HomeMy WebLinkAboutBLD-93-755 :Yq , �a�/k3
' ;• c o TOWN OF YARMOUTH a Pei. 10/1/93
MATTAEEE 471
ei,,4w, ,.. . 6'.- Application for a Permit to Build No. `s
UPON FINAL APPROVAL 0 JO - 7-9AP 10 (p LOT 1Z.
FEE MUST ACCOMPANY THIS APPLICATION. DATE 9)18 19 93
The undersigned hereby applies for a permit to build /4/7/93
according to the following specifications /0/7/9-
1. Name of property owner 1t. cr c. K Yw I ri . ES(t m Pct. Tel.
Address 99 04u4 4k.1"ka isc Yxiffmncrr1-1 3 LA ton t2G, „4*
2.Name of Architect(if any) Tel.
3. Name of builder £0Ee tt IA ..r4, ...\ (L-. Address Po •'oma Iaco 1l'b . c &)4
4. License No. (Y?ZBn9 Tel. S14-3090
5. Name of Mason _Address
6. License No. Tel.
7. Construction address t`t• V tAL1-114(..F-_+1- `, -1 OE2
-• ‘ft9 -n'Lc, i-e
• • Flood • ) District
8. Date of subdivision Approval plain zone "cc-- Zone P,i-E 7
9. Private dwelling`Q.< Estimated Cost 6-- DO NOT WRITE IN THIS SPACE
04°11 ---,Pm. W4a.c000 Type of room No.
10. Multi family 0 p. �� °%../..Q. 11 v AC
11. Commercial 0 � .4 9/x y5'' • • • Kitchen
12. Other 0 Dining Rm.
• •
b, ,PCP Living Rm.
13. No. of stories Bed Rm.
14. Foundation - Full 0 Half 0 Crawl 0 Slab 0 Walt L Bath '
15. Materials - Wood Q"Cementiabther 0 D�9kk
16.Type of heat --Oil ❑.-Gas 0 Electric 0 'Other 0 porch
17. Garage -.1 0 2 ❑ i - •a 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 SO' No. of feet rear Ri74- No. of feet deep 01-
22. Size of building. No. of feet front •a. - No. of feet side 4 No. of feet rear a3/4)-
23. Distance from nearest building: Front 00--t- Ft. .'_ = 10n+ Ft. side -•)- Rear I•Q'7-1-
24. Distance back from line or street I'1V ,m re. r lot line Side line 77
25. H.I.C.R. No.
LOT RELEASED BY Signature , 4.14 . �.Al
:../
PLANNING BOARD Addre s 'I •6. 111.E Bi 2-',... LI i
Date I . : ., ►� C2-G
I
I 9/ -A3 005'
APPLICANT: tot.L'r --r£ SY( iIec�kChPLtS BUILDING PERMIT #: /I. lJ5
ADDRESS: Ci'E \A-L.HnLL4a ;"--)(!. , ,Ncy4ELE: NO. : „ 1-' }v DATE FILED: 6( l�
J
BLDG. SITE LOCATION:9'LtOcku . L4A--S' (JE .: MAP#: ((3(F-, LOTH: 17—
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: r.. ,, l_n
1. WATER DEPARTMENT rd,,,. (\.Ar ,, .\v DATE: I' .1-4'1"S N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: ^ DATE: / t�//rj') N/A:
T
4. HEALTH DEPARTMEN -4/ 'a
( , C/ ,(3 / 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. F" Y' e
COMMENTS: It;R 'CV-- (!'G -cnP I- Crtit) T1n�/ Pcr PL.rf f'tAM OF 3-V73
f/FSt.71 coo ?dor "pv9s� /LOw.S 0 c ripe
•
BLM/89 9/ Q3 ���j
: BUILDING DEPARTMENT : � '
CONSTRUCTION SUPERVISOR FORM • " .•'` • •
EASE PRINT: •
B LOCATION: ' y •:I •I t l e
Azio .�aa
. NUMBER • c, STREET VILLAGE
.ER OF PROPERTY: • 1(-4emarCra- Cs lam 01 ( >✓'I1�l>L •
p
`-�) (j
NSTRUCTION SUPERVISOR: — g:e •. .`? cob 2 ^2jc� 'L a
. •
• NAME"' . LICENSE NO. PHONE NO. . •
DRESS: c o • by, tefo tC SU �t t `�� C P�� •
CENSED DESIGNEE: '
F OTHER THAN SUPERVISOR) .NA.ME LICENSE NO.
.
15 RESPONSIBILITY OF EACH LICENSE HOLDER: • •
• .
15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE
SUPERVISING. HE SHALL BE•RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE
ILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL
15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO 'SUPERVISE THE CONSTRUCTION, RECONSTRUCTION,
TERATION, RE?AIR. RD:OVAL OR DEMOLITION INVOLVING THE STRUCTURAL EL°E'1ENTS OF BUILDING
D STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAtS OF THE
:t.MONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY ASUB-
NTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE
SCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT. •
15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1. 2.15.2 OR 2.15.3 OR ANY
ER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT
REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD.
16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF
E CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON-
RUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.: OF THE
DE'AND THESE 'RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING
ID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED
THE RECORDS OF THE BUILDING DEPART:04T. . .
HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS .FOR LICENSING CCI •
-
UCTION SUPERVISORS IN ACCORDANCE %ITH SECTION 109.1.1 OF TEE STATE BUILDING CODE. I UNDERSTA_:
CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING •
ICIAL. • • +
• .
INSURANCE COYER C •
I have a current I• • ay insurance policy or its substantial equivalent which meets the requirements of MZLth.152
• Yes No O • :
If you have checked vets, ease inditte the floe c overage by checking the at::c:ria.te bcx. :.. •
•
A lability Insurance pefle — ;
/ U/ O:her type of:�demnRy 0._:. Pcnd O ':' : •
•
OWNER'S INSURANC AIWA:t am aware that the i censee deer ret' v, the ih:brarce coverage re::::re: :/
` 1520 _
Chatters«General L'ws. Ana twat :-y sitsh:;t:re cn:r.:a�e •^:t: ..:q waxes this re;uiremeri
r IC ecx are:
na:c:e ct r r ner Comm: " .:Age.^.:O . ..
•
NATUR : ,//JAI v" . GC : ,
ILDING- OFFICIAL APPROVAL:
PLOT PLAN •
FOR LOT. # i U4 Ni1M �//'PE '
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a .
WP11 0
I
I (lot ft. rear)
Abuttor's j Abutt
Name I Name
Lot # • I • Lot #
REAR YARD ,
If this is a •
•
If t2 •
corner lot, 1 ft. corn-
write in name writ
of street. - , _ _ I name
• •
• is . othe
aaa) stree
•
N .. V
d • . . •
•
•
SIDE YARD SIDE YARD
HOUSE
0 FT. I) 0 FT
•
lt. F
I •asp '•• .
• SET BACK
• ft
•
•
I
I •
(lot ft. frontage)
•
/ 91171 016/iQCGAQ 7i21aC/ ' yx/triteuni
\ /
/ (NAME OF STREET)
• \ < �j /
/ / \ •Information /1-Ike
f
/ \ Supplied by /
yr .
/ •'! '
` " ort ' Old Kings Highway Regional Historic District Committee
ba__, J �? Si.= in the Town of Yarmouth for 3S Pfiget '_' ' • 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 CATEGORIES THAT APPLY:
1. Exterior Building Construction: New Building O Addition 0 Alteration . •
Indicate type of building:'House !Garage 0 Commercial '0 Other n
2. Exterior Painting: O . 20 W
3.Signs or Billboards:0 New sign O Existing sign 0 Repainting existing sign n / �_
4.Structure: 0 Fence O Walt 0 Flagpole O Other rou eV-eh C1,- .y 1-rn2�-4' s r� Ri
(Please read other side for explanation and requirements). C7
TYPE OR PRINT LEGIBLY s I� DATE S,z�' /9?
ADDRESS OF PROPOSED WORK VAI_ /-/AAgFi �, 'J' S/44,0 n &' ASSESSORS•
�trn Apru-r ie•orrj
E= CA (..
OWNER-Re. c /A.R�AZitUS1-.VAVAege1 111 -"Rty 541 ASSESSORS .OTN( S/4-
nn
HOME ADDRESS`''/, 130X /A(j ///P..Cr'-70=',A)NI S /3h/3, AV, 74 TEL.NO. R9Y-369
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
. street or way,(Attach additional sheet if necessary).
70(>1 9•/CR/sTen/1W it/- 90 j/�l/,�/2.0,)9 -JR,, So-�Ya,novrt to)A- Dela/
-1 h0tr J//. I00-i��-1 "'Jr'it? B. ASr.cl/r,it/Ali/$ MA n �Gr/i /
i321/eP1 y —7bil A✓Y) -(� (t..?ifl 5-r c;9 AA I ,.?!/jiP.-/cl✓raln/NPS �,.�1 y8c1/714.‹,M4ecit“.7
o,v4./ AJ'-A/�r OLill-/- //yo3l )Ore a4‘c/rY iIA/? mOcitif 101/4 0,Q/G//
AAeX Vd PC-JAR
/(DeNNAS c9/42 v7WydA'W9nvl,m,q a 9 GV
AGENT OR CONTRACTOR EVP-A477/// 130;5 ..?R, TEL.N0..?94-309/
ADDRESS'24, ---3l))( /2&) tie CrO(,n/nI'S /)1)9. (),,2 2,)
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).
1f1 A-L I £iueReb Woob Pce _1-I WI.F1sPfr4 ccP .,. . iNCnLLS" I SP,rJ7LC-
. 0..4•111-11•467r4l.,g Pccsck2C-rizG-A-r-e3 , /�/
(A STEpS-T0 ccF e G . Signed / i i . v-
Sr 7wner-Contractor-Agent •
Space below line for Committee use. -
Received by H.D.C. .
Date i l, ' T tate Is hereb' J`" /->`1==C% "e/ .Date %
•
•
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION •
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: plot plan(if addition-show • •
existing buildings In outline),floor plan and 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 visible
•,7.,
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
K:. 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 f oot in area showingthe 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,sign or billboard,but including stone walls,flagpoles,hedges,gates,fences,
etc.
GENERAL REQUIREMENTS
5.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.
8. 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 doorframes,trim,gutters-leaders,roofing and
paint 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.
• 3k2 0
• OLD KING'S HIGHWAY'
HISTORIC DISTRICT COMMITTEE
FOUNDATION:
SIDING TYPE: COLOR:
U
}
CHIMNEY: COLOR:
=o Li
r F N
ROOF MATERIAL: asphalt shingles PITCH: COLOR: Blacicglen.01 17�
ac s n
w.i.5 • 13. M
WINDOWS: SIZE: m 3
DC5
nc m f�'1
c=
TRIM COLOR: White
DOORS: COLOR:
SHUTTERS: COLOR:
GUTTERS: COLOR:
DECK: pressure treated wood SIZE: 4x25 COLOR: Natural
GARAGE DOORS: COLOR:
STORM WINDOWS & DOORS: COLOR:
SKYLIGHTS: SIZE:
FLAT ONLY APPROVED)
OUTDOOR LIGHTING: TYPE (SHOW WHERE) NUMBER & WATTAGE:
(FLOODLIGHTS NOT APPROVED ON FRONT OF HOMES IN RESIDENTIAL AREAS)
*METAL BUILDINGS NOT APPROVED IN NON-INDUSTRIAL/COMMERCIAL AREAS*
THREE COPIES OF THIS FORM MUST BE SUBMITTED ALONG WITH THE
APPLICATION.
FILL OUT COMPLETELY REGARDING MATERIALS, MEASURMENTS & COLORS.
ELECTRIC METER LOCATION:
LANDSCAPING:
9;i- (11
APPROYED�v�
YARMOUTH COMMITTEE
OKHRD
VALHALLA
?•'', DRIVE
1\\ I o ' .
tib $. %e
•
p'L' y HIGH PT.
� EL. 15.0'
•
LOT 13 • NO Fill
' EASEMENT
y
•
I `
228.21' _r s
I --- y.2).
-s'''-~
/ vs -3....._ASEMEln C
�. Pauli •\' . o
I os 9'x z s' �0�' ic, ��,
- w / m= re;1(r/ .- 'c
LOT 12 -.■ �i w> '�m
%
42, 483 +/- SF zs. .i. x C
(0. 98 +/- AC) �hNrenr�µy a °�° f T
w.
ED
o, sf?5 z� �' LB 11 t/1
.--1 al
0.
H m I 0
I ti
O r/'
Ixei'
2 e ,
1 11-1 PPROVED /,�'�_`�
I — Y.A.R.MOUTH COMMITTEE
CKHRD
178.52' -
TOP OF FOUNDATION IS 6.1' ABOVE
THE HIGH POINT OF VALHALLA DRIVE. 90-200-12
ILTETED PLOT PLAN
VALHALLA DR. YARMOUTH
PREPARED FOR:
1` = 50' DATE : 3/8/93
• c r (.•.
\ . • I .
/ • VALHALLA
:43°
PRIVE
' .me.
\s%
ti' y HIGH Pi.
•
. EL. 75.0'
LOT !3 .
i
r
I y
I `
•
A
226.21 - -Y ••
1 ----
---
�pato Eon- -- - Y .
- PoRCH
1 ,s --- 4�x zs'. #>
` •
�' m fj + '
-
i
•
LOT 12 �o/ ,I
42, 483 +/- SF 25.I'./.—
exp
(0. 98 +/- AC) CQNW. F , LOT ff
H m I
...r; 25.
h.LID 0 .1'
¢e 1
m
O to
2
I
t
-i
778.52'
TOP OF FOUNDATION IS 6.1' ABOVE
THE HIGH POINT OF VALHALLA DRIVE. 90-200-12
ILUIFIED PLOT PLAN
: VALHALLA DR. YARMOUTH PREPARED FOR:
is = 50' DATE : 3/8/93
• VALHALLA
1J' 'C DRIVE
O •
w\ elf
0'L �i HIGH PT.
II EL. 15.0'
LOT 13NO FI`ENT
\I
•
I226.21' ,
•_v
O.
' 1
i
/
_0.'��
„smog
-
-
, POKcH off
1 :
` •
LOT 12 IsmsIsms1 •
42, 483 +/- SF 25.1•./•-
(0. 98 +/- AC) ExLer NCS LOT 11
olEtna 9.\
'm I o
ILI
O . SZQ 7•./'• ,
P
0 Co
z
I
1
j I
1178.52' '
TOP OF FOUNDATION IS 6.1' ABOVE •
THE HIGHPOINT OF VALHALLA DRIVE. 90-200-12
CERTIFIED PLOT PLAN
TION : VALHALLA DR. YARMOUTH
PREPARED FOR:
1' = 50' DATE : 3/8/93