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Home My WebLink AboutBLD-93-706 9.5 . '* exrt.% TOWN OF YARMOUTH 167�n MATT.ICMEES V,te ,60 Application for aPermit to Build No. r7° C 5jL UPONFINALAPPROVAL d 7 -'1 17 -' 123 IO8 LOT s FEE MUST ACCOMPANY THIS APPLICATION. DATE ,993 The undersigned hereby applies for a permit to build W7/f3 according to the following specifications / 1. Name of property owner Par Waa-C+J5 pe *� keit- T/�7 Ti'I. 36>-S1zo Address fa- n.n. , itsrtfu-i . /N.'f (w 17 S7is-4-.51511- 2. Sis'2.Name of Architect(if any) f ;4l ao fciJix.c.t0 Tel.37-e38'2.,- a Name of builder-ruc {{ou�� C.�• a FFaey Goa5rt&Address -o • A a •::, . - , RN 4. License No. 64'i 4 oh Tel. 77 t-0303 CM,'t 5. Name of Mason Address 6. icense No. Tel. t, Construction address C7 w tet: Flood / District 8. Date of subdivision Approval plain zone 3 l '� Zone n -Ia 9. Private dwelling 0 Estimated Cost '-(1).„P',)3ADO NOT WRITE IN THIS SPACE 10. Multi family 0 - n�a P� jd' erre- Type of room No. eat,. — 9/a4 3 acro-o 11. Commercial 0 /cif -Kitchen -��PGpce 5)057-m6 -Kitchen 0 Sub/ ,Qovm elle rsn,�Dining Rm. 13. No. of stories ,ovr7• A0''-a7 Living Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 —eaRaoF F �,,p€ Bed Rm. fro 5/- Bath 15. Materials — Wood 0 Cement 0 Other 0 zr Deck 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 letQ,r-P Closed porch 17. Garage — 1 0 2 0 ire- Family Rm. 18. Swimming pool - Size 1.. CI ot �� Sun room goo / 19. Storage shed — Size 0 d� L. Garage frk p d �/� 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 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. )0-061 72 LOT RELEASED BY '•nature �/]�] 1. PLANNING BOARD Addr s 'l� 6o BJ4m.J , Wit Date /if-4,✓,ns AM o-6o/ 1 j 1 ime 9/3/9.3 J �'C (�wS�� BUILDING PERMIT APPLICATION SIGN OFF arouAPPLICANT: f .4 . . 104 ]v - 4- BUILDING PERMIT /i: . .-.r- 771 -oio; ,ADDRESS: 51 Wf}*c - i.,p'NG TELE. NO. : 1,,0-•121,60 DATE FILEDc Io/43 • BLDG. SITE LOCATION: 5&ag MAP/i: lee LOT/i: 5111 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, I.E. : REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUI• m1 NTS 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. ENGINEERING DEPAR ,v T: DATE: N/A: 3/CONSERVATION: !t` • DATE: g 5 — Xi' N/A: 14 HEALTH DEPARTMENT id, . / DATE: cfr /3 - q j N/A: INDUST$IAL • D/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 THE BUILDING PERMIT. COMMENTS: • BLM/89 TOWN OF YARMOUTH , • BUILDING DEPARTMENT • . • • CONSTRUCTION SUPERVISOR FORM . , ' PLEASE PRINT: . • JOB LOCATION: 51 1,40#424. t +a ' ' *roe.T NUMBER /� . STREET VILLAGE . OWNER OF PROPERTY: 'pom p-r IA/ 4c"4.5 f Jtl2p,Ne•+c topcttp., • • CONSTRUCTION SUPERVISOR: Jef .cy Gawsiera •' of .906 • • 77/01/23 • AME . LICENSE NO. PHONE NO. . ADDRESS: Ld ol elialrt) �NttWs.l Wit ' MyANr'•+Is .014,01 . 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 THE NAME, SIGNATURE AND LICENSE NUMBER OF THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION,' RECON- . STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.: OF THE CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING SAID PERSONS, THE WORK SHALL L`2IEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED • • ON THE RECORDS OF THE BUILDING DEPARTYINT. : • ' 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 UNDERSTAN: THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. . . INSURANCE COVERAGE: :. '. _ .. :•i.ey;_ I have a curt n liability insurance pclicy or its substantial equivalent which mees the requirements et MGL1Ch.152 - -..Yes WN .-:.:• No 0 It you have checked v_s, please indicate the type c average by checking the ap':cpriate bex. y,:''_'.. ' A liability insurance pc:k', 0 O:her type of :.idemnity❑ .•. • . •.Bond 0 ..- -••••• -•'- ••- • OWNER'S INSURANC_ WAIVER:I am aware that the rcensee demi nnot have the insuranc: coverage requirec_r Chapter 152 of the Mass. GenerJ L•ws, ana t::a: my signature en the permit ccptic:ticn waives this requirement . - • Check one: • • Owneru Agent❑ Signature of O.ne:cr 1 nee s Agent • q SIGNATURE i -, i. '�'. a . BUILDING OFFICIAL APPROVAL: Y • •,/ • , Suggested Affidavit for Home Improvement Contractor Permit Application • • For Office Use Only NAME OF CITY/TOWN •Permit No, Dgte AFFIDAVIT Home Improvement Contractor Law • Supplement to Permit Application MGL c.142A requires that the"reconstruction.altera tion,renovation.recall-,modernization.conversion.inprovement,removal.demolition, orconstruction of an addition to any preexisting owner-occuoied budding containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or budding"be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: P�192.p,-rl0P45 4- III pet/Q't 5 Bt. Cost co,too — Address of Work Si W14A42-F LANE rm m}rop--f Owner Name: FoBcr-T Wit-14•045 p Seen& •rc Cay"-/EP— Date of Permit Application: I hereby certify that: +J Registration is not required for the following reason(s): • _Work excluded by law _Job under 51,000 Building not owner-occupied 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 e. I42A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: 4Jto�93 e) Y CSTo^i 1007;).- Date Contractor Name Registration No. OR: • Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name I • • 1 • COMMONWEALTH OF MASSACHUSETTS • DEFAIr:MENT OF INDUSTRIAL ACCIDENTS • 600 WASHINGTON STREET James Camooei. BOSTON, MASSACHUSETTS 02111 . Comm:ssoner WORKERS' COMPENSATION INSURANCE AFFIDAVIT • I, JEFF t riot-DTTEI►.) 1*A 0Rc I,-341-.. (licensee/permiaee) • with a principal place of business/residence an Go 130-netuir tJR&.na Wpr•( 2 f}rZrJWts MP O14,0 (City/Bute/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. 28 C etS i t'B E —rrr V0,154..1 TY' .+-ekssktsry- to. `13 • Insurance Company Policy Number ( ) I am a sole proprietor and have no one working for me. • ( ) I am a sole proprietor, general contractor or homeowner (circle one)and have hired the contractors lined below who have the following workers' compensation insurance policies: . • - . Name of Contractor Insurance Company/Policy Number.. . Name of Contractor - Insurance Company/Policy Number - • - 1 Name of Contractor Insurance Company/Policy Number • I am a homeowner performing all the work myself. NOTE:.Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers'Compensation Act(GL C. 152.sect. 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation Act.. I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage verification and that failure to secure coverage as required under Section 25A'of MGL 152 can lead to the imposition of criminal penalties • consisgng of a fine of up to 51500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. Signed this 4 /o"r!' day of Mtiz , 19e1 I 474 ' is-. I ;s ,.. .,ecce' LicensoriPtrmi for PLOT PLAN FOR LOT (, • ;dig loB • Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) Well 0 • (lot ft. rear) — — — — 0 — — Abuttor's I Abu Name I Nam Lot ft I • Lot n ` REAR YARD If this is a If t corner lot, ft . corn write in name wri of street. �� , nam - _ �_, _., ', • i £.X�s�r a. ..othe o • .j�9�kPaoin { �• r stye SIDE YARD . SIDE YARD • HOUSE FT. r) . , , . 0 -- - - - FT0 •0 • • • I • • SET BACK • • • ft. I I 0 • (lot ft. frontage) .. \ / 5"7 W4-1-m2-F Nadu /i2 \ / \ / (NAME OF STREET) / \ , — . - _ - h. !/ / \ \ Supplied by P j, 1 I,w� �.' ,'' y `� Application to 3 9.1r6 " 2 .3" ''"-•'00 Old King's Highway Regional Historic District Committee , , ,`i in the Town of Yarmouth for a z:""'v~ y CERTIFICATE OF APPROPRIATENESS Application is hereby made In triplicate,for the Issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts,1973,for proposed work as described below and on plans,drawings or photographs accompanying this application for: • c CHECK CATEGORIES THAT A6LY: r) 1. Exterior Building Construction: 0 New Building ❑Addition W Alteratjan . Indicate type of building:EcHouse 0 Garage 0 Commercial ❑Other r , r 2. Exterior Painting: 0 2 N O :; ua�p\ 3. Signs or Billboards:0 New sign ❑Existing sign 0 Repainting existing sign 4. Structure: 0 Fence 0 Wall 0 Flagpole 0 Other - 0 4, (Please read other side for explanation and `quirements). ) TYPE OR PRINT LEGIBLY _.' o_ . DATE June 2, 1993 • ADDRESS OF PROPOSED WORK 57 Wharf Lane, Yarmouth ASSESSORS MAP NO. 108 OWNER Robert Wilkins & Suzanne Collider ASSESSORS LOT NO. Si HOME ADDRESS Rte 22, Asterlitz, NY 12017 TEL. NO. 518-392-5754 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). See attached list. • AGENT OR CONTRACTOR The House Company TEL.NO. 771-0303 Jeff Goldstein, President/Owner ADDRESS PO Box 1166, Barnstable, MA 02630 • DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,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. (Attach additional sheet, if necessary). Replace existing sunroom, alter roof design from s, : d to hip roof. I `�fNovolED E , • VA�MDUtH Signed `{ --000 0 ner-Contractor-Agent Space below line to,Committee use. • . _ • Received/by H.D.C. •i • Date `' t ` ' The Certificate is hereby y 13' Time / --� �r f /// . /. �, I _ F r By CC— t j 4:•:.—.7%ea Vis IMPORTANT: If Certificate is approved,pproved,approval is subject to the 10 day appeal per:co provided in the Act. =.::rovec 0 Please return to: Yarmouth Histcrlc District Committee Town Hall. 1146 H!. 28. South Yarmouth. Mass.02664 _ • 38 • we -* ' REMODELING SPECIALISTS (508) 771-0303 '� 'P.O. Box 1166, BABnSTABLE, MA 02630 ;gm BENJAMIN FRANKLIN WAY ■ HYANNIS, MA 02601 MOUSE .. COMPANY - DESIGN ■ BUILD Abutters to 57 Wharf Lane Lot # , Owner Mailing Address N8, Town• of Yarmouth 1146 Rte 28, Yarmouth E8• • Town of Yarmouth 1146 Rte 28, Yarmouth • R5 'Peter E Byers 11, Rampart Rd, Yarmouth Port . T3 •, Sarah M.•Usher (Est of) c/o Martha U. White 56 Wharf Lane, 'Yarmouth Port S4 John R. Anderson 71 Wharf Lane, Yarmouth Port /!?slra rl $ $ • ,,;,,74(0/ • f6 Id 6Z,ll,^ `J • ` `r &1115 I PROVED YARMOUTH COMMITTEE OKHRO OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE 3 g-*Pt SPECIFICATION SHEET ' APPLICANT'S NAME Robert Wilkins FOR: 57 Wharf Lane, Yarmouth Suzanne Coucier FOUNDATION: Concrete COLOR • SIDING: White Cedar Shingles 5" to weather COLOR: Natural CEflfNEY: N/A COLOR: ROOF MATERIAL: Red Cedar Shingle PITCH: 4: 12 COLOR: Natural (Sunroom) ' Dormer to match existing pitch. WINDOWS: See Plans SIZE: 2 ' 4" x 4 '4" Dbl Hung with 11" x 4 '4" side lights. Transcom: 9"H x 4 ' 8"L TRPS COLOR: Grey Dormer: 2 ' x 2 ' dormer windows DOORS: See Plans \%,7 COLOR: for APPROVED SHUTTERS: N/A YARMOUTH COMMITTEE COLOR: OKHRD (Jul tRS: Wood COLOR: white w DECK: None SIZE: c_ COLOR: _ z tin GARAGE DOORS:. None SIZE: T_=_ OLOR: r • 4 y,-• V ' '1 ' STORM WINDOWS & DOORS: None ' COLOR: SKYLIGHTS (FLAT ONLY) None SIZE: COLOR: • ADDITIONAL INFORMATION: • • • 9/88:c1