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HomeMy WebLinkAboutBLD-93-739 . oFmf,,eo TOWN OF YARMOUTH 9�as/9s NAT TAG ME 5 m' • l JIf v,,k ..„••5�c % Applicata l� for a Permit to Build No. 73 UPON FINAL APPROVAL 900 93 MAP /0 LOT C� / FEE MUST ACCOMPANY THIS APPLICATION. DATE &7-t9 ` 19 TT The undersigned hereby applies for a permit to build �/37-3 according to the following specifications / -y� 1. Name of property owner g �/ c✓ ,Frvs96-I4N 7 a % Tel. 7756 act 'Address Z.44-‘79 ,$„r rt, 3093- c [Ai.� it . 2.Name of Architect(if an" � Tel. a Name of builder_� - --ye kited Address 70 trast9i✓ /rv. -32847&1 4. License No. 0444'7-o Tel. 9c1 6 t7-I Ob 5. Name of Mason-37)14.1n CIAAJC3 Address 6. License No. Tel. 7. Construction address - .2 (al , . Jn1n 36A-1444C) 8. Date of subdivision Approval plain zone n 2.) District L 3 9. Private dwelling Estimated Cost 01-51------ DO NOT WRITE IN THIS SPACE +-� Type of room No. 10. Multi family 0 4 �,�666 , q23 ,/ ,- 4- r/P I 11. Commercial 0 lAyicc. Kitchen 12.Other 0 / / �� ` - Dinirig Rm. 13. No. of stories On fA l"-/J 5-37 0„5-pJ'ged Rmwing . 14. Foundation - Full Half 0 Cra�ivl 0 Slab 0 i9nat '-' 15. Materials - Wood X Cement 0 Other 0 si..*7 -7-1,/, , @p Deck ,,F; /-es / 16. Type of heat - Oil Gas 0 Electric 0 Other 0 In/7 Deck 3s;c, Closed porch 17. Garage - 1 ❑ 2 ❑ /97/z.- -_____1___,. Family Rm.`h10 ' / 18. Swimming pool - Size - / o. 7S-- Sun room /0. Oi°-tGarage 19. Storage shed - Size /4// 85, zS- Shed 20. Stove - Wood 0 Coal ❑ 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 rc' _ No. of feet side 241 , No. of feet rear I et t 23. Distance from nearest building: Front 1001 Ft. side /32? Ft. side ?Ascii Rear 24. -24. Distance back from line or street 6,o' t From rear lot line ,(o O$1 Sir line /vu 4 25. H.I.C.R. No. i //6/ ?0 110! LOT RELEASED BY Signature PLANNING BOARD Address i¢f ''tn /r - �i t'47 " Date 9114 ifl4 APPLICANT:erCA R/ BUILDING PERMIT Pt 3 2- Ce `( ADDRESS:'��¢ TELE. NO. : jft7Z04__. nnrl; F11,FIIi�5 BLDG. SITE LOCATION:a61-.•,So `-S 4yel_MAI'Ot J ) _tAITij /-/ 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 1'RIRSONAI. SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYSTEMS, ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN T1IE RESPECTIVE ORDER, PRIOR TO IIIIILDINtl INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: 1. WATER DEPARTMENT DATE: Q13 iqZ N/A: 2. ENGINEERING DEPARTMENT: ) DATE: _.___. N/A). 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT l lj dam_ DATE: N/A: ------- INDUSTRIAL AND/OR COMMERCIAL. PERM '1'S 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 RICNrn RECEIPT rlu'N INK DISPOSAL SITE MUST BE SUBMLTI'ED TO 1'111: BUILDING DEPARTMENT PRIOR TO ISSUANCE OF TIIE BUILDING PERMIT. COMMENTS: • 9j6/fs / BLM/89 - . . . .-. ., LOT NO. : ADDRESS: 2‘,R. _A:4AZ Wsuittt OWNERS NAME: l 1"lO ' cr) I A Z Act- SEWAGE PERMIT NO. :90-24 ( NEW: REPA R: zGT, 5.5m-Me DATE ISSUED: 1 h-Iq b DATE INSTALLED:, , It 5a INSTALLERS NAME: k l.OneJI INSTALLATION OF: Intl -6106(5 Qw5Offi WATER TABLE: FINAL INSPECTION BY: -Jaen DRAWING OF INSTALLATION ON REVERSE SIDE: 1\1 � f � 0 r:S2 tiA 1 1 K./ G.W.A. - _ kw CEILING ASSEMBLY Num � cem g ma PCBJL TOTAL R= 3Z, �1" eace all ride ar gjtale WINDOWS: TOP SURFACE - .. . .. -----.,11.- X03 R=0.61 RKIERID1OThL R= 30.0 9" FIBERGLASS CU 0,033 • INSULATION — — R=30 ._ ..... 97)nfl Iv) n n Al \=_SHEETROCK DOORS: I R= 0.45 i —BOTTOM SURFACE Y r R= 0.61 • 1/2":PLYWOOD 1rINSIDE SURFACE WALL ASSMBLY REAR ELV TION R0.62 1R= 0.68 TOTAL R= ,�/,( • �a G.W.A. a y WOOD " SHEETROCK U , o4- SHINGLES r_R= 0.45 I.IHED IC R= 12.5 R= 0.87 CU 0.08 WINDOWS: , SF ` OUTSIDE / IU 3}" FIBERGLASS I D IOIAL R= 20,0 SURFACE INSULATION EIECIRICEETX CU 0.05 R= 0.17 = I — SURFACE RESISTANCE kI = 0.61 FLOOR ASSEMBLY r •- FINISH FLOOR P01W, TOTAL R= d0011.17,‘ DOORS: /� R= 0.91 U- {°as' ' SP TWO BEADS I ..U1 'OM. R 20.0 CAULKING T}" PLYWOOD CU 0,05 UNDER PLATE ‘ IL, \ SUBFLOOR RIGHT SID��E�2ELEVATIO: \ R= 0.62 • C.W.A. O2 30 S P OUTSID • SURFACE 1 I I"• ' V (I V I V UllLil../CI A) R= 0.17 • WINDOWS: �j • —6}" FIBERGLASS �" S1 . I INSULATION FOUNDATION CONCRETE 1R= 19 WALL ASSEMBLY • FOUNDATION I (may be used instead DOORS: SURFAM RESISTANCE R 1.32 = 8" 1 I R= 0.61 of floor insulation) " ACM TOTAL UR= - LEFT SIDE ELEVATION 1.48 = 10 i0 BECEMED1UML R= 12.5 G.W.A. a•525fr INSIDE SIIRFACE CU 0.08 • ' 1 Y= 0.68 1/8" SHEcTROCK WINDOWS: t' SP 1= 0.32 �� p• ,„...-__1" STYROFOAM I . I R 7.1 DOORS: t t s . . , / z a . " , • .. OTES: PERMANENTLY INSTALLED STUD•( /� WINDOWS TO BE US= .54 C� �� GROSS WALL- AREA= ; 13 d 9 4 G WINDOW AREA= 'IV - /Q :OCR AREA= .'�Jan Y �` --114 3x:° 2 c 6)11 37' 7 ; ;r ret 1 3X6 ., v' 171iitiiiE P&147 f j ¢LS(.,_ 18 if- 1 r ke i .:)-4-7,156)---- 1 2 ®sr� r Z. i., : i �v N . 4let ` • i I✓- � l ± J am ` c2.) 'y l' � r` - 1 . r> � 1 •• tJi 3 �J r F t ia 1�;. ' ® LEW13 BAY - • " i ..� ' y • ♦r 1 .1.:_.r �� Hirt. `� fir'°. .,4 - r. x !1: 11 CI • cis i .0 :C:3 ....tit-i---j : - I i lil f I. tn • o r "S-..."-4z 4<_ it 6:3 0 r - w p% ,,„.‘„,.., Zsa. t ,• �w s '•ie. ci 1 CAI ` // . a a . ,r„s: . . , . . •• ,....•„, • r: • r� it O • i:,• reVii`,2:F£:. w q_ • as; + I :: 1.7 4 • • .• ;#,./ ,p „IV „ ., i* •• q0eq< ",."SC • a ... .: 4r 1 �. CgYF 4 w 0 .... . „, it - GREAT ISLAND ROAD c :; o % ' ' ) „. -21 3/0 I Era `� a4 _y .„,, cs Cc3 ; • rcip ' SOUTH SEA AV„lisp • 1:1”i' -' '- 4• ,13 ... �Y D as, to.„ .� o I • CO r�r IJ•,... : r I O e +rr rf c3/4-1y rls.rrr :.x+ C • r, IN a.rn 'a b+` Imo- R'3 © _•./. N y . , CONSTRUCTION SUPERVISOR FORM • • : .' PLEASE PRINT: ' ' :: JOB LOCATION: aro -( S6 u7,2,/ SA-n- 14-Ve" . t✓• trimac7J2 .. ... • NUMBER STREET ! • VILLAGE •1 • OWNER OF PROPERTY: ' '�/A4/4,C,gy/ CONSTRUCTION SUPERVISOR: ir/ s%lj�R .C54-k ¢Za .91 'Vac... NAME . . LICENSE NO. - . .PHONE NO. . . . ADDRESS: •7.4 S�SAAJ ,1,V, kS/ • frvt, , .. . ...:? ....:.•• - 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 STAT 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}!OVAL OR DDWLITION INVOLVING THE STRUCTURAL ELDIENTS OF BUILDING AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE COY2.4.0N:WE LTH, 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 D^IEDIATELY 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- STRUCION,- ALTERATION, REPAIR, RD!OVAL OF DD!OLITION AS REGULATED BY SECTION 109.1.: OF THE CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISIN SAID PERSONS, THE WORK SHALL L"_"EDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED ON THE RECORDS OF THE BUILDING DEPARTMENT. . ' . -. • • I HAVE READ AND UNDERSTAND my RESPONSIBILITIES UNDER THE RULES AND REGULATIONS ,FOR LICENSING C STR UCTnCN SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERST, THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDI OFFICIAL. INSURANCE COVERAGE: - • • _. ;•;:' ' • I have a c• r4nt tiat.ity insurance p::icy a its sues:an'ial equivalent wh'Ct meets the requirements ct!.1GLtit.152 ?- YesQZ!� No ❑ •. . ... . . . If ycu have ked v_•, ,...::ease ir•.c.,:te the typec tverase by checking the a::: :q:iate b:x. ••_ , , A liability insurance p-•:-./ 'tiC:ner type ct :.sdemn ty 0 H•cnd Li ' • C'NNER'G INSURANCE WAIVER: I am aware that the r:ensee deet ^^t ",v. the insurance c:ver_,o require: sy C'::.era 152 ct the .Ma_.. Gen._._ Laws. an: .nat my a:;- .urc cn ,-.: =ma a_: a_..:n waves Ms ret::ire-era:_ C.`.ecx cne: Chr.er.: ASen: F...:-::::::a a .,.ner c:e:.ner:-; nt / '/ ' �_ SIGMA' _RE: S ' BUILDING OFFICIAL APPROVAL: ` = • _ COMMONWEALTH OF MASSACHUSETTS _= _ -`=P DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET • eames Camooeu BOSTON, MASSACHUSETTS 02111 . con,m ss ones WORKERS' COMPENSATION INSURANCE AFFIDAVIT • • • I, d Sittriagi • (licensee/perminee) with a principal place of business/residence an 70 , 122 5421 //l/, /P,acsTee. /t4,44 t rzW 3 / ' • (City/Sate/Zip) do hereby certify, under the pains and penalties of perjury, that: [) 1 am an employer providing the following workers' compensation coverage for my employees working on this job. InsuranceCAiA ICompany Policy Number C�1 atter asp evor and have no one working for H • I am`a sole proprietor,general contractor or homeowner (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 o 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 fora license or permit may evidence the legal tutus 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 iccure coverage as required under Section 25A'of MGL 152 can lead to the impoiition of criminal penalties consisting 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 5100.00 a day against me. Signed this ( day of VUNt' , 19 '73 ilir Licerseei Per msttec Licensor/Permit:or ' 'Suggested Affidavit for Home"Improvement Contractor Permit Application . - For Office Use Only NAME OF CITY/TOWN - Permit No. • Date • ANHIDAVIT Home Improvement Contractor Law Supplement to Permit Application • • - MGL c.1424 requires that the"reconstruction.alteration.renovation.repair.modernization,conversion.inprovement,removal,demolition, or construction or an addition to any pre-existing owner'occupied budding containing at least one hut not more thamrour 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. G Type of Work: p/)/-770/✓ Est. Cost re) OdU, G Address of Work 6? Sst//f S/r_yi- A-CC Rh 44104/ tx YVM , Owner Name: /rt./ 9 Am-44,U Date of Permit Application: 6-28-93 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 _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. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: t-Zf- Y) r514caa / //o/%o 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 II•a � � I1 • (Cert. No. 11731B SUBDIVISION PLAN OF LAND IN YARMOUTH //73/E t e t. No. 3889 : o Plan No. //73/O Cert.No.38B/3 II m Edward E. Kelley, .Surveyor - - .2 N77°/9306E 1..C. 0. / ill y—.- -/02.20 . .• o November 8, 19133 . • tI-- ! - s. I 1/r N m I4/— • ,tN•, N - o n z / F - c, nFt �,f as o " NA w N 1 at. ac `r JWP I o - C.i J .r O."104 w t.� . W �3Y 'ti .n tr 19 Cht 1 s ti 1 Ili / fj/� : � la* O Al to � JJ �' , \! t I / ``. seco3,9 4 • Cis- t ° • et /-. !' BLDG DECK rr -..- 1 - - m = 2S8=84 E 432, �I ti • J/ y ,40'90 vs.s fat i� • s3O is- 9 le'nOt, ate gt B` z C.'.? do A3 10-C3 1}` \ n N Os .3E 'b 1•• ,4. %J.. L. 529 It.. •': �.0•Z \ i• .1,... Z ;\ p.2 a3 w o a N a • m m w0 N N 2 • Ot a Q1 £ W m O 0 -.t d O 1 N W S. • 4 a ma `G c S0' ; 'Ott o a n `� n ) . N ' c.o. • z _ m co "L o' rn IT p o 1 m S ,. 1 W N d` N .. W 1/40 0 5 6 ••020 i;• C B. 2 N m m N 0 W mm o *• p A- W 5,81 N X _ . £ N N l 9qd 4Subdivision of Part of Lot A2 \�r\\ 600. .2" Shown on Plan 11731E `11k 6002 Filed with Cert. of Title No. 3889 . ;. hi •y22P Registry District of .Barnstable County 5.13.5 ii 5� 1. Separate certificates of title may be issued for land 1,OJ�� shown hereon as.Lots 2 and 3, and WAY y 5 By the Court. aiii.,( Copy of part or plan y4_,) —filed in— �, n�j1n LAND REGISTRATION OFFICEN. —JA18' /985 JAN.. 18, 1985 Scare of this plan 120 feet to an inch FF. Recti e . Louis A.Moore,Engineer for Court