HomeMy WebLinkAboutBLD-90-394 cote( t(a0-y10i-si
;•� . s TOWN 0 ARMOUTH ,
MA• TTACM5 41 - -
j,e ..Zt g, Application for a Permit to Build No.
UPON FINAL APPROVAL 6'a6 J `MAP ID? LOT #2 '
FEE MUST ACCOMPANY THIS APPLICATION. DATE 19 90
The undersigned hereby applies for a permit to build
according to the following specifications • /„/A4/g6
1. Name of property owner mA(`L Tl On le 7�" Te13671.?(wt/
Address SJ W.744rrnoJ}l1/ 4 \/Arw,W'}L pnr-f-
2.Name ofArchitect(if any) • Tel.
a Name of builder SAn.p,.. naii Address
4. License No. - Tel.
5. Name of Mason - - Address
6. License No. Tel.
7. Construction address t t .2 _i . : '' ('-)Otal Am/
Flood District
8. Date of subdivision Approval plain zone Zone,
9. Private dwelling W Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family 0 f 100 .00 becl4 12-xj y
. Type of room No.
' . " 11. Commercial ❑ ` ✓ rr ea' Kitchen
12. Other 0 WA/ tdee . 7acly/ Dining Rm.
•
13. No. of stories Living Rm.
. Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 • Bath
15. Materials - Wood 0 Cement 0 Other 0 Deck /2.X/9 /
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 Signature "---14-a.�
PLANNING BOARD Addres%) # ' '//
Date S. Yip-rfraa4Z. )77i,
.4
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE (MC*
JOB LOCATION , Lth � trw
NUMBER � STREET ADDRESS P721tECTION OF TOWN
"HOMEOWNER" TharI jar Je\/ H MS HONE -9 IWORK RHONE ,
PRESENT MAILING ADRESSA9 MrsAm >'/
S. )44-rerv, ) I Oe' 1
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 PROCEDURES AND QUIREMENTS.
HOMEOWNER'S SIGNATURE
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.
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: rnlir e1G�/ BUILDING'PPERMIT 11:
ADDRESS: LD��GP(tnotkk ~4 )4cynzplL TFLE. NO. : .3Yo2 -2kil DATE FILED:
BLDG. SITE LOCATION: 6? (.(t)/arra. in W MAP#: � LOTH: Alit>
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 i E/�y�� DATE: N/A:
I IS IAL 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_JSSUANCE OF THE BUILDING
PERMIT. .-=-
COMMENTS:
_-COMMENTS:
•
•
•
•ELM/89
' . ---__—_-- --. PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) 0
Well 0
. I
(lot ft. rear) I
Abutter's Abuttor's
Name I Name
Lot # I Lot #
REAR YARD
If this is ay� If this is
corner lot, l . ...3.l� ..ft. corner lo
write in name �`�,�,' write in
•
of street. 1' 5 el, ,t I name of
•
3 other
•
P•
C__37, 17\ �T�� 1 0 street. .
•
•
SIDE YARD SIDE YARD
HOUSE �,/
_ FT_ 0cv FT• •
•
•
•
•
•
I as
SET BACK
0 •
(iot ✓lf� ft. frontage) _
to, yarn-,2 ti &,
\\ / (NAME OF STREET)
•
Information
Supplied by
MARK NORTH POINT
_:� .. = !•� Application to
a '' Old King':. Highway Regional Historic District Committee
orrtmitte.
5 ' �-artea
/"\.^� ��',� in the Town of Yarmouth for a 3 9' /
z„...„&„) 1 CERTIFICATE OF APPROPRIATENESS
- Application is hereby made in triplicate.for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470•
Acts and Resolves of Massachusetts. 1973, for proposed work as described below and on plans,drawings or photographs
accompanying this application for:
l CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑New Building 14.Aqrdition ❑Alteration
Indicate type of building:❑House ❑Garage ❑Commercial El-father /Z /A /9 ..,&•' h
2. Exterior Painting: ❑
3. Signs or Billboards:❑New sign ❑Existing sign ❑Repainting existing sign
4. Structure: ❑Fence ❑Wall ❑Flagpole ❑ Other
(Please read other side for exptanation.and requirements). p
TYPE OR PRINT LEGIBLY
DATE Z7//Q
ADDRESS OF PROPOSED WORK .63 rt Ho
�,4/‘/ ory�t rllA� ASSESSORS MAP NO.JVZ
OWNER runtHO/�`�J ASSESSORS LOT NO. /li2
HOME ADDRESS -I 11-14i/gr _",T4eA TEcL.;NO. 3/Z— ..
00^ 7 /, So armor DZbeF- l
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent promegy own s acros3 any public
street or way. (Attach additional sheet if necessary). el at
rn
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AGENT OR CONTRACTOR r iqs---k !/rGe2/ TEL NO.
ADDRESS /
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 do not accompany plans. In the case of signs.give locations of existing signs and
proposed locations of new signs. (Attach additional sheet, if necessary).
Lei k /Cy / ,,OWN C<Cdr 4.-e.41ed '&-r--t 74a £o `-it
f€ a/o/ ���
w1f4 Sr/i=i4r,-4,y/ p^ Signed
ILMUir Owne tractor-Agent
•
Space below line for Committee use. /)"
•
. - Received by H.D.C. V
3/2- 17o Agade.vc /... 3/ , . •
Date The Certific sr reby ' Date •
' Time i'4 �✓ V \ 0t/ r sr 1,1 by. / `iV 1
------
et
•
. Approved !O IMPORTANT: If Certificate is approved.approval is subject to the 10 day appeaI� /C
` provided in the Act. APP RO \/ E I
Disapproved ❑ Please return to: • Yarmouth Historic District Cornmittee 3/Zi )gv(,6t0
Town Hall, 1146 Rt. 28. South Yarmouth. Mass.02664 YARMOUTH COMMIT
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OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE 3 [I Q
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SPECIFICATION SHEET
APPLICANT'S NAME )c f V r l&y FOR: /2'X l4 1 la
FOUNDATION: COLOR
SIDING: COLOR:
CHIMNEY: COLOR:
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ROOF MATERIAL: PITCH: . COLOR:
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WIDOWS: • SIZE: =o •
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DOORS: nSLOR�,;> 0
SHUTTERS: COLOR:
:ERS' COLOR:
DECZ: `Z' X IY P2° Ur Trbi 7,$: W0069 COLOR:
GARAGE DOORS:. SIZE: COLOR:
STORM WINDOWS & DOORS: COLOR:
SiYLIGHTS (FLAT ONLY) SIZE: COLOR:
ADDI:IONAL INFORMATION: •
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YARMOUT COMMITTEE
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