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HomeMy WebLinkAbout24-E025 51 Gordon Lane ApprovedY ARMOUITH TOWN CLEW E ED 4 APR 0 5 2024 YARMOUI r- vikirvc H!('HWX 'K.t TOWN OF YARMOUTH T ,��'4 rQQ! i76� ii fil � BSI OLD wNeo8 HWHWAY H18TDitiC alwam caMUAr1'I�t� A�"ow FOR �a"'p"�t�o M� i �p�lki,tbn� PAOCMe Trot a� M+Gre.a� 6 p�.e�on o 8,� - �l'��nwr CAM& R L• ir.i.n.ara*nea�a�.a+aaa �._ Pror. � e�.s..i15[ k omsvm q!�J� J��(R a( �.e-{� - `�� Cv,�,�� to r S APPROVED APR 0 5 2024 YAHiviuU I h KiNr."; HIr;h '24-'-() �s AOL TOWN OF YARMQUTH i.I.y�4dM1la4a �M.tt�d ►u.IKi A.11Mlfft}_Mfr OLD XXgG'S MGliWAY MgTOWC Dtnmcr comet rm WAIVItR OF 45-DAY 0"E"INAT1074 Thr q,p1k.ndh4ppl10at'6 addend :aWeba� d—di pd arm *a da lc t1,vtWrrrA CkcUivt Nalic"I and $Wtt public hahh ettgWmks Ow 4Wrminsdary of aw Appjkmaiee, 10, a ate certitieof App scacakC?cmatitiuolCiYx+ea,rwu r* m N mvk whin 4$ dap ar Ihr iilioa of racb lt,e opplie rit np. cm -0o- vxUAd die dint !lame wiNa ,ahkb a ddcmdldtatkv% 19 to be rrmada as rMu1md 6y the Old ]kings 1130mV ftWmi likiWe Dlgrkt AcI. Sr,fW0N➢-ArtwNp, Jvmr1nxs, rrmejar Jl AIO$ AelrrmJ rfapY 'i!t rooh ur CRrt►rxfrxt pjierxueh pab(ir hrtnftrR hkr in tury nrrrtt",ri,bfn Parry Pity 0� j ckry.* glPr 11+fy��/!r� bf0 �(YIf�Q�q. AI' W(l R �IM�l �tu fil[r IlAlt 45 � Rjl�liryvMd MXii Iit In wri Lrw, der Co+rneltue d all nudw addem& mdoa ea dwamicasw ` AMkanl tMda+�UndX thRl the rev6' of ATS rpplILURM 'rvill be %Wukd m icon ax ibc shMalian r11101mr4 Apprrg PinVAgmt NAnte (please rtiM)' J older Q sW npptkddpv,�ent �IP�tus't= � ++�tr� �� x5* FivED APR 0 5 Z024 t AKNVIOU I �'...... �. � : R 0 5 2024 i AHIVIUUTh % -)�° $15 R GEIVE APR 0 5 2024 YARMOUir',,., A., P OvE 1 APR 0 5 2024 YARMOUTH s EE8€ i all E 000 ` _ IN, a:yp4 ��x#,ic5x f4 �3Nv-1 NOOtLoo It bFf+it 19*1 RUE r— ------------- I I 1 Mgt! -was v �3 4 .0 fv� D 4 IRtCEIV ED APR 0 5 2024 Y ANIVIU U r ru1MAY jjj�2pf�jovv) APR 0 5 2024 Y.. M%u'THWAY 0 �d M UL o v' %A O J vG 4 I?W ttg r O Q fV O c° 0 2 0 c (y � m II 3 Q S 7 v Q .Jn 6 n � CYJ j���j1G z^ bj� QI C r M _j�� 6 c r C7 to N Q m fd Q F B d r i 6,• a "' .. v a j O f`— �n j O 0 Z N V(}1 Vf F�1 Z W .w. E > c%) � E 0 y O o� V w 7ARFDIVED . R 0 5 2024 Ir AhlylUU i rl AI n ntr;IS HICHW.) W2 .gin-,aq A1P�� APR 0 5 2024 I ni n viNi ,'S HIGHWAY O A APR 0 5 2024 vwr_+c N«;NWAY O � N C ammor ui O_ L V 4 -b nO EL c o 5 4 -a G �E3m� m > CU = � ro G a' oa o wr G Z .4_' v� V •� l7 CL o. O 0 OD O#O G I r PINE OR WOOD PRODUCTS 326 Yarmouth Rd. I Hyannis, MA 02601 1508.771.50071 Fax 508.771.70701 hyannis@pineharbor.com 259 Queen Anne Rd. I Harwich, MA 026451508.430.28001 Fax 509.430.11151 infof pineharbor.com 1.800.368.SHM I www.pineharbor.com Ship To John Spera 51 Gordon Lane Yarmouth Port, MA 02675 Customer Phone Customer Alt. Phone 203-7334841 203-7334941 city I . Item Description 8 x 14 Quivett 8 x 14 Quivett Cape Arch Charcoal Grey Arch Charcoal Grey - MO 3' Bead Board Door Y Bead Board Door - Primed CIF HR 2 STD Classic W... 2 Std Aluminum Windows (24"06") L+RF Shed Siding Natural Cedar Shingles or Everlast Clapboard Siding (Antique Ivory) Front Wall 3 walls board + batten siding loft, blocks, 518" flooring, p.v.c . trim Customer Discount Discount - Spring Sale F-1V �I PPROVED APR 0 5 2C^4 APR 0 5 2024 YAHMO U 1 r' OLD KWG'S HIGH1IVA`( YANAOUTh, QLD KIN G'S HIGHWAY^ I Estimate Date Estimate # 3/17/2014 1 21590 Install Date 3/27/2024 Rep Sold By JRM JRM Price Each Total Subtotal 6,000,00 0.00 0.00 0.00 -200.00 Sales Tax (6.25%) Total 6,000.00'f O.OUT O.007' O.00T O.00T --2.00.00 $5,800.00 $362.50 $6,162.50 '9 fDr?,:5' i OJE,itiTIRA - 'o" ITT. %4 !J INNS 'M�- V Y A!L 0.. o . v y Wig. L �""' Al --Wzo v Wes" 'd qe L X%_ 'M 7% �w C. a �Vl dry, L4 ;F Ai r pw -1i. A4 _fl T� -�t mot _hffelF.I. 10 i- Ml_ A IZA F 44 A A, ji 4 A6r CA 44' N' Ple . V,; r OF L....:" ... I 3'� `S�' .r dr w oy+, Is As fti r� by �- Sj' _ � - �♦�y7r� � �� _ ++. ,.^.r',.i• 4- I = .r r .yid 4II r��.. .'•� y.'.' Ei1 I' f V, i. '. '�lb� :•"r� .yam � L'Y i! . Y,1i • '�'� i �.�� va: � � ICI � �"'� '"�Y ` - 1 - �� �i',Sl+�. ' .•ter �_ Y v � • � JA Ito' 5 i 1 4 r. ECRVED APR 0 5 M-14 'APPROVED fAFiMuu i +-+ OLD KINGS HIGHWAY A I� R U 5 2024 (AHMOUTF, OLD KINGS HIGHWAY 94-005- FFIF-;I APR 0 5 � `- f Anivivv OLD KING HIGHWAY Office Use Only Permit# Amount - Permit c.xptres 180 days from issue date EXPRESS SHED PERMIT APPLICATION TOWN OF YARMOUTH , ��- Yarmouth Building Department `` E 1146 Route 28 South Yarmouth, MA 02664 _024 (508) 39$-2231 Ext. 1261 , i .,,v ;,, H LLD KING ` 'IGH` J CONSTRUCTION ADDRESS: 1 & Q R dog! Lam c 1I q �Co1�, ole OWNER: �OL I(p �d� r 1R' C-C..�,�i14 � .� J03—2— NAMF PRESENT ADDRI_SS TH k cONrRnc roR: PI N �� (Itllx,d Q (t- SO4 NAMF MAII.ING ADDRESS TH # ./esidential D Cor"11 .aI Home Improvement Contractor Lic. N At "' "^ NVorkman's Compensation Insurance: (check one) Vl am the homeowner I am the sole. proprietor Insurance Company Name: T I_st. Cost of Constructinn $ 1# G 16 V. b"'D Construction Supervisor Lic. I ha%c Workcr's Contpens:nion Insurance Worker's Comp. folic)•# / SHED INFORMATION New✓ Size L q ter W F1 x H �T Corner Lot: Yes No +� Per Town of Yarmouth Zonius Btu-Lrrw Sec 20.3.5 Nola E. P /! .Side crud rarerYard selhticks fry- acc•emorr huilclin s c•un willing one hunched fif{1• (150) ,equine fivel ol• lc sss curd .single slury, .hall he siv (6). feel in till divrict.k, hi1111111U rct►e-�Ircrll suir! crcce,�,cnrt huildin'gs he hails closer lhcul At-e t•e (12) ftei to tiles" other hrlikling on ern ciclf(rcelll petrcel. A11,5hyeki tire' eetjronUqi,� lout !tit li�lc Replace existing* — Size L x IV _ _ x H Hie dcbrta will be dicnosedd of at' _ l�y d- 4 tl_ 1 I trjK4vr / t�cation nt Facility - - - — I dCCI',krl• under penalties ofperjur) that the statements herein contained arc: true and correct to dw &-it of m) knmik-dge and belief I understand that any false answcgs} will beluct cause for denial or revocation of my license and for prosecution under M G I Ch 268, Sccuon I Applicants Stgnature Ou ners Signature (or attachment) I Approved Ry — _ Building Official (or designm) Zoning District FMAIL ADDRrSS; Date Date: listorical District; Yes No Flood Plain Zone: Yes No Water Resource Protection histrict: Within 100 It- of Wetlands:'** Yes No Yes No 'Note— Conservation review required if within 100 111, of Wetlands Y22 Office of Conslsmer A$airs and 0ufiness R*gulation 10 Park Pia-- Suilc, 5170 . Boston, Masswjpv-eft 47I 16 Hoult hiprov Registi'atiom. mcCRATH POST S BEAM CO_ JAMES MCGRATH 269CUEEN ANNE RD. HARMCHr A 02645• APR 0 5 2024 1 tAnlvIV V I I 91 catyurkoiswootth Of MASSAM404tto f?tV1E2lort of GeclrP�tta nj 1.It,,,^nsure "ud of OtfAka RL: :1r0r0r)a find &landardx CtiR�t!'�nnYio�i&V A 2 i•'omiiy c a- a ss IrcC 1: 'l4,12024 .LAMES It ,. .. B204RitAfSiER S�"�• .�''� � � � i a � ) 1VE APR I) � 2924 Y HHIr, jUTh OLD KING" HIGHWAY THE COMMONWEALTH OF MA SACHUSETTS Office of Consumer 1000 Wash Home MCGRATH POST A BEM CO. DIB/A PINE HARBOR WOOD PRODWM 20 QUEEN ANNE AD. HMWICH, MA 02M Business Regulation Suite 710 b1mul TWO: CoVaratlon n: 1012024 i� UpdaW Aditan and ROWM Card. THE COMMIOWEALTH OF MASSACHIMUM ©mm of Con m ar a BmInness Rapulaftn ROOMIRK valid for It"dual u ordy Worn vm HOME IMPR t+! [liACTOR explietim daq. It found. m2m to: OINQ1 Of Consrr M Affaft and I%Www RegulwWrt $ 1000 Waahingtm tbld -Sufi 710 2cm t ^ MA 02118 MMRATH POST a DAWA PINE HARBOP�, JAMES R. MCGRATH .�' =" a50 OIIEEN ANNE RD. I'WRWICH, AAA 02645 «_.. `' IJrdarsearstary ut �Raltlalrr� AD The Commonwealth of Massachusetts Department of IndustrialAccidents 1 5 2024 1 Congress Street; Suite 100 Boston, MA 02114 2017 .-S Hi ;- www.mass.gov/dia tit orkersCompensation Insurance Afridavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information R___ __• PFeaae ] riat Le ibly Name (Business/OrganizatiorOndividual):_- Address:a _ _ van A �►n c 1� City/State/Zip'_ 0cw,A)~0,(�. , IUD" 01,J(Dq5 Phone #. g_860 Are you as employer' Cheek the appropriate box: Type of project (required). l I am a employer with employees (full and/or part-time).' 7. [9'1`1ew construction 2 ❑ I am it sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity [No workers' comp insurance required ] 3 ❑ I tun a homeowner doingalf work myself. 9 ❑ Demolition y [No workers' comp insurance required.)' 4 ❑ I am a homeowner and will be hiring contractors to conduct all work on rnY property ro r will 10 ❑ Building addition ensure that all contractors either have workers' compensation insurance or are sole 1 I. ❑ Electrical repairs or additions proprietors with no employees 12,❑ Plumbing repairs or additions 5 ❑ 1 am a general contractor and r have hired the sub -contractors listed on the attached sheet. These sub -convectors have employees and have workers' comp insurance.: 13. ❑ Roof repairs 6 ❑ 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 [Pro workers' comp insurance required ) `Arty applicant that checks box Nl must also fill out the section below showing their workers' compensation policy information. + Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new afiida% it indicating such. 'Contractors that ¢heck this box must attached an additional sheet shooing 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 infor►nadam Insurance Company Name: AQLMOShiCe EnA16Z Yv�alf\ Policy # or Self -ins. Lic #. EC - L(- a NA Expiration Date- J V IL I S r dA;1 U Job Site Address 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 ofa 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. �1 I do hereby rertify penalties of perjury that the information provided above Official use only. Do not write in this area, to be completed by city or town official City or Town: Issaing Authority (circle one): I. Board of Health 2. Building Department 6. Other Permit/License # E truel and correct Z jJ vsp 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector Contact Person: Phone ##: