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HomeMy WebLinkAbout1994 Apr 19 - Building Permit, PlansTOWN OF YARMOUTH Application for a Permit to Build G Ll- A- Gj`l UPON FINAL APPROVAL MAP VIL FEE MUST ACCOMPANY THIS APPLICATION. The undersigned hereby applies for a permit to build according to the following specifications 1. Name of property owner i AddressV� No. LOT 13 DATEcl 199 Tel. i`l a — \'G 2. Name ofArchitect (if any ) �f��� ���)y, ' l �z Tel. 3. Name of builder ���'��'`'�`�'�� I � `JL`�rAddress \ 1� 4. License No. 00 G-4-3 Tel. 5. Name of Mason -A Address 6. License No. 7. Construction address Tel. 8. Date of subdivision Approval 9. Private dwelling Estimated Cost 10. Multifamily ❑ r 3 11. Commercial ❑ 12. Other ❑ ,, 1 IMPORTANT MESSAGE Time—Date Taken By For Telephone ❑ Telephoned `V -I )Please call ❑ Wants to see you /❑''Will call again ❑ Returned your call ❑ URGENT ❑ Was here to seeo ,y tf t� �► Flood District plain zone ✓e _ Z -s= DO NOT WRITE IN THIS SPACE to DE`l//V11f Feld Type of room No. IMPORTANT MESSAGE Time—Date Taken By For tee, Telephone 115 I ❑ Telephoned ❑ Please call ❑ Wants to see you ❑ Will call again ❑ Returned your call ❑ URGENT ❑ Was here to see you 0 Post -it® telephone message pad 7662 -1/1 -J/ , / ' — - -------- --1-11-11 1-11-11 J1lJ 1V Vv BUILDING PERMIT #: �"'U 1-�-I� TELE. NO.: (`7-%�; DATE FILED: ter: 'LOCATION: MAP # : LOT#: _dE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD ALTER, OR ADD TO A STRUCTURE WITHIN THE T014N OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUG. THE FOLLOWING DEPARTMENTS: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE. CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO iETLANDS ACTS, I.E.: IF LOT(S) BORDER ANY TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARS} LAND, ETC. HEALTH DEPARTMENT: DETEMMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES• FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYSTF ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ISSUING THE REQUIRED BUILDING PER'lIT: ORDER, PRIOR TO BUILDING INSPECTOP REVIEWED BY: 1. WATER DEPARTMENT 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE- N/A: 4. HEALTH DEPARTMENT DATE: N/A: DATE: < <. N/A: I USTR AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE:- N/A: DATE: N/A: ALL STUMPS AND/OR BRUSH MUST BE PLEASE NOTE DISPOSED OF AT AN APPROVED SITE. A DISPOSAL SITE MUST BE SUBMITTED PERMIT. TO THE BUILDING DEPARTMENT SIGNED RECEIPT FROM PRIOR TO ISTHE SUANCE OF THE BUILDING COMMENTS: Suggested Affidavit for Home Improvement Contractor Permit Application For omce Use only NAME OF CITY/TOWN Permit No. '��-`T-u`r'n Ca Date AFF MAVIT Home Improvement Contractor Law Supplement to Permit Application MGLc- 142A requires that the "reconstruction. alteration. renovation. renair, modernization. conversion. inpmvement removal demolition or construction of an addition to anv pre-existing owner -occupied building containing it least one but not more than four dwelling uniIs.... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exceptions, along with other requirements. , Type of Work: Address of Work J L L q -�' dL_ Owner Name -14) U �- Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under S1,000 _Building not owner -occupied _Owner pulling own permit _Other (specify) Notice is hereby given that: t. Cost10 0'� OWNERS PULLING THEIR O«WN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name X_ o ��I I I I Ij I I© 0o II I 0o X O r o f .s i ., r ' _ � j !_ a. Vic•. ••r i :��L;' t - � �, ;- "- ._. -,-�--�-, � V ;�� �-.:K.�;,�� � � J� ' � r` I,7-�'' h ! I .., � � _ .. w-t..•..��ti�ti_,�.-4..:_...'.:,......,C.�..�.a�,-,�,-.:..��...,__..._. — _.._ •?�:,, n, Ll Ll !Ljl L[11[l 91, 1, 1 �L 11 IT TI I� II it 1i I111 ; I �li l! 'i'' II .__ .--_-.__f k � Com• .. .--_I__. _.__- - - .�-.._..._...�.-- ._.__._.__.�...___-_�.� s