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HomeMy WebLinkAboutBLD-93-820 ;oF:Ygj;.. G /�S 3 s o .. • " TOWN OF YARMOUTH oK revi pli,113 N,ITAONE[[_ ` Applica i ri for a Permit to Build No. SAO ATTAC E 69 ��q3 L UPON FINAL APPROVAL I MAP 5 Z LOT V/1 FEE MUST ACCOMPANY THIS APPLICATION. DATE /O/2& 19 73 The undersigned hereby applies for a permit to build /0,/a V93 according to the following specifications 1. Name of property owner /o zi SAW C' ,.y,M,i Tel. Address , . . '- -.»c. . d, . 2.Name of Architect(if any) . � Tel. a Name of builderStir_ ,465.use $ l Address '50 mehorfn ,3e;".rsr . ,41,4_ 4. License No. oy6/Ly Tel. (3M) c 96- Skog 5. Name of Mason _ Address 6. License No. Tel So 7. Construction address , R -•1141/h--. ,sSot/� at. nee, Ind 8. Date of subdivision lAyval ro , pFlaind District ne L Zone t ` 41O 9. Private dwellingQ� Estimated Cost WI WRITE IN THIS SPACE V P(P %a-� • Type of room _ No. 10. Multi family 0 403.000 /lwPa12 / 11. Commercial 0 $3-1L1 p -/c', fate /= Kitchen / 12. Other 0 &yp,nt- ✓iwrfaCPah Dining Rm. / Z _-Living Rm. 13. No. of stories ,��Ins@34_ 7O. Bed Rm. 14. Foundation — Full C'Half 0 Crawl 0 Slab 0 inn as Bath 15. Materials — Wood 0 Cement 0 Other 0 Roa< AS; Deck 1a K I y 16.Type of heat — Oil 0 Gas rElectric 0 Other 0 Pit- eff:- Closed porch , 17. Garage — 1 lEr2 ❑ `-/p � %— Family Rm. / 7 p . : Sun room 18. Swimming pool =Size -C,-,4"/ -,I,7 r F' r,r. + ' , _ i o . _ Garage }71t9'Storage shed — Size 0 /ro, — Shed 20. Stove — Wood 0 Coal 0 Alterations / 21. Size of lot: No. of feet front No. of feet rear No. of feet deep 22. Size of building. No. of feet front No. of feet side No. of feet rear 23. Distance from nearest building: Front Ft. side Ft. side Rear 24. Distance back from line or street From rear lot line Side line ✓5. H.I.C.R. No. fit, Ji- /073'- LOT RELEASED BY / `Signature_14T//J �^ti..t, PLANNING BOARD ' Address ti'n rrz Date C°tewnrn APPLICANT:$//c5an U BUILDING PERMIT i`: ADDRESS: 30a.— NLAt TELE. NO. : 50ele 5 7 DATE FILED: - BLDG.i SITE LVCATI�N:/7 yw,,, 741/1 t/IkoId MAP//:ff �� LOT/l: 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 COPPIERCIAL 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: i 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: REVIEWS BY: WATER DEPARTMENT atu„t.t�a IN< DATE: 10 - 7--2-_ 6 3 N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. „LONSERVATION: DATE: N/A: ter STEALTH DEPARTMENT ,, DATE: /0 - J, c-9 '-? N/A: INTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A: G. 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: vitt-Far ©r =in-P.lp./nit- t-`?1C'JEnor _ 1zFtNoVI{Z/t' VS I e.-K . PLA iv . / . t/ 1 Me-w c Ta 3e i, ;1(4/44 --rev "Jr -3-e- e...o9 BLM/89 TOWN OF YARMOUTH • • BUILDING DEPARTMENT ` CONSTRUCTION SUPERVISOR FORM PLEASE PRINT:,, ' • 4 /� �I/ JV6,' . . , JOB LOCATION: NZ W' fA4T T ere-C(71 VILLAGE . OWNER OF PROPERTY /JJ$ 'i'./�,ah�.t� • �djp �+ CONSTRUCTION SUPERVISOR: ,t n // 6...: NSc�n1 ey���( ( 316 (� &4o NAME ,��ttAALICENSE NO. • PHONE NO. ADDRESS: 3 (A : en ' $ rAJSmxJ f Alht- nZ LICENSED DESIGNEE: ' : /y/D • • • �� ����� • (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 3E 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- STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1.0F THE CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING SAID PERSONS, THE WORK SHALL IMMEDIATELY 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 CC:1- 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 OFFICIAL. . . INSURANCE COVERAGE: �, I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGLth.152 Yes 2e ' . No ❑ If you have checked v_s• please indicate the type c average by checking the ap=rcpriate box. A liability insurance pcticy lieOther type of :.idemnity 0 Bond 0 • OWNER'S INSURANCE WAIVER: I am aware that the ucensee does rot have the insurance coverage required by Chapter 152 of the Maas. eneral Laws. aria that my signature on th.s permit application waives this requirement. Check one: /i.a—,__ Ownerj Agent 0 nature o Owner at Owners Agent ' SIGNATURE: . BUILDING OFFICIAL APPROVAL: ~ CEILING ASSEMBLY NMI Sl.si cri 1 im rrEcrirx ACHY1L TOTAL R= _ ' • e ad n ar 0tleTOP SURFACE U= ' WINDOWS: wr' R=0.61 RE IRID 'iQII1L R= 30.0 / 9" FIBERGLASS r.. 0,033 • • INSULATION R=30 a \ \=SHEETROCK - DOORS : PO R= 0.45 i 0 . —BOTTOM SURFACE ,C• R= 0.6I • 1/2"PLYWOOD INSIDE SURFACE WALL ASSEMBLY G.W.A. WOOD 0.62 TI( IR= 0.68L TOTAL R= REAR II EOATION -^ }" SHEETROCK U . SHINGLES R= 0.45 FEWIREDIUITL R* 12.5 R= 0.87 I w 0.08 WINDOWS: • OUTSIDE 1 /=3}" FIBERGLASS q� 20.0 SURFACE i'� INSULATIONR =CHEAT u= 0.05 R= 0.17 0 • =SE.RFACE RESISTANCE ' J� 9 R= 0.61 FLOOR ASSEMBLY i ,=FINISH FLOOR PCII�L TOTAL R= . ' , DOORS: R= 0.91 U= TWO BEADS /14SMCL. D 'IOThL 20.0 CAULKING , \ — 1" PLYWOOD I. O.05 RICHT SIDE ELEVATI / i , \ UNDER PLATE /� ��; SUBFLOOR lR= 0.6Z ' G.W.A. OUTSIDE SURFACE A I I % V Li -111-;✓(AAdt 2/1/6/ R= 0.17 WINDOWS: //. . -6}" FIBERGLASS /,. 1 • INSULATION FOUNDATION • CONC1ETE � / R= 19 WALL ASSEMBLY FOUNDATION \ (may be used instead DOORS: ALL SURFACE RESISTANCE t ` R= 0.61 of floor insulation) = 1 '. = 8" PLZ[PL TOTA R= LEFT SIDE II EVATZO. 1.48 = 10". U= I I FSSJIFtD'L R 2.5 G.N.A. . 2iSIDE SURFACE T. 7.08 � -1= 0.68 - 1/8" SHn"TROCK WINDOWS: U! -''''..----2= 0.32 • 1" STYROFOAM hi r 7.1DOORS: 'OTES: PL- INSTALL= STC .I17-3WZ TO .,.. 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Suggested Affidavit for Home Improvement Contractor Permit Application -- . .- . _ . .- For mare Use Only NAME OF CITY/TOWN Permit No. Date AH- -JLAVIT Home Improvement Contractor Law Supplement to Permit Application MGL a 142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition. or construction of an addition to any pre- istingowneroccppied building containing at least one but not more than four dwelling units..,.or to structures which are adjacent to such residence or pudding"be done by registered contractors,with certain exceptions,along with other requirements. nfroot Type of Work: ( Est. CostAddress of Work /2 //JC Jr /J 9/7' Owner Name: ,424 " • Date of Permit Application: /Jr,r 7 Z,, /9 p "3 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. 142A. • Signed under penalties of perjury: I hereby apply for a permit'as thheee agent of the owner: �l D to Co for . amc Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name t;fit\ °Iis""us\ \'‘ * - ci�� � EE1 f