONDITIONS OF APPROVAL Health Dept. Trench Permit Page 2 of 2 Revised 7/17/2018 Bk 29376 Pg344 #464 01-06-2016 @ 08:26a N O T N O T A N A N OFFICIAL OFFICIAL COPY COPY N O T N O T A N A N O FgpitiNviiti D O F COPY A L I,Mary K.Field,of 5110 Heatherwood,Yarmouth Port,Massachusetts 02675,for consideration paid in the amount of Three Hundred Nine Thousand Dollars and No Cents ($309,000.00), Grant to Matthew S.Turner and Kelly M.Turner,husband and wife as tenants by the entirety,of 41 Barnacle Road,Yarmouth Port,Massachusetts 02675, with Quitclaim Covenants the land together with the buildings thereon situate in Yarmouth,Barnstable County,Massachusetts,bounded and described as follows: > NORTHERLY by the Southerly sideline of Barnacle Road,as shown on plan 5 hereinafter mentioned,one hundred ten and 00/100(110.00)feet; 3 EASTERLY by Lot 115,as shown on said plan,one hundred ten and 00/100 (110.00)feet; 3 SOUTHERLY by Lot 133,as shown on said plan,one hundred ten and 00/100 (110.00)feet;and WESTERLY by Lot 117,as shown on said plan,one hundred ten and 00/100 (110.00)feet. u Being shown as LOT 116 on plan of land entitled"Subdivision Plan of Land in Yarmouth, Mass.for James F.Ruhan et al Scale 1"=100'August 1966 Scott Associates Surveyors South Dennis,Mass.Cape Cod"which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 207,Page 57. t No portion of the fee in Barnacle Road is hereby conveyed. There is conveyed as 5 appurtenant to said lot a right of way over Barnacle Road,Outward Reach and Pompano Road,as shown on said plan,to be used in common with others now or hereafter legally entitled thereto and over Nashoba Lane as shown on said plan entitled"Subdivision Plan of Land in Yarmouth, Mass. for James F. Ruhan et al Scale: 1" = 40' September 1969 Barnstable Survey Consultants, Inc. 608 Main St., West Yarmouth, Mass." duly filed in 4 Barnstable County Registry of Deeds in Plan Book 234,Page 51,for ingress and egress to and from the granted lot and Route 6A. The above described lot is conveyed subject to a water easement dated March 30, 1967 given by George DiBona et al to the Inhabitants of the Town of Yarmouth recorded in Barnstable Deeds in Book 1362,Page 622;also subject to an easement to Cape&Vine- yard Electric Company et al recorded in Barnstable County Registry of Deeds in Book 1363, Page 311; and further subject to another easement given to Cape & Vineyard Electric Company et al recorded in Barnstable County Registry of Deeds in Book 1451, Page 25. The above described premises are conveyed subject to the restrictions and all of the provisions concerning said restrictions as set forth in a deed from Norma DiBona,Trustee Page l of 2 77 /c-, _..7 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 01-06-2016 ^ 08:26am Date: 01-06-2016 08:26am Ct1#: 49 Doc#: 464 Ct1#: 49 Doc#: 464 Fee: $1,056.78 Cons: $309,000.00 Fee: $834.30 Cons: $309,000.00 Bk 29376 Pg345 #464 • N O T N O T A N A N OFFICIAL OFFICIAL COPY COPY N O T N O T A N A N and Rolling Hills DeveloieFt CForpbragn Ito oeofge W. BrowngnjVaFra 14. §rol,+n A L duly recorded in Barnstable Cour{ty 1igilstryyof Deeds in Book 1576, Pagc 99arid tYa further restriction as set forth in a deed to George W.Brown et ux dated January 31, 1972 from Norma DiBona, Trustee and Rolling Hills Development Corporation duly recorded in Barnstable County Registry of Deeds in Book 1621,Page 132. Grantor releases any and all homestead rights to the within premises,whether created by declaration or operation of law,and further states under the pains and penalties of perjury that there are not other individuals entitled homestead rights to the property being conveyed tn For my title,see deed recorded in the Barnstable County Registry of Deeds in Book 6688, Page 177. N Witness my hand and seal this 0`id- y of >o cr.,, _ 20L5._ o E Mary K.Field b o COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. EOn •this .� day of I ;; , 201'�before me, the undersigned notary public, personally appeared Mary K. F'eld, who proved to me. v through satisfactory evidence of identification,which as�(/1 A. (.i' L.y-.14C to be the persons whose name is signed on the preceding document,and acknowledged to bme that she signed it voluntarily for its stated purpose. __z_ A 6- %-. ›, -. E. Q, NOTARY PUBLIC �., I/� My commissio_ n.expiresi ' a, BRIAN DAVID rAMBORELLI °� hb�ary Public UCOMMOMWEAI,TH OF MA£SACHUSETTS-. My Ommtssion Expires .January 11.201D Page 2 of 2 JOHN F. MEADE, REGISTER BARNSTABLE COUNTY REGISTRY OF DEEDS RECEIVED & RECORDED ELECTRONICALLY