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Home My WebLink AboutBLD-90-368 Y 0 6 �otiC�f ?J o *41 1r 474 TOWN OF Y OUTH et< Fes"' Flf /lq/Ro (0 i _y' (o MA~T;;;Ct 5 4.f Vit.°Y - Application for Permit to Build No. ` � UPON FINAL APPROVAL V �' '"Jl D MAP /7 LOT 611 FEE MUST ACCOMPANY THIS APPLICATION. DATE W/ 9/ 19 ?'o The undersigned hereby applies for a permit to build 4/ 9/90 according to the following specifications 1. Name of property owner IL, IACaeft' . // Tel. 77f=o%3J� Address 7 (eVG cu t.�n &a/ to Yak w 2.Name of Architect(if any) Tel. a Name of builder C s V' t Pc,v(__Address 3/9 04 5/, z be rata 4. License No. 0099 z z. Tel. 77,E 0272/ 5. Name of Mason Address 6. License No. Tel.p l/ 7. Construction address 7 111l i,.rlU .1�,L i>c-/ Cu ` V4e F Flood District a Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family 0 0/5604 O O if r110 va7/o41 Type of room No. 11. Commercial 0 PE l' ele/As Kitchen 12. Other 0 e6.7-7-a/yl,ffuts Dining Rm, 13. No. of stories / - -living Rm. / ii Bed Rm. 14. Foundation — Full 0 Half 0 Crawl Slab 0 Bath 15. Materials — Wood El Cement 0 Other ❑ � �S-� Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Otherb A Closed porch 3 17. Garage — 1 ❑ 2 ❑ f pi,N6._ Tracts. Family Rm. Sun room 18. Swimming pool - Size f v 104-0• Uy To Garage 19. Storage shed — Size TA-7-‘ 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 21 Distance from nearest building: Front Ft. side Ft.side Rear 24. Distance back from line or street From rear lot line Side line i LOT RELEASED BY Signature • 2 PLANNING BOARD ress Date DING PERMIT APPLICATION SIGN OFF APPLICANT: 1.--.4„,9 put BUILDING PERMIT #: ADDRESS: TELE. NO. : DATE FILED: BLDG. SITE LOCATION: MAPA: LOU: 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.:iREQUIRE- 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 DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT DATE: 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 TUB-BUILDING . PERMIT. - COMMENTS: • BLM/89 • TOWN OF YARMOUTH BUILDING DEPARTMENT • CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: C� �l / ��e J� LJ/, _ JOB LOCATION: / tOf 1 la-, ..t ,+2 [T�( "1/r /'l K✓/t0 e, rvl NUMBER , STREET STREET VILLAGE OWNER OF (sPROPERTY: _�, K CONSTRUCTION SUPERVISOR: crilom Ps p/.P(raq 00792 77,fca ya f /NAME (174t0,91 LIC NSE NO. PHONE NO. ADDRESS: 3/7 0 4-.CP I�l�Z. � / 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. 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 OF 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 CON STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. SIGNATURE: 0 . K. VQ.. 4. BUILD `G OFFICIAL PPROVAL: