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Home My WebLink AboutBSHD-25-11 application Y 7O A� Office Use Only '��! 4 o� a4H Permit#' - J 'Y ,.M., MGCSE 'IS,'yy5 Amount `3 J v e. h-V,NPOR0.TE0,-j, j -,: _„-- Permit expires 180 days from issue date EXPRESS SHED PERMIT APPLICATION ' °2 /1 TOWN OF YARMOUTH RECEIVED Yarmouth Building Department 1146 Route 28 MAR 18 2025 South Yarmouth, MA 02664 (508) 398-2231 Ext. 1261 BUILDING DEPARTMENT 31 Kencomsett Circle By CONSTRUCTION ADDRESS: ____J_____ --- OWNER: Gordon P Glenn 31 Kencomsett Circle 857-753-2696 NAME PRESENT ADDRESS TEL. # CONTRACTOR: Pine Harbor Wood Products 259 Queen Anne Road Harwich, MA 508-430-2800 NAME MAILING ADDRESS TEL.# EMAIL:gordon.glenn@verizon.net oed Residential 0 Commercial ❑ Est.Cost of Construction$ 7/,250, Home Improvement Contractor Lic.# Construction Supervisor Lic.# SHED INFORMATION New X Size L 14' x w 8' x H /40 I9" Corner Lot:Yes X No Per Town of Yarmouth Zonin!By-Law Sec 203.5 Note E: Side and rear yard setbacks for accessory buildings containing one hundred fifty(150)square feet 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 he 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 7' I declare under penalties of perj the state - he con .' ed.r- sand correct to the best of my knowledge and belief. I understand that any false answer(s) will be just cause for denial o/ation of /cens d for p os- o. nder M.G.L.Ch.268,Section I. Applicant's Signature: ` s`� Date: 3/17/2025 Owners Signature(or attachment) Date:3/17/2025 Approved By: Date: Building Official(or designee) Zoning District: Historical District: Yes L No **Conservation review will be required if shed is placed within 100ft of wetland,200ft from riverfront,or located within a flood zone** 6/24 _ 1 ne uumnwnweuttn of IVIU JucnuJeii Department of Industrial Accidents j Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 iv www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Pine Harbor Wood Products Address: 259 Queen Anne Road City/State/Zip: Harwich, MA 02645 Phone #: 508-430-2800 Are you an employer? Check the appropriate box: Type of project(required): 1.Q I am a employer with 4. ❑ I am a general contractor and I6. Q New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. n Remodeling 2.E I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. —1 Demolition workingfor me in anycapacity. employees and have workers' P h' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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: -/�� 0 < //. A (// Policy#or Self-ins. Lic. #: re a�- /Z �/9 Z(J�� Expiration Date: 7 Job Site Address: 3 ( M.,....d.,/ce:fn .' ' City/State/Zip: illid4 V46Z"?, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify 2-r the t,ins and alti of perjury that the information provided above is true and correct. Signature: .7 i / -- Date: 3/17/2025 Phone#: b 7s 3_2(, c2,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 (check one): 1❑Board of Health 2C Building Department 31:City/Town Clerk 4.D Electrical Inspector sDPhtmbing Inspector b.❑Other Contact Person: Phone#: Estimate PINEI IA Date Esiimate#WOOD PRODUCTS 3114/2025 22781 326 Yarmouth Rd.I Hyannis,MA 02601 1 508.771,5007 I Fax 508.771.7070 I hyannistbpineharbor.com 259 Queen Anne Rd.I Harwich,MA 02645 1508.430.28001 Fax 508.430.1115 I info@pineharhor.com 1,800,368.SHED I www.pineharbor.com Ship To Gordon Glenn 31 Kencomsett Cir Yarmouth Port,MA 02675 Install Date 4/1112025 Customer Phone Customer Alt. Phone Sold 857-753-2696 857-753-2696 CP CP Qty item Description Price Each Total 8 x 14 Quivett 8 s 14 Quivett Cape 6,300,00 6,300.00T 3'Bead Board Door 3'Bead Board Primed Door-LP(hinged left) 0.00 0.00T Addil 5'DEL Bea... Additional 5'Double Bead Board Primed Doors-RG 500.00 500.00T 2 STD Classic W... 2 Std Aluminum Single Hung 6/6 Windows(24"x36' - 0.00T 'CF,RF Shutters Louvered Vinyl Shutters-Black(Orig.$75)-FREE 0.00T Cedar Shingles Natural Cedar Shingles-Front Wail 0.00 (T00T (3)Walls Board&Batten Siding.. RG&Back Wall Arch Charcoal Grey Arch Charcoal Grey IRO ()rig.$1121-FREE 0.00 0.001 P.V.C.Trirn Classic Series P.V.C.Trim 0.00 0.001 x 8'Loft 4'x 8'Loft-LO 0 00 0.00T Solid Blocks,Std 5/8"Flooring,Pine Ramp-Permitting By Customer PH will provide elevation drawings! Subtotal $6,800,00 11.0 Sales Tax (6.25%) $425„00 Total $7,225.00 t ! 4 ' 77� �y,�j 3 yam *Hd I Hymn*, AL2EtIt i 5(fE771. 07 t .7T1.7070 1 by rtEa piE>eharb cwn L' E 1-T.ARBOit � 259�aecinAr�teRd.k 11eEuriCh.h�+4264a�1 .t�3.� I Fa ?ir>hD�pirten�rbor.com Schedule Late m W(0D PtitOD't.'£5 1.660.36A.MIER 1 Cumetud Service 1.01106660611€vivds.pineanatGarcam yry'i {�r'y .. ." ,�pr ],�,j fi, ,r_= ) Estimate __ 79 .�._.. bee }'� r)e..r.... ....�. 9A3 T i(a<ir i ..,.6-3/IL/i o_ cant t ". e Inr.‘_. ...gcArcian. q t,i..n n e vim+ 2441!n..e.I- y-_-6. .Uad -e— —__-___.___.. _. _02 41` _.phone_857. 753 —2G<1 ce A,,,)UN, $ate .........9 k !y sJi..,e N- i CP 1ocks Special OS > m� 1.. L ...&II...) tom(.. ` .-. mo k3CAurt-t C e ei.,...,- -1,,L; -,.(4)7, ,f;0.0 .4- Id'//I ____.t...m4 et t.., a f 5 i... IC__ (.7 ) Li<01 g -41-te‘ - t.. i -6..- r3 . _ ' A)`3tr Of c t t -v~a�.vx or s>Er s ( ri. c -.._._ ,i c 0 --1. Ca'`'7 . c9} "1/4;'' 4,, ), gu4.1.weea.+taie A./A - 0. ___... x--c h 4t»n i- _ .,.1x. L43.�- -� L6". _p,ili . msteatlan 1,1(.. z� Delivery TOTAL 7 r- o Deposit tact Cash IC4a4Bt Cara BALANCE 1 b'I fY.. 1 INN- i ,/- [-,,,t1 \ ,,,, f i / i4 6 it!, , um- -.1 iii , 1 // L.,o 4-. *,. s "' i9 ilift IIIgIIiIiI'! T E LEFT CABLE BIGHT GABLE .6. 1 ...,""i 1-1 i''3' '1 1.. : i - al l , iIiFTjH .,� +6 DOM must be meat a painted within 30 bays ot constriction. Fan BACK f1GU 0e,MVO UG"KSY.3(k y04?t403itad 85 ddiA5 txrez9i ton .Ron a . w.,N 4: 0,14441.5%malxap IA v.,,,,, 3yswairlth,ty cony i, Bow i Exiasaleti, b ar dt4e4,4 al 9z4e,ma,,i, y mind W tP..x. 'cedseneted dedvalmenta.k;*pa kt Eas indstddea i Ni Oatd i OM Nil Pt*'VVIV,44OOQ);13daf v ar4 nafernef 1WnW;- 6 i waaa<€ ad to tadad daddAs.t f,R.,rff, OW e3f.0 tf$1XMN60, n 1prsri6xd,rere _8 „4 0 C t4 0 0 aS.2,-:: : i I 's:: C :f:1 ,., 0..i. `' '6 i i.'i)Q) (5- co <-1- cy: 2 '''- 1, n ‘‘:,' fn t f It,' .:, ',1 '!: . a)14 (:-.) !,z 0,4) •,. . i 4 I (.) f 11.5 1 ss ' •-z;— 2 I tii . - 4'i, o 1 —i ,.,, 0 .3 1-_.''''g, -r tla—.01 i t I isiss .... .., ..... ..... .4 4 111111 k.,) 411111.. ..• — — ---------- -----11 Li ) 1 .•., Mil 1.. _-_-_—._ -_7a.. Ili i 0,1 I 1 ,) N (— 0 I ....... 0 i 1.0 t, 1 3.13 '33 023 , 6 , 2. LL1 ':1 Z3 4--) rti hi el sit racC 4 CI) ,'1, ..: 0., „ • i - ti %. Furl ._ _ ..._... , 11111.1.1 _ , .• . 111 _ „mil . iiiiiiiii _ , 111/411 _ _ ..., _ _ i ,„„,„„„„ „„„„„„„ Ahloi ____ _ _ _ _ =LI - ':,.I 111111111 .................. ........ . I ..... .. ,—.. 111111111 (.-- .. 0 IIIliliii 1 ._ ..... , ) 000.1. _..... › ,) ro , tilopoi ____..............____ . _ _ _ _ _ .-, , _ - „ r Lii .. m = uiiiim...m--....i\ ._,._ Illmihk -_-__ I CD • CY I'S 0 RI,, 43 ? , , '. e.",' in 4 Y O:. f of t ; Alban* and IgIne aviation* � i 1 0.Pit H►`• Suite 5170 Boston* (r2.116 + +,a„ Homo�l o ezata . ' Resignation: x.° A t Commonwealth of Massachusetts �'_ s Division of Occupational tacaensure ,; IAO `° Board of l uilcllt p l r ulafis�fa and Standards Mc BRA" POST& BE tI t, i?I1#Ftt` Ct ' H41*�r 2 r iv RA _ f l _ 0 :. E! lA a Res µ t ! plr�as 1y3114d t JAMES a , ft '" .f, BREWSTER ,, r "' imp " 7 ♦ . sisANO iaslw�ss.M � „ C OMmISM I 0 net' \ f•s Nt ,.+.� THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Malts and Business Regulation 1000 Washingtipti at t-Suite 710 Boston achusetts 4)2118 Home lmpravefne It a; orRegistration . a• Type: Coaptxai3nn MCGRATH POST&S OORPORATIOP1 i a „µrem 1 2028 f3inak PINE HARBOR W000 PROD 259 O EER ANNE Rai ,,, -t ,. HARWICH,MA 0264S "' < •y ,+::,_ ", .:'. , ,. ,. HOW.Adele+..and Pseum Cord. THE COMMONWEALTH Of eassactiose 7v Mee e off Con.wn.r Afasks AIkons***R.g otaion fl.gisfrattan valid for MndMduaa use only bolos the HOME t1MfiOVEMENT Ct iTRACTOIR osotto ldt data.11 found notion to: TYRE:ttotoctSnet5 OHM,of Consu+ner A i#egulatioo+ 1000 Waehingt .st -Suits 110 1322935 •. ' 1044.102S Seaton,MA 4ir!ie MCGRATH POST&REAM CORPORATION O187A PINE HARBOR WOOOP 4t' 7 3AMES fl MCGRATH ` ,..4 "1 'N}�,,. / 259 OUEEN ANNE RO : mPo r t#ARWi H,MA 02645 .. ' Undersevetztry It • • { i' r• t 'i'•t : t• ,,•1P ., ;. r P \ RCr ' . ' 7t ti1kAi , j 1✓ . 't !' •!1 .1. i tt f 7 , • w l : t �7 j_. e ' t.' , tl. . .1 ,he,1 t' cji. • .'r t o 'r i +t. • 1 •.. • • A' �` •, a ' '71t, r7 •.. 1= 1 Sr1?,: • k. • rr. • �/r 'fit.; ' .S'r'et•'l+ • , • • �� tr {i.;‘;.11 r / g � . ' • t t ' '• t li t r 31 }r r7 • • • ,..� . .. •T et fr�L►I4r.-rior�"f e>u.Iht;,.,,. ,�o 1.{ICa!-1 polt�lT 1. DA'C�-..,..-zit I , tl r t' y':.t • 4.� - .------- ----- • -____ __ - _t JAMES v. H.vm H r - Q/sTEa.oQ• CERTIFIED . PLOT' , PLAN /{ `,'ig.i ii: . '.-'' MASS.. t o'r r is I -t4c©rvi-; l Cis.... N I .CERTIFY THAT THE joUo q/t/. ri ' R. J. O'HEARN, INC.;.RLS, RS SHOWN ON THIS PLAN HAS BEEN 1348 -ROUTE I34 ; Ui LOCATED ON THE GROUND S INDICATED. . EAST DENNIS, MASS. W DATE: ?/24/BZ SCALE: ... ,,.� : JOB NO.- .. tl.loto CLIENT! MG WELL'': AT EGISTER LAND SURVEYOR DR BY : ....6•M• H• SHEET` I Of•''____L.