Loading...
HomeMy WebLinkAboutBLD-93-788 'F•- , ��.�CV . ,.�J—S L I CR LC/ /0/7/9j , 3. � "i; TOWN OF YARMOUTH ®'Lee''' 'Tyr" it-• MAttACNE 5 �' Yg e6,,< ..,��* gi Application for a Permit to Build No. - ophl 0 � UPON FINAL APPROVAL JD —1'7e-1VIAP .7/ LOT 3 2 2 FEE MUST ACCOMPANY THIS APPLICATION. DATE /0// 19 93 The undersigned hereby applies for a permit to build /W/-693 according to the following specifications I I / //7 /�/'3 1. Name of property owner -,L lel 5/ HO/clj,2/ "4 Tel. TY-- 0/60 Address �') a /`%/_i R ST` Lt.. Y46vnlovY1 2.Name ofArchitect(ifany) OAS Af ,oes;- .'/1 TeI.)? 60cto 3. Name of builder._&%/._. .2/ ddr ss ?-'meq 3P. � 0911A-r//9 4. License No. O It 6, HQ Tel. 2 qy /Q/0 5. Name of Mason g 19 A •o'' address /-93 1t i my Jr m,os DR • 6. License No. ©SCP— , -A_ ,r Tgl. 31-c 3-3-0 p ; 7. Construction address " G 0 o e // I e w 4/? 35 I flood District 8. Date of subdivision Approval �'7 plain zone C Zone R•4o 9. Private dwelling i5'ee Estimated Cost -1-yl. NOT WR�T IN THIS SPACE b S pyo Type of room No. 10. Multi family 0 3'z,' Co 0 y� silantt 11. Commercial 0 /% Kitchen 12. Other 0 3 �G/ e'ir° Living Rm. /6,x oty' t sr,=� Dining Rm. 13. No. of stories ! Bed Rm. 02 14. Foundation — Full �alf 0 Crawl 0 Slab 0 16,)( / , �..,/r" Bath 15. Materials — Wood nement Other 0 J ,h, r' beck / 'i 16. Type of heat — Oil 0 Gas CrElectric 0 Other 0 " 6Vt i f ` Closed porch a 1� An z 91:2 Family Rm. 17. Garage — 1 0 2 ❑ /0 x -Sun room 18. Swimming pool - Size 3��do — s-c A 0 Garage 19. Storage shed — Size 34e do Shed p 20. Stove — Wood ❑ Coal ❑ .— /o r }r ' Alterations 5 21. Size of lot: No. of feet front © No. of feet rearNo. of feet deep )71Z", 9/7 22. Size of building. No. of feet front 1 (/, No. of feet side a No. of feet rear a (' i 23. Distance from nearest building: Front 33 Ft. side 17 Ft. side y7 Rear y R' 24. Distance back from line or street / / "5 Fro rear lot line 'V 7 Side line if 641 1f�' 25. H.I.C.R. No. , LOT RELEASED BY Signature •1 YdiN ti 9PLANNING BOAFiD#IZG943$ Address -5_--b-9 6-0 9.4),-" A, a Alf 461 Date 4/2088 . 1 �' - S - 0,242 /)i 5 A . ©.; &G-0 ;+Trte7 �CEceRDED PLAN*laZ4A RECORDED 7/10187 TOWN OF ,YARMOUTH BUILDING DEPARTMENT . CONSTRUCTION SUPERVISOR FORM PLEASE PRINTS - // JOB LOCATION: (. • ( 0 G 7 : `/'/ Q [1L \. e NUMBS ,, ,, . STREET VILIeAGE ' OWNER OF PROPERTY: t A I//��S /� /O'/�� U �l• j]C,' � � /- ,/ ry CONSTRUCTION SUPERVISOR: lT'/ r A A l I'`A 4S 0 U/ co. o eJ 49• ' l l 7-/G/p� p� �1/� NAMEI ;• ,n LICENSE NO. PHONE N0. ADDRESS: r/- 7 '' V"6l{ —,L - K/e5 P , Al • S 'A '• 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, REMOVAL OR DEMOLITION 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 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. -1 ;' .. • • . 2.16. 'ALL BUILDING PER`tIT '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 109.1.1 OF THE ' CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING SAID PERSONS, THE WORK SHALL L'NEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED . ON THE RECORDS OF THE BUILDING DEPART`�NT. _ ' """ I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND .REGULATIONS ,FOR LICENSING CC:I- STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING 'CODE. I UNDERSTAN: THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING •OFFICLAL. INSURANCE COVERAGE: 7:1-- . - -. .1....-7 ';- -- .. ._ ._ . .. -: -TT. _ .. :TT -.:T' .. _ ,:.7.._. .. . , • . I have a current I`- ' y insurance policyores substantial equivalent which meets the requirementszof MGLth.15`l '>'"::::: '; No ❑ :'-'- -='-= `::.:_--.�_,;r;•,;...,.,. _ ..a � •,_-r.�u__-r.T:�1''- •=may-'r • e:r R you have checked vis, please indicate the type coverage by checking the appropriate bo 9' 1 1 N. 4 .`_ A liability insurance pc:icy C '-1.• Other type of Indemnity❑ ---- :-Bond ❑'... `• `Ll'`'-'-- -�^r • OWNER'S INSURANCE WAIVER:I am aware that the licensee doei rot have the insurance coverage'rcquired.:y. Chapter152 of the Mass: General Laws. ana that my signature on th:s permit application waives this'requirertier.t - . • Check one:• - , -- 5. nature of ner OwnerJ Agent❑ • 9 a Owners Agent , SIGNATURE:',t ;`erAlliil BUILDING OFFICIAL APPROVAL: • ,. ate m ,,' . -- i • '_ t COMMONWEALTH OF MASSACHUSETTS • @ • DEPARTMENT OF INDUSTRIAL ACCIDENTS 7‘,14Y1 600 WASHINGTON STREET • • James J Camooei; BOSTON, MASSACHUSETTS 02111 • Co'm:ss over WORKERS' COMPENSATION INSURANCE AFFIDAVIT • I, / 7/ CA 7(-f5 (licensee/permittee) • with a principal place of business/residence an /, (Cry/State/Zip) do hereby certify, under the pains and penalties of perjury,that: [J 1 am an employer pioviding the following workers' compensation coverage for my employees working on this job. n Aft.. . Al C A- POJr`c9 ��04 wC c, ? h//70/ cc Insurance Company / Policy Number ( J I am a sole proprietor and have no one working for me. (J 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 0 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 dwciiing of not more than three uniu in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Aa(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 Acddenti Office of Insuranti for coverage vent:ation and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition 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. Signe:shiD day of 19 ri - Lieer.se_:Perrn:: :_ Licensor;Perms-or OF'YARS TOWN OF YARMOUTH w, ' uWATER DEPARTMENT C k: •[ , L.07 102 UNION STREET YARMOUTH PORT,MASS.02675 (508)3624974 Date of Issue : Oct 4, 1993 Letter of Water Availability 1. Single Family Dwelling X 2. Duplex Family Dwelling 3. Condominium Dwelling 4. Commercial / Industrial 5. Other (Specify) Reference; Massachusetts General Laws Chapter 40, Section 54 To : Town of Yarmouth Building Inspector Please be advised that the Town of Yarmouth Public water supply is available to service lot/parcel(s) J 22 Street 19 COVE VIEW DR as shown on Assessors sheet/map # 71 Issuance of this Letter of Availability is subject to the following provisions/restrictions. (1) The property owner agrees to comply with all Federal, State, and Local Laws, Rules and Regulations as they pertain to the use of the Public water Supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owners expense, the installation of water mains and appurtenant items to meet water demand requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue. I have read and understand the pro isAl s/restric ions of this Letter of Water Availability. 01 Ott- (Sign / Reference : IRISH HOLDING INC : 512 MAIN ST : WEST YARMOUTH, MA. 02673 L4acerQac€ r2P ) '�_ag CO& Grvv i t CEILING ASSEMBLY ee , J G.W.A. 31 0 ICE: `i1cced tailing' "ins PCICAL TOTAL R= 31.(7 ea e aid ride c'Thle TOP SURFACE U= •0315 WINDOWS: R=0.61 RETIRED TIIIAL R= 30.0 ceS 4 '/ /n C 9" FIBERGLASS7—IN0.033 — f� x SU 30LATION VP') EA OThilnnennnnl \=SHEETROCK DOORS: • / R= 0.45 �p i —BOTTOM SURFACE • R= 0.61 1/2'-PLYWOOD / INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION R= •0.62 R= 0.68 PCIALTOTAL R= /3.79 G.W.A. Gro WOOD /-1" SHEETROCK II= • 07 SHINGLES R= 0.45 1 TOMI' W 12.5 R= 0.87 . 0 I. 0.08 WINDOWS:/ / O OUTSIDE /=3}" FIBERGLASSFECUIRED ICIPI, R 20.0 SURFACE �--- INSULATION ELECT C HEAT U= 0.05 R= 0.17 , C R=11 . ' I ! ` - SURFACE RESISTANCE rj R= 0.61 FLOOR ASSEMBLY ///"'))) •- FINISII FLOOR PCHAL TOTAL R= 2/i7.lr DOORS: J R= 0.91 U= , Oqr a a TWO BEADS 2 •COL R= 20.0 CAULKING }" PLYWOOD [� 0,05 UNDER PLATE SUBFLOOR RIGHT SIDE ELEVATION r R= 0.62 G.W.A. 3OC- S�ACE1•=1 v v U (AL U((AN ,/Ud R= 0.17 ,I FiINDOWS: �� 6}„ FIBERGLASS • INSULATION FOUNDATION CONCRETE R= 19 WALL ASSEMBLY FOUNDATION IDOORS: WALL SURFACE RESISTANCE (may be used instead t I of floor insulation) — R= 1.32 = 8” R= 0.61 mpg, TOTAL R= / 1.48 = 10" _ _ - II= LEFT SIDE ELEVATION I t R TOTAL R= 12.5 G.W.A. 30.c, INSIDE SURFACE U= 0.08 •; P'—R= 0.68 1/8" SHEETROCK WINDOWS: r . "- R= 0.32 �r� . " STYROFOAM t I 1 DOORS: 7.1 . i I — NOTES: - PERMANENTLY INSTALLED STORM ' 'or � _ , , WINDOWS TO BE USED GROSS WALL AREA= try/ I ' is 52. 0 ' �• ' WINDOW AREA= /q yi DOOR AREA= L/ n ! ot. tir�x. =-I /L Z '/o Z FENESTRATION= / 3)2, 04 `,tr r 391 1-6 l� ILDING PERMIT APPLICATION SIGN OFF APPLICANT: . V11 b A y- BUILDING PERMIT Il: ADDRESS: �J a Elton ,S 1 t yA(j TELE. NO. :**-7) f 0/CIO FILED: /o�/f3 BLDG. SITE LOCATIONIT ( d1ie (,;eu, /J/? MAP I/: / LOT/4-07 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 tyr`t p(�, ,s •- DATE: • - - N/A: 2. ENGINEERING DEPA$ 1 T: jr. .St . � ,p, . ..• DATE: go - 3. CONSERVATION: I . '•e• DATE: - N/A: 4. HEALTH DEPARTMENT It , V A_ , DATE: ear 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: £c o - ' A- DD /wp PrDtDlT/DnJAL RRSEMevrSASH -- 7i'o SC»btfnu.senoc veneo fu. Ex7e72IO4 &JgLr. S/taES -' VfwT m-oaoE 9.%' 1z002 CniabJC .o Owe ts FELT pilule. O tan Qaot SINAfCL ES /6" SJ.ucroaeds •y FT. BELCtJCR.rDe .0 BLM/89 • • _ - -4n t�P i vitt , =teir- 1 4--a . ^ !`i or v. Arri tl - r j cis a' •n A' 'jII z-fit - i -� fr—F- ' hb t � • 1- - - 186.90 - - _ a0 Ii O O -Q I i - '-4 Q.:- 0.4_13-,4- 4-, i ft r '�. .$ . -rt fta !J 64.5• s 4.0 $isrs kr '; lx as 0 y a g U X4.96,,j p t. 01 ca • .a 'D m O g W -c= gf N f 0 73 O c z g - E. - i iu lo p 1r us Is 0 w NmQ _ _ � o0 p a 132.7 o .- 0g-4 hi yr.E Gr— d N y 0.0..02 ol od=. ,,t ra G D' 6` N b N _ s, *c-it ., 0 la Tr 4.1. :: _ tt JD •-• lc I Etri. T • II 2cS: \ di0 U —` u�� !25.00 -vio V''! '0 4 - - - - Oct Uri 1 i Ss CC-1 ni- w