HomeMy WebLinkAboutBLD-90-420 1 .a s TOWN OF o RMOUTH o'? - ''� ,(1/9°
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�," ��^ 0 Application for a Permit to Build No. '1g-49
UPON FINAL APPROVAL .94 /9/ MAP ✓r7 LOT 4—i
FEE MUST ACCOMPANY THIS APPLICATION. DATE19 1/0The undersigned hereby applies for a permit to build 0 9a
`according to the following specifications /
1. Name of property owner v�AAn-Met /&A/€4)•CEc le areTel, S�OzZq
Address /6MGiF/ F 'p PAW/. GV,%ArevAirn-
2.Name of Architect(if any) Tel.
-a Name of builder Are CcR'u'c _Address /8 Mei'&/Es env?
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
\./ 7. Construction address /0 /lheote kS an/ aBdienverm
Flood District
8. Date of subdivision Approval plain zone C Zone C40
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
ai Decl o/),z Type of room Na
10. Multi family 0 VI /.eon`p ( / ,
/6x 'ZY/a
11. Commercial ❑ Kitchen
12. Other cp /✓a.) G .. ,>z7V4 Dining Rm.
13. No. of stories Living Rm.
�0.t a'O Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck april .2
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 0 Family Rm.
Sun 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 Na of feet rear Na 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 (/ ignature,��
PLANNING BOARD 7 Address /S tS /i,'ni
Date l/.. keJ€eo X/ .02673
'n BUILDING APPLICATION SIGN OFF
APPLICANT:P. /0/0/411- , ne/0 [EE C,t I BUILDING PERMIT ll: 1/3
ADDRESS: 0,0tfidtES / W-p TELE. NO. : 3*5.OLL"J DATE FILED: 71' 41• �D
BLDG. SITE LOCATION: 16 /l,(l��,rr,o/h'-y MAPA: 6 7 LOT#: t,f
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: •
4. CONSERVATION:
DEPARTMENT �[ DATE: 000 N/A:
INDUST COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMING 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 TOISSUANCE OF THE BUILDING
PERMIT.
COMMENTS:
BLM/89
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: J� r ��J l /
JOB LOCATION: /6 /�nedvel ' se 627ry/l,�t rA
NUMBERSTREET VILLAGE
�. ik
OWNER OF PROPERTY: /� ereA16-
�
CONSTRUCTION SUPERVISOR: ohee(,E e.A.k. 391"'/oz- c
�� /�
fin(
LICENNSE NO. PHONE NO.
ADDRESS: /c/aeli "/% J IZ< /'���L�� e,
LICENSED DESIGNEE:
(IF OTHER THAN SUPERVISOR) NAME LICENSE NO.
2.15 RESPONSIBILITY OF EACH LICENSE HOLDER:
2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HE
IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE
BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL
2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTION,
ALTERATION, REPAIR, REMOVAL OR DEMOLITION INVOLVING THE STRUCTURAL ELEMENTS OF BUILDING
AND STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE
COMMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE
DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING PERMIT.
2.15.4 ANY LICENSEE WHO SHALL WILLFULLY VIOLATE SUBSECTIONS 2.15.1, 2.15.2 OR 2.15.3 OR ANY
OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJECT
TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD.
2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF
THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RECON-
STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1 OF THE
CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPERVISING
SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED
ON THE RECORDS OF THE BUILDING DEPARTMENT.
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAN
THE CONSTRUCTION INSPECTION PROCEDURES A HE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: i'afr
a/
•
BUILDING OFFICIAL APPROVAL: AlytiCe
• .oFY
' �‘4A,'••, Ord Pi/3lir
;: $ =k- :, t` \ . TOWN OF YARMOUTHore,w �-. . 7i;?
\Ti MATTAC�EE S~ At
.44"" *1.Gqi Application for a Permit to Build No. /A3
UPON FINAL APPROVAL ✓ AP 57 LOT / G1
FEE MUST ACCOMPANY THIS APPLICATION. DATE 2/ K / 19 �g9
The undersigned hereby applies for a permit to build .. //&/2%
according to the following specifications
1. Name of property owner D. Michael/Karen-Lee LePine 4 Tel 394-0229
Address62 Michelle ' s Path W. Yarmouth, Ma.
2.Name of Architect(3a6) Tel.
a Name of builder/D• ., • hae . LePine Address 62 Michelle ' s Path
•
4. License No \ Tel. 394-2809
5. Name of aso ii . M _Address
6. Lice s N. t Tel.
7. Co strp ti.�'14ddre$ IS Mu- Et Ii:S, a-rr1 ID.YArc.,,,,a,,,-rM
Flood District
8. Da a of s b.ivisi4l A proval l x3/79 plain zone C Zone N-4o
9. Pri a e dwelling Esti ated Cost DO NOT WRITE IN THIS SPACE
10. Mul i amity ❑ \ �'SAiT i Fp 5 F Type of room No.
\ �� Alt_
3r �da, /ST 1 ccr SF F�QI.�eF95T l
11. Com ercial ❑p V` �,,,, 7,x,3 SF Kitchen /
12. Other ❑1� 6 5r Dining Rm. /
GAn,SSR• 30 f -Living Rm. /
1allo. ofsor\is 7 301 35 "
. 3
14. Foundation'I' 7 Half 0 Crawl 0 Slab 0 itC-,/� Bath 3%z
15. Materials - Wood p Cement 0 Other 0 Ga{3) 6 a ,aro Deck ,2- .
16. Type of heat - Oil 0 Gas 0 Electric 0 Other 0 t7eck° 5-a .0-0 Closed porch
17. Garage - 1 ❑ 2 ® plus 1 Appeal #2528 sq a its Family Rm.
18. Swimming pool - Size GP /5-,c,--0 Sun room
6b p Garage 3
19. Storage shed - Size Shed
20. Stove - Wood 0 Coal 0 none • Alterations
21. Size of lot: No. of feet front 218.20 No. of feet rear 218. 82 No. of feet deep 173 . 44
22. Size of building: No. of feet front 54.0 ' No. of feet side 34 . 0 ' No. of feet rear 54 . 0 '
23. Distance from nearest building: Front 170 . 0 ' Ft. side 58 . 00 ' Ft. side 52. 00 ' Rear 40 . 00 '
24. Distance back from line or street 80 .00 ' , ro earl t lliii e •0n'' Side fine 28 . 00 '
LOT RELEASED BY Signature D. Michael LePine
PLANNING BOARD 4 2359A Address62 Michelle' s Path W. Yarmouth, Ma. 02673
Date 8/13179 A.M•R.
kEco 1;DED TLAN4t 7030 RECO DED 8 1479
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