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Home My WebLink AboutBLD-90-392 N .F*YA2 $c ? r�'o TOWN OF - ' MOUTH & KF`W in" OA ,i —HJ T MATTAGMC 5 44 j,t^«o..Ra•�`6ce i Application for a Permit to Build No. \39ca.' i i0 UPON FINAL APPROVAL ti ✓9.11 MAP 74i s/ LOT B a69 FEE MUST ACCOMPANY THIS APPLICATION. DATE 1990 The undersigned hereby applies for a permit to build ao/90 accord' to the following specifications M W/6 ame of property owner EDD/E l C c$ 'cOi/,E,r,✓ • Tel. Address /34. h4j/lo.✓ ,tvt, e-menve/coeinil szban2- 2.Name of Architect(if any) Tel. .-3 Name of builder fe9n/,P "4` ,4005'1 _Address a 9 AJ J.5'oc, 041-6 , 5 cm-7E-44n of' x§ /390 `.395-- 9975 /i� o� i4ti . 4. License No. TeL 5. Name of Mason Address 6. License No. ' Tel. ..i.Construction address sL7/9 4-,in/C6oc./ Gla OZD, so<.77-7. `t,p7#io✓T79. Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost ' j DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 s?.-90- • 11. Commercial 0 ,9p, O_ Pe IX Kitchen 12. Other 0 ` Dining Rm. 13. No. of stories Living Am. Bed Rm. 14. Foundation — Full ❑ Half Ot Crawl 0 Slab 0 44 a- Bath 15. Materials Wood 0 Cement 0 Other 0 Deck IVx /4 / 16. Type of heat '— Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage =1 0 2 ❑ Family Rm. Sun room 18. Swimming pool - Size Garage 19. 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 From rear lot line Side line LOT RELEASED BY Signat / / / - PLANNING BOARD Addres• ' Date • " ( • • TOWN OF YARMOUTH BUILDING DEPARTMENT . CONSTRUCTION SUPERVISOR FORM EASE PRINT: B LOCATION: 474 W/NSLcv4✓ CRAY ep, Scc fll XeleAlov771 NUMBER STREET VILLAGE ER OF PROPERTY: EOA/,5 A.7 Gzec>6i1,62A) NSTRUCTION SUPERVISOR: FOIAn/Jf "Pc /57OOEn/ OS/,3 c/O 595' 9975 NAME LICENSE NO. PHONE NO. DRESS: .;?4? 'ti/46C CU./ /52245 , S'o✓n !//GL4- 447 001 /44 CENSED DESIGNEE: F OTHER THAN SUPERVISOR) NAME LICENSE NO. 15 RESPONSIBILITY OF EACH LICENSE HOLDER: • 15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE ILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL 15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION, TERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING D STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE MMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB- NTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. 15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE SCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT. 15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY HER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. , 16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF E CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON- RUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1 OF THE DE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING ID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED THE RECORDS OF THE BUILDING DEPARTMENT. HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON- RUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAND E CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING FICIAL. • /7 :NATURE: ILDING OFF CIALAPPROVAL: BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: /-'Clore A9c fierprerird BUILDING PERMIT i/: ADDRESS:Pq 4144/2o41 'Tar 5oME6//CL! ft TELE. NO. : 375--997S DATE FILED: BLDG. SITE LOCATION: 4i* '✓4 o`} rg'Pt Qg- MAP//: 5-7 LOT//: /3 c26 y 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: 0 HEALTH DEPARTMENT � DATE: c-7. 1-- 97/9I 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 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: BLDG_ rr. i)jse,er 4&cll if rrtg22 ,5-c L-"-RC e-2 To fc t m So ,Cr Ya;Gt--- 17,--e7a Cep • BLM/89 s//1 4 ,.. PLOT PLAN FOR LOT # Indicate location of garage or accessory building Additions with dashed lines . Sewerage disposal (cesspool) 69 Well g I I (lot ft. rear) Abuttor's I Abuttor's Name I Name Lot # I Lot # ®� REAR Y RD /6 r -4 If this is a If this is 0 corner lot, .. __ _ -_ corner lot •write in name GGG�� T write in of street. •(.. `') name of 4-. i nother �� street. . ro 4 i '0 4 SIDE YARD - a SIDE YARD • HOUSE 0 Cc FT. 0, o oZ P- FT0 SET BACK /Tr.- ?O ft I 1 0 (lot ft. frontage) / 474' t.,///!/SLow 6-e/97 / \ / (NAME OF STREET) r / / \ Information by / /" ei4tlr /11C /�D0E/V MARK NORTH POINT -I 0 L�^1 Oo '�� N �, o i I , Ae I._ - -I- o- - - - _ „cc—I /p o- - _ 1\,gervo TC�f��S 1 a1/4, / C