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Home My WebLink AboutBLD-90-371 POSTED el( 4/tVto OF•YA-ItA 0 t flt) (A(tj( 90 . ` O TOWN OF YARMOUTH 0 ,. '_••_, H. ,,..:.,,H ., *4' psi, Application for a Permit to Build No. MAP`° LOT FEE MUST ACCOMPANY THIS APPLICATION . DATE 4- I c 19 qO Co The undersigned hereby applies for a permit to build //ci/i9d according to the following specifications✓- (�/�j/96 1 Name of property owner t /L Ei✓ (atm/ Tel. Address 17 Si[vLr2 Lc,of [.r, tu, y e— 7A 2 Name of Architect (if any) Tel. 3 Name of builder fi4///1?aMD /,1, /k/4Yi;Tfddress / au atoC= /3e.'27 //,jiyy 4 License No. 0/ 730 Tel. 774--_3/ e7 5 Construction address 17 Si tae, 4-#4 6 Date of subdivision Approval Flopd District plain zone Zone 7 Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE. 8 Multi family 0 35-00,2- inn isr..,.jkeg Type of room No. 9 Commercial ❑ fax iv 10 Other ® Scot,/ PcLtc_ lzot S)•0 /0X/2._ geLb Kitchen /oxiz Dining Rm. 11 No. of stories ';� ejz. Living Rm. 12 Foundation-Full Es HalfOCrawloSlab❑ ✓Q `"� Bed Rm 13 Materials WoodaCement❑Other❑ mfdAr/07 Bath 14 Type of heat-Oil❑Gas❑Electric❑Other ❑ Deck /0)or / Closed porch 15 Garage - 1 ❑ 2 ❑ "7 Ls-40u Family Rm. 16 Swimming pool-Size Sun room 17 Storage shed -Size to x /z_ Garage Shed /mX / 18 Stove-Wood ❑Coal 0 • Alterations 19 Size of lot: No. of feet front Ss No. of feet rear ,0 No, of feet deep Sc 20 Size of building. No. of feet front .33 No. of feet side? No. of feet rear 3? 21 Distance from nearest building: Front Ft. side_Ft. side_ Rear 22 Distance back'from line or street/30 From rear lot li/ng, �� Side line G3 Signature /��/ a • vstA LOT RELEASED BY Address PLANNING BOARD Date TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: �7 5LL ✓r2 LenF ci4), W , /iyRmouT.,, NUMBER STREET VILLAGE OWNER OF PROPERTY: if/ , eft/ CogE/ CONSTRUCTION SUPERVISOR: /2i4yhio+.J7 A , ?Ay/"e on lc" 7793)457 NAME LICENSE NO. PHONE NO. ADDRESS: 07 Silve2 kgs r 4/9r W , yneenouTh 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 UNDERSTAN THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. ( �, SIGNATURE: IP E j y1 e� C�7 A BUILDING OFFICIAL APPROVAL: �/df, *If BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: LI/(15r 1 6'70(91 BUILDING PERMIT #: ADDRESS: /7 SA Leer LA , lv,y4CTELE. NO. : 77 s- 3/67 DATE FILED: BLDG. SITE LOCATION: 17 S'j L k�« 1.,e4/r /✓a MAP//: LOT#: 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 DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT /00, DATE: C /O > N/A: I IUSTR • 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: BLM/89 • PLOT PLAN . ;..' - FOR LOT # /7 Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) GI Well 0 • (lot ? ft. rear) Abuttor's I Abuttor's Name I _ Name Lot # I f0 eir Lot # REAR YARD 3' (L� If this is a • ,� If this i corner lot, ... ...ft. if i w corner to write in name 1 /5' write in ..• . .,• of street. • + ^ 2d' n 1 name of ;..; - 1 l,_ �1 • a other lai of Dec iveN/ :. ro street. . 4 ii /a. 7 ••..44.10 • SIDE YARD . .' SIDE YARD HOUSE 0 /3-1 FT. 0 /S d FT• /jot I N I SET BACK .Li5-. ------- • =— -.-,,ar— ft.- I I - — - (lot 6 3 ft. frontage) . . .. \ / 3/LVirg- Ler CA. \ / \ / (NAME OF STREET) Information / Supplied by . / Crt-t 7/\ A - 4/ i \ MARK NORTH POINT • . 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