HomeMy WebLinkAboutBLD-90-405 6 - .4"YaJQPomo cirtanbo
s foo TOWN OF ' ' MOUTH a &41/Qo
• MATTACM[ $ �!
�, « *6 " Application for a Pe mit to Build No. 2/05—
UPON FINAL APPROVAL 6/4 MAP / d 6 LOT x-2'2
FEE MUST ACCOMPANY THIS APPLICATION. DATE oA 7/9 let
The undersigned hereby applies for a permit to build 6/9)9/9.6
according to the following specifications
1. Name of property owner !Doti p I TA . /=id r i A 1 ,e• Te1.3 lrf'"'14//a
Address ll,Crnl !„err1 F,, . Se.Yez.rnit tt.7-in
2.Name of Architect(if any) Tel.
r 3. Name of builder_a ioAfrLR Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel. ,q� L _
7. Construction address So9r/i� if S A5004:- ,3o (-�
Flood District 0
8. Date of subdivision Approval plain zone G Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family 0 ,4% aa, cog C/� � F
Type of room No.
11. Commercial 0 P rem( farm Kitchen
12. Other 12:( yaw RoofrS7'r1/ l/2 7o 4�/y Dining Rm.
13. No. of stories 9 /z-p)ici-F Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 tBath
15. Materials — Wood 0 Cement ❑ Other 0 P-Sr' °r0 Deck
16.Type of heat — Oil 0 Gas ❑ Electric 0 Other 0 Closed porch
17. Garage — 1 CISuunn r 2 ❑ Sry Rm.
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 pa -t Jm • �P��i ,P
PLANNING BOARD Address o
Date
BUILDING PERMIT APPLICATION SIGN OFF
(APPBICANT,: 4 Irl , tA 11 BUILDING PERMIT it:
ADDRESS: /3,0/t.4 )JIwt$M • 4• gA y,tirELE. NO. : 3q=-71//`� DATE FILED: 449/10
JLDG. SITE LOCATION: •eriN,.i.� MAP/i: LOT#:
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
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 TT _ISSUANCE OF THE BUILDING
PERMIT.
commas: 41;06 j) Cff�In Y S /ffv s r eX T D 3 ' 0kE2 /1 M6-4
Atkin) eat, r
BLM/89
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
(DATE 1,/,, c ) Qa
(JOB LOCATION J30 Crpfl beret/ Aa-- -e.,
NUMBER STREET ADDRESS SECTION OF TOWN
"'HOMEOWNER" .ck'd 01 . F Id r cl 'e 39I -75') D- --
NAME 1EOME PHONE WORK PHONE
(PRESENT MAILING ADRESS 13 0 C r&- . b e r r i
SP) .Y& r i u?"h )')l ... 401-44 1
CITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIR 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 Rn^�/Q VYi • 4 i dI p.Q
APPROVAL OF BUILDING OFFICIAL /mil, _,4747.---
II
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
1.----t •;,.•' *3 11 OId King's Highway Regional Historic District Committee
yN '� . in the Town of Yarmouth for a'. 3 .538'
` �- N ��' CERTIFICATE OF APPROPRIATENESS • .
Application is hereby made id triplicate,for the issuance of a Certificate of Appropriateness underSection 6 of Chapter470, -
Acts and Resolves of Massachusetts. 1973,for proposed work as described below and on plans,drawings or photographs
accompanying this application for, .
CHECK CATEGORIES THAT APPLY: o
- 1. Exterior Building Construction: ❑New Building ❑Addition KAlteration io Ci .J
Indicate type of building:XHouse ❑Garage ❑Commercial ❑Other F'',
in
. 2. Exterior Painting: X 7 C)
,,
-11
3. Signs or Billboards:❑New sign ❑Existing sign ❑Repainting existing sign j i�
U
4. Structure: 0 Fence ❑Wall ❑Flagpole ❑Other r °� •
(Please read other side for explanation-and requiremetits). : (n
. TYPE OR PRINT LEGIBLY / - a it 7Z//L/9e
. aADDRESS OF PROPOSED WORK /30 Gran A.erryLn narnittSSESSORS MAP NO. /66"
OWNER ' Thchv it. a7 /4'y< ASSESSORS LOT NO:XZ/' X22.
HOME ADDRESS /20 d'm'i4«n-y 2-11• S. rri nn( TEL NO. 395:.-711, -
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
• /et:,4,2O al nice/ fj T/ ti ip a-' , //g e/i' , in. S• 6nnckn /
•/07a2V i' �zn, m ,4,,6r'rs%-, , lye eleryr Garry 6r+
y „:, siVr . a e . e
'/et.,Y'29 c/wife() T, /pmt rr,W, 126 clan d lJ'a
gz, x>cr 7vnme-/s .c- 07,..hien,, /31 erten a Ln .
• /d7 Ni 7atthl Ova YSnne-t. •
AGENT OR CONTRACTOR� G 6t-tWa#s-i H . etilda 'C.6 . rj TEL NO. �9It- 'V/
ADDRESS ..SSfl�t' Gq C c7-6r2.--e___•,- - ,)ale >> , S•ctran , lit •
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/ 4 signs. (Att_achh additional sheet, if necessary).
at Q ao, 4 -S/7 t"c _/f
Signed AC -(Q M' ���4!['y�p
. Owner-Contractor-AgyT
Sone below line for Commute.use. • (((//////
• Received by H.D.C.
Date M3/90Ce•
Date °/d l/!
Time•
/0.0� 1`__ (f , i �J is Cl."—Th
By cw /(7' ./ .7.7
l
Approved IMPORTANT..)
MPORTANT: If Certificai is approved, approval is subject to the 10 day appeal period ,
provided in the Act. APPROVED
Disapproved ❑ Please return to: Yarmouth Historic District Committee YARMOUTH COMMITTEE
Town Hall, 1146 Rt:28. South Yarmouth. Mass. 02664
WIRD
4/2-7/90 fa)
TOWN OF YARMOUTH
OLD KING'S HIGHWAY REGIONAL E=STORIC DISTRICT CO`^1ITTEE 3 5 38'
SPCATION SH_ET b
APPLICANT'S NAI 2ifet e✓ A7A-,' ✓r— FOR: Pc.,p " /l-/,-z'-rctY,'rivi
/? ' 62--11)/1 y /in S->ern,riz f/, m&.
FOUNDATION: , 17L (itavt. —.✓ COLOR
v]-IN^ ,
G: 71"h.,
[4!ih-,ti ens!, ivy -11-11),2,,2-11),2,,24,7,745,''',T/LLJ COLOR: -
i7l2Yi71'h` be C/k-ttt9.'caf /e y' 77t
fr--CHL`thtY: 2 cwIs1,112 k he K7iS et%.1/ .72-eft -;COLOR:
1.--160£ MATERIAL: 2)i rc✓ *I2/7 /5cti/.4J2111- PITCH: y//z COLOR: iticely'Yit'd i6:Ccd
WINDOWS: c'X/ /L /76-1 (Vine .19..e? _SIZE:
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TRIM COLOR: :Sam t. CZ� :v t C� S•7 `') E12:
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DOORS: c-,/b4,I1tie'L'/JCsts.y-c r;'iCOLQR:
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snag ?•-, /.S7; Y1ry /1Z'+ cc aG.'HC._- z COLOR: Th✓,
GusitRS: ) rt-1%�i 1el Z"�1-iS711. LIt/• r j/l�A— COLOR:
yZ' er-, r Q%tt.0Y, ct e`A; 0nsor repai le, f' _.SC%;1st OS Yr,sl-r7 c14'_
DECK: /1 l '7' -- SIZE: COLOR:
GARAGE DOORS:. C'XfsA/klj SIZE: COLOR:
APPROVED
-DOORS: YARMOUTH COMMITTEE
STORM WINDOWS
tic;C c..x �)0'9 COLOR: ONHRD
b,/ ,/10
SKYLIGHTS (FLAT ONLY) geAn t_ SIZE: COLOR:
•
• ADDITIONAL. INFORMATION:
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YARMOUTH COMMITTEE
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