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Home My WebLink AboutBSHD-26-28 application f .g0�_Y tie, RECEIVEDI Office Use Only 4 ''.ys .C+ rermithhd—oa(p` ap o - y�� APR 15 2026 1 +� p- ..K�usE ^� I Amount �7 ��> RP.,RATE 9':� B ILC IH,G CLI �EP,Q�RT �t Permit expires 180 days from CAC 1� .� 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: r-/2 15 4 ? ,a it lZDaz/ '4 $ 42, 7 4' i OWNER: 132104) 1? 9 iif 7Ktes,e 1?61i/[ r�da. a a d —,�00— 6' V 2 QQ� NAME PRESENT ADDRESS TEL. # CONTRACTOR: re-eC CS (- -eizR NAME MAILING ADDRESS TEL.# EMAIL:/bf i Paso- Ci69v.S 3' vL tilce.Cam Tesidential ❑Commercial Est.Cost of Construction$ Home Improvement Contractor Lie.# Construction Supervisor Lic.# SHED INFORMATION New Size L /t/ x W /d x H 6 Corner Lot:Yes No Per Town of Yarmouth Zoning 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 be located thirty(30)feet from any front lot line Replace existing* Size L /U x W $' x H *The debris will be disposed of at: 4/ in pw 7/44 r�N n �il/ Loca on 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 licens r prosecution under M.G.L.Ch.268,Section I. Applicant's Signature: & Date: 4 c{1/e2 C Owners Signature(or attachment) ``4 6.s- (4 /b Date: C/rtte/ 'X S e Approved By: �-V L Date: Building Official(or designee) Zoning District: Historical District: Yes 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 _` ' SHEDS LESS THAN 150 SQ. FT SHALL. 13E PLACED A MINIMUM OF 30 FEET ' FROM THE FRONT LOT LINE AND A MINIMUM OF 6 FEET FROM SIDES AND PLOT PLAN REAR LOT LINES. FOR LOT # IhdicAdditions with c*A of garage accessory building dashed lines Sewerage dispc sal (cesspool) 69 Well igi I I ._ ` — ( 1`t. rear) Abutter's G' 1 ..� . Name Lot # I 6, F Abutter's j Name Lot # L If this is a REAR YARD corner lot, If this is a write in _.•.. ,.. ..�. corner lot, name of street. write in ` name of street. I . I .a, a 8 �o +t: I . •• SIDE YARD • • Hp SIDE YARD • .FT�. � . . I . 1 . SET HACK . I . ft • I I • lot ft. fruitage) • • ‘ / / / (NAME OF STREET) E.-- / Information / ` • Supplied by r t A The Commonwealth of Massachusetts t—� Department of Industrial Accidents 15- _'— fp Office of Investigations ...,1; ( Lafayette City Center t- +/ 2 Avenue de Lafayette, Boston, MA 02111-1750 t•'4.,„k_t " www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Urc r v 1 2 ,./! .--- Address: '7 ,,4 io 5 4 .1? av,< l City/State/Zip: 5,, /1 /p1L ht e,,;.--- L Phone #: 2 C •• - ,_S`oO - 0 ,3 g Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. [' Demolition workingfor me in anycapacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.111 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ 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: Policy # or Self-ins. Lic. #: Expiration Date: 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 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 under the pains penalties of perjury that the information provided above is true and correct Signature:` f D Date: e(//' S-/z Phone #: 0 -5 - ,3-0 C/ - E ' 2 . 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): 10 Board of Health 2❑ Building Department 31:City/Town Clerk 4.11 Electrical Inspector 50Plumbing Inspector 6.❑Other Contact Person: Phone #: • Y 'a Docusign Envelope !D: 7A85A9DD-7EEE-82EC-8063-1 F203F137A2E Reeds Ferry Small Buildings, Inc. Repds Ferry Sheds 3 Tracy Lane lrtstaited 1 hrougha.,I New F. ci<::i ; . Hudson, NH 03051 Phone : 603-883-1362 Page 2 of 3 Order: 504138 Window Options: Window Wall Side Description Total Price Window 1 Front Double 30x40 Window $ 0.00 Total Abutted: 2 $ 0.00 White PVC Window Trim for Large Window $ 0.00 Large White Shutters $ 0.00 Extra Options': Description Quantity UOM Price Total Price Standard Exterior-Grade Floor Plywood (No Upgrade) 140 SQFT $ 0.00 $ 0.00 16" On-Center Floor Joists 140 SQFT $ 0.00 $ 0.00 Extended Cottage Overhang on Gable Ends 10 WIDTH $ 0.00 $ 0.00 PVC Building Trim with Vinyl Corner Boards 140 SOFT $ 0.00 $ 0.00 Cottage Vents 1 PAIR $ 0.00 $ 0.00 Docusign Envelope ID:7A85A9DD-IEEE-82EC-8063-1F203F137A2E Reeds Ferry Small Buildings, Inc. Reeds Ferry Sheds 3 Tracy Lane Hudson, NH 03051 Phone: 603-883-1362 Page 3 of 3 Order: 504138 $ 10,749.00 Total $ -1,056.90 Discounts: Spring Shed Sale: Save 10%on the base price of any Reeds Ferry Shed. Order must be placed on or before Sunday,April 12th, 2026 and install must take place in 2026. A 25%deposit is required at purchase, and remaining balance is due upon installation.This discount cannot be combined with Financing or other offers. If an installation is postponed beyond the originally scheduled installation date, pricing is subject to change to current pricing at that time. $ 9,692.10 Subtotal $ 605.76 Sales Tax 6.25% $ 10,297.86 Grand Total $ 3,662.20 Deposit (4/10/26) $ 6,635.66 Balance Due (Grand Total less Deposits) Deposit of 25%required upon order placement, balance due upon install. If the customer requests a change to the installation date, prices are subject to change based upon pricing at the time the request is made. If Reeds Ferry is not able to build the shed on the day of installation, or has to stop building,tear down, or move a shed because:the site is not prepared properly,there are overhead electrical wires within 16 feet that have not been sleeved or power turned off, or a permit is required and either the customer has not obtained one or has not adhered to town setback rules with respect to shed placement,then a restocking fee of at least$500 will be added to the order. See additional sales order information for additional details. Buyer Name: Brian Davis r&r^Signature: cUA, VcLwS 2FAC955Q55074F9... Date: 4/15/2026 I 9:36 AM EDT DocusignEnvglopetp:7A&5A9Dp-7EEE-82EC-8063-1F203F137A2E Customer signature: A/15/2026 19:36 AM ED�" 14' f ; 2' 6" 2' 6" Dccusign Envelope ID: 7A85A9DD-IEEE-82EC-8063-1 F203F137A2E Reeds Ferry Small Buildings, Inc. Reeds Ebrry Sheds 3 Tracy Lane I4,._tahoclTnucit _ ,.,tNei+ F„giand Hudson, NH 03051 Phone: 603-883-1362 Page 1 of 3 Order: 504138 Order Bill To: Customer Number: 7084 Ship To: Brian Davis Brian Davis 7 Fresh Brook Road 7 Fresh Brook Road 7 Fresh Brook Road South Yarmouth, MA 02664 South Yarmouth, MA 02664 Order Date: April 10, 2026 Install Date: June 22, 2026 Phone: (203) 500-0828 Sales Person: EXT-Online Orders Front Left Shed View Rear Right Shed View Product Information Style: Victorian Cottage # Size: 10' x 14' Siding: Vinyl Clapboard Siding Color: White Shingle Type: Architectural Shingle Color: Black 10' x 14' Vinyl Clapboard Victorian Cottage Shed $10,569.00 Extras & Options: Door Options: Door Wall Side Description Hinge Swing Total Price Door 1 Left 5' Double Door 6 Panel Right Out $ 0.00 Transom Window Attached to 5ft Double $ 0.00 Door 4' Long Pressure Treated Ramp for 5' Door $ 180.00 5' Sill Plate $ 0.00