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-- +r,, ,. t% Application for a Permit to Build No. ila3
UPON FINAL APPROVAL ° ✓ rAa\I MAP (0 3 LOT /AIM
FEE MUST ACCOMPANY THIS APPLICATION. DATE .c✓< < 19 9°
The undersigned hereby applies for a permit to build 7//a/qv
according to the following specificationclitiec
/9d
Ci:Name of property owner Mr .4- evnarrss el.
Address 9i Stiafay hew Ce- '(t J / II, c-7 tAn+
2.Name of Architect_ — j Tel.
63. Name of builder. . Sch4' ✓ Address 2 n Cr' L;'iai,.r A CPK
License No. Do Cr db Tel. 1/22 -insl
5. Name of Mason —_____n___- ___________Address
6. License No. -- Tel. —
' Construction address 1. . . • ,.. •r-- -IL ”
Flood .' trict
8. Date of subdivision ApprovalApplain zone Zone
9. Private dwelling C� Estimated Cost DO NOT WRITE IN THIS SPACE
Tye of room No.
10. Multi family 0 4----C� 2 ao, d9 ilba LikAAN K ?
11. Commercial ❑ -dny e,t) , Kitchen
12. Other 0 �.- -►' ,yae�- S*clo?S"> �O Dining Rm.
,��.��.
13. No. of stories 1 • Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood O'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 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 $N C S
PLANNING BOARD Address VC/ C 61--) (2-k1
Date �r ✓ 1r � 02(3-2
. PLOT PLAN
- u "# CM
Indicate location of garage or accessory building
Additions with dashed lines .
Sewerage disposal (cesspool)
Well g
I
'1 (lot 22 ft. rear)
Abuttnr's I Abuttor's
Name I Name
Lot # I tLot' #
a2w`meii. I
REAR YARD L
' this is a • 32 S7 s4Ig, v`it
corner lot, 1 ft. corner lot
write in name I write in
of street. •I•, I name of
NYo `':04 •
I w other
8 street. .
5csep� _ 'U
ti styeL'• SIDE YARD •
SIDE YARD
,/ HOUSE L _ t/1 _ _ FT�
513 FT. 0, p s
�1 •
•Cr-
g
0
SET BACK
. yo
I
0
ry (lot 1 /S ft. frontage)
\ / J Rife✓ iio trt Y4i
\ /
\ / (NAME OF STREET) /1
/ Information( k Scitre-'
/ \ \ Supplied by / cvi
MARK NORTH POINT
•
•
TOWN OF YARMOUTH
BUILDING DEPARTMENT • •
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: rsrc4
JOB LOCATION: N� I 5� �I�w,UMBEFAT K VVteniz
ILLf�GE
OWNER OF PROPERTY: Air .4-�TS egor TFT ci s.
CONSTRUCTION SUPERVIS(41 0.v, J V L� 60 SS oa y21P -ViSNAME/ LICENSE NO. PHONE '1 O.
ADDRESS: Zr ]7 / Cp... it
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 CO/
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTM
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN(
OFFICIAL.
SIGNAT E: C
BUILDING OFFICIAL APPROVAL:
•
•
•
BUILDING PERMIT APPLICATION SIGN OFF
'APPLICANT: BUILDING•PERMIT /l:
ADDRESS: TELE. NO. : DATE FILED:
BLDG. SITE LOCATION: MAP#: LOTH:
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/3,n DATE: 401/40 N/A:
NDU IAL 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
, , l •;;;:-.1s.'� :% r Old King's Highway Regional Historic District Committee
•• ;� in the Town of Yarmouth for Sia
CERTIFICATE OF APPROPRIATENESS
' Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 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: • cam,_
•
• ^ 1. Exterior Building Construciof n: CINew Building ❑Addition ❑Alteration x.�'r
Indicate type of buildirig •L9 House ❑Garage ❑ Commercial ❑Other I •-1
w'- A
2. Exterior Painting: IV
• 3. Signs or Billboards:0 New sign ❑Existing sign ❑Repainting existing sign ^'yiJ _. 171 Thin •
4. Structure: ❑Fence ❑Wall 0 Flagpole 0 Other ^'T1 Ai 0
(Please read other side for explanation-and requirer63nts). �o
TYPE OR PRINT LEGIBLY .Jq (tel- ( � - DATE Ma7 . 2k i990
ADDRESS OF PROPOSED WORK 'r 1 �) -`L (re._ I-Lu re' �Q ASSESSORS MAP NO. «3
•
OWNER Mf w M✓s' 1c�(4/ ff r!t cts�S • ASSESSORS LOT NO. N"3�1
HOME ADDRESS 99 S &ckr Prcwtc Z& TEL NO. 36z- C2o7
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or /way. (AttachIadditional sheet if necessary). �7• I
C I(izd.,e-H— A,.r,4 57 C 51aa k- iceASe & ALS t<,.esq.• WM\ ASO lit - w L4o�
W)1;44 4 34'y`J43e dict lJSLrb_ 4,3, Rig._ •• ^( &t r"3 r'nIIsp- • 24 �SIr IA C �..,e.
!sem S"'➢'ti S'6 !/"'a l'e.- �'La P1 /Jverk `c t'1AA 13 S'It• {� -`r.�C'-
AGENT OR CONTRACTOR Un✓. CC-CI
I AZ— TEL NO. 1" — 7 t y
ADDRESS 2s/ ('
aril
1-:e (1 LCL Crn4'-v i 1r C
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 signs. (Attacn additional sheet• if necessary).
Signed '/ `tet' r
;�
91
Owner-Contractor-Agent
Space below line for Committee use.
Received by H.D.C.
Date The Certifi eis hereby An r� (,,/, 1:e/(1;�1• �r9 Date1:e/(1;)
U !
Time c 'HT,.
� ,r ;��� ;
By SIA /7 //y .6 .0//
;;c)'.' /I(,/ t,"c t �//' /Pr -
Approved ,% IMPORTANT: !/ If Certificate is •••roved, -pp ov- subject to the 10 day appeal period .
> Y provided in the Act. APPROVED
Disapproved 0 .Please return to: • Yarmouth Historic District Committee YARMOUTH COMMITTEE
Town Hall, 1146 Rt. 28, South Yarmoutn. Mass.02664 OKI{(.R, 49
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353D
TOWN OF YARMOUTH
OLD KING'S HIGHWAY REGIONAL E:STORIC DISTRICT COLTHITTEE
SPECIFICATION SHEET
APPLICANT'S NAME—Dav a sC� 4.6. FOR: 1111- t A ✓S bP✓.,ariL �i�r is'
2-51 s-licire Awe
FOUNDATION: AIsv1 COLOR
SIDING: S..n%. r0.�S A fa.,elS' COLOR: WLAC
CE fNEY: rt614Le.- cI COLOR:
. ROOF MATERIAL: 14L(4 S�' des PITCH: r7 L COLOR: Lk) eXtS�.
Ar
(� 't' vN
WINDOWS: ' /�fe✓.,w S� r(X A SIZE: A. y ✓ rt- 7� x 5� ✓
C6Tt_.eA 1,
C1�1l �� eX`S
TRPf COLOR: A •�
•
DOORS: �Sti 2 COLOR: —
6)131yD r'—
APPROVED
Snu11t.RS: drvie_ . YARMOUTH COMMITTEE COLOR:
A I OKHRD 1 I
GunLKS: !j"I��'�" COLOR: COLAC. -
DEC:: ijOvle. SIZE: --- COLOR:
H
g 1
GARAGE DOORS:. dm e_ Hl inunSV� P "?`.) HMi I. COLOR:
HinCwywl
STORM WINDOWS & DOORS: idWIC 6Z; L d �� Nfi( }F, COLOR:--
SKTLIGHTS (FLAT ONLY). Ant t 2 A; E: COLOR:
ADDITIONAL INFORMATION: '
TOWN OF YARMOUTH
OLD KING'S HIGHWAY R=GIONAL HISTORIC DISTRICT CO*^_TMSTT77=
SPECIFICATION SHEET
APPLICANT'S NAME+T KQv:l9 /��^I(';`v FOR: Mt o- A1(✓S 'P,t.,ov�J. Q�i Tuns
25/ Cam• etv 4\ cP. f -vol lc T ! Sks/ /L e ' Ind\
FOL•NDATION: Ahv! COLOR
nvioo
SIDING: S.^,.4(" YAZ5 1% fa.,e ls• • COLOR: W LAC
C BEY: �1JIe1— � COLOR:
ROOF MATERIAL: [J � IeS PITCH: I/7 L • COLOR: COL.. ,
V €ke yS
WINDOWS: '^ Cer,w S� l`' SIZE: 6 x y .i— 7� x yl
TR= COLOR: Wl.;%\
DOORS: / --
sidt
p,� COLOR:
d'131ya a6)
APPROVED
Sew J.1r.KS: urn • YARMOUTH COMMITTEE COLOR:
OKHRD
GUTTERS. lrlk"'� �•w� • COLOR: COLI
•
DECK: iJrMe..- SIZE: --- COLOR:
t •
• , N'1�1f1Sr3H1 F S J7 S ZD( ' — COLOR:
GARAGE DOORS:. /V6�t� PlOGNHVI,
STORM WINDOWS & DOORS: AselAZ: Id Pt NM 'I COLORr--
SKYLIGHTS (FLAT ONLY) /IIS,e_ -1 st e ";" —SIZE: COLOR: �-
J
ADDITIONAL INFORMATION: •
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