HomeMy WebLinkAboutBLD-90-419 oiya-- 7440
r TOWN Pow ARMOUTH °V s' 7/3/90
OA +'VH •
ATTACM $
e6): mitio•C , Application for a Permit to Build No. ii
UPON FINAL APPROVAL V� i' I MAP ig ,L,OT Pte/ 9
FEE MUST ACCOMPANY THIS APPLICATION. DATE Zi9/ 6-
c 19 q0
The undersigned hereby applies for a permit to build 7) //9 d _
according to the following specifications / - b/7- ev/
3. •
Name of property owner John 4-T Ariu,i- S�{I rim / 502.5-5
Address 6 f// MPs / l
2.Name of Architect(if any) /70h e Tel.
3. Name of builder B"Ltr —) Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
✓/ Construction address 95 Bfikeh led, 10151 farmauth 77g 58/D
Flood District
8. Date
subdivision Approval plain zone Zone
9. Private-dwelting le Estimated Cost DO NOT WRITE IN THIS SPACE
/ Type of room No.
10. Multi family ❑ 7tADD !/
11. Commercial 0 Kitchen
12. Other ❑ Dining Rm.
13. No. of stories ' / . Cr° Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood E'Cement 0 Other 0 Deck
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 Sr X' if Shed FX r
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
I ,
LOT RELEASED BY Signature i /Wean ! c Mt
PLANNING BOARD Address 95 at fr • a
Date /k-S/' u/Gten-mu/6
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: tido, Efi2tn,g,u', 6,4,-a BUILDING PERMIT ll:
ADDRESS: er./( /1/////k<571 444/ `at// Z/7/TELE. NO. : 77-5255 DATE FILED: 71- 70
BLDG. SITE LOCATION: 95 1, 0 x r MAP#: /D LOT#: P79
/-SD 175-58/0 J
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 /Gz DATE:- / /!/J N/A:
I 'US ' i• 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:
BLM/89
7/7y42
TOWN OF YAMOUTH .
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION `
PLEASE PRINT:
DATE 7-2 -9,o ,!J /t/, /
'e
JOB LOCATION 95 /3a ker /load esfG �%rmou /-4
NUMBER STREET ADDRESS SECTION OF TOWN
,;.5ez...
"HOMEOWNER" �� � L
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADRESS y ,/4!, 'sgS7' 1 d /
a/, x/r, /22a, 8251
/
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 PRO bard S AND RE.,IREMENTS.
HOMEOWNER'S SIGNATURE �; Q Li(J ,1/J /
APPROVAL OF BUILDING OFFI'l
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
I . •1., PLOT PLAN ry
FOR LOT # P79 /Vier78
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) 49
Well 0
I
(lot 5-0 ft. rear)
— Finson ° Bohai Well-
Abuttor's I Abuttor s
Name \\11I Name
Lot # J Lot # .
0
- REAR YARD
If this is a — " _ - • If this is.
corner lot, i a I 3� ft. corner to
write in name (p ( /111 write in
of street. C.— I UU • I name of
i; i.I o. other
r- - a 0 o street. .
1. ro
ni . •
4
SIDE YARD Si SIDE YARD
0_-C� _ FTi HOUSE
(1__ __. FTA
•
. 0 . __tin.?
I .
I
SET BACK
. .. .-521..ft. —_
s
• I
I
0
.lD
(lot 4��`` ft. frontage)
/ 55 Baker Road
\ / (NAME OF STREET)
/ ^ -
/ Information MCI^I L11th e. S- b rza
/ \ Supplied by
MARK NORTH POINT