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HomeMy WebLinkAboutBLD-93-591 oK rew ; 4: pi! ',o TOWN OF YARMOUTH TA/73 ig,Oh.;-k 1, � : aj 7/ Application for a Permit to Build No. 01/ �% UPON FINAL APPROVAL 6k "-UP /g LOT P 9 FEE MUST ACCOMPANY THIS APPLICATION. DATE u _ /! 19 PP The undersigned hereby applies for a permit to build /G�3 according to the following spg_cifications 0743 1. Name of property owner `3 o ski x(4 4 ‘‘...3 l ( LU t r✓ Tel. Address &f 3 a t( U,fr<. vi S u -(A_ Y.r. 2.Name of Architect(if any) �/ /�� •q�///' Tel. 3. Name of builder ADt crz u r w` Address attci tV w t (( f 4. License No. Tel. 5. Name of Mason Address 6. License No. Tel. 7. Construction address A / 3 6-CL ` ,,..94 Flood District 8. Date of subdivision Approval plain zone Zone 2 6.25-- , 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE ME Type of room No. 10. Multi family0 MEM= �� rat t."Mir / 11.Commercial 0 0, , Itchen 12.Other ' . Lle-�-1 � Dining Rm. 13. No. of stories /�/�3 Living Rm. / irl f Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab CJ Bath 15. Materials — Wood 0 Cement 0 Other ta- Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 ❑ Sro Rm. Suunn room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 2a Stove — Wood 0 Coal 0 Alterations 21. Size of lot: No. of feet front /6(70 No. of feet rear / 0 No. of feet deep al 00 22. Size of building. No. of feet front No. of feet side No. of feet rear 2a Distance from nearest building: Front Ft. side Ft. side Rear 24. Distance back from line or street From rear lot line Side line 25. H.I.C.R. No. _LOT RELEASED BY Signature PLANNING BOARD Address R44e„,„, nIt! Vt7 � s�Date i 546 ®1-4 ' rc w1.0 V • TOWN OF YAMOUTH BUILDING DEPARTMENT HOMEOWNER LICENSE • ot1TION PLEASE PRINT: DATE r'' � p(� (/ L JOB LOCATION o21 3 6 CI tc: %. �Ot 7U• • NUMBER STREET ADDRES SECTION OF ,TOWN 9 7111 "HOMEOWNER" a ci ., ` NAME HOME/ PHONE WORK PHONE • PRESENT MAILING ADRESS a ( 3 i;::(5 C cI La. ?c r(. SN - - 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- • DIVIDUAL FOR HIRE W110 DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1) - DEFINITION OF HOMEOWNER: - PE•RSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE- SIDE, ON W11ICHI 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 THAN 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 BE/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 AND 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 PROC URES AND RE QUI' a 1 %TS. HOMEOWNER'S SIGNATURE 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 I'-bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes r No ❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability Insurance pdicy IB Other type of indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 Cl the Mass. General Laws, and mat my signature cn this permit application waives this requirement. Check one: Owner 0 Agent 0 Signature cf Comer cr C'*rer s Agent _. — A APPLICANT: 2)D c.) &( 1 J 5.,[(1V),0o BUILDING PERMIT �: ire ADDRESS: a( 3 0 ( 0 ��w S°( TELE. NO. :3 Y(f -yr( DATE FILE4%//3 BLDG. SITE LOCATION: .213 6 (i 4,4 Sit MAPI: • LOU: 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 CO?NERCIAL 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 TYPE 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: DETER`fINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEMS ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN TIIE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: 1. WATER DEPARTMENT DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT if, DATE: alf/t 1 N/A: I 4 TR AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A: G. 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 THE BUILDING PERMIT. COMMENTS: • • BLM/89 PLOT PLAN laFOR LOT fl Indicate location cf garage or accessory building • Additions with dashed lines Sewerage .disposal ' (cesspool). .® . _^""'7"'.. .,_ _ $ . w ' . O� y Or wet..R:'' (�tV ..2 ft. rear) >V•1!p5 •'i 4buttor's , . _ . : t.1 .• ;'n!" 1 At • I . . •P j k.c ' Abuttor's 'lame a ' t 1 -., �: 4. VP, , ...el ; .. / Name Lot q -_ ... _ ... ..s I p � Lot # " ' e •. r ' 'y F• 4� rty 0.f 4!f^4••: 04'.• •.f f..r. 4�.� .r.....( .. -< x n. A -r tlw. 4.5.«,..,x�y l._ ....Rra}t 'PARD" PARD p . :f this vis' a - . IN - _ . - 5 a F If this is orner lot. - ,.•�, '`4 t C) •ft. t �0 `� corner lc .trite in name r •)t7() t Cy^....r.y •t• *, f•'• ` . I.. 01 ...t,; write in )f ` _ name of St:eet. ' .,, 1.,w...r.r. �.e. 4'-itI r`•',r.�.4 .?e.s " .Q r• G ,a. . e . . .... R .„.,.....-•.,• *...„.. *. i'_ • p ,- . . -- t- _ other O x :. M, - .' . ..re „".t •r',.• •'O' ,' :'.A Sf t'.• i J street. • „+• .`.R :,' Snit "a ' p•ye -.'t .. ,r. . i . , ' ` SIDEwiYARD'. f ° + .• !'k•crr•T •Oi' iron'. SIDE YARZ G` . o%,,...:t.. ., .. IjatsS , . . ' . ; p --- - - --0 • • • 1 .•u,. e! A 4 • • .• .,,,... ... .rr -, .q„ '•,-1; . .,Yry.F;r . - '. :r.:, .' .t 1 ' I t• a, . • . . , ,• ,.. SET BACK 36 ft. J-1 . I I I C (tet /-?U r f`. frontage) e (d k ; to sI . / (NAME OF STREET) •• '' FR01 : APERIC!'N TENT PNOE NO. : SOB 420 2215 P02 • t. a .` 1:Q5:t'LNLW Vat-t 75fit1 tarn' tl :U'-rltl 1tlt1311141.` 4P inttilt tM '111 natio tttniri1fdfi o' . . Ctrtt&nate of a eft ` i..m. t' APPUTAIIC$ 10!1!0 Dom fr*ds t w _ ttft l Na ACADEMY TENT AMD CANVAS, INC. •O^'�"s""t x ars, „ 2910 South Alameda Street 5/25/89 �- • ,.1;42 r I tP-337 Los Angeles, CA 90058 .- •2. w This is to codify that the materials deteribtd on the rents aide hereof - . iota llama- retardant t d f rionortfl'Sa"tty nenflammafteW, P.O.. BOX 18 ;.5 FOR___-__ ADDRESS et: ear MAStiPEE STAT? -MA neA4• Certification Is hereby made their(Check if or i.- El (a) the articles described on the tonne side of dib Certificate have been treated • a f ame-retordant chemical approved and registered by the State Firs Marshal and that riser • • •hearten of said 7 • chemical was done In conformance with the lam of the State of California • • the Ruin and 7 Regulations of the State fire Marshal. . !w ' i Hams of chemical wed........_ Method of apprcettan_...�........,... © (b) The articles described on the rerene Ode hereof are made from a thtme.reslsta t fabric or material registered and approved by the Slats fin Marshal for such use, r Trade name of Rams•reshtert fabric or materiel wed.. R V . 2 1......... Reg.Me f iU... ? The Flame Retardant Process Used wilt not Be Removed by Washing r: t r- David Bradley Sots the•Seo - • eel dent ..-. `t' Non of Aprllwror w hed.dw tTw.trdsl Ter g' 'x3?.{l'14'tillfSt9d!�'if tigi «?`�irj1 lai'.iLi !AI.147/4i4ii, it$R.1Ii-1IRi;ipiTAi`+rtitii&cfr