HomeMy WebLinkAboutBLD-90-413 a T '`moo TOWN 0 ARMOUTH w�s"�
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taTms fl Application for a Permit to Build No. 1/1-3
UPON FINAL APPROVAL 011/5/7° MAP (0 0 LOT G 6
FEE MUST ACCOMPANY THIS APPLICATION. DATE /2 — 119 B'7 -
The undersigned hereby applies for a permit to build y/, 9 0
according to the following specifications /�/p�
1. Name of property owner �N// R s/ 7 Tel. S /���-?
Address I-H3-AO4t/0 44> be
2.Name of Architect(if any) NeAi Tel.
3. Name of builder dWNEe Address
4. License No. — Tel.
5. Name of Mason — Address
6. License No. '— Tel.
7.Construction address SAME 4193 XON& /ow D Pe So, yIsmgcm
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family ❑ Vci " Type of room No.
11. Commercial 0 efg/o' Kitchen
12.Other 0 Dining Rm.
13. No. of stories 6-1) Living Rm.Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other 0 • Deck
16.Type of heat— Oil 0 Gas ❑ Electric 0 Other ❑ Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
0 torage shed — Size % X /a Shed F x 1 0 /
20. Stove —Wood 0 Coal ❑ Alterations
i
21. Size of lot: No. of feet front /H g No. of feet rear / o r No. of feet deep /00 /
22. Size of building: No. of feet front /0LNo.of feet side $/ No.of feet rear
2a Distance from nearest building: Front 13 Ft. side -'_ Ft. side — Rear
24. Distance back from line or street 371,161/ From rear lot line a 2/5--/ Side line 6
LOT RELEASED BY Signature ,/// / 41
0
PLANNING BOARD Address Aio4/6 Pa vi) JAR,
Date 590 MN'dOM) /7/t, /96
BUILDING PERMIT APPLICATION
APPLICANT: r /k)T/7DAJy T, ROSSI BUILDING PERMIT l/:
ADDRESS: 4 *3 , Ale; /7044Y L9 TELE. NO. : -WY-lea DATE` FILED: /.Z//S7
BLDG. SITE LOCATION: 4c510/lr�///>/7E ,SO. )�TE94 /EMAP#: LOU:
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 THROUGH
THE FOLLOWING DEPARTMENTS:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY.
ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE.
CONSERVATION COMMISSIO: 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: 1.01/c77 N/A:
IND STRIAL 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 RECIEPT FROM THE
DISPOSAL SITE MUST BE SUBMITT TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT.
COMMENTS:
/.2///79' 400.1
TOWN OF YARMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
•
•
DATE �,Z ` 57
•
JOB LOCATION 5513 ,0016 POMP .!>,e S,y
Numoer Street address/ Section or town
"HOMEOWNER" WV? gas i 35%r-4122 •
Name Home phone Work pnone •
PRESENT MAILING ADDRESS qy 3 ,(ovs PaN77 ID,E'., SY •
�� MettDvrfH t 4 '
ity town State Lip code
The current exemption for "homeowners" 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 at; /Jen4ie
/ '
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.
•8
PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well O
I
I (lot. . . /OV.. . .....ft. rear)
Abutter's I Abuttor's
Name IName
Lot # ® Lot #
GS
REAR YARD ,a.,di
If this is a - If this is
corner lot, ft. corner loi
write in name I write in
of street. .i I $ name of
s • I a other
ib • 0 br' b street. .
SIDE YARD HOUSE SIDE YARD C%
V FT. f) (I FT ii 4.1
•
S II v°O �
SET BACK
•
k '
• ft. 'J
V
I0
(lot. . . ./Q(J Qui ft. frontage)
10
/ 10N6 POND DR/LIE
/
/ (NAME OF STREET)
i
/ Information � t
/ \ Supplied by f ietfril e .•
/ 1
MARK NORTH POINT