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Home My WebLink AboutBLD-93-731 o$ ., , y TOWN OF YARMOUTH OK g, MATTACME 5 Mt ' �'� %),k.....,,.,$0, - Application for a Permit to Build No. 731 UPON FINAL APPROVAL(-;: / t 313, MAP !"9-'7 LOT6t1 a FEE MUST ACCOMPANY.THIS APPLICATION: :. : " . DATE 9 7 �-3 The undersigned hereby applies fora permit to build 99:30r according to the following specific tion �I i ' 1 - C:: I ''. 1. Name of propertyAddress ` 7- l,e((� �Orl / O Tel. 753 C3 oc.-'s o• AI 2.Name ofArchitect(if- y) Tel. a Name of builder la ' r� . Z • •ddress ^ 0 C c 0.- ' 1 1l0 4. License No. Qa' IS( g Tel. 6( 7'- 6-,c 2 63 C 5. Name of Mason j Address 6. License No. Tel. 7. Construction address c *-026P Flood District 8. Date of subdivision Approval plain zone f�i Zone Lig 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE f room No. 10. Multi family ❑ ioiOO, 00n 4 � T2 fri�5 11. Commercial Tivrsfi(IP-,,� � rc'a Kitc n 12. Other 0 1 it; (coT Dining Rm. 13. No. of stories Il0 6tt( (OoePD Living Rm. Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab Bath 15. Materials — Wood 0 Cement Il6ther 0 Deck 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 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 t line Side line 25. H.I.C.R. No. LW RELEASED BY Signature , Q PLANNING BOARD - Addres 10, c4 (-K01 Par � Date ) ' K 2 /b S-P l I /A - 02-1 7 C 9/z g/%3 Ss - 4 TOWN OF YARMOUTH • BUILDING DEPARTMENT - CONSTRUCTION SUPERVISOR FORM - PLEASE PRINT: . JOB LOCATION: 504,, "11 Sec `1 R f 9 k NUMBE �r� /,• - -. STRE T ' . ... VILLAGE ' OWNER OF PROPERTY: - do (J t ( a/ o f'G c. CONSTRUCTION SUPERVISOR: @reisii.1l k F f e 0.2751 d (c t7-66.2-)0•3 i NAME ( - p LINSE NO. �7 PHONE NO. _ . ADDRESS: y o l_rCi cr 40,-Q . ' . rel 0 t/k Gr) ( ( - - ' _ 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, RE`SOVAL OR DEMOLIIION 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 MY OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL 3E SUBJECT TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. _ '':-.1 2., • - '. 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 12.2IEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED ON THE RECORDS OF THE BUILDING DEPARZ".ENT. ' _ • • _ ' '•• ' I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR :ICENSING CCI- ' I STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA_C THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING .,•••-. OFFICIAL. INSUAANCc COVERAGE: _ . . -._..__ •w_v ` I have a curt n liabdity insurance policy or its s t substantial equivalent which me he requirements of MGLtCh.152 t t..' - -'No ❑ _ _ _ - -- - ,; z___...._ If you have checked vis, please indicate the type coverage by checking the ap':cpriate bex - ;,,,- i° y A liability insurance pc:icy 0 - Other type of i.idemnity 0 --_ Bond 0 • - -- -=-y --- • OWNER'S INSURANCE WAIVER:I am aware that the licensee dcee rot have the Insurance coverage require:ry• : Chapter 152 of the Mais: General Laws, ane that my signature on th:s permit tc;licaticn waives this requires er::. . • Check one: • - Owner° Agent 0 - Signature ofOwner or Owners Agent - SIGNATURE: i1� i BUILDING OFFICIAL APPROVAL: BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: ZIQ/ -PAt tcrr V I F r}^� QQ 9.)r BUILDING PERMIT U: ADDRESS: SO CQolIo( Parc ICC 11/4.$ CTELE. NO. : DATE FILED: BLDG. SITE LOCATION: Lyric'( c_G 11-)S14, rr(rik twit: ' 7 LOT#:e I Q 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 DATE: N/A: INDUSTRIAL 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: • ELM/89 q/ ?/9Y Its