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Home My WebLink AboutBLD-93-640 atj 4' TOWN OF YARMOUTH °Keno e iN/9i (0A -_ 'k : 19.! . '• MATTACM[ 5 �� te.....�• . Application for a Permit to Build No. ��LLJ UPON FINAL APPROVAL I�t�03 MAP 6, LOT Ml FEE MUST ACCOMPANY THIS APPLICATION. DATE 19 2-3 al The undersigned hereby applies for a permit to build (, /i according to the following specifications 'Al. Name of property owner o&NNIS ,/4rt/ha,�r/f ft et. Sc-ti, ) 1S/ Tel. 35it.llao (Address 25c 3 i" rio w ,i vr S./A?aroen z'r.i. ', tee./ 2.Name of Architect(if any) Tel. ✓3. Name of builder..),---/-Airs .7/M our6i ,Gad,,-5 Address . t' simr�/ow nRdc 4. License No. Tel. 5. Name of Mason Address a License No. Tel. Construction address 2/0 sfl97 'o w 4Vr c.'/4J•rate ' <Y ,*n o 2<c y Flood District 8. Date of subdivision Approval plain zone Zone __ e a -1 L 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE Ar 4, Type of room No. 10. Multi family 0 `� y ou u, a o �� 11. Commercial ❑ "°`'lam Kitchen 12. Other 0 �HWs� Dining Rm. 13. No. of stories 3 s ii Living Rm. Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement 0 Other 0 f/ Deck 16• Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ �. ` l� Closed porch 17. Garage — 1 0 2 ❑ Family Rm. Sun room la Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood 0 Coal 0 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. f / LOT RELEASED BY `rSignatur= . - / 4 - -- - .. -' PLANNING BOARD /Address .�5 6 --.7"- i - e5� • Date _d . °//c<A�1s. eg /l1a . o l«y C.7 ciao/93 Few BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: '/•-•,it/•S //enOar BUILDING PERMIT #: ✓ADDRESS: 7;/ C ,v;„' ,. • ave TELE. NO. : ?sr-//7Cco DATE FILED: r2427,4?ILDG. SITE LOCATION: 'A . e),7,417/ .Jv'c', MAP/I: 6p 9 Lou: GO 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 COMMERCIAL 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, Z.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. THE 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. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: / ) DATE: dT fl 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 THE BUILDING PERMIT. T //// // COMMENTS: HLy& ) 61 - gl y ' STiir 10,ce., . . ,cer,c,n,,e) /3 y/ 20vlt 0- .Ci2 so- e L c- al eeca f .Z-.0 kid%C- -y 6na OA Pr # mwcs w/ t-t- 8e fir kn#c.DeA � Btor- 3, rgir',y Arc c/. r vy iv ce cflc,1s /.v.G c sG C,eccGpiN _ I e. ',j A'C /iii/��j�i�/rC d�imrl BLM/89 ' TOWN OF ,YARMOUTH . • BUILDING DEPARTMENT - . CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: 2 yU ' • c r/f r1U cc-, / &'C . ' • NUMBER • ' STREET . . VILLAGE OWNER OF PROPERTY: ' l):.%tJti'c$ 72f.1 ric#ci7} ScG/oOL D/Sj>rec7 CONSTRUCTION SUPERVISOR:r //t9,i L 6---.5 G vir_57 2u-oc ,.7c7- 7(7 - NAME . LICENSE NO. PHONE NO. • . ADDRESS:' LICENSED DESIGNEE: ' . (IF OTHER THAN SUPERVISOR) NAME LICENSE NO. . • 2.15 RESPONSIBILITY OF'EACH LICENSE.HOLDER: . . . 2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE IS SUPERVISING. HE,SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE BUILDING CODE AND THE DRAWINGS 'AS APPROVED BY THE BUILDING OFFICIAL • 2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION, • ALTERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE COMMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB- CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. • . • . 2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT. 2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. 2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN TIE NAME, SIGNATURE AND LICENSE NUMBER OF THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON- STRUCTION, ALTERATION, REPAIR, REMOVAL OF DMIOLITION AS REGULATED BY SECTION 109.1.1 OF THE CODE AND THESE RULES AND REGULATIONS. IN THE.EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED ON THE RECORDS OF THE BUILDING DEPARD2NT. • I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS ,FOR LICENSING CC:I STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA: THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. INSURANCE COVERAGE: • I have a current liability insurance pclicy or its substantial equivalent which meets the requirerr encs of MGLth.152 Yes 9 ' . No ❑ • • If you have checked v_s. ,,:ease incicate the type c average by checking the apgrcpriate bcx. . y , A liability insurance pciicy 0 Other type of :.idemnity 0 Bond 0 • OWNER'S INSURANCE WAIVER: I am aware that the tecensee does rot have the insurance coverage require: by Chapter 152 of the Mass. General L•ws. an: that my signature cn trs permit ::p:i :icn waives this requirement Check one: • OwnerQ Agent 0 Signature at Owner or Owner s Agent -NATURE: ' • � 1 - - •. • A«essi) Route • ,-----, • Enclosure Fence- r x 1o' of Trawl I ' Q i Storage Shed / I is S ge ii .._.-:_M��• r �� -�`�•✓ / I Gate +. 1 \ ,t - A 'I ' • i • i •`\ `/ \ i. / -• Bench �.'� `�`.` _IT m� 1.• \\ / •\ "•I / (Phase III) i �` pq I� 11 I Ill.: _ se Il • _ / \\• m Wheelchair Wheelchair / \ r R li �I I Parking ��..-_-_--��` Parking j \ I N I • I I _ i �\ I 1 I .. In I S • I 4001 440\s I Q i ari \ Spring Platform 1 I `•1 I �t 0 +< \ (Phase III) / I % 1 •S i I I • 1 D0. Irop Shot �J •` -______��' • See-Saw j ��-�� iN4lik I {� I \\ (Phase IU) /• \ (Phase I) � / • I.f>f1>l�� 1 \ / •.. ii \ i L - J \\ i • i \ I 1 / `. i �`� '''-- -%• - / 1 I ,1 1 ' Wheelchair Accesssibbb �� i / • `\ 0�4 I I .I • FaaliartFSUr?a��,y _r--_.- `��`` ��' t • I Talk Tube % PLAYSHAPER ~ '•' `•,` 5 • \\• Turtle • 'Cycle 1 ` '' j, . I - I 1 (Phase IU) i / \1 \ - (Phase I) (Phase I) i - ' I ) / \• aaa111 • r- Trke Track -}-! / �`�r'• �`��'' .� `�`\ \ L I. I J /\ Tracing U Ball Maza t I j \\ \N---11: lJ / \\ Sand 3 Water / . ♦ i Fir f 1 • '__- .`\ Table '�� -,I191 se, — — .. nv •`• • -4ClAb� Bench w Playbua by .. ....„ / • \II IBack Others ' I I I I, Phase (Phase III) 1 1 t I I f / I I / N" I TalkTube -� L � . S 1` � j ` FNeEngin. Iful .. .... `\ KTf , lc; t \ ` (PhaseUI) ;\ I 1Tr WWI \ , —1 _- \ 2 Cars / \ I . n — / I i i X rI �\ ( ) i I I \�``(Phass M) ' Curved I i 1 I _E - \ •Balance Beam I I \\ / i11 • c 3 '`, (Phase !) ; ' �- •`, '' • f ! `�� t `��• Tot Swing ��'� • • �� Carousel by X � • • I • Y. 1• Ace.aable 1 (Phase I) Others X \ �•SuP.rsecop I (Phase III) i •. L• • J \ f `.(Pffaa. UI) i . • / - r Sandbox \ ' / I \\ Tot Swing / (Phase I) I Bench w/ - \ (Phase U) / Back • •• • ` •i• . I (Phase II) •_ __ ,y 128'•8' 0 at 2,Ot L. ., �C&tL.t: •Its r'1=r.t.T DENNIS YARMOUTH EARLY CHILDHOOD tCsi ••SO. YARMOUTH, MA '1 M el PLAYSHAPEA COMPONENT SYSTEM 7.. M ITIS THE MANUFACTURERS OPINION ' THAT THIS PLATSTRUCTURE CONFORMS TO WITH TENDERDECXS to ACCESSIBILITY REOUIREHENTS OF THE A.D.A. CANERICAHS VITH DISABILITIES ACT) '