HomeMy WebLinkAboutBSHD-25-109 12/12/25, 1:59 PM 3 Ginger Plum Lane Shed Application.png
Office Use
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i Permit#1 S lf)Ot ) b-1
Amount is
Permit expires 180 days from
issue date
EXPRESS SHED PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth,MA 02664
(508)398-2231 Ext. 1261
CONSTRUCTION ADDRESS: 3 Ginger Plum Lane
OWNER: Fred Kelly 588 Adams Street, Milton, MA 02186 267-252-4672
NAME PRESENT ADDRESS TEL. #
CONTRACTOR: Pine Harbor Wood Products 326 Yarmouth Rd, Hyannis 02601 508-771-5007
NAME MAILING ADDRESS TEL.#
EMAIL:thesageofmilton@gmail.com
DResidential ❑Commercial ! Est.Cost of Construction$8,368.25
Home Improvement Contractor Lie.# Construction Supervisor Lie.#
SHED INFORMATION
New X Size L 14' ,w101 x H 6' Corner Lot:YesX No
Per Town of Yarmouth Zoning Bti'-Law Sec 203.5 Note E:
Side and rear yard setbacks•for accessory buildings containing one hundred_fifty(150)square feet or less and single story,
shall be sir(6)feet in all districts, but in no case shall said accessory buildings be built closer than twelve(12)•feet to any
ether building on an adjacent parcel.All sheds are required to he located thirty(30)feet from anyfront lot line
Replace existing*_ Size L z W x H •
•"Ihe debris will be disposed of at:
Location of Facility
I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s)
will be just cause for denial or revocation of my license rd for prosecution under M.G.L.Ch.268.Section I.
Applicant's Signature: Date:
Owners Signature(or attachment) 1.
Date: I) — 9-
Approved By: Date:
Building Official(or designee)
Zoning District:
Historical District: :1 Yes No
**Conservation review will be required if shed is placed within IOOft of RECEIVED
wetland,200ft from riverfront,or located within a flood zone**
6/24 DEC 19 2025
BUILDING DEPARTMENT
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https://mail.google.com/mail/u/0/?tab=rm&ogbl#sentiQgrcJHrnvDWszvShBnLRkjhQVCPpDhVsHNB?projector=18rmessagePartls1=0.1 1/1
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The Commonwealth of Massachusetts
I''-? =''1 Department ofIndusblalAccidents
n=.. 1 congress Street,Sidle 100
-'i= Boston,i(4 021141017
www.ntas
ovidio
r��• Workers'Compensation Insurance Afpda gaitchars/Contractors/Electrlciaaa/Plumbera.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Aaalicaat Information !Ip`"x Print Legibly
Name(Business/orgaaimtioa/lndividuel):7j'a 41 gYb47_ e?-rend Cam. (.,`C.
Address: Z.S 4 QA)S4tir%. e._ �-iA
City/State/Zip: a V\ IZS2 S Phone#:* ""O$ ^ (-t'4.3 0 -Z Q Cf0
Are err eepigv'Meet the eppraprt.ee bow
I. [.m a employer soul,?S sty (full.sour Type of project(regaled).
Part`"0C)r 7.` New construction
20 I am a sole Pr0Pr*mr or Wrtanb;p and hove memit)y.n woekine re metri,
day capecny[No workers'comp.romance required i .. 8. Remodeling
ICI a homeowner doing all work myself No waken in'comp. um.required.)' 9..❑Demolition
eOl am a homerwoer and will be burnt coma b conduct WI work on my amp.,ry 1 will (0 Q Building addition
enure Mae all mmaiaora either have workers'compensation umranee or are sole I I.❑Electrical repairs or additions
propncwn wM m employee
50 I an a general contractor and!have hued doe mm bnoacton loud on the=ached sheet. 12.❑Plumbing repairs or additions
These sob-m ur.c on have empwyees u comp„u
N have workers'comp wwe: 13.❑Roof repairs
6 p We area cotpontirn and iu officers ex os have ercised their right of oremption per MGC c 14 QOdter
152,I l(a).and we hove no employees.[No workers'cop inwoarce required.)
fAri1'applicant that ctreb box Cl must also fill an the section below showing rhea workers'
Homeowners who submit this etYdava irdicatug they we doily ill week and then him outside uses boo a new
tCmourtos that check this box must attached an addmu0 sheet � s •r or not those
rocketing h vuch
employees «the sub.mnrecton have I .de showers the rams of the spohoy s bee and stair whether a not tlnost nwtica have
ammiesceornow
employees,they mow pmvidc their saran'comp.policy maober.
l am an,rmployerthat it providing workers'compensation insurance for my employee! Below is tie information policy and job site
Insurance.Company Name: 11 ellSNIMQ. q� Q�SL-�—.GllfaPflf4 ' QJ{)51
Policy a or Self-ins Lic.#. l �� 124 9 262s Expiration Date:2(28 I26 J
Job Site Address
n«
Attach a copy of the workers'compensation policy declaration o Ike City/State/Zip.o
page(showing the policy number dad 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 forth of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this state ant forwarded to doe Office of Investigations of the DIA for insurance
coverage verification
I do hereby certlfy the a ejperjury that the infornasaion prodded abate it true and correct
Signature Date. '//O/F.6--
Phone b C OJ 8 - Y3 6—
Official use only. Do not write In this area So be completed by city or town officiaL
City or Town:
Permit/License k
issuing Authority(circle one): -
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical(upectur 5.Plomhiag Impec for
6.Other
Contact Person:
Phone N'__
12/12/25, 1:59 PM Plot Plan - 3 Ginger Plum Lane Shed.png
PLOT PLAN
FOR LOT '' "` re,v L
Indicate
n 3oca f cn of garage or accesaccry building
with dashed lines
Seweraged apceal (cesspool) ED
t
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-- -. ...._ .-- i
AbuttNameer's<_' . l 1 Abutter's
Lot # -' I ame
l.P -fl Not #
If this is a REAR �' . /CI x I `j
`��\corner lot, �� ---� �' S �,' if mehis l t
corner lot,
wtrfie rn — .: .., ...;. ...ft., write in
name of street.
/ ,)- ` t ' name of street.
A ,� a
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. At Ai 4. : G.
•• h HOUSE
SIDE YARD
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‘ / 2--Afelificzat..
\ ,/ (NAME OF STREET)
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In rmat on
Supplied by -- - c- t) Kt L/.
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"' Office of Consumer Affairs and usi gul •
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i' - , 10 Park 1l�--Straits 5110
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• `� -% - Commonwealth of Massachusetts
. •• / _ Division of Occupational Licensure
, �u � a�n' A = I- _ Board of Building Regulations and Standards
Constructir�•ngCHCSRp
DES McGt TH - }_ or ^y&2 Family
260 OUE N"ANNE'`'D° -• -r f__ CSFA-073865 4o p
y aspires:03I142026
HARWICH, � --•.-1- J JAMESRMCORA1ii
- -_- i." 204 CRANVIprW RD
BREWSTER MA 02R31
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CommissionerPAAL;F.._._. {{
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THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington$trPet-Suite 710
BDstonLklassadnusetts-02118
Home Improvement n ' "flegistration
'41 r— "Type: Coq/0mA.
MCGRATH POST A BEAM CORPORATION 1,15 _ 132935
D/B/A PINE HARBOR WOOD PROD. .. ^ 10/302026
259 QUEEN ANNE RD. .'
HARWICH.MA 02E45 Iy'i i
Use.Adds.and RM.Cord.
THE COMMONWEALTH 0F MASSACHUSETTS
OBlon of Con..Affshn A Buslrwu Re0Me6Pn Rsel.m5on valid ice MONI.usa only Wore Ma
HOME IMPROVEMENT CONTRACTOR •Apirmon 6s.s.B Pound return to:TYPE:Cairoiaov ORs of Omar.A se Raeulseon
&18•11911 EadraltSa /000 W.A.( -Suite 7,0
132035- -, .1ae0R026 BOemn,MA IS
MCl3RATH POST A BEAM CORPORATION ii
0/8/A PINE HARBOR WOOCIPROO.
259 WEE.ANNE 'XS/0 rG(1wK t HARWICH.MA 0261515
' UROersewelnry M W host signs
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.. 10 Park Basis.- Suits 5170
_ Boston, efts 42116
HOMO Improvement &s1stran'on. '� .�•'; 8
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�� _�: Commonwealth of Massachusetts
�u • • �.+� Division of Occupational Licensure
■•�sT a 8E CO. " i Board of Building Regulations and Standards
' { ►• _ - � • Constructiol • tp��f�T1 g 2 Family
259 UEEN RD.tgaeff
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---_ = JAMES R M4GRA1 y., ,
y `� 204 CRANVIt?W RD
^ji �v�~' _ BREWSTER I0,A 02631 ``r `.
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THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1 C00 Washingt it$trlet-Suite 710
BostondJassact,;usetts—.02118
Home improvefrer t • . :•Registration
.t r-- . ` Type' Corporation
AACGRATH POST 8 BEAM CORPORATION Ir4 _`s r—.�S9 lion 132935
D/B/A PINE HARBOR WOOD PROD s;it ...„etion 10130l2026
259 QUEEN ANNE RD j'n•••- `,' _ ,.. -
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HARWICH,MA 02645 e� .. -.�:::-. _,._
Update Address and Return Card.
THE COMMONWEALTH Of MASSACHUSETTS
OHloe of Consumer Affairs a Business Regulation Registration
vIciusl swat
HOP IMFPROVEMENT.CONTRACTOR saptrWon dale!it found i turn to: only before Me
TYPE:Co o:ton OM*o4'Consumer A
afaftl20{kpp ••Rsowaeo-a
'32935 10/�26 Boston,1100 MNgt A 19 -6ulte 710
MCGRATH POST d BEAM CORPORATION
0/alA PINE HARBOR WOOQPROD. /I JAMESS R.MCGRATH . ✓• ; /(AD
259 QUEEN ANNE RD. • jsya f ,;., 4.,,. it �`�
HARWICH.MA 02645 J
Undersecretary 7 PZllI valid Without slgna 2r'� ~
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12/17/25, 11:41 AM kelly 10x14 quivett revised 120425.jpg
CLASSIC SHEDS
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Nye!''.4.Ier agrees W tnQid Pne 110,bar Wand FtaduCts hirl tless and irl0rrrrnty them agarlf any and at l Cty IMltr rayed to scrod pon t,.l talxu.Bowl VW tx: y u: risible tut detttuunteung airy front,tear cr
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