HomeMy WebLinkAboutBLDX-25-635 application R. E
YAK ____-._ Office Use Only
°g_ ;_� JUN 1 2026 Villie � I Permit# yi--oZS"C('`j'jf
Q i i M_ _ .- y Amount &O
. , , '; ',i" .BUILI�ity DE'rA��t�(1nNIL iT t
EXPRESS BUILDING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
CONSTRUCTION ADDRESS: 108 Bray Farm Rd. North, Yarmouth Port Ma 02675
OWNER: Taylor Bray Farm P.O. Box 66 Yarmouth Port, Ma 02675 508-326-5430
NAME PRESENT ADDRESS TEL. #
CONTRACTOR: Barnstable County Sheriffs Office, 6000 Sheriffs Place, Buzzards Bay MA 025432
NAME MAILING ADDRESS TEL.#
EMAIL: mjw.murphy@comcast.net
❑Residential X Commercial 7 Est.Cost of Construction$
Donated
XX
Homeowner is Applicant? Yes No
Home Improvement Contractor Lic.# Construction Supervisor Lic.#
40 X 40
WORK TO BE PERFORMED
Tent X Duration 06/18 to 06/22 (Fire Retardant Certificate required) Wood Stove
Siding: #of Squares Replacement windows:# Replacement doors: #
Roofing: #of Squares Insulation Temporary Mobile Home
Temporary Construction Trailer Demolition—Interior only *Demolition Raze Structure
Solar System ESS System Chimney Fence
*Please submit utility disconnect letters for electric&gas—structures over 75 years old require historical review
*The 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 r vocal n of y lic a an f r osecution der .G.L.Ch.268,Section 1. a
/4 Applicant's Signature: Date: "
Owners Signature(or attachment) Date:
Approved By: Date:
Building Official(or designee)
Rev 6/24
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Taylor Bray Farm 40x60 & 20x40 Tents
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IMPORTANT DOCUMENT '�''�'�iff' ter �'��'r'nial°
ID rlr�u�s�l-rJ�cPrJ�rPrsr�rJ�sc�rli �
Certificate of clan-pe Resist�apce .0
5 ISSUED BY Date of Shipment 5
REGISTRATION 04/23/08 5
NUMBER tII kHIRE j
\):. ANA 47725 Tent Identification 5
F140.D1 Tfr.��T~ MANUFACTURERS OFI THE INISHED 04620438
TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described have been flame-retardant treated
(or are inherently noninflammable)and were supplied to: 5
80923 S
Royal Health Group Charitable Foundation
8 Lewis Point Rd
Buzzards Bay MA 02532 b
5
5 5
5 5
5 S
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved 5
chemical and that the application of said chemical was done in conformance with California `g
Flre Marshal Code.All fabric has been tested and passes NFPA 701-99,CPAI 84, ULC 109.
Serial fi 8108985(2)
Description of Item certified: Century Mate Expandable End,40WxZ yo 5
Snyder White Vinyl E,
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fa �
5 L Snyder Mfg,New Philadelphia OH I Signed: /
Name of Applicator of Flame Resistant Finish J ANCHOR INDUSTRIES INC. C,
oOft_INT rr PcPc frJ�rlr�cPrJ�rJr�cPtPrJ�tPcPr�cPcPcPcPcJ�rStcPrJ�rJ�rJc_1013 rJ�rJ�sPt Pr1cJ�[Pcit371 cJT-T3 LP Pcrafgrain�Pr�cPcPrJ�rJ@P[PcP�Pr13
07/15/2010 12: 08 812-867-0547 ANCHOR IND PAGE 04/04
IMPORTANT DOCUMENT
Certificate of Frame &sistance Date of Shipment
ISSUED BY 07/07/10
registration Number
-12110 ralC110111
1NDUSTRIE INC. Tent Identification
14877530
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and
were supplied to:
BARNSTABLE COUNTY CORRECTIONAL FACILITY
6000 SHERIFF'S PLACE
BOURNE, MA 02532
Cs
T y
!rn' 4' 1'1. y'•;
Nor-
u � �~ g
r
-? FIRE N►q�'
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code, All fabric has been tested and passes NFPA 701, CPAI 84_
Serial#
8106402 (8)
Description of item certified:
TENT WALL L&S2 810X22 WITH
2 CATHEDRAL WINDOW WALLS
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
TRIVANTAGE STATESVIJ.LE NC
Name of Applicator of Flame Resistant Finish
Signed;
AN HOR INDUSTRIES INC
40x40 Silent
Auction /\ Exit
0 Fire extinguisher
'-
40x60 Sheep Shearing
20x40 Food [11
Taylor Bray Farm Preservation Association
Check Requisition Form
Debit/Credit Card Use
bate: Amount:
Name:
Purpose:
Instructions:
Date Needed:
Payee:
Expense Account:
Buildings:
Education:
Events:
Fundraising:
Grounds & Livestock:
Office & Administration:
Publicity:
Miscellaneous:
Approval:
Special Instructions:
Mail address:
Other:
TBFPA 2024
Paid Date
Check No.