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Home My WebLink AboutBLD-90-384 ;0F:ygjt.. . 0 0,K Few y. 4* TO OF YARMOUTH ��''i°o it:- 'ul N MATTA DICES 4'' • • Q 4° Application for a Permit to Build No. 2 51 UPON FINAL APPROVAL P�.�s��b MAP �� 7 LOT a e FEE MUST ACCOMPANY THIS APPLICATION. DATE __— ' ar` The undersigned hereby applies for a permit to build - a5 Yi according to the following specific ions �-- (p J,.5/9D 1. Name of property owner o e��r v ixtU Tel.7?,- Address a Sco,I A , - ' e Q. 2.Name of Architect ' :ny) tio4/67- Tel. a Name of builder .a.' : _ J... - '.i 0 ' •dress c f C'� /'avn, di, jr r. t 4. License No. _. ;7 - : t _ 5. Name of Mason Address 6. License No. Tel. 7. Construction address lv VI A/4//J s7' - y'��/yo v 9717 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 yd �dRifAr,12 rule- 11. ier 11. Commercial ❑ Are pet l_� ,),H.,1 nae a ;ARoo KS Kitchen 12. Other ❑ A D Dining Rm. 1 13. No. of stories if p 12 Living Rm. Bed Rm. 14. Foundation — Ful Ap,,,, `Half 0 Crawl ❑ Slab 0 Bath 15. Materials — Wood ft Cement 0 Other 0 Deck 16.Type of heat — Oil t Gas ❑ Electric 0 Other 0 Closed porch 17. Garage — 1 ❑ 2 ❑ Family Rm. Sun room 18. Swimming pool - Size /00'41 6' Garage 19. Storage shed — Size eliot- _ Shed 20. Stove — Wood 0 Coal 0 ^, e 6,14.4.c Alterations 1 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 From rear lot line Side line 11C? LOT RELEASED BY //�/_� i•nature / / s. I/ PLANNING BOARD Ain Adp'ess 6/a y b wou sr Date 1 - IXJU I `� l , Y oO?� G� 62 2) �'BUILLLD�ING PERMIT APPLICATION SIGN OFF APPLICANT:/6/5a?'% ./ , i'�, e4-0O BUILDING PERMIT�7if: ADDRESS: (p-aV /14/,O J)7 TELE. NO. : 7'/t SgDATE FILED: &'/44-e-) BLDG. SITLJLOCATION: ,Sj9--f4/ES' MAP#: [ 33 LOT!): 3 ?Q-a 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: �G (- 1. WATER DEPARTMENT i � � DATE: d5.-0.70-9e, N/A: 2. ENGINEERING DE' I'TMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT 0� a DATE: GJ0e) N/A: I/IUS ' IAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: � / DATE: jf N/A: 6. PLUMBING INSPECTOR• m .�', DATE: 4 gr Q N/A: 7. FIRE DEPARTMENT: /r-: • G' o DATE: / rN/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: ties" - /f'trc +,...a. .� //or( j,./ 7,auf'.,./ i _Te' - )L. i o .�'�,R i5A)OV,1-j7LWNS 2&n4/7-4Al en-- (.3) 2e.& A-1,1-2.0tce�/ .t,,naee->a c� re9new Vt-J HS'ey-471( m • BLM/89 O/9/90 TOWN OF YAMOUTH BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE G1/47/f JOB LOCATION (a y //47/1 7/V SYkee7' (_e_), y/ GAO U P7Q'< NUMBER STREET ADDRESS SECTION OF TOWN "HOMEOWNER" ,8 T -zr HOU (a? 1-oY t;e2 PHONEC 72, a (%) NAMEPRESENT MAILING ADRESS 6, o i d X e‘y (0' Yaz CITY OR TOWN *'� n->c' 14 ZIP CODE THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN- DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1) DEFINITION OF HOMEOWNER: PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE- SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE .TO SIX FAMILY DWELLING, ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES. A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL, ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1) THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS. THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH BUILDING DEPARTMENT MINIMUM INS'ECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE WILL COMPLY WITH SAID PRS' anURES AND : ' a1lm TS. HOMEOWNER'S SIGNATURE Ie APPROVAL OF BUILDING OFFICIAL NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL. 7-C:Y1 . k _ en .--.... . - 1 , • • • L 1L , . :. ::: .? /1 I • .1)111;10 1 X' 14 OMittsx / p—j0- a1 fall V foitt ^utrh pl t / o ,: __j II 111 0 i � Jtnr \J i 1 _ i, TOWN OF YARMOUTH BUILDING DEPARTMENT • CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: �jaq �ki0 C J( 0 NUMBER x � STREET VILLA E OWNER OF PROPERTY: -({�` CONSTRUCTION SUPERVISOR: � f' r7IF-Mg) trcta6 0N � Y j�/ NAME LICENSE N0. PHONE N0. ADDRESS: C3{(y q5- B J t f( -( /\ 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 INSPECTIIONN PROCEDURES //AND THTHE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL.A �C ��N`'� c ��`-C�`r� SIGNATURE: �/� BUILDING OFFICIAL APPROVAL: