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HomeMy WebLinkAboutBLD-93-804 j t , - / of Y'9R Jcliti Q3 ,,,:b-45,, TOWN OF YARMOUTH /� Y�Q - (1A wai4 y O ftu o 3 .t HATTACH Ccs V<.«....n..16; Application for a Permit to Build No. SD' UPON FINAL APPROVAL 10*- 0 I -q3 MAP /d 9 LOT& 10 FEE MUST ACCOMPANY THIS APPLICATION. DATE .±4 -----11-/..5 The undersigned hereby applies for a permit to build a//9 according to the following specifications L 1. Name of property owner /t �tn, 6 2arner)TeI.31Q.t?9c2Y Address .9--2aeR UM/ edwyurt E pT 2.Name ofArchitect(if any) "" Tel. 3. Name of builder /� "" Address 4. License No. Tel. 5. Name of Mason Address 6. License No. Tel. 7. Construction address' /I F//rti%/oa( 114 7 rf4R.kravM) PAZ( • Flood • District �_ei d 8. Date of subdivision Approval plain zone G Zone 9. Private dwelling$l '. l Estimated Cost (� � DO NOT WRITE IN THIS SPACE �i70 0 A1�0,-D -in-CC Type of room No. 10. Multi family 0 I Opo `�v /ok/g3 r/P 1 11. Commercial 0 i 4 ' A - _Kitchen-40Fr / 12.Other ❑���n� /�f1/2 `J,7G'SP Dining Rm. 13. No. of stories Grp/ / �� xp Living Rm. in�.ZIZ q/LSf - Bed Rm. / 14. Foundation — Full FO Half ® Crawl ❑ lab0 77?SSF Bath , 15. Materials — Wood ] CementSl Other 6 Deck 37.2.0-0 Closed 16. Type of heat — Oil 0l Gas 0 Electric 0 Other 0 cilati) .cr ° porch 17. Garage — 1 ❑ 21A 3lLLwy )9.3 if Family Rm. -v 18. Swimming pool Size fi/p , Sun room 7 ! .3/1Gaarage A 19. Storage shed — Size Shed 2a Stove — Wood 0 Coal 0 Alterations 21. Size of lot: No. of feet front /6 6 No. of feet rear /6 0 No. of feet deep /3./• YS 22. Size of building. No. of feet front .39. 3 No. of feet side '4 l'i' O' No. of feet rear , at( 311 23. Distance from nearest building: Front aeiuv Ft. side 3.69 Ft. side I a-1 Rear tali 24. Distance back from line or street _ 3 0 From rear lot line 51 Side line l0 25. H.I.C.R. No. Paict. POW -64-1 LOT RELEASED BY Signature �/. _ PLANNING BOARD Address 341 i } -(,L/AsCCJJ� Irmet.tayk Date APPLICANT: raw, p�},{' „4.01� �t/� BUILDING PERMIT ll: ADDRESS. j )3. t J Jt4 k%g PT . NO. :f 9� I,,3 c/ DATE FILED: /91 BLDG. SITE LOCATIION: ( I 'w__�a MAP/I: /Q/ `t LOTII:Q /0 / 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 , ETC. HEALTH DEPARTMENT: &*.MINES EGOMPLIANCE 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 TUE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: ✓1. WATER DEPARTMENT 2a.{,.,i2 (3 . sisr'v DATE: I© -17- -61 -3 N/A: 2. ENGINEERING DEPARTMENT: " I DATE: N/A: • 3. CONSERVATION: ,7:74�' DATE: N/A: 4. HEALTH DEPARTMENT �+ ' DATE: (ol��l�jj N/A: �C� INDUSTRI AND/OR COMMERCIAL PERMITSJ S. 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. CO NT : ',A).Pr O4' _ , l • A 11 ■ i. )1V a. I a ► i :. ; C- I(s- T SEIZEILIMNa7., r /9,� rte' �'3�Li o r.� w .< ea ecie_ 3"X H it Loin r N�� • G . fr TS %! 'o -c.-:` £. cco - ,D "noon /L NF- O I7-IL 46- - as , nagnairn u IGNs S Ares- o . E I ri N.c- K ria- c..Ciw, 3L•1/39 ^- immEss I • a ' • . • ► . N'F. aerrua.E_E Con, - 5 - a .: . - -S 2=35- 25 t -" i ,So.B7 � • �• . - -• . . o g9..SS - vi1 ' at., w . • 1 �x 'Q . - • mz Ca rn "or 440_, DoT /Z . . �� N - 0 /v - _l. 27310 d / � Ill rJu _', �► l{L JF���1{1 h + y DSC-,' .. rn I _ ... . arck P.-f•• ' O . h l -6 ty v o ,r . ..,� .1...` 2t.s�• N ' • o I Gn ��' � i•: 4 22 �g "� r�-� %7 19' .0 et1r- 21.d _4 . 42. 67,-/-e-(,,,,,-4' Y ,P• 1 OoFJT 12�G20 Y. (6014111#CMt' T3 VP41brT) q. 'i , • �n�-lam -1-- /ao.00 `� 11TH �F y '-r N0: S/'SO'a2 '_ GEORG' aj u HIES •%' . .. .. _ F4 //V ea C K X64 Y % �arca�° oP�e T 4o"Phar--- N!OQ Loos ""The 'prv�ee/y -S�Sawn an -05/...r A/a� • r iefe -- -_.:/.s..0a/ Jn_.f±fc. 'load.04gited.LA-rra . iiD Shcnzramr* . Pane/ *75da13A=02 { ' APPROVED III...". 31.er24 r71--7,/e ina.#19 Wiivq .. YARMOUTH COMMITTEE .. -r.oO-fdt atzf it 2ootiv laws .0,'714- - OKHRD :T7 ina_ t1' yanroaz& -whch-.-onC.11tuc cd- • -P2OT P2AAl. . . . . L;i.;v.D 'IN YAe41. uTt1POat...MA •-- c/ercnce -- 2 f[/.vTLOt� WA-y- tor4/4 -barnsta6/t :key. a l D eeds aw.N.&m Sy Meer' SK //5, F3 87 CYTFPliat/ H CAREER 22' :-f/an -8r /44 r . 93 ScAlE 11=3o Ain RCN 2v 1946" GEo.7.LAAi/7)PS REQ..ENde ftruEVEYo.e .41.T.FP-USHA GY W.YAEMOUTR AA A • x763 . 8 • Suggested Affidavit for Home Improvement Contractor Permit Application . . • For Office Use Only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"recanstruction.alteration.renovation.repair,modernization.conversion.inprovement,removal.demolition. or construction of an addition to a nv pre-misting owner-occupied building containing at least one but not more than tour 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: 0r Est. Cost Address of Work 2 ? Ii/N77o ck WA ,f Uenvi �J Pent Owner Name: ga.c/f.:e.C, a /At , .. Date of Permit Application: /6/ / 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, c I42A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR: • Notwithstanding the above no ' , I hereby a.ply for a permit as the owner of the above property: Dat Owner Name TOWN OF YARMOUTH BUILDING DEPARTMENT ' HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: I DATE / a/s/ 5 3 / �]-� 7 e��� JOB LOCATION UI MBER l STREET ADDRESS C. / / S writN OFOTT OWN "HOMEOWNER" ( 47j c . ,S1EQNCu 6Reytta 30-6/02 q 34.2.-27. Y NAME HOME PHONE WORK PHONE . PRESENT MAILING ADDRESS a a F114)7/oc K c& 4i y V4244o0m M2( M4 n &7s CITY OR TOWN STATE ZIP CODE THE CURRENT EXEMPTION FOR 'HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER- OCCUPIED DWELLINGS OF ONE OR TWO UNITS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN INDIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT SUCH HOMEOWNER SHALL ACT AS SUPERVISOR. (STATE BUILDING CODE SEC- 109.1.1) DEFINITION OF HOMEOWNER: PERSON( S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RESIDE, ON WHICH THERE IS, OR IS INTENDED TO BE, A ONE OR TWO FAMILY ATTACHED OR DETACHED STRUCTURES ASSESSORY 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) THE UNDERSIGNED "HOMEOWNER' ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGU- LATIONS. THE UNDERSIGNED "HOMEOWNER' CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIRE- MENTS AND THAT HE/SHE WILL����WI�Iu SAID P�D�? AND REQUIREMENTS. HOMEOWNER'S SIGNATURE di duAgeo APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes get No f' If you have checked yeg, please indicate the type coverage by checking the appropriate box. • A liability Insurance policy V' Other type of Indemnity 0 Bond 0 OWNER'S INSURANCE•WAIVER:•I am aware that the licensee does not have the insurance coverage'required by Chap teR 1 2 of e ss. General ws. and that my signature on this permit application waives this requirement. • Check one: Owner Agent 0 Sign ure of Owner or er s Acent • ^� _.. COMMONWEALTH OF MASSACHUSETTS cDEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET • • James Campoeu BOSTON, MASSACHUSETTS 02111 • dor n:ss,oner WORKERS' COMPENSATION INSURANCE AFFIDAVIT • (licensee/permittee) • with a principal place of business/residence ac 02;- Gilevi a , �� (City ate/Zip) do hereby certify, under the pains and penalties of perjury,that: [J I am an employer providing the following workers' compensation coverage for my employees working on this job. • insurance Company Policy Number () 1 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 polidesr •- •. • ••- Name of Contractor Insurance Company/Polity Number . • ._... . Name of Contractor - • • • Insurance Company/Policy Number • • •• • Name of Contractor Insurance Company/Policy Number .. . - ^8. 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 for a license or permit may evidence the legal status of an employer under the Workers'Compensation Act. 1 undentand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of lnsuranoe for coverage verification and that failure to secure coverage as required under Section 25Aof:v1CL 152 an lead to the imposition of criminal penalties consisting of a fine of up to 51500.00 and/or imprisonment of up w one year and civil penalties in the form of a Stop Work Order and a fine of 5100.00 a day against mc. Signe_ this / r2 day of /fie , 19 53 r--� `+ . ' i Application to z�', rN,• Old King's Highway Regional Historic District Committee �I.�1�. lffai ;� in the Town of Yarmouth for a -2363.5 CERTIFICATE OF APPROPRIATENESS Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Sectito 6 of Chapter470, Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawiras or phpapgraphs accompanying this application for. c. < '' CHECK CATEGORIES THAT APPLY: x T • 1. Exterior Building Construction: XNew Building Addition b Alteration ' 90:-,-.: Indicate type of building:❑House '\Garage 0 Commercial 0 Other - 2. Exterior Painting: ❑ ^ a � ? .: ‘o Ill 3.Signs or Billboards:0 New sign 0 Existing sign 0 Repainting existing sign Cc— :a t-- 4. Structure: 0 Fence ❑Wall 0 Flagpole 0 Other Q (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE iii l q 3 • `l , TiI �n ADDRESS OF PROPOSED WORK ai n ofkwAyyARMOU04ASSESSORS MAP NO. f a I OWNER c11 —Ep //&C1cR (R1CG 64 ev62 ASSESSORS LOT NO. ICI HOME ADDRESS cga 01Al774C_Kt,iy y 4IL,0,, i ?o2t . TEL. NO. SA) —002y FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 1 ��r 2 .L�t tG�/(,�J / �1�,,�a � gtl a�/.� t,pc3�'� 1.11t�R �o' tom, ,I,�r, 14 J "()Ll �icrsCu ntTEL. :10. 91 ori ( 91�t O:46:47:AGENTOR CONTRACTOR 1.I.� TEL. y3 ADDRESS • y�R� APPROV 90UTH CO � OKHRD 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). Signed 6-111-66 Py 'eto.C19-444A. Owner-Contractor-Agent Space below line for Committee use. - Received by H.D.C. a!21':',f Elevation net shown on plans is z hinglvd--•rxo winds yu. 7` Date • . �1/('Fhe`Cirrtificate is hereby ' % = - Date 7 •-- 11:Time i� I •.' �y -•.:‘ec 0 _ Ih1POR ANT: if Certificate is appr�Sved,approval is subject to the 10 day appeal pens❑ proviced in the Act. .— _ _a Crcvec ❑ Please return to: Yarmouth Histcrc District Committed • To'.vn Hal- 1146 Pr S . • h r nit 1. ee o - SPECIFICATION SHEET i 3 (Submit 3 copies) ret APPLICANT (OWNER) : S ( EPILEIv APA--TRIts 64Q-/vE/2 CoAe FOUNDATION (18" max. exp. ) : CONCRETE/OTHE-R SIDING TYPE: Ail d COLOR: 1yl d-�t " CHIMNEY (indicate 61110 stucco/woodfaced) . ROOF MATERIAL: Cteladt, PITCH: I0k- COLOR: Ai (7/12 minimum) WINDOWS (grilles required) --Indicate sizes if not listed on elevations: DOORS: SIZE: COLOR: TRIM: (all windows & doors trimmed lx4/1x5) COLOR: UU i+' . SHUTTERS (wood/vinyl) : COLOR: GUTTERS (wood/aluminum) : COLOR: GARAGE DOORS: SIZE: CALOR: 0 z'8 woo STORM WINDOWS & DOORS: SIZE: CCPR: (,) fTT c, q t1 SKYLIGHTS (FLAT ONLY) TYPE/SIZE: a - yyx CQLjbR: 7T' A3 DECK: SIZE: C&R: FENCING (max. ht. 6 ' ) : STYLE: COLOR: . (show layout & running footage on site plan) L ADDITIONAL INFORMATION: k APPROVEDipti/ YARMOUTH COMMITTEE OKHRD NOTES: Color chips required. Outdoor lighting, electric meter and landscaping--show on site plan for new houses only. rev. 6/93 G.W.A.• ,,p/ CEILING ASSEMBLY NME:. s1oped 0'i 1 im rsq n,•Es PI•IU L TOTAL R= 31,X07 eE aci rid or g'hle WINDOWS: TOP SURFACE U= .0315 R=0.61 R UJtR ED TOM P 30.0 (2) " 9" FIBERGLASS U= 0.033 ' / INSULATION R=30 crnI) 11/1[ULit,VtnnennnpJ — \ - SHEETROCR DOORS: R= 0.45 I f • . ' ! / -BOTTOM SURFACE / R= 0.61 1/2':PLYW00D a.^--INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION R=•0.62 r- R= 0.68 PCILAL TOTAL R= 1-3:71 G.W.A. 930WOOD I —}" SHEETROCK U ,01t• SHINGLES I R= 0.45 R3QUIRED'1OThL 1= 12.5 • R= 0.87 Ci 0.08 WINDOWS: Z OUTSIDE /=31" FIBERGLASS ImJJI�D'IDTh , R= 20.0 ‘ c-i. INSULATION SURFACE =CHEAT U 0.05 R= 0.17 R=11 I r RFACE RESISTANCE 0.61FLOOR ASSEMBLYDOORS: J` - FINISII FLOOR A TOTAL R= ;14.7.5- R= .1,71 R= 0.91 u= • 0U(, 99 TWO BEADS REQUIRED IU LL 20.0 CAULKING }" PLYWOOD 1. •0,05 I� 7 RIGHT SIDE ELEVATIO UNDER PLATE ) I`/ SUBFLOOR R= 0.62 G.N.A. yiy OUTBID i I , v U Vya SURFACE I_ LUUZ/L iJL !/J R= 0.17 , WINDOWS: i" FIBERGLASS77• \ INSULATION FOUNDATION CONCRETE R= 19 WALL ASSEMBLY FOUNDATIONDOORS: WALL SURFACE RESISTANCE � Y be used instead J R= 0.61 of floor insulation) • -- R= 1.32 = 8" FOCAL TOTAL R= 1.48 = 10" U= LEFT SIDE ELEVATION i $ F$TJfl D'IOI L I= 12.5 G.W.A. . PO INSIDE SURFACE U= 0.08 • ') • . —R= 0.68 3/8" SHEETROCK WINDOWS: I- I. / R= 0.32 . ��." STYROFOAM ' l R= 7.1 DOORS: . , )n NOTES: ' PERMANENTLY INSTALLED STORM '/ 1. -Jlt 44 14.4 , WINDOWS TO BE USED GROSS WALL AREA= I3/€' I /_,j , -. .,y WINDOW AREA _ DCCR AREA= 77 uAL. •sr.� '. FENESTRATION= . / ' • 9 I (/ % • aa- r . f{v `( C- . • ii • I LOT 8 • 123.80' z 17.8' 39.5' • r y '-i o 7 \ mz LOT 10 U 3 EXISTING i2 750 +/- s.f. o N. I STORY no CY0 0 ® WOOD CONST. 0 - \ a 2 J30.2. To I 56..' a. 12• J U 0 PROPOSED `�'. a ADDITION 7.5' 18. 7.6' 132.45' 1 LOT 12 I I # 93-411 CERTIFIED PLOT PLAN LOCATION : 22 FLINTLOCK NAY YARMOUTH PORT. MASS. SCALE : 1 " = 30' DATE : 10/27/93 REFERENCE : LOT 10 PB 144 PG 93 PREPARED FOR ASSESS. MAP 109 PCL 010 STEPHEN & PA TRICE GARNER I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. A';@-1"11-14( Ifit ARNEH . down cape engineering inc. '� ' ALA . t t CIVIL ENGINEERS r' r, A: LAND SURVEYORS _ 3 � , ''�r4; RTE 6A — YARMOUTH. MASS. DAT 111117C.411111".D SURVEYOR