HomeMy WebLinkAboutBLD-90-404 *s= t 1, 76 TOWN OF ` • ' MOUTH oy� ,'� frJJq°
MATTACMEES 7�G�
, •�Aa Application for a Permit to Build No.
UPON FINAL APPROVAL "'' 6 `del/ 'bMAP s LOT s- IS
FEE MUST ACCOMPANY THIS APPLICATION. DATE • 6/off ? 19 to
The undersigned hereby applies for a permit to build' ' . 4/019/96
acciording to the following specifications P� / /
IA. Name of property owner E/�s d + gllI C os • Tel.3 91 E1-G,1/
Address 7 '249'4e -re,2 (�, ( o,ye-4070M e,.247373
2.Name ofArchitect(ifany) Tel.
Name of builder r. Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
(2Y.Construction address Ca vie__ I 1, --\,‘It_ ay
Flood istrict
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
�f 1----".-
� Type of room No.
10. Multi family 0 /7 a�O
11. Commercial 0 1 s- Kitchen
12. Other 0 / Dining Rm.
f Living Rm.
13. No. of stories Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 2, rei Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 0 Family Am.
Sun room
18. Swimming pool - Size -►" Garage
19. Storage shed — Size / 5 °t' t 'L . Shed A X I Z /
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 ' Na 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 $Zd -, n I.6 B
PLANNING BOARD Address ' 7 (3k Re -rreit -
'}ka U�j /99a fJDe4r' fa& r••oo'Fh1 /n& 0a473
Date '
•
A BUILDING PERMIT APPLICATION SIGN OFF
h
APPLICANT: // // / / BUILDING PERMIT #:
ADDRESS: 7/,.Cy/Ae /;�2., Gf/,'�Qamer f/i TELE. NO. : DATE FILED:
BLDG. SITE LOCATION: v MAP//: LOT#: /3
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. GINEERING DEPARTMENT: DATE: N/A:
3,/CONSERVATION: %6_,.......era/4..e- DATE: "4/�2Q/%Q N/A:
(� HEALTH DEPARTMENT G DATE: / 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: VP& ) 5;71a O c r t€ am az-,-7Z y E 2.c /f14- c7)
Fhoa2 mos; fir AJo.1- CoM Uus-no,a&.E'
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BLM/89
'\ pelt dy(90
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
Li DATE_JnU y _ I f/p
o
JOB LOCATION / t<.b kt e / ;ietcC e5�-8a o!l//%, �QO 73
�^ NUMMBER�f/ / ' (/STREET ADDRESS '/ SEC N OF TOWN
"HOMEOWNER".&4/L�ST �/ q LL_/S 4Am/ S .7 /�-�-C T
NAME a HOME PHONE WORK PHONE
PRESENT MAILING ADRESS JCL h1 P Q S ago✓t
NesF,(fMMhi.,, FLS ma. 0)-I. 73
Li 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
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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YA.eMOUTH, /'1•1/9SS. ___--2._-=
PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well O
• 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, 1 ft. corner la
write in name write in
of street. I name of
a. other
aoi street. .
SIDE YARD SIDE YARD
HOUSE
FT. 11 (`� FT.op�/ •
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SET BACK
• ft. .41
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0
(lot t. frontage)
7 /
(/ / ef(NAME OF STREET)
•
/ Information
/ \ \ Supplied by - —
MARK NORTH POINT
•
310 CMR 10.99
Form 2
DEP File No.
� •
go be provided by DEP)
Commonwealth City Town YARMOUTH
r''-s of Massachusetts
- • apciicant Phyll is & Ernest Bnnns
y =y
S4 .
•
•
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 Phyllis & Ernest Borns • " Soap
(Name of person making request) (Name of property owner)
Address 7 Blythe Terrace. W, Yarmouth Address Sane
This determination is issued and delivered as follows: ;Led•-•"—e-
by hand delivery to person making request on lf90 (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 Commiss:cn
has considered your request for a Determination of Applicability and its suctcrtmg documentation, and has
made the following determination (check whichever is acclicable):
Location: Street Address 7 R1yncca Terr=ca, TAtn,p t_y=raatl
Lot Number:
1. C The area described below, which induces all/part 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. _ The worx cescricec below, which induces al;'part of me worx cescnbec in your recuest. is within
an Area Sudiec:to Protection Uncer the Act and will remove, fill. dredge or alter that area. There-
fore. sac work recuires the filing of a Notice of Intent.
Effect:ve :1,ic:g9
2•t
3. 0 The work described below, which includes all/part of the work described in your request, is within
the Buffer Zone as defined in the regulatidns, 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 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 tiling of a
Notice of Intent.
3. fr(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 TOWNAfre F YARMOUTH Conservation Commission
Signete(sl , ""� •
,.r rkeCe-r-eee-c-7 •
Ann4u D Dr 447:9 96/Zi \ (44 c;
This Determination must be signed by amaajcrity of the Conservation Commission. •
Cn this _2/ ,.—t day of��,�G�� - 19 t6 . before me
personally acoearec ' , to me known to be the
person descr:oed in. anc who executed, the foregoing :nstrument, and acxncwlec.ged that hetshe executed
the sarras hisstierrr freeactand/ceeed.
�!Y// a yr itci !rndG � PICeenYroEckuNaarenI repel
Nc:ary Pu •;ic My commission exc:res
Tris Deterrninauon coos no:relieve Inc ac:::cant from cemyying win an other a::tic:De tecerai state or 10:3:statutes.oremances.
byaws or reguauons. Tins Determination snail be valid for three years form the care of issuance
The a:oncant.Inc owner,any person agcnevec ay this Dete^+mauor..any owner of lane aoumng me lane upon wni:n the orccosee worn
1117 a cane.or any len restarts of the city or town in wnion such tan:is t0:atee.are nerecy nonheo o:their righ:to recuest me Decor•nen:
of Environmental vo:mon 10 issue a Superseemg Determination of A ::t aouny,orovioin0 Inc reouest is mace cv cen,t,ec man or nano
cowry to me Decs'rnen:,w.:n me a:pro:r:ate Idm:tee anc Fee Transr:oat Fcrm as orovicee in 3:C CMR:0.:Z.7,with,n ten cays trom
Ine ease of tssuanx Ct this Deie'minat'on.A s:y of the request snail a:me same time ae son:ay cen:f,ee man or nano oeuvery to:ne
Conservanon Commission an:me a:.¢an:.
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