HomeMy WebLinkAboutBLD-90-429 r o " TOWN 0 ARMOUTH . ci? R137/490 .
c MATTACHC5 4,�
e <„.,` 6ce: Application for a Permit to Build No. 3/421
UPON FINAL APPROVAL MAP q •• LOT P ki
' FEE MUST ACCOMPANY THIS APPLICATION. DATE 1.7 . 4
19 0
The undersigned hereby applies for a permit to build �ii! 7 /9 a
according to the following specifications
1. Name of property owner Dr +,m rs. Qe u n e TeLc.3(00- 811D 7a
Address a lc m e g 1 M k\ 1)r. yrol edi D -i-
2.Name of Architect(if any) Tel.
3. Name of builder�a.lal25 13 rnccraJl, Address?O. x (07-7 (Qv') t'nn; S
4. License No. 0 4 .c ) a c - Tel. 4 30 - �-Lino
5. Name of Mason Address
6. License Na — Tel. •
7. Construction address r-- CO YY1 e d I n oJn r- yarn')DU fel pork
Flood , I District
8. Date of subdivision Approval — plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
51unnili,ur- Pao c_ Type of room No.
10. Multi family 0 ` p c9000 , PCD 013
roil Fr Ari
11. Commercial 0 c atntc via Kitchen
12. Other Dining Rm.
13. No. of stories a-S. Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 • Bath
•15. Materials — Wood El Cement 0 Other ❑ Deck •
16.Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed- Size AX I(v Shed3y',i j' /
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front i Na 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 _' / e7
PLANNING
�G
PLANNING BOARD , Address ,T6•BOX (077 S-- 17)17S ✓14-4
Date 682660
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: J2/fle\ ' I V IC6raWk BUILDING-PERMIT IF:
ADDRESS: To,TOY (g77 STOW9/5 QP66OTELE. NO. : 5/30-021/400 DATE FILED: 7//f0 ,
BLDG. SITE LOCATION:,,26 *Meth 22r. y-Prf MAP#: 9/ LOU: NV,B
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 DEPAR DATE: N/A:
3. CONSERVATION: r%
•
- TOWN OF YARMOUTH
BUILDING DEPARTMENT •
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: /
JOB LOCATION: 31.7240 fiedlr�t.A Imo" rmoo// cor
NUMBER ST ET VILLAGE
OWNER OF PROPERTY:
NUMBER-7,1
'P i rnner 'F JoJv?e g I mer
CONSTRUCTION SUPERVISOR: Ja..mes 71). Mcoradil 043/36 4/30-aybp
NAME LICENSE NO. PHONE NO.
ADDRESS: TO .3'j, Al? S • Tenn is MA 09660 6eGA-%
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,
ONSTRUCTION,-: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,$ECTION 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 INSPE TION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: 0 ' Slit
a 21
BUILDING OFFICIAL w PROVAL: -
• PLOT PLAN
FOR LOT #
/T?`
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) e��� '
. well ®I �(
(lot r' e
Abuttor's l � Abuttor's
Name Name
Lot # i e•mo1 Lot #
REAR—YARD-Th 1:1,-Z
If this is a • n i I If this is
corner lot, . . ...... .. .ft. 2 • , 7 corner to
write in name ti . ' write in
of street. • name of
•
+� I 7 a other
E street. .
V
•
%I SIDE YARD
HOUSE SIDE YARD
VP
FT. 0FTO
yr/
4
T BACK ti.
I
I
(lott �,ft. frontage)
\ / nee 9 , .J AA D14
\ /
\ / (NAME OF STREET)
/ Information /
/ A Supplied by ��ii
MARK NORTH POINT -
310 CMR 10.99
Form 2 DEP File No.
.,+ Ro be provided by DEP)
YARMOUTH
Commonwealth City Town
•
--s0o Massachusetts Applicant Di3nP M. RPIIPpT
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
and the Town of Yarmouth Wetland Bylaw
From Town of Yarmouth Conservation Commission Issuing Authority
To Diane M. Reimer Same
(Name of person making request) (Name of property owner)
Addres2s
6 Medinah Drive, Yanrouthport Address Same
This determination is issued and delivered as follows:
ire4 ;hand delivery to person making reauest on 7///e00 (date)
C by certified mail,return receipt requested on 111 (date)
Pursuant to the authority of G.L. c. 131 , §40. the Town of Yarmouth Conservation Commission
has considered your request for a Determination of Applicability and its supporting documentation, and has
made the following determination (check whichever is applicable):
Location: Street Address 26 Madinah nriva vartno+rthrcrt, M11
Lot Number: •
1. G The area described below,which includes all/part of the area described in your request, is an
Area Subject to Protection Under the Act.Therefore, any removing,filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. E. The work aescribed below,which includes all/part of the work described in your request,is within
an Area Subject to Protection Under the Act and will remove,fill, dredge or alter that area.There-
fore, said work requires the filing of a Notice of Intent.
Effective 11/10/89
2-1
3. 0 The work described below, which includes all/part of the work described in your request, is within
the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under
the Act.Therefore, said work requires the filing of a Notice of Intent. •
•
. This Determination is negative:
1. 0 The area described in your request is not an Area Subject to Protection Under the Act.
2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but will
not remove, fill, dredge, or alter that area.Therefore, said work does not require the filing of a
/ Notice of Intent.
3. 1W The work described in your request is within the Buffer Zone, as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act. Therefore, said work does not require the
filing of a Notice of Intent.
4. 0 The area described in your request is Subject to Protection Under the Act, but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
• the regulations, no Notice of Intent is required:
•
Issued by TOWN OF YAR UTH /�l� Conservation Commission
Signature(s) Snail* 1.Y1�Ut lfil
•
e is. • 17.e€:-Le) G CC
-0
t".cQ •Qq, c
This Determination must be signed by a maj rity of the Conservation Commission.
On this 5th day of .Till y 1990 , before me
personally appeared The Above , tome known to be the
person described in, and who executed, the foregoing instrument,and acknowledged that he:she executed
the s as his;her free act�eed.
ta4aearentan teleertba 11
Notary Pu tic My commission expires
This Determination Does not relieve the applicant from complying with all other applicable leceral,state or local statutes.ordinances.
by-laws or regulations.This Determination snail be valid Ior three years lorm the owe of issuance
The applicant,the owner,any person aggrieved by this Determination,any owner of land abutting me lana upon wnich the proposed work
K to be oone,or any ten resloents of the city or town In whicn such land is located.are hereby notlftea of their right to reduest the Department
of Environmental Protection to issue a Superseding Determination of Appncabnity,prowomg the reouest Is made by carte eo man or nand
delivery to the Department.with the appropriate filing fee and Fee Transmittal Form as provioed In 310 CMR 10.0371 witnin ten clays from
the cate of issuance of this Determination.A copy of tne request shall at the same time De sent by cemheo man or nano()silvery to tne
Conservation Commission and the applicant.
2-2A
•
.� „�.. • ,. 1-�\ - -- - -- Application to -- -erre or;,'y,y� ` Old King's Highway Regional Historic District Committee
y.,
,5 • •
in the Town of Yarmouth fora•. 3 Liz O -A
~ • CERTIFICATE OF APPROPRIATENESS • •
�i . Application is hereby Made in triplicate,for the issuanceofaCertificate of Apprdpriaeness underSection 6 of Chante(470.
Acts and Resolves of Massachusetts. 1973,for proposed work as described below aid on plans,drawings or photographs
' . accompanying this application for:- _, II
r i
. .::c.lbXjr: .i.a. '. . • Ga's'p CHECK CATEGORIES THAT APPLY: . xi,, • 7
;.'.1.Exterior Building Construction: IX New Building 0 Addition 0 Alteration pus ' 1
,,,,;,,Indicate type of building:0 House 0 Garage 0 Commercial 0 Other -�
' 2. Exterior Painting: O r"<"; -n (Tj
• 3.Signs or Billboards:0 New sign, 0 Existing sign - 0 Repainting existing sign '. tc_zi tai "WO'
'LI "d PStnicture: 0 Fence' 0 Wail 0,Flagpole C Other " • .
''''" "' 'L • • ' (Please read other side for explanation•and requirements). .
. .,1•t.,. ,.. , . - .I . DATE 5 of
"` TYPE OR PRINT LEGIBLY `'{ ` � � .2, v
�4r
rIXD RESS OF PROPOSED WORK4bc n Main a 4 ''l2 .' . . . ASSESSORS MAP NO. /
OWNER ' 12 HRS J isr7 e5 /Q.e.;h., e r ASSESSORS LOT NO, /WY Q
. HOME `�E ADDRESS Med,',/,; Th2 Yc3i.
r ,u✓�A eetr
br TEL,NO.2G•1-`� 'at7� '
^r:rOM
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Maude name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
Tt' 'PooR 76 Au,.,sT<► A1ATL , Cunitl4so, re.Q 01(,37
y .i, •
ai)01 4 eP�.y s r)7 NtCQ..✓lti• 'b2 y • 42no✓?e p nr o...14 --s
- ,::. /9-rr1- Th,,dt t,1-t ILL' neJ,,,.riA 7)4 yA-.¢,-in..r, r+ pg: r
AGENT OR CONTRACTOR TEL NO,
ADDRESS • •
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 sighs, (Attach additional sheet, if necessary). ,
.tb no nQ'2e:nr , . _ .. ,r
Signed /a......2-• �
1;:. "'""'^a=aLS ,1 Owner-Gbntract t
•
' ` space below line lot Committee use.
r;.
n.Received by H.D.C. As •.ended with 7/12 roof pitch. •
Date- -�-f `-- The a ertif ate is hereby APPittw0> A J- 4 Diels- t; Date ‘ /;-VC 4 /
.:Time I3°j.-c- _ . I ' !-f c--- - f%
4-1'rrivaral-
a a .
i i -•i
Approved „ /`''
, ' , IMPORTANT: If Certificate is approved. approval is subject to the 10 day appeal perloo
. provided in the Act. •• • . . APPROVED
Disaoprovea C .Please return ::: Yarmouth Historic District Committee 4 YARMOUTH COMMITTEE
Town Hail. 1146 Rt. 28. South Yarmouth. Mass.02654 i OKHRD
., '
• ' TOWN OF YARMOUTH
OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE
3 11
SPECIFICATION SHEET fir-
APPLICANT'S NAME 1J1R(i )F r-Rel mer FOR:
•
FOUNDATION: 3O" )( IO" SonGTUbeS COLOR Cemenk
ats+Ab rtn -e
SIDING: I X la P i(LIZ, COLOR: 9 t em �
-YR crwil 1i DOS
CH '*TEY: COLOR: J '
ROOF MATERIAL: I X 10 r` np, PITCH: 0 /l a COLOR: care t_i
wramows: boob la 1-10.1l() SIZE: a x 3 6bfRoOP
YARMOUTH COMMITTEE
TRIM COLOR: OKfIRD
DOORS: a/3' t ii,' ?fru- COLOR: c3C"2.4
SHUTTERS: t'i(L.. • COLOR: C� n2.�
GUTTERS: COLOR: —v
DECK: SIZE: COLOR: i
GAZaGE DOORS:. --- SIZE: COLOR: .---
1
STORM WINDOWS & DOORS: _U.J11lStl3Hl Y 1✓ll317 NM(ll ' COLOR: —
Hlf1Ck4Ht`t .:? 1-'Y ' ,
SKYLIGHTS (FLAT ONLY) —]Z: l d inNllf^tIZE: COLOR:
ADDITIONAL INFORMATION: A4
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a . 61131/° 6040 . .
• AP'PROVED
1121:OUTH COMMITTEE
WIRD 3*Ziril
•