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BLD-90-376
o 'Y'qRQpS�° re 66,46 *If: T A TOWN OF ' ' MOUTH cKFew &/M/4o O i H' MATTACHELS � ,e.4 Application for a Permit to Build No. 74 Pottcal /16 UPON FINAL APPROVAL MAP 21" LOT ` / FEE MUST ACCOMPANY THIS APPLICATION. DATE CT ✓�4 1q q a The undersigned hereby applies for a permit to build 0 according to the following specifications 7_ HA - 6/6/Mer 1. Name of property owner c>i /1 N T � P 1 1 ' 5k Tel. Address / CJ a F5) O I' 7Ci co )44.1 2.Name of Architect(if any) Tel. 3. Name of builder OMd H a R Pg//F71£R• Address JI / ��6 ME ?o .��AR 4. License No. no 7 11 ) Tel. lqg-Pg S3 5. Name of Mason Address 6. License No. Tel. 7. Construction address / €4), _.. ‘kl Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 / Apo, D, 11. Commercial 0 t pt, A.0 C VtoX kf' Kitchen 12. Other ❑np cKCs %/Js TN Dining Rm. 13. No. of stories (R7 la" 0Living Rm. i% 0' crO Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement 0 Other 0 Deck(c ge 5) .2- 16.Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch 17. Garage — 1 0 2 ❑ Sro Rm. Suunn room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood ❑ 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 2a Distance from nearest building: Front Ft. side Ft. side Rear 24. Distance back from line or street From rear lot line Side line LOT RELEASED BY Signature (CC 1-4-4^Q R6O/edt PLANNING BOARD Address //r41-24.4 (?i2 Date a _ 4 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: / So R 1_ S ( DE, PER R so 174NUMBER OWNER OF PROPERTY: O g. A F X74 2 rl TREET VLAGrE��y r CONSTRUCTION SUPERVISOR: r(7&1 , M (3 7 7 3l f F.( i r R oo 7) 1 ( J ( d� / NAME �J r/ LICENSE NO. PHONE NO. ADDRESS: ,i� /x( / Ai 0 C i (l o y r4- R 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. Q ^ PittSIGNATURE: / Ur) BUILDING OFFICIAL APPROVAL: • .a PLOT PLAN - FOR .LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) a Well 0 S I 4 5 (Jot s v C/� ft. rear) Abuttor's + I Abuttor's Name I Name Lot # I Lot # �. REAR YARD If thisisa 7 ' - If this i` corner lot, , - ► 1 ft. corner to write in name 6, write in of street. •) �. j' - I name of 2 (tk J • I a other d street. . 7 4 C.C5AS1° V 6(15 T 1'4 G SIDE YARD SIDE YARD HOUSE ft FT. r) FT� a V 4 I` . I . 3 SET BACK ft. I (lot ft. frontage) _ \ / 1 510RrSi Pfi 7-6 \\ / (NAME OF STREET) Information/ \ Supplied by a� �� 12 k)Piditt / \ 1 MARK NORTH POINT • M.FtRTIH X12. ' '31:0CMR 10.99 • • Form 2 DE?Fie No. • (To be provided by DEP) _-= Commonwealth City Town YARMOUTH ='-J`- of Massachusetts Applicant John F. Martin.Jr- ', • • • Determination of Applicability Massachusetts Wetlands Protection Act, G.L. c. 131 , §40 and the Town of Yarmouth Wetland Bylaw From Town of Yarmouth Conservation Commission Issuing Authority To John F. Martin. Jr. John F. Martin. Sr. (Name of person making request) (Name of property owner) Address 8 Hoskinq Lane, So. Yarmouth Addrep1 Surfside Terrace, South Yarmouth This determination is issued and delivered as follows: by hand delivery to person making recuest on (date) by certified mail, return receipt requested on May 18, 1990 (date) Pursuant to the authority of G.L. c. 131 , §ao. the Town of Yarmouth Conservation Commission has considered your request for a Determination of Applicability and its sucperting documentation, and has made the following determination (check whichever is applicable): Location: Street Address 1 ciirfcide TArrcP,, c^uth Yarmouth Lot Number: 1. _ The area described below, which includes all/part of the area described in your request, is an • '• Area Subject to Protection Under the Act. Therefore, any removing, filling, dreegln.g or _ altering of tnat area requires the filing of a Notice of Intent. 2. _ The work cescricec below, which induces all.'part of me work cescnbec in your recuest. is within an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area.There- fore. sale work recuires the filing of a Notice of Intent. • • E!fecave 1111C/89 2.1 3. 0 The work described below, which includes alf/part of the work described in your request, is within the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under the Act. Therefore, said work requires the filing of a Notice of Intent. . CONDITIONS: ALL PROPOSED GRASS SHALL BE PLANTED AT A MINIMUM, 10 FEET LANDWARD FRCM THE BULKHEAD. . This Determination is negative: 1. 0 -_ The area described in your request is not an Area Subject to Protection Under the Act. . 2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but will not remove, fill,dredge, or alter that area.Therefore, said work does not require the filing of a -- Notice of Intent. 3. Li The work described in your request is within the Suffer Zone, as defined in the regulations, but will not alter an Area Subject to Protection Under the Act. Therefore, said work does not require the filing of a Notice of Intent. 4. 0 The area described in your request is Subject to Protection Under the Act, but since the work described therein meets the requirements for the following exempticn,as specified in the Act and the regulations, no Notice of Intent is required: Issued by TOWN F YARMOUTH Conservation Commission ita_ Signature(s) Afit 14,/ et•tuQ I tic/CIS° / ' This Determination must be signed by amajority of the Conservation Commission. Cn this /7 jo day of/7 �` /47 1. 90 . before me personally actearec ' - , to me known to be the person described in, and who executed, the fcr ecc:ng instrument, and acknowlecged that he:she executed the same -s his:heerr free act an eed. �� / i7. //iii. �Dimegulen Ezpity NaarMse reeq Notary Public My commission expires Tnis Determination aces no:relieve Inc ac:ucanf Iron,comolymg won an other aooucoble leoerat.state or IC:al statutes.oromances. byaws or reyuauons.This Determination snail De vatic for three years torm me pate of issuance Tile©':point.me owner.any ceson agonevec by this Determination.anv owner of Ian:souring me Ian:upon wmcn the or000seo were a too.cone,or env ten resloents of me city or town in wnlcn such Ian::s local ec.are hereby notltie:o:mei,non;to recuest ine Department of Environmental Protection to issue a SuDerseoing Determination of A:iigabimy.Prov oing Inc re guest is mace cv cer:neo mail or nen: oelrvery to me Deosimen:.w::1 me a:pro:riate film;tee an:Fee Trans-:cal Fcrrn as Otovioea in 310 CMR 10.0;.7,wnn:n ten Daus from me este of cssuance of This Deem enation.A Coy ct the request snail a:me same time De sent by canihee mail cr nano oeuvery to the Conservation commission an:Me pull:an;. • BUIILDING PERMIT APPLICATION SIGN OFF APPLICANT: 77/9/1/4/ 01,4/ 1� re f WIE T ' %/1 BUILDING•PERMIT 1l: l . ADDRESS: I(o/ �rc/SO �'I�% P0 J O/M TELE. NO. : 3i�3-CST DATE FILED: 61!!!/40 Q . BLDG. SITE LOCATION: MAPA: LOTH: 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 04MDATE: C��/TQ N/A: v o I UST 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 -I