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HomeMy WebLinkAboutBLD-90-383 `:o ,Yq QtHileb0W6/201Q1Jr 4ro TOWN OFMOUTH, BKFeu) /�/go � MATT-ACME $ 441 C, -% Application for a Permit to Build No. '��� UPON FINAL APPROVAL l L , ,-/- MAP 16 LOT G C FEE MUST ACCOMPANY THIS APPLICATION. DATE! 19`g0 / z5770 The undersigned hereby applies for a permit to build 44:91?o according to the following specifications , ,/ 4 1. Name of property owner`Th0meS W, (,5'u,A%) J/W&PkS0et) Tel. "Rha 'a yo?el Address A wooJag IDL cs2t/t iffi.e.40u11 Poc7 2.Name ofArchitect`iifany) Tel. • 3. Name of builder Wtc kA O TT 'eni a sE i Address /0 Peep Tms o Qo CeuTec u,1/4, 4. License No. Oo 9 63 5 Tel. elat" il5 f 1 5. Name of Mason Address 6. License No. Tel. , 7. Construction address 5f W a-07)Si Pr &2: Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE 3 Type of room No. 10. Multi family ❑ f /a) 000, 4. of c' sostoi uo Peo✓ I 11. Commercial ❑ Kitchen 12. Other ❑ Dining Rm. ' Living Rm. 13. No. of stories Vii' Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab ❑ / 6 re' Bath 15. Materials — Wood ❑ Cement ❑ Other 0 • Deck 16. Type of heat — Oil ❑ Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 Family Rm. . Sun room 18. Swimming pool - Size I6 w 32 Garage 19. Storage shed - Size Shed 20. Stove — Wood ❑ Coal ❑ Alterations 21. Size of lot: No.of feet front 1-150, No. of feet rear 453 No. of feet deep /5b 22. Size of building: No. of feet front -431t0 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 ��LOT RELEASED BY Signature .� PLANNING BOARD Address Date / ( BUILDING PERMIT APPLICATION SIGN OFF •APPL CANT: @1CY4g) Se iOst(TORBUILDING PERMIT #: ADDRESS: /0/112/0O / ,,4 CtikA11`///e. TELE. NO. : 149&-Y51 > DATE FILED: BLDG. SITE LOCATION: n WbOOSIDf. C, cPc MAP/l: 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: I BY: WATER DEPARTMENT . , ._, , a DATE: 6 -�7�"j _7O N/A: 2. ENGINEERING DEP y I NT: / DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT ((((//// ��w r�,,,, 'IDATE: 4,1/96 N/A: I /STR 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. n COMMENTS: L!/,4TP.�— 9* tB� Pe z- rvi(/ R/C7{T ReA, Dd'it)/ /kg - A. eLtecuo `1/fl7I"Tint" G )11SC.D � J oie ©,�/fc /Qjc(Ain - , v 442 in x pcna� sr /ter ell grr .P /A7 OF 771-‘• 7-a�+.y raga- i'o Py 4-7 me eta / ifidABLM/89 97` c 72.-0 740 �1 ''..+'.,+,'���' — r'�i to on to , lam- `: 'Y ='. Old King's Highway Regional Historic District Committee 1 • J j y+ N, • . . in the Town of Yarmouth for •. 3$ �"v �. CERTIFICATE OF APPROPRIATENESS • . / • Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter470. Acts and Resolves of Massachusetts. 1973,for proposed work as described below anion plans_drawings or photographs accompanying this application tor. CHECK CATEGORIES THAT APPLY: .7...-. -< - 1. Exterior Building Construction: C New Building C Addition C Alteration Indicate type of building:C House C Garage C Commercial C Other - 2. Exterior Painting: C =,, - • L,- N MA( 3. Signs or Billboards:C New sign C Existing sign C Repainting existing sign a:: £ t ) 4. Structure: Fence C Wall C Flagpole C Other C (Please read other side for explanation•ana requirements). • TYPE CR PRINT LEGIBLY DATE ADORES OF PROPOSED WORK 8 Woodside Circle - ASSESSORS MAP NO, len, OWNER Thomas W. & Susan Henderson • ASSESSORS LOTlO,G S v HOME ACCRESS 8 Woodside Circle Yarmouth, MA 362-2429 TEL NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any pudic street or way. (At:acn aeditional sheet if necessary). ** Please Refer To Attached Sheet • AGENT CR CONTRACTOR PRO Fence Co. , Inc. 394-4800 TEL NO. ADDRESS 133 Upper County Road South Dennis, MA 02660 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side),including materials to be used. if specifications co not accompany plans. In the case of signs.give locations of existing signs and proposed locations of new signs. (Attacn additional sheet, if necessary). Li Signe211/' /' V Owner-Contractor-Agent Space oeow one for gammlttee use. That the f encin one t , rderfhounei be reducedt e Pan t he 'Received by H.D.C. ia �t� � Ps1c ion taper Ea gamaEFh tpegrront Pfllcingr /,/%v Cate { 13 �yoThti �earc(teA5hereby , . 447.:. .1:i Date.% S Time ✓ $.4.4$.4.4.--i- e v s ; l i f` • :'i ( By—el_ Acoroved C IMPORTANT: If Carnficate is atm-avec. - - ocprcvai is sucieg::o the 10 day appeal :tenon prcwged in ire Ac:. APPROVED Gsacorg•:ec r. Please return to: Yarmouin Historic District D.:mmittee Town Mail. :146 Rt. 23. Scum Yarmou:r, Mass. 02664ARL0 OKUTH COMMITTEE 3—, r r _ PLOT PLAN 1 FOR LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ED Well 0 0.53 I (lot ft. rear) - — — — — — — — uttor's I lot Abuttor's me# kName yr Lot # REARn YARD this is a • v� If this is ier lot, 1ft. corner lot 'te in name write in street. I name of ,; Ia other �� > 8street. , o V etisit t^1 SIDE YARD SIDE YARD HOUSE 0 FT. f') �]—34 - - FT{� . • 0 SET BACK . �C ft. oo I a I I �(.// 0 (lot. . . ia ft. frontage) / g, CQ ®®DS u M1 it- / N / (NAME OF STREET) • `,\ Information � ,� / Supplied by Q MARK NORTH POINT TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: f p D JOB LOCATION: 8 W0.AS tDt c [Rack_ 9�l/Lj'r� 1 OA Y E' $ W rG SOW/(f 7Y�1"uY-S cAJ' VILLAGE OWNER OF PROPERTY:'�j ), CONSTRUCTION SUPERVISOR: 21GRDOSUAIOjI4l ©©9-6 / np '8517 7 /� n n NAMEE/� LICENSE NO. PHONE NO. ADDRESS: TP P 1`OIQe Rog) CekteW (IC 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 THECONMUCTINSPEQTIONPROCEDU S AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. 1 SIGNATURE: AJ:31 BUILDING OFFICIAL APPROVAL: __ . . . ..• , . ...`---- No,,, .....,e 5' . ...e.").% --..-.......d I . - ... - .. .. . . 1 -,.'t••1•5 .... .-”. -. 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