HomeMy WebLinkAboutBLD-90-403 Tho TOWN O RMOUTH
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MATTAC`M. S 4- I-16_3 Application foraPermit to Build No. 4L
UPON FINAL APPROVAL .0f� / MAP v LOT 4 2-0
FEE MUST ACCOMPANY THIS APPLICATION. DATE (5- < 9 90
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The undersigned hereby applies for a permit to build 64 9796
according to the following specifications // (� Q
1. Name of property owner a/4 /+4--1/241-kr/ e/ Ed H 7I ' R-/ 1. 3 G Z^ 82-67
Address /,A Se r v/ 'v o A P-c'
2.Name of Architect(if any) Tel.
3. Name of builder \i Oi•Du--y4/L° IP Address 261-64) -9' tegiehrN , <-111-
4. fit
License No. 0 1 Z (V L Tel Y$z-- r'7o o 36 L" �q/Q-Z ``
5. Name of Mason Address
6. License No. Tel.^
7. Construction address /6 J Asn I nri le Or,
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling u stimated Cost DO NOT WRITE IN THIS SPACE
y Type of room No.
10. Multi family 0 03 ea. --' FEt7L4crzkt'/STac-
11. Commercial 0 mic1 /OX ! cc Kitchen
12. Other 0 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 P-C.o-o Deck /o)(/ 6 f
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 ❑ Sro Rm.
Suunn 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
2a Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear I• ' •e Side line
1
411,1
LOT RELEASED BY Signature ger A ,
PLANNING BOARD Address 0 a - ''A Jr
% 4 52-e- r 4/
- Date /� c-7,4
T�.
•
BUILDING PERMIT APPLICATION SIGN OFF
AgPLICANT: 9 &C�� .�,d BUILDING PERMIT #:
(/I,C,Q� 26 2-- ‘61-
ADDRESS: t
ADDRESS: a F"1pv"`� � � ,c�TELE. NO. : �1J Z f�0 0 DATE FILED:
BLDG. SITE LOCATION: /4 r1 /u2o (C' Ov y1APll: V LOTII: .A yQ
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 DATE: N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
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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: '4 - -k?e-ere
/ /7
ed.reU r �tii•
3 . 4us4 67e R.44 . rte. ' -/� /
BLM/89
PLOT PLAN
\J
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well
I
(lot ft. rear)
Abuttor's I Abuttor's
Name I Name
Lot # I Lot #
REAR YARD
If this is a If this is
corner lot, ft. corner lot
write in name I / write in
of street. I —L& name of
A • Ip 410et/f � kislirv7 a other
aa)i street.
1-0
Re rn 14,
SIDE YARD SIDE YARD
HOUSE
FT. �/t'� 0 FT1-.)
•
•
•
•
• I .
SET BACK e serTis
y • ( ft
0
(lot ft. frontage)
/ /6 S;rn //-va A_ /A
(NAME OF STREET)
( '
/ •
Information s_v ,��
/ \ Supplied by /`
MARK NORTH POINT
lJ
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
EASE PRINT: �L •
B LOCATION: / 6 & s-n ino/ Or L ,/ '
ER OF PROPERTY: •
NUMBER4/6�f �- / / P STREET /VILLAGE
NSTRUCTION SUPERVISOR: 7/ (5n i, 414j lk, Q/ Z 6 2 2_ 3 6 2eL
2--26
E
l LICENSE NO. PHO�E.S]0_^S� �D
DRESS: 02 N f�fi>U !/c/c Ainvat / Q `�S L
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
ER 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 ACCORDAN TH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAND
E CONSTRUCTION INSPECTION 4;ROP ' ;� • AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
FICIAL.
GNATURE: ;jP
ILDING OFFICIAL APPROVAL: •
310 CMR 10.99 tt, e' TuILDI►•1re �ePT,
Form 2
DEP pie No. f
•
(To be provided by DEP)
Commonwealth• city Town YARMOUTH
c of Massachusetts
Apb6cantAlbert & Harriet
Ronander
Determination of Applicability. •
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
and the Town of Yarmouth Wetland Bylaw
From Town of Yarmouth Conservation Commission Issuing Authority
•
•
To Alpert S Harrie Ronandar • '• can.
(Name of person making request) (Name of property owner)
•
Address 1A caminnla Thriv:a- Yarrm:ith Address Sank'
This determination is issued and delivered as follows:
LI by hand delivery to person making recuest on 24, /ffo (date)
C by certified mail, return receipt requested on (date)
Pursuant to the authority of G.L. c. 131 , §40. the Town of Yarmouth Conservation Commission
has considered your request for a Determination of Applicability and its sucperting documentation, and has
made the following determination (check whichever is applicable):
Location: Street Address 16 Seminole Drive, Yarmouth
Lot Number:
1. C The area described below,which includes all/pan of the area described in your request, is an
Area Subject to Protection Under the Ac:. Therefore, any removing, filling, drecging or
altering of that area requires the filing of a Notice of Intent.
•
•
2. _ The work cescritec below, which incluces alL'part at the work cescnded in your recuest, is within
an Area Sunfect to Protection Under the Ac:and will remove, fill. dredge or atter that area.There-
fore. said work recuires the filing of a Notice of Intent.
Effective :1,'C:a9
.":•1
• . „ 3. 0 The work described below, which includes all/part of the work described in your request, is within
the Buller Zone as defined in the regulations, and will alter an Area Subject to Protection Under
the Act.Therefore, said work requires the filing of a Notice of Intent.
•
•
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. This Determination is negative:
1. ❑. .. The area described in your request is not an Area Subject to Protection Under the Act.
... 2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but will
not remove, fill, dredge, or alter that area.Therefore, said work does not require the filing of a
Notice of Intent.
3. V The work described in your request is within the Buffer Zone, as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act. Therefore, said work does not require the
filing of a Notice of Intent.
4. 0 The area described in your request is Subject to Protection Under the Act, but since the work
described tr.erein meets the requirements for the following exemption,as specified in the Act and
• the regulations, no Notice of Intent is required:
•
Issued by TOWN OF YARMOUTH Conservation Commission
Signature(s) v-ems -` !
-0k/ctn....es !(ao
fiv/Kt
This Determination must be signed by amajority of the Conservation Commission.
Cn this —2/ day of �-c_ 19 90 before me
personally ac:earec , to me known tote the
person described in, and who executed. the foregoing instrument, and ackncwlecged that he:sre executed
the saaarrggg as nis,hheerr tree�act
and teed.
c..4c7e,z,
Notary Public My commission excires
Tnrs Determination Coes not reeve the a:of:cant from comptvmng with all otner so:Pcaoie feverat state or Io:af statutes.crcinances.
byaws or reguauons. This Determination snail De vatic for three years form Inc came of issuance
The a:o:an:.me owner.any reason agcrievec Dy this Oeter..nnauoi,a,v owner of Ian:a:utnng tie mane upon wn•:n the crocoser work
is to oe cone,or any ten res,oents of the city or town in wmCa sucn fan::s mccatec.are nereoy notrtiea of memo nor.:to recuest me Determent
of Environmental Protection to:ssue a Suoerseomg Determination of A::::caouny,Moron;the recuest ms mace ey certnrec man or nano
Caine",to the De:sr•.men:.w.m tie a:prc:nate tiling fee an:Fee Transm:-at Form as:rov,aee mn 310 CMR wnn:n ten pays from
the came of tssuanvs of SmS De:e ,nation.A:coy of me recuest snail at tie same time oe sent Dy CBCtlieo man cr nano Demmvery to the
Conservation Commission an:tie a.:o^,f
2•ZA
A
{ 310CMR 10.99 C-)t?ftei L rpt% rLOu614L0h1
Form 2
DEP File No.
M •
Yom•
go be provided by DEP)
- '-- YARMOUTH
Commonwealth City Town
=�_ : of Massachusetts
� Applicant Albert & Harriet
Ronander
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
and the Town of Yarmouth Wetland Bylaw
From Town of Yarmouth Conservation Commission Issuing Authority
To Alhert & Narri&- Rona*dpr • 4nrr�
(Name of person making request) (Name of property owner)
Address lr, caminnlp ilri.m, Varmmrth Address Same
This determination is issued and delivered as follows:
Vby hand delivery to person making request on 2.7, /dlro (date)
C by certified mail, return receipt requested on (date)
Pursuant to the authority of G.L. c. 131 , §do. the Town of Yarmouth Ccnservction Commission
has considered your request far a Determination of Applicability and its supporting documentation, and has
made the following determination (check whichever is applicable):
Location: Street Address 16 Seminole Drive, Yarmouth
Lot Number:
1. C The area described below,which includes all/pan of the area described in your request, is an
Area Subject to Protection Under the Act.Therefore, any removing, filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. E. The work Describes below, which includes ail/part of the work cescnbed in your recuest, is within
an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area.There-
fore. said work recuires the filing of a Notice of Intent.
Effective 111i0.89
2.1
'I .e '
t 3. 0 The work described below, which includes alt/part of the work described in your request, is within
the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under
the Act. Therefore, said work requires the filing of a Notice of Intent.
•
•
. This Determination is negative:
1. 0 .. The area described in your request is not art Area Subject to Protection Under the Act.
... 2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but will
not remove, fill, dredge, or alter that area.Therefore,said work does not require the filing of a
Notice of Intent.
3. 2" The work described in your request is within the Buffer Zone, as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act.Therefore, said work does not require the
filing of a Notice of Intent.
4. 0 The area described in your request is Subject to Protection Under the Act, but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
• the regulations, no Notice of Intent is required:
Issued by TOWN OF YARMOUTH Conservation Commission
Signature(s) , / a-t '`O
3AA4nf(4teittly
fir,(‘A.
This Determination must be signed by a majority of the Conservation Commission.
Cn this -2 day of te-n-c- 19 90 , before me
personally acpearec , to me known to be the
person described in, and who executed, the foregoing instrument, and acknowledged that hetshe executed
the sam as his:hheerr tree
a�ctAand deed.
e.-C2c_ef_
Notary Public ' My commission expires
This Determination ones no:relieve the aczacant from Complying with all other applicable leaeral.state or local statutes.ordinances,
briar's or reguiations.This Determination snail be valid for three years torm the cafe of issuance
The acbacant,the owner.any person aggrieved by this Determination.any owner of lana nulling the lane upon wm:n the oroboseo work
s to be cone.or any len res.oents of tne city or town in winch such fano:s located.are nereoy notified of mart ng.nt to recuest the Department
of Environmental Protection to issue a Suoersaomg Determination of At:w;aouny,prowoing me reouest is mace ov certified mail or Want
oelivery to tne Department.win the appropriate I ding tee and Fee Transm:nal Form as provided in 310 CMR 10.0.2,7•within ten can from
Me tate of issuance of this Determination.A copy of Ins request:nal'at:.^.e same time oe sen:by Certified man or nano delivery to the
Conservation Commission an:the applicant.
2-2A