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L II:•v - Application foraPermit to Build No. c3M
UPON FINAL APPROVAL s &/ " MAP 410 LOT A 93
FEE MUST ACCOMPANY THIS APPLICATION. DATEecacer 19 5 0
The undersigned hereby applies for a permit to build (o/as19"o
according to the following specifications ' (g/as/92
1. Name of property owner -fest,2n
A-U� • " \t&I IZ `a4b-r Tel. 3y 2-,36-06
Address 12`v? S-4-uazc-i i
2.Name of Architect(if any) ('' 1 o5cAA �}N5 ' o p
3. Name of buil a dress
4. License No. Tel.
5. Name of Mason Address
6. License No. ��,,cc Tel.
7. Construction address-v- CS II)
Flood Ci District
8. Date of subdivision Approval � 0 Slain zone Zone
9. Private dwelling Estimated Cost DO NOT WRITE IN THIS SPACE
G ex a- 5,qtrb Type of room No.
10. Multi family 1000
11. Commercial ❑ Kitchen
12. Other ❑ )63—`(9c) Dining Rm.
Living Rm.
13. No. of stories / Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab D 0"-" ' Bath
15. Materials — Woodf Cement ❑ Other ❑ Deck
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0i DP Ii' Closed porch
17. Garage — 1 0 2 0 .N 0 f•-f-1- Family Am.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size _ Shed 8X g-
20. Stove —Wood 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 From S--Com rear lotmaline Side line
LOT RELEASED BY Signature �'I-d- LQ "\\7it2c. c,/"
PLANNING BOARD Address A \wi .'1 -a-i--,c L4
Date
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE 6`/6n°
JOB LOCATION 3 0 -S C4 m, _>-7-, lW eir yrol/i0v/7j(
AlUMBER STREET ADDRESS SECTION OF TOWN
Al
"HOMEOWNER" 0I�L0 .1 . So? -3 9 L-3So,,g-
N HOME PHONE WORK PHONE
PRESENT MAILING ADRESS I Harold 3.Muir
—- 128 Stuart Avenue I
Leominster,MA 01453
I
CITY OR TOWN STATE 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 INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH SAID PROC S AND REQUIREMENTS.�
HOMEOWNER'S SIGNATURE 7// /�12i ----N..__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.
•
•
PLOT PLAN
FOR LOT ft
Indicate location of garage or accessory building
Additions with dashed lines .
. Sewerage disposal (cesspool)
Well 0
• I Rif JAA/K__ 0--alt_ I
I (lot ft. rear) I
Abuttor's I Abuttor
Name I Name
Lot # ILot #
REAR YARD
If this is a • If this
corner lot, ft. f� corner
write in name 1 poet i d., write
•
of street. , i° r y name c
;... � treet.
IIii
• r
•
4SIDE YARD \ YARD
FT. 0, N0 I
FLQ
.-N---D
I
I
SET BACK
ft.
I -
I
I
0
(lot ft. frontage)
�3 (-- Sas l „ J):4 l
/ (NAME OF STREET)
Information J � ��
/ \ Supplied by ��`��` �
MARK NORTH POINT
0 BUILDING PERMIT APPLICATION SIGN OFF
APFLIGANTT: r /1 4 BUILDING PERMIT #:
ADDRESS/2 /01 '; 4//f - Ven1ZL41t6'_� ELE NO. : DATE FILED:
BLDG. SITE LOCATION:S�,7j'4_ 3QS �( ny2 MAPi#: LOU:
THE FOLLOWING INFORMATION OUTLINES THE PROCEDURALE9STEPS 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 w ' / f DATE: OSP) N/A:
Ij S RIAL 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
�'9/9d