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HomeMy WebLinkAboutBLD-93-826 Co R • oKrat' a `- ,``moo TOWN OF YARMOUTH ,b/ /93 .Ft, -�_ ,, MATTA�CME S X441 �,,tto..o*.,�o. 0i Application for a Permit to Build No. Zak VfrUPON FINAL APPROVAL Ip(O �3 MAP n LOT J 13 FEE MUST ACCOMPANY THIS APPLICATION. N DATE ?P`T 19 R3 The undersigned hereby applies for a permit to build /'/� y93 according to the following specifications /p 1. Name of property owner J044 tf kin{Phe6A 2 /a T��6 -263 N Address? GJ,c.,)1244- -Tatse 51,4eia-rt, /144 2.Name of Architect(if any) Tel. --N3. Name of builder b MI Jv Ly Address q/G Pa 1s Aid y Dct rr) 419t- 4. License No. Tel. 5. Name of Mason - Address 6. License No. Tel. ' 7. Construction address i it)u. 'c lwere SII S1/4gin/ ,Pin- Flood District 8. Date of subdivision Approval plain zone Cr Zone I-' K' 9. Private dwelling 0 Estimated Cost /D•26-93 y DO NOT WRITE IN THIS SPACE -Wit /000 Type of room No. 10. Multi family 0 NI $ ?0) ©r Onazt- nit av I 11. Commercial ❑ Kitchen 12. Other ❑ �Y �� �D a 3 -Dining Rm. 13. No. of stories /f°v fist' Living Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 (Q�wlay as�b Bed Rm. Oath 15. Materials — Wood 0 Cement 0 Other 0 D, 6a • Deck 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 PSP I O.v° Closed porch 17. Garage — 1 ❑ 2 0L ye,� 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 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 \ 25. H.I.C.R. No. (�(,� LOT RELEASED BY \Signatureil ` ' v`�� PLANNING BOARD \Address 4.24b Qzle 'Gsc'rr Date S inewtow, /1'n - may y S • 'a" • TOWN OF YARMOUTH .� BUILDING DEPARTMENT • ' HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE /o/ /13 JOB LOCATION (0,GbReS e44 S7a2yc'V Al NUMBER STREET ADDRESS S1CTION OF TOWN "HOMEOWNER" Jotbd f} W4(7 CL cit 7Fo -26-39 775 -1N297-- NAME q2 6NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS / toit- ROSS 7 e Qin 3 . ifftercul/I O2bL y CITY OR OWN 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 DEPAR MINIMUM INSP TI PROCEDURES AND REQUIRE- MENTS AND THAT HE/SHE WILL LY,j�i3'T,JaC ID CEDURES AND REQUIREMENTS. HOMEOWNER'S SIGNATURE jj/J�c(y/'' {{yy/ ti APPROVAL OF BUILDING OF IC AL INSURANCE COVERAGE: I have a curreOt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YesbE No ❑ If you have checked,Yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy GI 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 ' •ti Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner 0 Agent 0 Signature of Owner or Owners Agent • • = COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET • dames J Camcoeu BOSTON, MASSACHUSETTS 02111 ro nm,ss one �WORKERS' CO`MPENSATION INSURANCE AFFIDAVIT • �i I 014A) Ii- - iI/r ec-3 (licensee/perminee) • with a principal place of business/residence at • -7 W L(tIZosr Ttect.Acc S • JRtroo7tl , 4- 02041 • (City/Sure/Zip) - do hereby certify, under the pains and penalties of perjury,that: [) I am an employer providing the following workers' compensation coverage for my employees working on this job. • Insurance Company Policy Number [ ) I am a sole proprietor and have no one working for me. [ ) 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 . - • pI 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(CL 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 Accidents'Office of lnsuran¢for coverage verification and that failure to secure coverage as required under Section 25A'of MCL 152 can lead to the imposition of criminal penalties • consisting of a fine of up to 51500.00 a r imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine ofS100.00a •a 'fist me. c / Signed this w /• day of /b/N° , 19 93 Licensee/Permit-zee LicensoriPermirror M . Application to VPNP 4A•S4VtT ji �P�S•�YMS P C� • • - iif66S111 POOV siv :p 1:: �, ; Old Kings Highway Regional Historic District Committee .rr in the Town of Yarmouth for a .l r CERTIFICATION OF EXEMPTION 1 I Application is hereby made, in triplicate, for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo- graphs accompanying this application. yjalei3 TYPE OR PRINT LEGIBLY DATE i ADDRESS OF1PROPOSED WORRK '7 4p_b etsc 6c ASSESSORS MAP NO. • OWNER tib WA/ f-' 'A ' "c `ii C ASSESSORS LOT NO. c� 4 •HOME ADDRESS LO 0 �oreoCC §• /4CM TEL. NO. 7b'b `2q3 / AGENT OR CONTRACTOR /, //7 ry� ADDRESS %' /QaC6�1 �77122 24"ii /�'r/`rt TEL. NO. �j% 20a. ) This application is for exemption of proposed exterior construction on the ground that: yi (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. ' (Check applicable box) - . PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and, if an admition is involved, show- ing location of existing building. r0 W c-, • Xi ` r--, 8 rn ,��,nnrn fn b� \ oK� f� fin s" —r 0 Q„-< I P1 D 2 r � < • • nc ® M c t Cri . CI ' ,. /°/"APPROVED 4111,1 YARMOUTH COMMITTEE OKHRD SIGNED (/' '' I Owner-Contractor- nt . Space below line for Committee use. 5 Received by H.D.C. Tha ✓ - �r/��2� °�"' /+ fr+ct els hereby Date iou /q l / -1 .2/ rw /� - 1 . 1 l / ....- Time X37`) t "'^"'�/.�...i' / / r • /' 1. ��gy PJt ail., / � .. ApprovedThe categories of work entitled to exemption are listed on Disapproved the back of this form. • EXTERIOR ARCHITECTURAL FEATURES SUITABLE FOR CERTIFICATES OF EXEMPTION • FOR RESIDENTIAL USE ONLY • FENCES: 1. Post and rail, split, half round or round; natural finish 2. Square rail;white or natural finish 3. Stockade; natural or gray stain finish; not forward of face of main building • 4. Picket;white only • (Maximum height of all fences, 4 feet) HEDGES: natural, not to exceed four feet in height DECKS: constructed of wood, on single family dwellings, built after 1900, at first floor level,at the rear only, railings not to exceed 36 inches in height, not over 50% to be visible from a way; natural finish or color compatible with building involved BREEZEWAYS: enclosure of existing breezeways, consistent with style, material and color of house, excluding sliding glass doors facing street,way or public place FLAGPOLES: on residential property, not over 24 feet high, not less than 20 feet from way, constructed of wood, with natural finish or painted white, or of aluminum, or of fiberglas or metal painted white ARSORS AND TRELLISES: of lightweight, wooden construction, not over nine feet high ROOFS: natural cedar shingles, or asphalt shingles per approved color samples; not over five inches exposure to weather • SIDING: natural cedar shingles, or wooden clapboards • natural or approved color;not over five inches exposure to weather STORM SASH, STORM DOORS,WINDOW SCREENS, SCREEN DOORS, GUTTERS AND LEADERS: permissible if consistent with style, material and color of building • LIGHT POST: permissible if consistent with style, material and color of building AIR CONDITIONERS: portable. window units at side or rear of building STONE WALLS: construction of field or split stone, not exceeding 30 inches in height • • • • " . NOTE 1. All prior bulletins hereoy superseded. � 2. Conditions contained in certificates of appropriateness shall be binding regardless of any exemptions contained herein. '-.*7-1 A`G --=v7 w7r-- >t- - '- -- yat2_o - -v7no-v)/nr,�Q � - ------- ..ioii vfinJSc---01 4 % y Ind — — — -------------- -- -------------- --ar ' moo ,®- - q - -- --- trait-777,n- ne - -ap .zgnoy�l�r,/LiIriy O - „ ,-, ger,r zi7,M/-.7/-� c irro.7 d-v -->rti? 5-27�,7" . • cj a .• . . . , L.-- 1 ' I I.7 . l. — • 41 • e • • I 1 . ., ., _ _____ . . ,,....--., f _ -\__. t . N•_ IJLIT k -1'..'"""•••••---.--- .r lif / \ ' \ \ . ...-• -.. _. _1/4%7 j t 0 - - ---1-\ —I 7; ---.4)___-- _:OF' _ —7-7-7--_:-- 4,i _::::__I ___ ) N __,_—— - l \, i MOB.-•..---.,....:.-,-- -{ \\Pt i 11 1 re•411. __-__-_,__, --- .7. - ..- . - - ' - . . . ..- . TI. . . • ‘`... ' . .__-....--.- i \ - . - . . . - _ -2-- .-- ____________,___ . . . . _ --,------,-,,---- ,---.--- —-- _. —_— i . . --- , -__21 - -— --- - ...-- . . . . . •, , .. : - ..‘ I I -- . _ _:----- - __ _- _- _._.....,...._..___ ----'"'"---- -- ----- i TOWN OF YARMOUTH OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE I (� SPECIFICATION SHEET n APPLICANT'S NAME b144 1 1�? f'�U2 FOR: C ii7 ed y FOUNDATION: COLOR SIDING: COLOR: q�/ CHL`NE' COLOR: r ROOF /MA EERIAL: PITCH: COLOR: WINDOWS: SIZE: TRLI COLOR: DOORS: COLOR: Sriu11k.:tS: COLOR: QRS: COLOR: • DECK: _SIZE: COLOR: • GARAGE DOORS:. SIZE: COLOR: STORM WINDOWS & DOORS: COLOR: SKYLIGHTS (FLAT ONLY) SIZE: COLOR: ADDITIONAL INFORMATION: • • 9/88:c1 • i4 TOWN OF YARMOUTH . ,. OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE J " +'�,(,ySX42PECIFICATION SHEET (/ APPLICANT'S NAME OMA) 2_FOR: au-Net FOUNDATION: COLOR SIDING: COLOR: CHL`?IEY COLOR: 61/ ROOF MATERIAL: PITCH: COLOR: WINDOWS: SIZE: TRLI COLOR: DOORS: COLOR: SduiitxS: COLOR: Gt,1 aRS: COLOR: • DECK: .SIZE: COLOR: . GARAGE R?GE DOORS:. SIZE: COLOR: STORK WINDOWS & DOORS: COLOR: SKYLIGHTS (FLAT ONLY) SIZE: COLOR: ADDITIONAL INFORMATION: • • 9/68:c1 • TOWN OF YARMOUTH , ,_, OLD KING'S HIGHWAY REGIONAL EISTORIC DISTRICT COMMITTEE � / SPECIFICATION SHEET n APPLICANT'S NAME SJOWAL. W f Pk SJR FOR: abliKAley FOUNDATION: COLOR ftp SIDING: COLOR: w;• � CHIMNEY: COLOR: C'rt�'/ ROOF MATERIAL: PITCH: COLOR: / WINDOWS: SIZE: TRIM COLOR: DOORS: COLOR: Sdu11aRS: COLOR: GuisaRS: - COLOR: DECK: . SIZE: COLOR: . G AR GE DOORS:. SIZE: COLOR: STORM WINDOWS & DOORS: COLOR: % SKYLIGHTS (FLAT ONLY) SIZE: COLOR: , 404 ADDITIONAL INFORMATION: • • • 9/68:c1 Y WOOD STOVE INSTALLATION CHECKLIST (./. 'r. 73-2,e5, . rr-leat Permit s • A building permit is required for the installation of any solid fuel burning appliance. The building penrm�it.,and g� i installation inspection are limited to the stove installation and not to the stove construction. ' I S Stove 1/ t lq3 A. New Used ( Clq3 B. Type/radiant Ct4VFPriv% :4uo ¢.tn'srrut Circulating C. Manufacturer NJ*TElvt) tricas Lab.No. Name/Model No. S1•440ttttt, K723010 Collar size Dimensions/Height 3C`I Length Width 45# . Chimney • A. NewNEW 1(g Existing B. Size(flue area) 01 C. Other appliances attached to flue(Number and flue size) A)LOG D. Prefab(Manufacturer—name and type) E. MasonryiLined Ygc Flue liner fi¢cuf.y Unlined • (type a manurac:urert F. Height(refertodiagrams) z 'ov.E2 ht,Zeairedra%V$ oG/O r cap' t_ DA\cce 7f s a I CVFi 10 t l I ovER !CI IT 112 t MIM. I d l r �A+2 MIK 2 MIT 3 Mari tr. to' 3 MIN., I _ -1 12 11 MIN. Ii— • s',emu y (FVEL/A .i PLGc 51 � HEARTH CHIMNEY HEIGHT Hearth(non-comoustible) A. Materials SAW-40SY rime— C14c.tefE- • B. Sup-floor construction C. Minimum dimensions(refer to ciacraml Clearances and Wall Protection i see stove instailancn clearances cnart) . A. Type of wail protection proviced 6dat.nrrtre; U,acc B. Clearances(refer to ciagrams) /' i !►Ye ,at- 1 X ,ei t •r FIREPLACE CORNER WALL/CENTER ?Y1-) \ID • 13 tb ve$ g 5tK fl)'« ,,✓Nyco cavoina brit, •7,/ non-na L In tar e 8-6SZ211.9IZEQ • J