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HomeMy WebLinkAboutBLD-23-001201 FCTOWN OF YARMOUTH Building Department (508) 398-2231 ext.1261 PERMIT NO BLD-23-001201 ISSUE DATE 09/07/2022 APPLICANT PARTY CAPE COD, INC ern c-A >r oc gl-717, BUILDING PERMIT K0135 ;E.,%fonI_: I TIKOI MNP] PERMIT TO New AT (LOCATION) 57 WHARF LN, YARMOUTH PORT MA 02675 ZONING DISTRICT Bldg. Type: Residential SUBDIVISION MAP BLOCK LOT 121-37 BUILDING IS TO BE: CONST TYPE V B USE GROUP R-3 REMARKS Construct a 40 x 100 tent, 918,22 - 9./12/22, event on 9 9?22 — A FIRE & CONTRACTOR BUILDING INSPECTION REQUIRED AFTER SET UP LICENSE AREA (SQ FT) 11,403,833,7 EST COST($) 7000.00 PERMIT FEE ($) 40.00 OWNER WILKINS ROBERT BUILDING DEPT BY ADDRESS COURCIER SUZANNE, 57 WHARF LANE YARMOUTH PORT MA 02675 �� IPHONE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWAL 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 RETAIN-D 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 NCT 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 WORK SHALL NOT PROCE:-D PERMIT WILL BECOME NULL AND VOID IF ]INPPECTIONS 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. S—AGES OF CONSTRUCTION AR()%/F O� YaR I Office Use Only `t0 ; Permit# O )►Q Amount �""t ;3' rd Permit expires 180 days from issue date G vD— -2-3 —DD l4-d l EXPRESS BUILDING PERMIT APPLICATI E C E 1 V E D TOWN OF YARMOUTH — -- - Yarmouth Building Department 1146 Route 28 [SEP 0 2 2022 South Yarmouth, MA 02664 -.. _. __ _e (508) 398-2231 Ext. 1261 BUILDING DEPARTMEfVT CONSTRUCTION ADDRESS: 57 Wharf Lane YarmouthPort, MA 02675 ASSESSOR'S INFORMATION: Map: Parcel OWNER: Robert Wilkins 57 Wharf Lane Yarmouth% 508 362 5420 NAME PRESENT ADDRESS TEL. t CONTRACTOR: Party Cape Coy, 660 MacArthur Blvd PocaM 508 564 6900 NAME MAILING ADDRESS TEL. # El Residential 0 Commercial Est Cost of Construction S 7000 Home Improvement Contractor Lie. # Al PAMA002-031743-08 Construction Supervisor Lie. # Workman's Compensation Insurance: (check one) 0 1 am the homeowner © I am the sole proprietor 0 1 have Worker's Compensation Insurance Insurance Company Name: AmeriTrust Insurance Worker's Comp. Policy# WC08701 32 04 q 1 j1LZ " q�I Z JOZ WORK TO BE PERFORMED Tent .a Duration 5 days ems+- 'I quareIn22 s YO Xldd St tng: of Roofing: # of Squares (Fire Retardant Certificate attached?) Replacement windows: i# (F-]) Remove existing* (max. 2 layers) Old Kings Highway/Historic Dist. (ET Replacing like for like *The debris will be disposed of al Location of Facility Wood Stove_ Replacement doors: #.___ Insulation Pool fencing I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. 1 understand that any false answer(s) will be just cause for denial or revocation of my license and for prosecution under M.G L Ch. 268, Section 1 Applicant's Signature: Owners Signature (or attach Approved By:_ Building Date 8/17/22 EMAIL A Zoning District: I listorical District Yes No Flood Plain Zone: Yes No Water Resource Protection Dktriet: Within 100 ft. of Wetlands: Yes No Yes No IMPORTANT DOCUMENT Ceni cate of F&me Wssistance ISSUED BY Date of Shipment 03/25/13 "USTRIES CHOR Registration Number INC. Tent Identification F122.0215153653 EVANSVILLE, INDIANA 47725 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials escribed are inherently flame retardant and were supplied to: PARTY CAPE COD 660 MACARTHUR BLVD POCASSET MA 0255922 0 Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant 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 item certified, 40X100 White Frame Tent Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric HERCULITE YORK PA Name of Applicator of Flame Resistant Finish �4_X& Signed: ANCHOR INDUSTRIES INC The Commonwealth oJ'Massachusetts ' Department of Industrial Accidents t - l Office of Investigations Lafayette City Center 1 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' compensation InsuranceAiiidavilr: Budders/t-ontractors, hiectricianslfiumuers Applicant Inform Lion _ Please Pant Legibh' Na= (Business/Oro)tzatiotr;ladivtdual): Pdr Address: 660 MacArthur Blvd Pocasset, MA 02559 a t�UU, I11U. Phone #: 508-564-6900 Are you an employer? Check the appropriate box: 1.9 1 am a employer with tun & part time 15 4. ❑ Lam a general contractor and I employees (full and/or part-time).* have hired the sub -contractors listed on the attached sheet. ?. ❑ 1 am a sole proprietor or partner- These sub -contractors have ship and have no employees working for me in any capacity. employees and have workers' [No workers' comp. insurance comp' insurance'r required.] 5. ❑ We are a corporation and its 3. ❑ [ am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] r C. 152, § 1(4), and we have no employees. [No workers' coma. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling S. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I LD Plumbing repairs or additions 12.❑ Roof repairs 13.® Other Tents rlrly at)p �CWll tliUt ChBCk5 SOX iii 111US1 aIYU rill UU' Ule SCCII^A bClUw StIU1Y[nk lilGir tYVriCC15 CVIfI�C[ISNlt V11 pUI1Cy IIII Vf11 Ali1Vl1. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContmr,tors that check this box must attached an additional sheet showing the nerve 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 Its providing workers' compensation Insurancefor my employees. Below is the policy and job site information. Insurance Company Flame: Amon I rusi Insurance Loip Policy # or Self -ins. Lic. #: VVC0870132 04 Job Site Expiration Date: 02/p9/2023 Ltlyr:71amit:.1p: Atiacit a copy uR the wut-icet I euwPeusalion policy deciaration puge (showing the poiicy number and expiration dare). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crinifiNd 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 tine qr Up to Sz3U.uv a uay again[ the violator. Be advised that a c:upy 01 this statetnent stay be ibrwWdeu to t11C vitu;e ui investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct I , , f 1����.. 14-1 . � DntP.- � — I — rTOL- — - Official use only. Do not write in this area, to he completed by chy or torn gff7rlaL City or 'own: Issuing Authority (check oue): 10Hoard of Health 20 Building Department Inspector 6.❑0ther Permit/license # 300ty/Town Clerk 4.11 Electrical Inspector SIAPtumbing Contact Person: Phone #: Pay -if Cape- Cad Lunen Procedures: Linen mus' be shaken out and returned in the provided Party Cape Cod linen bags. Linen returned with burns, tears, or irremovable stains from misuse (chewing gumfootprints, ink) will be billed to the customer at current retail price Please help us eliminate mold, do not store used linen n plastic bags. Cooking Equipment Procedures,, All grills and ovens must be returned in the condition that they are rented in. Failure to do so will result in an automatic dean ing fee Self Installer Tents. It is the customers responsibility to set up and lake down any self -installer lent. If the self -installer tent is not taken down, packed up, and ready for pick up and PCC must break down the tent, an additional $200 charge may apply All containers and bags in which the tent was deiivered in must also be returned or an ad:14 onal charge will apply Damage Wavier All reservations include a 7.5% damage waiver fee of the gross rental charge All rental items mil be subject to the waiver with the exception of tents, lent accessories and tent flooring. This wavier covers normal wear and tear of rental items. This damage waiver is NOT insurance. It does not cover loss, missing or damage due to neglect of rental items Circumstances not covered by the waiver will be charged a replacement fee. These items are billable to the customer at current retail prices We strongly recommend that you provide security and supervision of all rental items from the time of delivery to the ,ime of pickup. Rental Contract Agreement The following may result in additional charges • Deliveries resulting in delays over one hour (ex long distance carry, Frights of stairs, use of elevators, landscaping delays) • Technical Installations i;decks, pods etc.) • Beach deliveries Man on site a Holiday delivery andfor pickup - Weekday deliveries with specdf c time restrictions • Obtaining a tent permlt • Last minute order additions or emergency deliveries • Sub -rented items (Chiavad chairs) • Returning customer pick ups later than agreed upon limelkeeping items for an addrtioriai day If you have read and understand the following' agreement, slyn below and return with the requirod de sit. Customer's Signature l�,J= i -- Data - LSP..��C _ Printed Name �W�V, it Deposit Amount `i �YO� - -- -- Event Date i r — i Page 2 of 2 I flE 0 0 00 I 00