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cek ` ' t Application for a Permit to Build No. 896
UPON FINAL APPROVAL � "a� MAP S LOTe - 96
FEE MUST ACCOMPANY THIS APPLICATION. DATE 6.4.4. - 19 90
The undersigned hereby applies for a permit to build roZ0/,9
ac,rding to the following specifications Warn ap,-- --a.G
✓1. Name of property owner f_ 62vA,e4 /nP Ay CIC L t. /NA N F_ Tel.-23.9- �-?3
Address • ,,ao '41-d Al Rd , A
2.Naive of Architect(if any) Tel.
3. Name of builder ___ o) Address
4. License No. Tel.
5. Name of Mason Address
6. icense No. Tel.
1/2. Construction address 3o thst 7 )P/DE4P ea So. )4.? ynat 7-/'
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 : 351• a a
11.Commercial ❑ rte 0�i / id Kitchen
12. Other ❑ Dining Rm.
13. No.of stories Living Rm.
►+. I c C1i Bed Rm.
14. Foundation — Full ❑ Half 0 Crawl 0 Slab 0 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 Garage
19. Storage shed — Size Shed To
I
20. Stove — Wood 0 Coal ❑ . 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 streetFrom rear lot line Side line
LOT RELEASED BY Signature �'// -
PLANNING BOARD Address .3�V/�&� C73 rt �, 0
Date ,- L/� OOnL�" -
TOWN OF YAMOUTH •
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE C- AS-- 7a
JOB LOCATION SO C'`n/°T• 0"/Y1)45-4- /fa . S d . //f /t7 o k Tom'
NUMBER STREET ADDRESS SE TION OF TOWN
4-/n/W9( U)- ,23a - 5-7a3
"HOMEOWNER" E %,f1P,o C.2144 /LARNE 3y/- /e?JL NO NE
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADRESS C//6S7-N2 7- 5r
?en 4'4/n/C /724- c).3,V4
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 REQUIREMENTS.
HOMEOWNER'S SIGNATURE )---n_,„/ ti
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.
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-., PLOT PLAN '
FOR LOT # =
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a
Well pg .
.4/2)NE/ 7-u/4CL //}/" S
(lot ft. rear)
- - — — 7 — —
Abuttor's /o Abuttor's
Name Name
Lot # st / I Lot #
REAR YARD
If this is a If this is
corner lot, i ft. corner to
write in name I write in
of street. i• name of
+.. I a other
Pu ro street. .
ro
•
•
SIDE YARD HOUSE SIDE YARD
h I y FT. 0 a y FT c\ Z •
S � O
f
V O 0
SET BACK Qo
ti
o ft.
I
0
(lot 1/6 ft. frontage)
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\ / 440 A,
\ /
\ / (flAME OF STREET)
/ Information
/ \ \ Supplied by LJ1( ���✓ "„'`
/ o •
MARK NORTH POINT
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BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT �����,c ..� BUILDING-PERMIT ll:
oa��
ADDRESS: g � ., /.Q ��� .4T,EILE. NO. : A/7-�*�--, 7 DATE FILED:
BLDG. SITE LOCATIONtSO 4boy. //V/3p•�/ • MAP/I: ‘4" LOTH: C - 9e
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 /f�y _ r DATE: CICAV N/A:
II lb AND/OR COMMERCIAL PERMITS L
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 S7TFr-MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
— -PERMIT:
COMMENTS:
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BLM/89 '