HomeMy WebLinkAbout2015 Jul 31 - Sign Off Transmittal Sheet - Finish Area over Garage to 4th Bedroom �,.� �_. . , ..:
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�'-�Y"� TOWN OF YARMOUTH
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�' `'''4�M``'` ' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Appdicant:
Building Site Location: ���1 /L�_ v
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Proposed Improvement: �/ c2 Q(/� ,y2._
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Applicant: Tel. No.:�Z�r— �J
Address: Date Filed: Z
**Ifyou would like e-mail not fcation ofsign o,�;please provide e-mail address:
Owner Name:
_ � Owner Address: �/ 1-2C� er Tel.No.: ��—
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RESIDENTIAL AND/OR COMII�RCIAL BUILDING
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HEALTH D�PARTMENT: D��ines Compliance to State and Town Regulations; i.e.,Requirements � i
For Septage Disposal and other Public Health Activities. , '
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Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan lab�e�i,x�.A�LL rooms within building
(all existing and proposed) — �
Note:Floor plans not required for decks,sheds, windows, roofing; j
(3.) If necessary, Title 5 application signed by licensed installer �
with fee. '
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REVIEWED BY: �,J DATE: �' �� /� I
PLEASE NOTE
CO��NTS/CONDITIO�TS: "
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�,�rt�� TOWN OF YARMOUTH Building Department
- �Q (508� 398-2231 ext.1261 BU i LDING
� _ _ .. _._ ...._ . ._. PERMIT
' � PERMIT NO ;BLD 15-004540
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�. ISSUE DATE �03/98/2015 ` JOB WEATHER CAR[
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APPUCANT s OBERT DUNPHY . .
� .._ .. _.. _.._ ....... ..� ,. _... ; PERMIT TO New Bu�idinc
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I AT(LOCATION) 4 ���,L.pWyE.yqRMpUT��Aq Q2675 �ZONING DISTRiCT R-40 iBldg.Type: Residenfial ������
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" SUBDMSION MAP BlOCK LOT `134.3.2�..._.,-----...__._...� �...._.............:....._......__W..._........� r._.�..._...,.........._.
; , � BUILDING IS TO BE:;CONST TYPE ��V A �USE GROUP �R-3
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� REMARKS new c�nstruct,on:3 bedrooms,2.5 baths,2 car garage, breakfast area,dining � ; CONTRACTOR
; room,kifchen,famil y/livi n g room,fo y er, un fi n i s h e d b o n u s ro o m a s p e r p i a n s ; ' L I C E N S E :0 6 9 2 9 4�w��Vy�.µ��.��
ctated 03/17l15. ' �Conshuction Superviso:
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' �'DUBLIN CONSTRUCTION ���y
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ERT DUNPHY
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AREA(SQ Fl) EST COST($).2480d0 00 ...�. .�..-.-..--.-_....e_ t 'S�BOARM�UTH N
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;PERMIT FEE($);1,757,00 ;;
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=ARCHIE F BOWER �. ..�_...�.......�_......__.. ... .-.---.,�.,
. OWNER . :r
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, --..�....w��_._._ . �w ��- ._. --._ ..���-:���w. .�-�.�.� BUILDING DEPT BY : .
ADDRESS �PO BOX 553 ;
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i HYAPINISPORT -�-�-.._.._.r...�_., _._.._.......�._w.�......_,___...��...�....._
� , I�IA 4 28470553 PHONE ?
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; THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, AL1.EY OR SIDEWALK OR ANY PART THEREO�, EITHER TEMPORAR��
PERMANENTLY. ENCROACHMENTS ON Pl16LIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MU:
� APPROVEO BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATIOP!OF PUBUC SEWERS MAY BE OBT
FROM THE DEPARTMENT OF PUBLIC WORK�.THE ISSUANCE OF THIS PERMIT QOES NOT RELEASE THE APPLlCANT FROM
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MINIMUM lNSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON JO WHERE APPLICABLE SEPAR
CONSTRUCTION WORK; 1)FOUNDATIONS OR 1�►ND THIS CARD KEPT POSTED UNTIL FINAL PERMITS ARE REQUIREd FC
FOOTINGS.2)PRIOR TO COVERING STRUCTURAL �NSPECTION HAS BEEN MADE.WHERE A ELECTRICAL PIUMBINGlGA:
� MEMBERS(READY FOR LATH OR FINISH CC?VERING) CERTIFICATE OF OCCUPANCY IS REQUIRED, MECHANICAL INSTALLATtO�
' 3)FINAL INSPECTION BEFORE OCCUPANCY 4) SUCH BUILDfNG SHALL NOT BE OCCUPIED ,
REFER TO DETAIIED INSPECTION SCHEDULE UNTIL FINAL lNSPECTION HAS BEEN MADE.
POST THiS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTIONS APPROVALS �
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JVORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF PSECTIONS INDICATED ON THIS CAR
UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN SIX BE ARRANGED FOR BY TEL.EpHO�
APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED R WRlTTEN NOTIFICA110N.
STAGES OF CONSTRUCTION �0�