HomeMy WebLinkAboutBLD-90-427 7/z-/70
Ip-- TOWN O . ARMOUTH 0KflW 6
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�,,* ..rtot Applic do f r a Permit to Build No.
.. 10 /7 3/q0 4-
UPON FINAL APPROVAL MAP 7 LOT 0"4-3
FEE MUST ACCOMPANY THIS APPLICATION. DATE 74919 90
The undersigned hereby applies fora permit to build \ HI3 f iv
according to the following specifications
1. Name of property owner ✓af a r3N 61 ? O V RID Tet.39V 8cl 7r-
Address .ia f9AS' T/NG- '/1-v Ix-. 1 A eAwe um/
2:Name ofArchitect(if any) ,mist s, n"lnnr.Y,v, 3'R• Tel.
a Name of builder HAM GyN e& it n w I S Address .1-GS- /4A1A/ rr k-, PENNC
4. License No. O O 9.3 Scr. Tel. ' ger g991
5. Name of Mason Address
6. License No. f ' Tel.
7.Construction address .r2. /i4S7wo- A v cv4
Flood .-, District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 I Z /60
11. Commercial 0 # ns id--
- Kitchen
12. Other p'' 5u 1t'P rzcig (RF p.ci}cr~) Dining Rm.
(—I� /.� X 32 Z , Y Living Rm.
13. No. of stories 'I [F1�T� �Z ��6
ca,ticeirr4 praRSa S Bed Rm.
14. Foundation — Full O Half ❑ Crawl ❑ Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck ./.0 ,(3a"' /
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove -Wood 0 Coal ❑ Alterations
21. Size of lot: No. of feet front 410 No. of feet rear /G-U No.of feet deep Al a I
prick
22. Size of building: No. of feet front No. of feet side No.of feet rear
2a 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 fze--nr-ex .,)? "Illai- '-
PLANNING BOARD Address S6 S' '/J22y '
Date 0-"Ar..-/ aA.an-
^ TOWN 'OF YARMOUTH .
BUILDING DEPARTMENT - -
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: f� ^ ^ 'I 1/
JOB LOCATION: ,r2 NA-Sr�d/6 /+v 4, r j'� RioT✓�
NUMBER STREET / VILLAGE
OWNER OF PROPERTY: t/GYJL Pm/ 6- IRI a v A'R 0
CONSTRUCTION SUPERVISOR: fja.S. // /13.14-4/4.7/4/ ✓r? 4U c/34J Sq.?--G9 91
NAME - - LICENSE NO. PHONE NO.
ADDRESS: .S-' k /VA/4/ 2 �✓� 12,, p/TL,vj/r
/v�
LICENSED DESIGNEE: Ag ✓-/?4h/1Aii/e/ 60 ']1 3 4(2
(IF OTHER THAN SUPERVISOR) NAME LICENSE Nu.
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 UNDERSTAND
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: ^C!G%'x'=2 `6 ---
BUILDING OFFICIAL APPROVAL: - -
T
"9„0-ark. `•C,G A BUILDINCrr PERMIT APPLICATION SIGN OFF
APPLICANT: - r ", ��t�--- BUILDING PERMIT Il: /
.ADDRESS: 76 �' 414//v, Si k. p/g,t/orTELE. NO. : 3g8—g �/ DATE FILED: 7441BLDG. SITE LOCATION: ,j /-/L457/A/Gc f}v MAPA: ..C7 LOT#: Y37
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 �f v' DATE: 7/// /c7O N/A:
INDUSTRIA/AND R COMMERCIAL PERMITS /
5. WIRING INSPECTOR: 00o 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
HAMLYN BUILDERS -
568 Main St — Box 572
West DCnnts, Ma. 02670.
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PLOT PLAN
FOR LOT # (34-7)-6173-7
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) m
Well g
I (lot Me 4-- ft. rear)
A 12r•
Abuttor's I Abuttor's
Name 1 I Name
Lot # OIS-441 % { I Lot #
REAR YARD O JS-,-
If this is a • (�(/ / 1L this
corner lot, �! . :c .ft. . corner ].
write in name OX13 T/ ., ?.' write in
of street. ��E� I name of
,... a ________-fiviK a other ,
0 -p. t ' o street. .
ro R�n� /6
ro
QC • ?go�o s7,Z�
� . ; $'i Da c K
SIDE YARD SIDE YARD
,vIN / HOUSE it# FTt>
ciit
la
SET BACK 1/49
- 7zi`"ft
II -a ,
opt F #~ ft. frontage)
•/ (NAME OF STREET)
N > (6-1"7-7/C/Lkfrid
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MARK NORTH POINT