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HomeMy WebLinkAbout2000 Aug 10 - Building Permit App Sign Off - Basement O�,i�f.YqR'�ry T O W N O F Y A R M O U T H
' ��+,� BUILDING DEPARTMENT
� BUILDING PERMIT APPLICATION SIGN OFF
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� ;: pplicant: �f�2«� 'J• /V`���Zl21yt'� Building Permit No.: _
� � �f � �� �A � ,� 7 7S— 8 3 8
ddress: 4 r '' l d� Tel. No.: �Z Date Filed: -'��'2��
��,� dg. Site Location: Q Y �4�1��A'"� �ti� Map No.: � Lot No.: �
The following information outlines the procedural steps required to obtain a permit to build,alter,or add
to a structure within the Town of Yarmouth. The Building Department will determine compliance to the
following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department
will be responsible for assisting the applicant through the following departments:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain)
ENGIlVEE1tING DEPARTMENT: Determines Compliance for Parking and Drainage.
CONSERVATI�N CONIlKLSSION: Determines Compliance to Wetlands Acts;i.e.,If Lot(s)Border any Type
' of Wetlands, Streams,Ponds,Rivers, Oceans,Bogs,Bays, Marshland,Etc.
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations;i.e.,Requirements
`� 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 Systems,Etc.
'The follozving Departments must sign o,,�; in the respective order,prior to building irispector zssuing the required
building�iermit:
' REVIEWED BY:
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: :N/A:. _
4. HEALTH DEPARTMENT• DA�: �..�^ N/A: . .,
� INDUSTRIAL AND O CO MERCIAL PERMITS
5. WIRING INSPEGTOR: DATE:- N/A:
6. PLUMBING INSPECTOR DATE: N/A: '
7. FIRE DEPARTMENT: DATE: N/A:
: : PLEASE NOTE `
All stumps and/or brush must be disposed of at an a�n-oved site. . . _
COMMENTS: ;:
8/99 Applicant Signature Date �
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� .. PERMIT �.
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}`� PERMIT NO. �1"'i� � .
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APPLICANT � � �"�'"� � � ;�
. � (NOJ , �STREET) (CONTR'S UCENSEI
��". NUMBER OF
PERMIT TO (_�) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) . NO.� IPROPOSED USE) � '�
AT(LOCATION)
� �.� � ws� Y� D STR CT
� . . (NO.) � - (STREE� - �
a BETWEEN ` AND �
- W � � -�CROSS-STREET) - - (CROSS STREET) �
w
� j�� LOT
ID SUBDIVISION ���^�"� LOT BLOCK S12E
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� O BUILDING IS TO BE FT.WIDE BY• FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM�IN CONSTRUCTI
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� TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATiON
� (TYPE)
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REMARKS: fk
AREA OR
s�s�� PERMIT
VOLUME ESTIMATED COST � 3« FEE � ���
. (CUBIC/SQUARE FEET) � , � ,
OWNER � � �� '� BUI4DINGrDEPT. �j�
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ADDRESS �"� �� �� eY �
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; iNSPECTION RECC�RD :
p E . NOTE PROGRES5 - C$RR.ECT{ON�4�ANLT REMARKS . � . � ItVSPECTOR . . ��..
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o�'Yq� ONE & TWO FAl1AILY ONLY - BUILDING PERMIT
� �'� �� ;�p� APPLICATION T0 CONSTRUCT,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELIING
�• p_ ` —y Town of Yarmouth Building Department
N MATTAGM[CS �' 1146 Route 28 • Yarmouth, MA 02664-4492
���""""°�*� Tel: (508) 398-2231 x261 • Faac: (508) 398-2365
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Use Group: R-4 Type: 5-B
1.1 Property Address: . , i.2 Zaning Information: .
q 4/ Su.l�tu�.. �2..� 1
• - �.J�i � � n� • �. 'f"1. /Y1•¢ 2G7 Zoning Dis�trict Proposed Use
, 1.3 Building Setbacks(it�
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.4 Water SuPphl(M.G.L.c.40.S 54) �` � �� � � �
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' Public Private
2.1 Owner of Record: '''� �
��Y��K� IN.L��IM*� �' VtRa�l��'1 l�l��/s�.Mb��
Name(print Mailing Address
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Signatur' Tetephone
2.2 Authorized Agent: "
Name(print) Mailing Address
Signature Telephone :
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__ ____ �-Li ---- —- -- et�p�lieable n -- -------_
�icense Number
Address �
Expiration Date
Signature Telephone
Company Name Not Applicable ❑
License Number
Address
Expiration Date
Signature Telephone
9- 15-99 1 of2 OVER
,.
; Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure '
to provide this affidavit will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes .......... No ... ......
New Construction ❑ No.of Bedrooms No.of Bathrooms
Existing Bldg. Repair(s) ❑ Alterations Addition ❑
Accessory Bldg. ❑ Type Demolition Other Specify:
Brief Description of Proposed Work:
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� Item Estimated Cost(Dollars)to be Check Below
completed by permit applicant
1.Building ❑ Conservation-Commission Filing
F 2. Electrical (if applicable)
3. Plumbing/Gas
4.Mechanical(HVAC) ❑ Old Kings Highway 8�Historical
' 5. Fire Protection Commission approval
6.Total=(1 +2+3+4+5) (if applicable)
� 7.Total Square Ft.(new ho�es&addiUa�s) ry'Z�Z �O O
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I, __ , as owner of the subjeG#plroperty . . ;
hereby authorMze to act,on '
my behalf, in aU matters relative to work authorized by this building permit application.
Signature of Owner Date
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I, ,as Owner/Authorized Agent ,
hereby declare that the statements and information on the foregoing application are true and accurate, ;�
to the best of my knowledge and belief. , ;; '`
Signed under the pains and penalties of perjury. ,
Print name
Signature of Owner/Agent Date
9- 15-99 2 of 2
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- Sectio
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of UBC
'�` � < -Section 310.1 of CABD ` ` �
one and two family dwelling code
- Section 310 of the lnternational Residenfial Code 2000 ,
j • Mounting flanges attach direct to foundation and
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U.S.Patents 4,876,833/5,107,640/5,657,587
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• Clear polycarbonate �
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grate cover
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Easy to instal���omponent Window B�,�ck Al�ount�og*:: ., , Four�dation Wall Mounting* : Side panels are easily attached
system includes side panels Simply attach side paneis ;; ,, with a few simple measurements, a power drill and appropriate
and step panels that simply using window buck back-out 1/4" anchors.
snap togethec screws.
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Slot and tab feature allows panels to snap into place from outside, oc inside the well,for a firm, 2 x 4 cross bracing placed
secure fit. Cross pinning steps to side panels completes the assembly. diagonally ensures that the
well will not shift during back-
*Note: Side panels must extend 4 inches above grade/evel and 3-1/2 inches be/ow the window sill fill operations.
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Model No.of Inside Projection from Height*of Maximum Width of'Opening O ional Cover Models
Tiers Width Foundation �i�e Panefs WaII Mount Buck Mount Pol carbonate Dome Metal Grate
4048-42 2 42" 41" 48" 42" 38" 4042C CG1
4048-54 2 54" 41" 48" 54" 50" 4054C CG2
4048-66 2 66" 41" 48" 66" 62" 4066C CG3
4862-42 3 ^ ^ �� ��
42" 49 62 42 38 4842C CG4
4862-54 3 54" 49" 62" 54" 50" 4854C• CG5
4862-66 3 66" 49" 62" 66" 62" 4866C CG6
'Side panels must e�ctend 4 inches above grade level and 3-1/2 inches below the window sill
Available at:
1 �
�etterB.Givin -
ASEMENTS_��
The Bilco Comparry,P.O.Box 1203,New Haven,CT 06505 Complete Product Infor�mation Available at www bilc:o.C011t
Phone:l-800-854-9724 Fax:(203)931-4365
02000The Bik.o Company,New Haven,CT FPSW-6