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Home My WebLink AboutBSHD-25-93 • Office Use Only oT_ Perrmtu�jnT�-�(o1�T� ��....�.�.« OCT 6 2025 Amount 3J t 0/ V Permit expires 180 day.from BU MUtRT i issue date By. EXPRESS SHED PERMIT APPLICATION cj6 TOWN OF YARMOUTH n t:51' Yarmouth Building Department 1�'� 1 146 Route 28 South Yarmouth, MA 02664 (508) 398�-2231 Ext. 1261 (d5u/nt.iikyii CONSTRUCTION ADDRESS: i R t:i��• h�t� — 6-oe — OWNER: c=i •Ph f n ' l vClef Uf4i : 4A/thd DESS COvLiTORI .Q r [C �1K--1�,q"3) NAME MAILING ADDRESS TEL.ttj�f [/30 0 8a EnIAn.: @ ►�(��. Cann Residential Commercial Est.Cost of Construction S Home Impro%cnx•nt ( untractor Lic.# � +��a E (instruction Supervisor Lic.#ascA - C77 wQS J3 / 35 SHED INFORMATION New X Size I � s 1S v H V ! Corner Lot: ties No Per Town of Yarmouth Zoning By-Law Sec 203.5 Ante E: Side and rear yard setbacks for accessory buildings containing one hundred fifty t 150)square feet or less and single story. shall he six 16i feet in all districts. hut in no case shall said accessory buildings be built closer than twelve t 1'i feel to any other building on an adjacent parcel. All sheds are required to he located thirty(30)feet front cur►from lot line Replace existing* Size L x N' x H 'The debris will he disposed of at: Location of Facility I declare under penalti of Ours that he A I•ments herein contained are true and correct to the best of my knowledge and belief. I understand that any false answers) will be just cause for enial r s. >f i license and for prosecution under M.G.L.Ch.26$,Section I. .Applicant's Signatu - _ Date: I O/ 105 tOwners Signature to t)___*414-PP tr.], 7C4 ' Date: /6/44/Q Approsed By: _ _ _ Date: _ — Building Official for designee Zoning District: Historical District: Yes No "Conservation review will be required if shed is placed within IOOft of • wetland,200ft from riverfront,or located within a flood zone** 6.24 The Commonwealth of Massachusetts i ,__ -=,rt Department ofIrabrstrialAccidents - �—_ .1 Congress Street Suite 100 -:�+__ `" Boston, MA 02114-2017 .';... www mass.gov/dia Workers'Compensation Insurance At'Bdavit:Buiidera/CoatractaralEtectrkiaas/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. 400licant Information �7 Print LesibIv Name 1BusinesslOrganization/individual); j i3pOAptV' N4tbetAr9y-clok‘tins LL C. Address: -2.s 9. cl,),Aly,i1,--4,,...tv.4,), city/State/Zip-'" 'cveNA I &V\k uz.theS Phone#: L'C$ - �3 0 —Z Are as employer?Check the appropriate box: Type of project(required): 1. I am a employer with?5 employees[fulland or part-tithe).• . , 7. New construction 201 am a sok proprietor or partnership and have no employees wrorking for me iierl, r. 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 3.31 am a homeowner doing. work myself:(No workers'comp.insurance required]t 9.•Q Demolition 11 4.01 am a homeowner and will beI 10[]Building addition hiring contactors to conduct all work m my property. will ensure that all cootrai:aora either have woofers'compensation itatrance or are sole 11.0 Electrical repairs or additions proprietors with noemployees. 12.0 Plumbing repairs or additions 5.0 tam a general contractor and I have hired the subcontractors listed on the attached sheet 13.0Roof repairs These sub-coanactors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.QOther 152.i 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'contpemation policy information. 't Homeowners who submit this affidavit indicating they are doing all work and then hire outside corttraacbxs must submit a new affidavit indicating such tC.anttactors ever check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. lithe sub-contractors have employees,they must provide their workers'comp.policy sober. --- I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site informatia t� ' YO aki1..tc:2) r %S1InsuranceG Company Name:Policy#or Self-ins.Lic.#:a-CC-boo121+9"2' ZS Expiration Date:2. jZ? tZ 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$250.00 a day against the violator.A copy of this ent forwarded to the Office of Investigations of the DIA for insurance coverage verification. I dory cerftfy the of perjury the the information provt'ded above is trace and correct signature: ./ Date: 5/loI e-c Phone#: c a ' -- c(3 h — 7.'i Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Insular;Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . ..,-. , . , . ,ffbe Oa-mwtootaiii&lee,p• ° "" -/i.. lita•Aiaelitel-i440* . -,,...._ Office of Consumer Affairs and sufiness4tegulation 10 Park Plaza Suite 5170 .- Boston, • -eta 02116 ri , ..0-.... .. i . • • .. - • -41116.. ,,, • Improvements Improvement ••' ,• ,e - •1 RePtSra• tiOrh I," ' • • • _ ___ -- Commonwealth of Massachusetts ---_-- . . • . ___ ,. Division of Occupational Licensure . • -=:T.t4 POST 11 BEAM ._ rit.i_-_-____-- Board of Building Reviulations and Standards.., - -i-r-- . ,.- -,..-__ __Qs/.:.---__:..-,•:_ , 4, 4' - • 2.59 ClUEEN ANNE REX 46 7---- .':--7--- .. CSFA-073865 44 • eitpires:03/14/2026 .4 ---- 1 ' HARWICH.MA 02645. • -7- -_---' JAMES R MI:i0RATit.41 S; • •• .__-__:--- /-.. 204 CRANVIIM RD , ')•>,,.. .___ 7'. -...;.•. BREWSTER OA o265-1 . . "- C, • -a 1%). , .4 As aideatted‘I' OSOMMO • . Commissioner S,,,,j_ewil 4,-.....,...._ :... . THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaitiand Business Regulation 1000 Washingttai$ftt-Suite 710 BostonAAassachusetts-02118 Home improverrietit --. : liegietration ' -7...-__-... ..... ; - ''z',a;..7..:7.. j .•,;:-.--:-...---". ..'''' .:•,...ii ,...,z,..=- k." Type: Corporation , ciLl---........teakstration 132935 .` „...... ,E:t g --MCGRATH POST POST&BEAM CORPORATION I-. - D/B/A PINE HARBOR WOOD PROD. . i.. It•Ff.- —.11 10/30/2026 259 QUEEN ANNE RD ‘-..;•"•'•-••V—'^ - • HARWICH,MA 02645 •s•.t. .i.-.. f i'... Z_:-:,=.- .., „ - - - - ‘1:\ 7-------3.4- -- 3/.:. --,--.. . ;•".. -li........,....; -..— .."*.; ,..,.... Update Address and Return Card. THE COMMONWEALTH Of MASSACHUSETTS Mos of Consumer Affairn a Business Regulation Registration vend for Individual usa only batons the HOME IMPROVEMENT CONTRACTOR **Welton date.I lewd Minn to: rtmi toirsOltWon Mao at Consumer A as Raguletion Begiltrlil211 faakallsa 1000 Wmhingt -Suits 710 132935 - ,".ioncit2026 Boston,MA S MO3RATH POST&BEAM CORPORATION DA3/A PINE HARBOR W00414011 JAMES R.MCGRATH . .. 259 QUEEN ANNE RD. - jn;O f ?,16ntLIA. HANWICH MA 02645 Undersecretary '1 id without signs k."/ SHEDS LESS THAN 150 SQ FT SHALL RE PLACED A MINIMUM OF 30 FEET FROM THE FRONT LOT LINE AND A MINIMUM OF 6 FEET FROM SIDES AND PLOT PLAN kEAR LOT LINES. FOR LOT 1) Delicate Additions with das>�of �or accessary building Sewerage disposal (cesspool) ® Et I — — — — (]ot ft. rear) I Abutter's D i Q Name I Abutter's Lot# Name Lot# If this is a YARD corner lot, co If this is a lot, write in •..R. name in name of street. �'• write n name of street. I 3 1 a Ifi id • SIDE YARD SIDE YARD • V---ram • • ROUSE __- • • • • SET BACK • • • • 4 I 1 a (lot /ft. frontage)ya-irA •\ // card +�ch...hYG�..Q, (..e� _ '"7/ (NAME OF STREET) / Information \• Supplied by