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HomeMy WebLinkAboutBLD-93-727 �T- 'r -7 o ,�IQ��. �; TOWN OF YARMOUTH 0/91 3 � MIIAtji TTM E[S %. cs %..�.,E,*r f.- Application for a Permit to Build No. 7a- 7 girl UPON FINAL APPROVAL 5 / --. MAP /04 LOT G=/v 2 FEE MUST ACCOMPANY THIS APPLICATION. \DATE S w 19 43 The undersigned hereby applies for a permit to build VA 7/73 accohding to the following specifications 1. Name of property owner 34M65 C�I . .}OV88"R7 TeSVfl2-fS9O N Address 3S SPRie/6- 71--Re S.Y.ezc&cecnz y, ft4 2.Name of Architect(if any) Tel. \a Name of builder Janes e. Jouaerie 7 Address 4. License No. Tel. 5. Name of Mason _Address 6. License No. Tel. \7. Construction address 4 E,VO1-1,Ic/01b De 112) Flood Y District 10- / Q 8. Date of subdivision Approval plain zone C Zone 7 9. Private dwelling ❑ Estimated Costtaitt)et-Aft&V / DO NOT WRITE IN THIS SPACE 10. Multi family 0 \ ,e1— p / Type of room No. 11. Commercial ❑ � r L�D� /l/yam Kitchen 12. Other ❑ Dining Rm. Living Rm. 13. No. of stories 3 s `ems Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 _/ 0 • POP Bath 15. Materials — Wood 0 Cement 0 Other 0 2.S .0-D MI • Deck f X /61 / 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 ❑ Family Rm. Sun room 18. 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 feetsiae 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. //JJ LOT RELEASED BY \Signature � G/✓r��o e 9,44,,ZPLANNING BOARD Address 3S .'Q/&/f,ZX Date SNeGu)S3d/2// / 7. 0i r 9s 7//0/93 "( // /. BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: j449LC.S ( • L 4004 22? BUILDING PERMIT Il: ADDRESS: 367" . � Sp2/,c/6 /I /P.g ,S/{cai/£rELE. NO. : . 142-Yflo DATE FILED: ,9-40 -93 BLDG. SITE LOCATION: /1 /4/0141, 4OD E2 MAPA: /0 4 LOT/I: 6709 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 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 t DATE: 7-/d-r; N/A: fhUST 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 THE BUILDING PERMIT. /- , COMMENTS: tI,.- /J /.(, tri /O )C l/ odeez-u f/N/sf� Cie-nog- 6 r�k. r s/L 4,c 7),s-a.,6 neve .FiN'c# PYL./9'D,- tact r¢/i, rC' BLM/89 • tr COMMONWEALTH OF MASSACHUSETTS `=1• DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET names Camooeu BOSTON, MASSACHUSETTS 02111 . comm:ssroner WORKERS'/ COMPENSATION INSURANCE AFFIDAVIT • 1, Jame& C. JouBec2T (licensee/permit-tee) • with a principal place of business/residence at (City/State/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 Number ( ) I am a sole proprietor and have no one working for me. ( ) I am a sole proprietor,general contractor . • circle one)and have hired the contractors listed below who have the following workers' compensation insurance policies: .. . - . . Name of Contractor • Insurance Company/Policy Number.. Name of Contractor - Insurance Company/Policy Number - . Name of Contractor Insurance Company/Policy Number _ 2( I am a homeowner performing all the work myself. NOTE:_Plcue 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 Accidenu'Office of Insurande for overage verification and that failure to iecure coverage as required under Section 25A'of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to SI 500.00 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 ot/riteaC-��tk Zt��f day of SePT /D , 19 93 Licensee/Permt^:t' LicensoriP:rmirror I O X 10 70 THE INCH•.)% t 0 I NC H ES G - _ _ • • WE KEIIFFEL &ESSER CO. gym[xi CS • - _ - • _ 4V 0663'i • • - • 1 •. 11. . 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II !1111111111111111111111911:i111i1111:i:11111:1e 1,111111111 1, _;: i 1 • Suggested Affidavit for Home Improvement Contractor Permit Application • • For Office Use Only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGLe.142A requires that the"reconstruction.alteration.renovation,renair.moderniratinn.conversion,inprovement removal,demolition, or construction of an addition to any pre-misting owner-occunied building containing at least one hut not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C,t/GA24/,f/G Da—Cie Est. Cost /75-, — Address of Work 4 4.t/ou.J/ODD D&/ve Owner Name: 1414&-S e, tl eci2 • Date of Permit Application: 9-/o - f3 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under 51,000 Building not owner-occupied �Owncr 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. 142A. Siened 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 for a permit as the owner of the above property: —93 / e Date Owner Name TOWN OF YAMOUTH BUILDING DEPARTMENT • • • HOMEOWNER LICENSE EXEMPTION PLEASE PRINgT: DATE 9- /0 ' 93 • JOB LOCATION 4 k',voGL woo p D/2/v6-- t.4.2/1ou ii P027 NUMBER STREET ADDRESS SECTION OF,TOWN "HOMEOWNER" .1A/14C.5 (&• .//o/J67Ci2T (sn) ?42-7S96 NAME HOME PHONE WORK PHONE PRESENT MAILING ADRESS 3S S'p2/t/6 7;-i1rZ • s'i-4/2nu/3 e U2y Mass 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 TeH1O DOES NOT POSSESS A LICENSE, PROVIDED THAT TILE OWNER • ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1) • DEFINITION OF HOMEOWNER: PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE- SIDE, ON WIIICII THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING, ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARR 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 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 AND REGULATIONS. • THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS TUE TOWN OF YARMOUTH • BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIRESE•NTS AND TEAT RE/SHE WILL COMPLY WITH SAID PROCEDURES9arzo AND/fREQUI' a I NTS HOMEOWNER'S SIGNATURE e is t to 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$abiity insurance. policy or its substantial equivalent which meets the requirements cf MGL Ch. 142. Yes LAY No ❑ If ycu have checked yes please indicate the type coverage by checking the appropriate box. A li._biftj Insurance pc icy Iy Other type cf indemnity 0 Bend 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee deer not have the insurance coverage required by Chapter 142 cf the Macs. Generl LENS, and that my signature cn this perm'rt applic.aicn waives this requirement. Check ene: COwnerr,_.. ❑ 0 Agent. '`•'y",1;L':0 Cl C'nrer a 0,NTef s A:_... ._. _ _ 4 PLOT PLAN . • . FOR LOT # E/09 • • Indicate location of garage or accessory building Additions with dashed lines . Sewerage disposal (cesspool) e . . Well j • (loth/o7 ft. rear) .0•GAdC/411/ • — _ Abuttor's \ I Abu' Name oCo.Vl0.e .--.. I Nam Lot It t= \\ Lot # 17 PT ��I REAR i ARD If this is a • „ , • If t corner lot, `^ jS ft. corn write in name Wri of street. !• I name ;: ' �G 1v' w oth- ' � '�� � ---..� � a stye • N SIDE YARD . SIDE YARD (is.� • HOUSE 0•"=”: 35 FT. 0, . . fi .5-/ FT Q n. • 0 • F. • .s. • Q1 • SET BACK - U3 3G -, I ft s I j -- • (lot ft. frontage) ' \ / 6,40Z Pe \ / \ / (NAME OF STREET) . / \ e on 4 / SuppliedJAMES �, �ooeeer by / \ . �. /`.\ ' i. , `' Application to • • 2 ''''a;.•'';43 Old King's Highway Regional Historic District Committee in the Town of Yarmouth for a- . •; 37 ZO °'v 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. • •= "• -- : • CHECK CATEGORIESTHATIAPPLY: - '2 1,Exterior Building Construction: 0 New Building z 0 AdditIon Q'Alteration ' ' `' .•-' .. • ' .2� W Indicate type of building:❑House" ❑Garage- ❑Commercial- ❑Other-- ' "- ' . 21 2.Exterior Painting: 0 "' - - o r It; 3.Signs or Billboards:❑New sign 0 Existing sign :❑Repainting existing sign P 4.Structure: 0 Fence ❑Walt ❑Flagpole L ❑Other (Please read other side for explanation and requirements).,' Dc TYPE OR PRINT LEGIBLY t/ - DATE ' e •g �` �ii/O 40 Dei & yA2AlOOTiV1 E ASSESSORS MAP NO. /0¢• ADDRESS OF PROPOSED/ WORK al / • OWNER r l! s:59 C. t t_20066-e - ASSESSORS LOT NO. C/D9 HOME ADDRESS S5 SP,.JA/6 /E/6E.' Ss/.ere sway TEL NO.`-4iV2 r-r1�o FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners Across any public street or way.(Attach additional sheet if necessary).��a • •k.a Con/gae /o/Gc/OwdOPD) 4F2Eo L ilgethe 411// SO F/QEEM4 f1/ 4,rg tcz, ecr NA o2/49i JC,_Af -Leese Sk/Dtth/0go Dei JCW27-& ind /7 94771.0 I,ekU414 /&/4vsq /?ov/1R //j flm/0n7PPA027, ,'aix OdeA/A/dg 9 do/DCllpOop AGENT OR CONTRACTOR 4,14,0 e t.-hte TEL.NO.I4€9 1310 ADDRESS 3s '--53:0,!/4i T.t0/2 •Jf/,eb-eisj//.s1/ • 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 ojrf }t'flo =and proposed locations of new signs.(Attach additional sheet,if necessary). `1'IAAII h TH 77ff�07]Uv tt — COMMITTEE ga OKHRD Signed // C %�Owner- ntractor-Agent - ^Space DIMS line for Committee use. - ' ' - - J ° • . Received by H.D.C. Ain2MO W aeS. Nf'i DW LAT IL'8 TW4 TO EL MVP!) I /1 _r / - /. / Date. /X193 The Carotic}ate is hereby t ' "•-'' V-- i Date ' Time 17190 n ' -/ _. By. i / -" � I r /'/ :./C--"------.. ' I. V (,_,../ 1:-.--",,,, ,;"(, c../ ._.-->#' :•area 0 IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal per:cd proviced in the Act. :'s?:2rovec_ ❑ Please return to: Yarmouth Historic District Commit:ea • Town Hall, 1146 H!.28,Scuth Yarmouth, Mass.02664 • ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION I. FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1.EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows,doors,siding,roof,light etc.,that will be visible from any public street, way or public place.The following scale drawings are required in duplicate with application:two plot plans(if addition-show existing buildings in outline),four sets of elevations.Also required are snap shots of existing buildings,where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2.EXTERIOR PAINTING:An application is required for any portion of a building,structure or sign to be painted that is from a public street,way or public place.Color samples must be attached to these applications.An application is not required when repainting existing colors,changing to white,or using colors approved by the Town Historic District Committee. 3.SIGNS OR BILLBOARDS:An application is required for any sign or billboard to be erected within the District,with the following exceptions: - a. Existing signs or billboards on November.27,-1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event.Certain temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name,occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4.STRUCTURE:An application Is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building,sig n or billboard,but including stone walls,flagpoles,hedges,gates,fences, etc. GENERAL REQUIREMENTS S.Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee.Approval is subject to the 10 day appeal period provided in the Act. 6.No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7.A separate application must be filed with each project requiring a Certificate of Appropriateness. S. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch,sash and doors,window and door frames,trim,gutters-leaders,roofing and pant color. • 9.Unless application is complete and legible and all material required is supplied,application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall.___ . .._.— Yarmouth Old King's Highway Committee SPECIFICATION SHEET 3? Z 0 r • (Submit 3 copies) • • • APPLICANT (OWNER) :. � gif'/FS JOUeea/2T FOUNDATION (18" max. exp. ) : CONCRETE/OTHER SIDING TYPE: COLOR: CHIMNEY (indicate brick/stucco/woodfaced) • ROOF MATERIAL: . PITCH: COLOR: (7/12 minimum) WINDOWS (grilles required) --Indicate sizes if not listed on elevation : c . DOORS: SIZE: CF�OR:w TRIM: (all windows & doors trimmed 1x4/1x5) COEUR: RT rn SHUTTERS (wood/vinyl) : cLOR:m1 C7 cs is r.. GUTTERS (wood/aluminum) : COLOR: GARAGE DOORS: SIZE: 9/6 `AP,/ PROVED COLOR: YARMOUTH COMMITTEE STORM WINDOWS & DOORS: SIZE: OKHRD COLOR: SKYLIGHTS (FLAT ONLY) . TYPE/SIZE: COLOR: c/ DECK: - SIZE: COLOR: 1.0144-4 9EC,e 8X/O . 1,70,/ FENCING (max. ht. -61 ) : STYLE: COLOR: . (show layout & running footage on site plan) ADDITIONAL INFORMATION: L014457e 2)E0?- 7ioQt /) 2X7 e 2XG kArg lX i (9 M©air/TED D/ diw4?/7 !�T;4/6S NOTES: Color chips required. Outdoor lighting, electric meter and landscaping--show on site plan for new houses only. e/ 5 10 X I0 TO TI II- C,' • / X III CO. ',Ma.Y.a.1 46 0663 `�y KEUFYEL & LSU H L - • • -_al ` ---1I.-- ------ -- _— I= __ __ WE10 X 10 TO THE INCH.1 X 10 INCHES Il KEurra&ESSER CO. w.q In IIu 46 0663 - a ti tt - -_... 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