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HomeMy WebLinkAboutBLD-93-728 .-.6iitiiia,4 © 7/t/93 r d TOWN OF YARMOUTH a Flt) W/00 c MATTE HE 5 7a-g..,,ne 0 Application for a Permit to Build No. UPON FINAL APPROVAL MAP /O6 LOT )C 3 3 FEE MUST ACCOMPANY THIS APPLICATION. DATE 91, 3 The undersigned hereby applies for a permit to build q/? 7�fn3 according to the following specificationsI13 1. Name of property owner Cc 'nce- /y1 . 0510 61/51/V e> 7� ���272 / Address 20 CcrNre-R-13014 it 0 G!/ So .y/ 4/itooTf/y►4 oz.66y 2.Name of Architect(if any) S •4 ;tier Tel. -- 3. Name of builder C O/zCr C'-GG/i!✓o Address C'4nier 4. License No. Tel. 39t272 / 5. Name of Mason Address 6. License No. Tel.�� 7. Construction address A o 1L .ori -d C 5 , Flood Dis rict ti 8. Date of subdivision Approval _ plain zone c Zone P- �� 9. Private dwelling$ i Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family 0 • — sL aK Type of room No. 11. Commercial 0 ' •eo,:xvi S'9Mi ^s Brr-cacr Kitchen 12. Other ❑ " Dining Rm. 13. No. of stories Z- rS • o-z3 Living Rm. Bed Rm. 14. Foundation — Full $ Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood CS Cement % Other 0 Deck Fig Si / 16. Type of heat — Oil 157f Gas 0 Electric 0 Other 0 Closed porch Family Rm. 17. Garage — 1 0 2 IxSun 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 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 /„A"."--eryciff. PLANNING BOARD Address .C4tn Date f/7/flr APPLICANT: CEO/LGG7$6, '/i1NO BUILDING PERMIT #: ADDRESS: 20 C�yreK `/0A-t{7 L// TELE. NO. : 39P^272/ DATE FILED: So 4,*fit fieac- rti /m4, P Z.<4 f� v BLDG. SITE LOQATION: PI C. MAP/r': /06 LOT//: THE FOLLOWING INFOR`fATION 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)1ZONING 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 TUE 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 tit/it( DATE: tie--7--99 3 N/A: IIAL 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 ' . .. . -_, . - TOWN OF YAMOUTII BUILDING DEPARTMENT -- -.-_ --:HOMEOWNER LICENSE EXEMPTION PLEASE.PRIIT: DATE 94/ 9 3 JOB LOCATION 20 CC/Y72-71:$6440» L4NS SO. ! FLt'v10VT ti W1�I NUMBER ,,; � STREET ADDRESS SECTION OF,TOWN • "HOMEOWNER" && P 6Cs C 4cc;IiM40 39-7-7271 - 3 9d'^2,7 2 / NAME - HOME PHONE WORK PHONE PRESENT MAILING ADRESS _ -2Q_'u( V1z C c.i4,t 0 SCj yl�Y7hldv/N ' _,-- /11 0244'7 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 WIIO DOES NOT POSSESS A LICENSE,. PROVIDED THAT THE 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 WHICH 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 HE/SHE SHALL BE RESPONSIBLE FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1) TILE 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 HG/SHE UNDERSTANDS THE TOWN OF YARMOUTH BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIR&*IENTS AND THAT HE/SHE • ' WILL COMPLY WITH SAID PROCED S AND REQUIREMEN WN - ' HOMEOER'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 liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liabil;ty Insurance policy 0 Other type cf indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: I am aware that the licensee does net have the insurance coverage required by Charter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. •• Check one: Owner 0 Agent 0 . Signature ci aster cr Owner s Agent Suggested Affidavit for Home Improvement Contractor Permit Application For Omce Use Only NAME OF CITY/I.OWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"reconstruction.alteration.renovation.repair.modernization.conversion.inprovement.removal,demolition. or construction or an addition to any pre-existing owner-occupied building containing at least one but not more thanfour 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: /U�� P G/C Est. Cost 60&O.—� Address of Work 20 Ce,vreAM4A 0 Cc-4NC So, 411041ocSrd M1ioner Owner Name: C Od2CC CA9-6 G/ /VG Date of Permit Application: 7/j/ 7 3 I hereby certify that: Registration is not required for the following rcason(s): • _Work excluded by law _Job under SI,000 Building not owner-occupied I/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 c. 142A. - Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: 9 /93 Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for permit as the owner of the above property: 94/93 > o Date Owner Name PLOT PLAN FOR LOT n Indicate location cf garage or accessory building • . Additions with dashed lines Sewerage disposal (cesspool) Well EI ,,. .•., ( ( (lot ft. rear) kbuttor's I ' Abuttor's Verne I Name Lot # ILot # REAR YARD :f this is a If this . orner lot, 'i ft. corner lc cite in name I write in )f street. , I .,.' name 'of EtI . other Ci `0 0 street. o �= 1____ -- __ N .0 CENN-x ps4nn C COM e mSIDE YARD SIDE YAR: HOUSE G F7. 0 _p _ _ 0 , y` • I V O SET BACK ft. o � c 0 (IC f'. frontage) • \ / \ / / (NAME OF STREET) / \ cupt..,:,-; / \ — , I, :!;;;;K .:C-.7.. FC_..