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HomeMy WebLinkAboutBLD-93-583 mg ta.J9 s(' fl F'YA ` - '4 p^ `� -Po TOWN OF YARMOUTH oK few Ir/'(/93 oX •'� -H` '1 MA ..TTACP$ $ �4+ r Q3 eCtom°5G•'-.% Application for a Permit to Build No. 013 UPON FINAL APPROVAL /p MAP 119\ LOT /1I 21 FEE MUST ACCOMPANY THIS APPLICATION. DATE JULY i 29 , 1993 The undersigned hereby applies for a permit to build lilt 113 according to the following specifications I 1. Name of property owner Robert Tadahinrhe IiT I.SnR-957433.$ 1 Address - le Mary DavidRd . Yar,touthnort .Ma . 02675 2.Nameof Architect(if any) None Tel. 3. Name of builder Owner I Address Same 4. License No. None Tel. 5. Name of Mason None Address 6. License No. None Tel. Yarmouthport F 7. Construction address 10 Mary David Rd . ,Flood Zone District V? �/O 8. Date of subdivision Approval plain zone / 9. Private dwelling 12Estimated Cost 4 /Al) DO NOT WRITE IN THIS SPACE A3A3Pr / Type of room I No. 10. Multi family 0 ,$10 ,0o0t. , /5- Xa7/ 11. Commercial 0 /` 'f`` O ,I iriT i Kitchen 12. Other 0 0 �✓ 1` , Oh Dining Rm. �X 7 Living Rm. 13. No. of stories 1 Go �� ��� 4.1 Bed 14. Foundation — Full 0 Half I Crawl 0 Slab 0 y BathRm. 15. Materials — Wood 51 Cement fl Other 0 is--x .ft= • Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other ® 5& -9y' Closed porch 17. Garage — 1 ❑ 2 ❑ NONI' ____L-Ii-- -- Family Rm."-t".ly / `ro Sun room 18. Swimming pool __ ,o ' "� `�'D_J- ' 9 P "'' Garage 19. Storage shed — Size I - 1 - .1 , 0,° ' Shed ' 20. Stove — Wood 0 Coal 0 Alterations 21. Size of lot: No. of feet front 100 ' No. of feet rear loo' No. of feet deep 110' 22. Size of building. No.of feet front 15' No. of feet side 24 ' No. of feet rear 15 ' 23. Distance from nearest building: Front 40 ' Ft. side 75 ' Ft. side 70 ' Rear loo' 24. Distance back frau line or street 40' From rear lot line 60 ' Side line 20 ' L5. ELE. So., ettidaina44--e--LOO RT RELEASED BY Signature PLANNING BOARD 1 I Address 30 -Jfhzti n Date c / iRh'Ccdti A ©1�S'a6 APPLICANT: Robert LaDebauche BUILDING PERMIT 1 : . ADDRESS: 30 Darrin 3d . Dracut ,Ma. 01826 TELE. NO. : 508-957-0318 DATE FILED:Ju1y29 ,93 BLDG. SITE LOCATION: 10 Mary David Rd . MAP/1: LOT//: 21 Yarmouthport , Ma . 02675 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 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 THOUGH THE FOLLOWING DEPARTMENTS: RESIDENTIAL AND/OR COFPiIERCIAL BUILDING WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE. ' CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E. : IF LOT(S) BORDER ANY 1YPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH LAND, ETC. HEALTH DEPARTMENT: DETERMINES 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 SYSTEMS ETC. TIIE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN 111E RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: nn L C WATER DEPARTMENT ) ,,n r,G r, nr,Ar DATE: Q. 90-�3 N/A: 2. ENGINEERING DEPARTMENT: ` DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT / DATE: 9-10---7] N/A: ti INDU .RI AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: 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 APPROVED SITE. A SIGNED RECEIPT FROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF TIIE BUILDING PERMIT. COMMENTS: : , IL-- Yy1,,y-); -h 1101 . 7rsmkt Locdig ON L'ONft-)GTS u,[T44 L e- I ., , , -_ -c -- 0 _ 1,F-r=-p ,cu_„ rte. !IlArr R- .SEP.V,C R{ll37 T - ' GC'r 1-7' n,o :r 'C.P^ CXPEMI3e, y266?- TO FxcAtATIOM , • g-6 Y'J'•-✓— ) ate-on- ? .f+LA.! F 7.÷ mar 7 rt) D-p('4,24 l g .r n..,c II 1-fr.,/ P.7"K Y/5�� .i-„ o.min' ien Sac, Ct.- /Are n�•c +-..-! d .S'�oytn��i / ,j,/([�/,�j�///CJD /// 11 BI.M/89 CEILING ASSEMBLY a N2IE: SlOcal ceilingrequires ACM TOTAL R= eave aid ricte ar g=h1e TOP SURFACE `rU= WINDOWS: ventipg' • R=0.61 I�TJIRID-TC AL R 30.0 9" FIBERGLASS U= 0,033 . INSULATION R=30 • c\ ill /I/MADAM ri will s ,, O a P DOORS :P \ \ SBEETROCK —BOTTOM SURFACE V R= 0.61 • 1/2"-PLYWOOD INSIDE SURFACE WALL ASSEMBLY WOOD •0.62 i j" R= 0.68 PCILYLTOTAL . R= � ELEVATIONSHINGLES i � 1 }" ETROCK U R= 0.45 ' R7ML Rh 12.5 R= 0.87 . I Oa _ WINDOWS: OUTSIDE i/=3}" FIBERGLASS ,D� 20.0 r 0 INSULATION SURFACE IR=R=11ELECTRIC I-EAT Lh 0.0g5 R= 0.17 ' =SURFACE RESISTANCE Ji' Cj R= 0.61 FLOOR ASSEMBLY H •= EMBFINISH FLOOR PCRPL TOTAL R= DOORS: R= 0.91 U= TWO BEADS I/ RTLIMOTOUI 20.0 CAULKING LI , '11 i" PLYWOOD Lh 0.05 1/ H : RIGHT SIDE ELEVATI UNDER PLATE / 1-7 ; 'SUBFLOOR I R= 0.62 OUTSIDE / C.W.A. SURFACE A i = ' t./ (-' _A-i 1;_i'CJ A/LAr�'1/Mi R= 0.17 / 7 WINDOWS: "`����' . I /-6 r FIBERGLASS \. ,• ' INSULATION FOUNDATION CONCRETE / R= 19 WALL ASSEMBLY FOUNDATION \ (may be used instead DOORS: WALL \ ' SURFACE RESISTANCE i \\\ t 1 R= 0.6I of floor insulation) R= 1.32 = 8" PCBp',L TOTAL R= . LEFT SIDE ELEVATIO. 1.48 = 10". - U= L t RKIZ dD TSL R= '�.5 G.W.A. INSIDE SURFACE • U= :.co t Y= 0.68 '/8" SHEETROCK WINDOWS: J'• � .--7-1 0.32 .r . /�'" STYROFOAM = 7.1 DOORS: I , I l M ! , . . I 7 : M , A i ' '' 'O TES: C PE.'v+�;^;TIL? INSTALLED STC:� WALL AREA= a, a) / . _:W :MRL'.= (0I' as- , -7 __ . ::_'M= AV sot- o ..0 :, • 3t? g— FCRLOT o )1) z w Indicate lcca^cn cf garage cr accessory build` •, s• • Additcns with dashed lines 'T Sewerage disposal (cesspool) e - rn Well pa • 4:11z M w I (kn....100 ft. rear) 7.. w I kbuttor's Abuttor's game I • Name Lot I ,/ APPROVED Lot Y 0 REAR YARD YARMOUTH COMMITTEE f this is a OKHRD If this is aoraer lot. r. corner it +r•ite in name I write in If street. • - Igname o I c ether u + Ci street. V • . .. _41t6 ' � z1, rc• Q %.?" I d n I I SET BACK C. o I c II •G (1^- !PP f- frontage) • \ \ // 44/4,C>' n4-wo E.D. \ / (! A>!E OF STREET) N ' Mer r .44 0 t1/441 IS z E 1 O • ft SOPNIE ANNE o0 s ", ST �w O V a .. a \ . ' '-•- . . . - '...•: - Ins - u /� M 1 II / 1104 1 0 . PI • " 6,.. Q\ v • 4tr UPLAND.LOOsa ,04u00.1:1 ma- a o f ill r . ao 4 s — Lna.w.0.32 � • • AI F a � • . \ \ - O \ c066" �O(y� `� ,44Oa 47 V 'b yt SOS it rq - Aa ssa� 461 21 O 20 -"' 0 _ • ■a 595 .as d 'P9 O ►R ■a �- a 4 an .as Q �t 4 p■■OLM or ■1 s�CF f O x 1114 �t aanaae NI a :; 0. - ti 40.iv 0 rT. NIS y d \ • San st /tea 4 Fe ¢ µpRG Ar as E] 'PA. "b O ii s3 el 10 0 94. NU Mel ` O 90 00 0 gifi1L'.-- fl a �oara4 . Q4�� CiAIS e. ; • 949,000 . 'DATE MAP MADE 5/27/76;'..=_,..-:.. DATE REVISED _ .� ® 224 OCTOBER 19,1992 d /lu r A/I C1/all it I rr_ � a� y' L." 0' , n0 W r- yXi '/frtrSIYN&LES � o frIll Ix �ITCIF To, n9FhTCFF if %O r1 I`� f�C1c571NCT _ I r2 r • 1 ay N mR O 1 pyo, bS—D, Eyes nu& 14buSc 7, e • w�+IrE ._ . tf� atllNJ . l ! l r t r .I ,T^ I ' • L r I. �. Ra) draft a � � Ct,4Pfw b / rNI � �1 _fi _ I ► - eXlsrr4I LI z8 - - l� —`— < K_ WINbotos P,e6vibtL52.Y 7'i9K�J i JAPPROVED RM190UiH COMMITTEE /� OHHRD 3 Far Tr rt l z • 0 �o w R* :0 To a � /�� ZJO CAM gA }j ER WEitJ nc . N m ,. ra _ f. t3 �7j/MAla Cr'1n �,6 ,45fywT sititloe5 . - of*kis -5921- 0, I'o`x I 'b" mom • Ixi10xS Coy 75 { sin rte'. AV %b iWM �fsal fl wic acw5 elan. a.. mama r l � , , , r , urs t , in,i, inaind �aaiiar■a ionaaninna#iria ji t i t i I , l f f i n m�mrarirr■r�u■.m ;. r i r, t I i, ,, tong atik a-rs YG Srra 'Trra.arraam■auu�oar a 1[1 I 1 1 i 1LI 11'Tvl bra . wuaUSSflUSuSINNafmrrr -1 StNn>~LE S t 213 x is - 24 fi • , (V g „_ 1,611= l 0 8 i Iti7 APPROVED �^ YAR t2fl1..`cmJJ C)i{ri 1': v." y+f41�21 r—~'L`.'.3 y':�' ' ' . . ow,z7/X./4Al 7. ' ..�.� i 1 r/'M _ / I i 1 1 ` ` ;s.e'-r! . 6•j_ __— .- .- a ._.J., a i:, 1 o_ _ , , (0;0 ! `- -n,NXd o ssv d;- L :; • ,71 t f, 33104°''' �Y -17)/01 uo11A/punol II'c1 --> ;; b; 61 li_7;;,n/d z'uop �e • ; �° •t° +� !,47-7 417 ;i a34121 Sb �` 'x'0,6 S17:Et:r„9.;�—..1• ..4(4.4 JY' `' -----dc a l'1 P' ' � l-illy -_ - __ . _• •, - - - 70,99/t'1 77/5 !_/d. 9Xt" ----27 G,i ___,,..1 ' - -J -7.7.-!--;--C.2' 'J'O;I S/ 0 S25IaC xw rd 01XY ( — I n 1:'0,r9/ 7, SGnts bre -f - I , " . o Goo,nA7d xop t, �-a i-, 46 ,t w i,s SaZ9✓„/ i a1/CL9a 3L¢t q r�� „i4,, ! rte-= Xi N (nka'd)'b 0 Oa'Nocdu>P �'1 Q ea; nix„{� - 9 r ^1 r11 • Ao S4l�N S /1 �a rn llb..t 9S ` X11 -Th �'�' r b1?1`� Ileatu .7.9 a// S/Q-C Jd/Y7/-?2 $XY '%%tzra:.»Sfis..A. 1+ I ' • •0;,•71 $l / a 9RtVYP .e i i I.Z/S1 p Sall 7/1"7707 eaa 1 - ' 1 ., 1 1 °fit 9 pt _ ✓ iU � ' NfNsb' --�- ; ' • `,�, / 1 $ . axs /n(3E. •91,1-p, GI Ye 74. t./pl..41/4...71...7/a oz-z2 9 5' 5-5:122/7 2/7 Ss.dJ . •0 2/ i ». ....•. ..-- ..�... :i. • i • TOWN OF BARNSTABLE LOCATION in Mary Dav Id Road SEWAGE # VILLAGE Yarmouth ASSESSOR'S MAP Q LOT • INSTALLER'S NAME & PHONE NO. • • SEPTIC TANK CAPACITY i,-1000 gallon Tanit. • LEACHING FACILITY:(type)6z8 cesspool (size) 800 gallons NO. OF BEDROOMS 2 PRIVATE WELL OR PUBLIC WATER • BUILDER OR OWNER Mr Annial Mlnhnale DATE PERMIT ISSUED: eprli1f A? •• ' J J• 14. _d,• DATE .COMPLIANCE ISSUED; • i:;• . VARIANCE GRANTED: Yes No • 4; • ` a: • i . it L Si :' ,•.•, I. p r • TOWNnOF BAARNSnTABLE LOCATION/114 / ��.l'1d7" �t' 4 SEWAGE # VILLAGE ),••• 4 cr ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY //4V--6 )t it7 JP /iC 404,44 LEACHING FACILITY:(type)/-{ g /%�cA' (size) e.csNO. OF BEDROOMS PRIVATE ELL OR PUBLIC WATER „G I BUILDER OR OWNER ata .Yt?l.Yj/ s4%I/./f44 ice I DATE PERMIT ISSUED: /Met,/ /.�194L iOO p DATE COMPLIANCE ISSUED; ~�y�0 VARIANCE GRANTED: Yes No • "3/4‘ ; - 1141PF•A to/n610 # )/ 0'; iv re' Ae ("Iv,/ ?May - )) 4 • \-: • , N.Decr 13 tip • . • GO N. I gy 0 • • 6.01' • • 0 • • • • • • • • • • • • • • • • • • • • • 6 • • • • • • • • . • • C • • • • • • Suggested Affidavit for Home Improvement Contractor Permit Application • For Office Use only- ----.--- -. - NAME OF CITY/I.OWN Pcnntl No. • . - -. - -Yarmouthport , Ma . - _ - _ Dote - —' - AFFIDAVIT • Home Improvement Contractor Law Supplement to Permit Application •MGLe.l42A requires that the"reconstntction.alteration.renovation.repair,modernization.conversion.inprovement.removal.demolition. or construction of an addition toanv precvistingowncrtxcunicd huildinecontainine at least one but not more than four dwelling units....or . to structures which are adiarent to such residence or building"be done by registered contractors,with certainteeptions,along with other requirements. • Type of Work: Construction of an addition Est 0:410,000 Address of Work 10 Mary David Rd . Yarmouthport , Ma . Owner Name: Robert LaDebouche • Date of Permit Application: July 29, 1993 I hereby certify that: Registration is not required for the following reason(s): • _Work excluded by law _Job under 51,000 _Building not owncr•occupied x Owner pulling own permit _Other (specify) Notice is hereby given that: • OWNERS PULLING THEIR OWN 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 I.32A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: . Date Contractor Name Registration No. OR: • Notwithstanding the above notice. I hereby apply fer a permit as the owner of the above property: 7/30/92 gad Pinaead • Date Caner Name vc=�_- :mss c 271.+1,-;11-,,j_,.5. ___ _= ==lL COMMONS\VEALTH OF MASSACHUSETTS - -- -Yr�C • �' -`- DEPARTMENT OF INDUSTRIAL ACCIDENTS .. . :.. -.---,__—_.__ 600 WASHINGTON STREET . JamesJ Camape: BOSTON, MASSACHUSEI IS 02111 • • romn:ss+one' WORKERS' COMPENSATION INSURANCE AFFIDAVIT • - • 1, Robert Ladebauche (licensee/perminec) • with a principal place ofbusincss/residence ac Yarmouthport , MA 02675 (City/Start/Zip) do hereby certify, under the pains and penalties of perjury, that: [ ) I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Numlier 1 am a sole proprietor and have no one working for me. I am a sole proprietor, cenerr.J contractor or iomeowner (circle one) and have hired the contractors listed below who have the following workers' compcnsarion insuranc policies: Name of Contractor Insurance Company/Policy Number • Name ofCont.actor Insurance Company/Policy Number • ' • Name of Contractor Insurance Company/Policy Number I am a homeowner performing all the work myself. • NOTE.:.Please be aware that while homeowner who employ persons to do maintenance. coo:tr5ction or repair work on a dweiiinz of not more than three units in which the homeowner:iso resides or on the grounds appurtenant thereto are not eeneraily considered to be employers under the Worker' Compensation Act(GL C. 152,sect. 1(5)). application by 2 homeowner fora license or permit may evidence the IeF:i status of an employer under the Workers' Compensation Act. I under:land :h:: : ceps.of :is s••••—sen:will Ec forwarded to the Dc:ar:men:of industrial Aeddera' Office of tsuranc for wverare thatSector 25/,'01 MGL. 152 car. lead to the irn:os::ion of crir...^:1 pcnna)des V[^.:I'.:;:J.^. aIC failure to S:eL'.'e CDV[.�[ :S 7CC L'R[e under ccntis:nc of: line of up to c'"n 00 en o:irnpri:on rtet of up :o one year and dsii pee in the form a; :_ : Work Order and a fine of 5100.00 a day :nine: me. r- �j Sic :his PM •"t/1-t4 GvvLf" `•(-Cert ft) )9 / TOWN OF YAMOUTII BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: ., DATE July 29, 1993 JOB LOCATION 10 Mary David Rd. , Yarmouthport , MA 02675 NUMBER STREET ADDRESS SECTION OF:TOWN "HOMEOWNER"Robert Ladebauche 508-957-0318 • 508-957-4338 . . NAME HOME PHONE WORK PHONE PRESENT MAILING ADRESS 30 Darrin Rd . , Dracut, MA 01826 Dracut, MA 01826 CITY OR TOWN STATE ZIP CODE THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED • • DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN- DLVIDUAL FOR HIRE 1,910 DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1) DEFINITION OF HOMEOWNER: PERSON(S) WO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE- SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING, ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES. A PERSON WHO CONSTRUCTS MORE TIIA.4 ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL, ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1) THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES MD REGULATIONS. THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE WILL COMPLY WITH SAID PROCEDURES ANT AND REQUIREMENTS.EQ /� HOMEOWNER'S SIGNATURE GP&1 //i/ '2!�%40 . APPROVAL OF BUILDING OFFICIAL • , NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL. INSURANCE COVERAGE: . I have a current bility insurance policy or its substantial equivalent which meets the requirements cf MGL Ch. 142. Yew No ❑ If you ha✓✓e checked ves, please indicate the type coverage by checking the appropriate box. A natality insurance policy 0 Other type cf indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER:.I am aware that the licensee does not have the insurance coverage required by Cha t 142pt the Mass General Laws, and that my signature cn this permit application waives this requirement. 66e 1 � Lmom owner engemit: A ❑ . Signature cit Onr.er crOnner s Agent __ _ _ _._. - - • (� Application to t 3 �'r'% � Old King's Highway Regional Historic District Committee in the Town of Yarmouth for a 4""4. y CERTIFICATE OF APPROPRIATENESS 0 Application is herebymade Ir triplicate.for the Issuance of a Certificate of Appropriateness u=et Sect(pn Sof Chapter 470. Acts and Resolves of Massachusetts.1973.for proposed work as described below and on pla4tdrawlegs orplaotographs accompanying this application fo .= r. r, fr 1T1 m--, Y CHECK CATEGORIES THAT APPLY: IND j?1 1. Exterior Building Construction: Cl New Building 13/Addition O Alteration a ► 2 Indicate type of building:O House O Garage O Commercial O Other y 3 r•r7 2. Exterior Painting: O c CCI 0 3. Signs or Billboards:0 New sign O Existing sign O Repainting existing sign -. v 4. Structure: 0 Fence O Wall 0 Flagpole 0 Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 7-08-93 • ADDRESS OF PROPOSED wORK 10 MARY DAVID ROAD ASSESSORS MAP NO. 1 I Z, OWNER ROBERT LADEBAUCHE ASSESSORS LOT NO. ,V 2 ) HOME ADDRESS 173 DAVIS ROAD, DRACUT, MA 01826 TEL NO957-0318 • FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way.(Attach additional sheet if necessary). 602 c'n J -&0C1 n c4.4y /r!/q••��, MU/d /t.b - L( cbily— 'Tex"- / t C4'L s 0c, RLft�1 P.44.0t/ nO(If 3 a--0 u n mvi litOt> .rl-ni,I,/1i-1/ P , n 1-0 0513D MAI c,lnt‘b > nnPn , ^ 7 00 Ike - l.,t.)1noElili :.eL.4444- 01g50 . . - , _ ° 7 1 ��a� a . . . 'Coc : ► .Ja • ( AGENT OR CONTRACTOR SELF TEL NO. ADDRESS • DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.O.other side),including materials to be used.if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs.(Attic additional sheet,if necessary). �1IA APPROVED --f YARMOUTH COMMITTEE OKHRO Signed 1-1' //1(/ ��/� ,,� ` /," Owner-Contr�gent uteri MO.MIlorWmewNety,, ,ipmipn: pv.4 i.4.i ng lnttir•nn Pre • C Ck to bo fried Received by H.D.C. Date 1 k31� Tr he Cert ibt71 11 hereb ,,,,,7X7.1` �71�-~5 �% ��� Date Time ! i •' OC . C....' f L E1' (/ _ I 1.-V:t'•': C IMPORTANT: II Certificate is approved.ap:roval is su:ject to the t0 day ap:eat per::: previced in the Act. fs::•:tet C Please return td: Yarmouth Hsstcnc District Committee MA Hall. I I:0 Ht.25. Scum Yarmouth.Mass.C2664 ,� - Yarmouth Old King's Highway Committee r+�� SPECIFICATION SHEET (a,['" (Submit 3 copies) ge APPLICANT (OWNER) : gnnrnp T.Anrflurtr ' 7.FOUNDATION (18" max. exp. ) : n p1`f CONCRETE/OTHER POURED CONCRETE '93 Jit 29 r12:3.3COLOR: SIDING TYPE: FRONT: RED CEDAR CLAPBOARD BLUE SQDES & REAR v WHITE CEDAR?&)9jNGLES.,0i `H NATURAL 10WNrI >� fEASUFfI: CHIMNEY (indicate brick/stucco/woo ddf cbd)r 'b MftM r)us77N6 NOT APPLICABLE ROOF MATERIAL: PITCH: „ COLOR: ASPHALT (7/12 minimum) GRANITE GREY WINDOWS (grilles required) --Indicate sizes if not listed on elevations: VINDICATED DOORS: SIZE: COLOR: NOT APPLIICABLE TRIM: (all windows & doors trimmed lx4/1x5) COLOR: PINE 1x4/1x5 WHITE SHUTTERS (wood/vinyl) : COLOR: NONE GUTTERS (wood/aluminum) : ,hePPROVED bOR: NONE �ARAOUTH COMMITTEE GARAGE DOORS: SIZE: OKHRD COLOR: NOT APPLItCABLE • • STORM WINDOWS & DOORS: SIZE: COLOR: NONE SKYLIGHTS (FLAT ONLY) TYPE/SIZE: COLOR: NONE • DECK: i1 SIZE: ' ' COLOR: NONE FENCING (max. ht. 6 ' ) : STYLE: COLOR: " (show layout & running footage on site plan) NONE ADDITIONAL INFORMATION: NOTES: Color chips required. Outdoor lighting, electric meter and landscaping--show on site plan for new houses only.. rev. 6/93