HomeMy WebLinkAboutBLD-93-629 " o TOWN OF YARMOUTH s - __ .
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,,L •Y .% Applica3i, _
for a Permit to Build No._
UPON FINAL APPROVAL 6`zD'93 MAP (2-2 LOT £ '+3
FEE MUST ACCOMPANY THIS APPLICATION. DATE are • a
The undersigned hereby applies for a permit to build - a 93
according to the following specificationsI 74/93 at z“2-
1. Name of property owner (Dane. Clan C. Tel. forAddressCo 4/eq itt. ea-s 1114 o%3Sp
2.Name of Architect(if any) Tel.
3. Name of builder (Thanes- at.n. c) Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address Sc WI/ )it /2.4_ S gr nlov `-S-
8. Date of subdivision Approval plain zone A// 611- A •') Zone ct i?... 2_5--
9. Private dwellings Estimated Cost —tu DO NOT WRITE IN THIS SPACE
/7.1'93 22P, I/o, a0 On Type of room No.
10. Multi family 0 1000 , n __
11. Commercial 0 /-fes dt a�.f to ala �9 ri I Kitchen
12. Other ❑ _e-2 1to'/y� Living� 4r Dining Rm.
13. No. of stories - a-0 • Bed Rm.R
14. Foundation — Full 0 Half 0 Cravl I Slab 0 -)6 • c-t1 b" Bath
15. Materials — Wood Cement 0 Other 0 ar, —Alref- i� Fat_DecJye%j,2A /
16. Type of heat — Oil 0 Gas)0 Electric 0 Other .0 0 °Li i9Sed porch
�!'v �� -> -FamilyRm.
17. Garage - 1 ❑ 2 � . —
18. Swimmin• pool - Size 4[. /,O C ,e;:,--it
90 S p9s�,n-room
• nE 1 `i 0 O Garage
•. Stara•e s - Size i�/X /V - Shed -x i Z—T
20. Stove — Wood 0 Coal 0 6 of 0 d Alterations
21. Size of lot: No. of feet front No. of feet rear No. of feet deep
22. Size of building. No. of feet front No. of feet side No. of feet rear
23. 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 C'6Jra-6�Jar—
Date
(p0Z3 ci
71/4/93 JCS
APPLICANT: .YQVIa_. Crab 7 - BUILDING PERMIT V:
• l {�c�Ca$7b
ADDRESS: .� ��y4_ Q /`47 �" qrI TELE. NO. : 231 27a)-- DATE FILED: ;M%.2
BLDG. SITE LOCATION: F°-w, /g1 / 5y MAP/i: dD LOTO: G— 915
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 COT1ERCIAL 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: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL
SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEMS
ETC.
DIE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
ISSUING THE REQUIRED BUILDING PERMIT:
REVIEWED BY:
1. WATER DEPARTMENT DATE: N/A:
2.2:NGINEERING DEPAIj,j:NENT: DATE: N/A:
� CONSERVATION: DATE: 1? -4. - r-" N/A:
4. HEALTH DEPARTMENT DATE: N/A:
INDUSTRIAL 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:
t .1 .1 1 . ..... -
/
n t
Winrgralirrininglianaz.-
AFSMISII
8/20/93 COPY OF SIGN-OFF SHEET SENT TO Mr. Dana Clancy
5 Galahad WaY, No. Easton, MA
0t3bb
BLM/89
9// /93
TOWN OF YAMOUTII
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT: -
\ DATE 7i/17, ,J
JOB LOCATION 1/ VD W%/E4 ie -( c afYIU 711
NUMBER C STREET ADDRESS ECTION OF;TOWN
J I �� V° / r&P
"HOMEOWNER" a 1,10- t 11 C HONE 2-31P nor WORK PHONE• yr3r
PRESENT MAILING ADRESS ,C Ga./a 'u c CA
fro cs 1"� , J 02356
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 SUCII HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE L71IO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) VIM OWNS A PARCEL OF LAND ON WHICH BE/SIZE RESIDES OR INTENDS TO RE-
SIDE, ON WHICIH 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 TITAN 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 DIE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AAD OTIIE•R APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT BE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION • • 'CEDURES AND REQUIREMENTS AND THAT BE/SHE
WILL COMPLY WITH SAID PROCEDURES AND ?4 IiIREYEN
\ HOMEOWNER'S SIGNATURE /J ( /fu/Ce/
APPROVAL OF BUILDING OFFICIAL Glll�i� / .
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRE)
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
INSURANCE COVERAGE: -
I have a curr t liability insurance policy or its substantial equivalent which meets the requirements cf MGL Ch. 142.
Yes No ❑
II you have c ked ves, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 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
Chapter 142 of the Mass. General Laws, and that my signature cn this perm3 application waives this requirement.
Check one:
Owner 0 Agent 0
. S,Snatine of Q.mer Cr Cr,ner s Agent _ - - - --. — -
PLOT PLAN
FOR LOT #
Indicate iocadrn cf garage or accessory building •
Additions with dashed lines
Sewerage disposal (cesspool)
Well 0
(lot ft. rear) I
kbuttor's Abuttor's
'lame I Name
Lot # I Lot #
REAR YARD C.-.-
f this is a If this i
orner lot, _ ft. corner lc
'trite in name ---- --. - - - - write in
tf street. I �� Z name 'of
I I c other
o 0 SO Pro +h u street.
C) ha(
Se
•r
•y
W y
SID= YARD iir0NOLsc SIDE YAR..
I _ y�, C-- aXf9�e9�t
• � •
C tUZ1) ! ' I r • I W)
too-+'—
/ at, I • =___t
SET BACK
Gfrthi
o y 0 .,,,t. .ft. J ( c
P-$2,---ifit-r":„,,r
(IC f` frontage)
WI \S',1
(NAME OF STREET)
CL
✓) Cy
Car,, {tib'
• e _ -
P.: ,
COMMONWEALTH OF MASSACHUSETTS
^ :
Suggested Affidavit for Home Improvement Contractor Permit Application
For Office Use Only - - -- - _ - -. NAME OF CITY/TOWN - -=------ - -
Pcmtlt No. - . .
Dnte - _ •
- . ..
. AFFIDAVIT •
Home Improvement Contractor Law
Supplement to Permit Application
bfGLc.142A requires that the"reconstruction.attention.renovation.rcnair.modernisation.conversion.improvement.removal.demolition.
or construction of an addition toanv ore-cistinG ownertxrunied huilding containing at least one but not more than four dwelling units....or
to structures which are adjacent to such residence or building"be done by registered contractors.with eertain'aeeptions,along with other •
requirements.
Type of Work: 1ncreact cA-e,( 51 ZP '/ Est. Cost &CO, to
Address of Work F0 W r /&7 l�c� 5 11i-r$t4JTh
Owner Name: avle 1 ri..l 4 ai 1
•
Date of Permit Application: 1/1 / j • •
I hereby certify that:
Registration is not required for the following reason(s): '
Work excluded by law
JJob under 51,000
—Building not owner-occupied
lbOwner pulling own permit
ther (specify)
Notice is hereby given that:
•
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED • -
CONTRACTORS FOR APPLICABLE HOME 14PROYEMENI WORK DO NOT HAVE
• ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL "
cI42A
Signed under penalties of perjury:
I hereby apply for a permit as the agent of the owner:
Date Contractor Same Registration No.
OR: •
Notwithstanding the above notice. I he apply permit as the owner of the above property:
D2 e O%%ncr N.:.-e
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