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HomeMy WebLinkAboutBSHD-26-42 application 47:-YAk'°1YA ,`'��, Office Use Only''�:s �+� Permit# sS\'"t'�J�- 4 \0 -- z Y�yH,,) — k"mAt i , ,Amount `'y ��CORPORASE0 i6,r ,d " ,� `'� t Permit expires 180 days from li issue date t EXPRESS SHED PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 Ext._11261 C y, CONSTRUCTION ADDRESS: 3, -, Cel', � t v d ' J���Q( OJT}"_-\ ` �`�- MC e_ (R,R (-k �e5er0 a 5-,$A(n- ��-,mom OWNER: >�� tee � � , NAME PRESENT ADDRESS TEL. # (rl_Cc _ 'q 63 CONTRACTOR: P I`'�`', 1--A a � t LI�P<1 irtOn Q- l u1iC'�j 1(Yl�y NAME MAILING ADI RES TEL.# {'� EMAIL: ` ( -} tC Sri e• COMA 5 I - 2-80 esidential 0 Commercial ❑Est.Cost of Construction$ 9, C)r-A \ . CRCZ Home Improvement Contractor Lic.# t 37 9 JC Construction Supervisor Lic.#c.,s A - 69 3 S 1f2c. xQ , lO(3C(c C-P SHED INFORMATION / New Size L x W x H 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 I U x W 7 x H \ r-1 S *The debris will be disposed of at: G(•M o-1T`---, ` 1 ar\` - S 1 (�T l Q( 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 and for prosecution under M.G.L.Ch.268,Section 1. Applicant's Signature:_ Date: Owners Signature(or attachment) CXn--)cx..D Date: &/ Approved By: Date: Building Official(or designee) Zoning District: 1 V(/ RECEIVED Historical District: : Yes ( �i4o **Conservation review will be required if shed is placed within 100ft of MA 026 wetland,200ft from riverfront,or located within a flood zone** (243UILDING DEPA NT _ 0 t. ; A ..,, i ! 1 — i i 11 17 8 61 Et ? ; -5,k 1 Ns' - :k. U i , i v .. (V E sp, 2. .; 4 ,...... 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Ow) -,,, , 0 eri ...... -,,, , _. . • Illimmt4 Liaa 0 C‘'' '''' ',, 4 C., , '",.) \ \''''' -A);•4°.: \ ,,...4 r- .,,... ....-.` "'--'''1'' V‘ ur^ ry) ..,„.._ i...4 I...I .c., .0 c„:.5 i ••••••••••••,.. .4(1.1 ,, ' c3,... -4-.3 ..,-' ," iz)•si.,) 0 ri 9/ Ni-A . ,.., t C....,,, ,•-• ,- 1,4 1,- le) ,•-- „ 0 77-1 NI i‘i'i,=,• , cf) , 1,...1 :. o05 ,‘Zd g V%IA.NWC•O c91.001.41.‘1.1.0.41.• Ie. \../' CC1 '. ,• Wt.. 0 •Vi 44 . j/,,i, tcP t It. ea 1410e ,r,, ki .. .... ut • „ 1 '' ., ..• 1 '., % z I tc, t'0 1%1 :„t, • E . _ ........ ./.4, l''''. • ' - PINE RBOR 0 Front Elevation ® Right Elevation WOOD PROD1;crs -- . _ PILAF HARBOR.C(M1 1-609-160-SHM 259 QOttn Anne Road P Harwich.MA 02645 ).. I p:Hon610.2000 f:(506)4 30-111 S - IIIN 9. , barnawpinnharbo-.corn --!!!!� !!!!1 ��' FNGINFFR'S STAMP MIHNIMINIIIIIIIMMIHIMMIHMINIMINIiMIIIIIIIIIMIIIIMINIMMINII i _.............._................. _____ .. Ikkb. i I rased xlct Kim-, I 1I11IIiI III PROIFCT: 1(1 111 ADORFSS: I I I I 0 Rear Elevation 0 Left Elevation PHONF F-MA!' IMINIHMINIMIIIIMINIMMINIIIIIIIIIHNIIIIIIMIIIIIIIIIIIIII _! _ _ !! !f_ _ !—phi--!!_!_� Ai&elleillilliMMINIMBIMINIMINIMEmNiMiliP -� .!_!!_--____—___—i ! �R •- .\i)1)RFSS OF PROPOSFO WORK: j 11 III Iltl Ili ... RFVISION OAT I.ONO OR:AWN RY. ihl���u�■��i ' ^- Un1GS.,;,harAti iP^vC'`Ct 1 —3A~µY Acc)RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 02/20/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poticy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laurie Kohlenberger NAME: ALERA GROUP/Berkshire Fairfield PHONE (413)443-0077 P'ix INC No E., (AIC,No): 128 South Street ADDRESS: Laurie.Kohlenberger(galeragroup.com INSURER(S)AFFORDING COVERAGE NAIC 0 Pittsfield MA 01201 INSURER A: Selective Insurance Co of SC 19259 INSURED INSURER e: Selective Insurance Group,Inc. 12572 PINE HARBOR WOOD PRODUCTS LLC INSURER C: New Hampshire Employers Ins Co 13083 259 QUEEN ANNE RD INSURER D INSURER E HARWICH MA 02645-2405 INSURER F: COVERAGES CERTIFICATE NUMBER: 26-27 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUMS POLICY EFF POLICY EXP LTR TYPE OFINSURANCE INSR WOO POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 IDAMAGE TO RENTED 500,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ _ ma,EXP(my one parson) $ 15,000 A S 2671577 02/28/2026 02/28/2027 PERSONAL S ADV INJURY $ 1,000,000 GEN-'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PROT X LOG PRODUCTS-COMP/OP AGG $ 2.000,000 JEC OTHER: $ AUTOMOBILE LIABILITY EOa INEDISINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED v SCHEDULED A 9110876 02/28/2026 02/28/2027 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE _AUTOS ONLY AUTOS ONLY per accident) X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A -EXCESSLIAB CLAIMS-MADE S 2671577 02/28/2026 02/28/2027 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION XI STATUTE I I ERH AND EMPLOYERS'LIABILITY YIN 1,000,000 ANY PROPRIETORIPARTNERJEXECUTIVE E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED, N/A ECC-600-4001249-2026 02/28/2026 02/28/2027 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 II yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below ,E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES)ACORD 101,Addeional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF YARMOUTH ACCORDANCE WITH THE POLICY PROVISIONS. 1146 ROUTE 2B AUTHORIZED REPRESENTATIVE S YARMOUTH MA 02664 �//u ,%hxnSeuu L ©1988.2015 ACORD CORPORATION.All rights reserved. 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