HomeMy WebLinkAboutBLD-90-374 LCekfk-f ':e TOWN r► r YARMOUTH 1,o(a�•
\7:." :3i Application for a Permit to Build No. 379
pa (4-,oiRO MAP LOT
FEE MUST ACCOMPANY.THIS APPLICATION . DATE l8 19 90
qo
he undersigned hereby applies for a permit to build 30 9d
ccording to the following specifications
Name of property owner Mes , Tb1ortm-ky W.;,., Tel. 3qe-Q977
Address 's 1..04 tt;e'- Place S.110e..b„4-1,
2 Name of Architect (if any) — Tel.
3 Name of builder Oman Censiltue-LL:nCo(£4" A)ddress 78 Smedley 2d. g. yae. 'i-k
4 License No. 09c)p71 Tel. 398-Hata
5 Name of mason '— Address
g License No. Tel.
7 Construction address • 3 1.011 fit e;- plate. S.lna,.,.,N-1,
Flopd District
8 Date of subdivision Approval plain zone Zone
9 Private dwelling M Estimated Cost DO NOT WRITE IN THIS SPACE
10 Multi family 0 41asoo,c1) Type of room I No.
Q Ct
11 Commercial CI Perm!Pee +r 2,0,22.c_ RCP"� DeGIC
cx ier�n px7e ,er deck. nista' a Kitchen
12 Other C3tox aRa' 57val s« Dining Rm.
13 No. of stories4/° Living Rm.
14 Foundation-Full ❑ Half❑CrawlDSlab❑ " Has. Bed Rm
15 Materials Wood❑ Cement❑Other❑ Bath
Deck 1
16 Type of heat-Oil ❑Gas❑Electric❑Other ❑ • Closed porch
17 Garage - 1 0 2 0 Family Rm.
18 Swimming pool-Size Sun room
Garage
1'9 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 C From rear lot line Side line
Signature c/ s>
LOT RELEASED BY Address 7$ S'bid Pt/ 2. .
PLANNING BOARD S. yaamo,A4_ r X14. aat-et,y
Date
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:C\C4 OF YARLOt TH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
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LEASE PRINT : • DATE (cI(0t?o
D3 LOCATION 3 to 11,14%;- Plate. So.gaamo3V�
NUMBER STREET VILLAGE
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:SNER OF PROPERTY Th0c cin..
:ONSTRUCTION
;UPERVISOR E2CUc ( may, 014(4(7? 399-40,a
• NAME �1LICENSE
S /1
NUMBER PHONE PHONE
,DDRESS 2 Shiale , d. S.`laamool & I / l2. bSGG1/ .
NUMBER / STREET CITY/TOWN STATE ZIP COD
,ICENSED DESIGNEE
(IF OTHER THAN SUPERVISOR) NAME LICENSE NL„3ER
?• 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
Dy the Building Official. •
2. 15 . 2 The license holder shall be responsible to supervise the construction ,
-econstruction , alteration , repair, removal or demolition involving the struc-
_ureal elements of buildings and structures only pursuant to the State Buildin ,
:ode and all other applicable Laws of the Cosaionwealth even though he , the
license holder, is not the permit holder but only a subcontractor or contracto-
to the permit holder.
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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 Sections of these Rules and Regulations and any procedu
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 person
engaged in construction , reconstruction , alteration , repair , removal er demoli
as regulated by Section 109 . 1 . 1 of the Code and these Rules and Regulations .
the event that such licensee is no longer superv:sing 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 reg ' =* • cns
for licensing construction supervisors in accordance with Section 109 . 1 . : of _
State Building Code . I understand the construction inspection procedures and
the specific inspections as called for by the building official .
SIGNATURE c-)i• .
(LICENSED CONSTRUCTION- SUPERVISOR
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BUILDING OFF1 _ -_ -PPROVAL
BUILDING PERMIT APPLICATION
APPLICANT: I—Are4� �." BUILDING PERMIT #: .
ADDRESS: 3 (.13 I« Mnc SlArsxnoR-. TEL.NO.: 399-®477 DATE FILED: cob H1go'
BLDG. SITE LOCATION: 3 (Jh<p MAP #: LOT #:
The following information outlines the procedural steps required to obtain a Permit to BUILD - ALTE
-or ADD TO - any structure within the Town of Yarmouth. The Building Department will determin
compliance to the following: (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOG
PLAINS ZONING. The Building Department will be responsible for assisting the applicant through th
following departments:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: Determines Compliance of Water Availability.
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ENGINEERING DEPARTMENT:Determines Compliance for Parking and Drainage.
CONSERVATION: Determines Compliance to Wetlands Acts, i.e.: If lot(s) border any .
type of Wetlands - Streams - Ponds - Rivers- Oceans- Bogs - Bays
-Marshlands, etc.
HEALTH DEPARTMENT: . Determines Compliance to State and Town Regulations, Le.: Re-
quirements for Septage Disposal and other Public Health activities.
FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Per-
sonal Safety - Property Protection, Le.: Smoke Detectors - Sprinkler
• Systems, etc.
The following departments must sign off, in the respective order, prior to the Building Inspector issuin
the required Building Permit:
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: ,.)N/A:
4. HEALTH DEPARTMENT: DATE: G O y(/ 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 .t.
ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEI
FROM THE DISPOSAL SITE MUST BE .SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO
ISSUANCE OF THE BUILDING PERMIT.
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COMMENTS:
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PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well 0
1 I
(lot ft. rear) I
Abutbor's Abuttor'
Name Name
Lot # I Lot #
REAR YARD
[f this is a •
75 If the
corner lot, ft. cotter
write in name • write
of street. i,, J name of
a other
a C3
--• '; b street. .
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SIDE YARD • v SIDE YARD
HOUSE
ft 'd0 FT. ga o �/O FTT •
�I .
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Q
09 SET BACK
-41
0
(lot ft. frontage) •
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(NAME OF STREET)
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/ Information
/ \ Supplied by PI 1.5 Oran ^^
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MARK NORTH POINT