HomeMy WebLinkAboutBLD-90-433 of qR crit--743/9a
*c: s ¢40 TOWN OF ' RMOUTH
tet,t MATTAI��E $ 44 J 7��
�,t ••5 Application
S
for a Permit to Build,JNo. ��V!!
UPON FINAL APPROVAL ?kJ9 AP /(� r LOT € 1/3
FEE MUST ACCOMPANY THIS APPLIN. DATE 71/47/ 19 90
The undersigned hereby applies for a permit to build 7/i 7/ 0
according to the following specifications ,3S2 -47q01
/Name of property owner --Cnn 1eq Ak Tel. �s7
Address Z !o KNo/IW
2. ameofArchitect(iifnany) Tel. p/
,ti. Name of builder 1JjA2t'/ 9/40/4/VC Address ye/ Lou/E/( Co /4y
c'4/
4. License No.
0457LEL Tel. 314 - f"i23 Oouiu/s/aef
5. Name of Mason Address
66 License No. Tel.
6/
onstruction address 2 6 toio l/uicod Q2• ,vI,0-
Flood / District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated CostDO NOT WRITE IN THIS SPACE
10. Multi family 0
(47:046.-- Type of room No.
11. Commercial ❑ " �� /0x/`� Kitchen
12. Other 0 Dining Rm.
13. No.of stories Sas CD Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials— Wood 0 Cement 0 Other 0 Deck /o')1'/9' /
16. Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch
Family Rm.
17. Garage — 1 0 2 ❑ 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 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 V9i'rt/( /%1j
PLANNING BOARD Address
8( L4W.Ct C'vy f 71d.
Date SAhV //
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: SLy/ldea . 5t / BUILDING.PERMIT #: '
ADDRESS: 7. 0 /' /1/v(/W TELE. NO. : 3(o /Z- 7O']/ DATE FILED:
BLDG. SITE LOCATION: 26 104/N/ MAP/f: lo y LOTH: C /13
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 DATE: /101 f1 N/A:
t/INND/TR 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
COMMS TS:$0Cr I jW. '. 10-oriteln /a"X qy' kr-447A° riNish' lr,G�D.0
4744c, c/24Iue Dec- S, ,c.iicr -s r
7. 17
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BLM/89
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PLOT PLAN
FOR LOT # G 113
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a A�
Well g Aibtf
kurrOt ibicin�ou�Woop I
(lot ft. rear) I
Abuttor's I Abuttor's
Name I Name
Lot # Lot #
/SEPT/C
REAR YARD
If this is a • 1 If this is
corner lot, ft. r� corner lo
write in name 1 write in
of stre 1• name of
4-: i3, other
¢ 1 /
w street. .
w zs
et
SIDE YARD HOUSE -SIDE YARD !�" ^r''
v
v /zra—Erl _
ki
I ICI
DEC K o-�
SET BACK c
I
•
(lot ft. frontage)
'i , NI rJcX-t-v1/4)U69 Ole, .
./`>`'
``‘) (NAME OF STREET)
Information
/
/ J `\ Supplied by Sandra 5 Qa��
MARK NORTH POINT
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: J
JOB LOCATION: 06 (i(io/(wa / fic:
NUMBER �,// TREET VILLAGE
OWNER OF PROPERTY: 5a, arq 5-c be_
CONSTRUCTION SUPERVISOR: /bJL�/Z�� fito � ete (151141 .3?$/-9923
Q }AME /- 4( LIC NSE NO. PHONE NO.
ADDRESS: 79/ L-CIGdtr ( 00/4 A74,5,7'/{
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
TATE ____BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL- -- -.=--
2.15.2
--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. / �,DA
SIGNATURE: nI / --- / /w�,
BUILDING OFFICIAL APPROVAL: -- - -
'E.:.•1, Old King's Highway Regional Historic District Committee
,li '�,�� in the Town of Yarmouth for a
• 3s2 6
.qtr-r-c;
CERTIFICATE OF APPROPRIATENESS • •
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
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.
` 1. Exterior Building Construction: ❑New Building ' 0 Addition ❑Alteration • Dee‘
Indicate type of building:0 House ❑Garage ❑Commercial 0 Other edea- �/-e4 A-,J-. '
2. Exterior Painting: 0
• 3. Signs or Billboards:0 New sign 0 Existing sign ❑ Repainting existing sign '
4. Structure: ❑Fence ❑Wall 0 Flagpole ❑Other
(Please read.other side for explanation•and requirements).
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSEDWORK lit 4/0/7/60‘201/2, it ASSESSORS MAP NO. ��9
OWNER _ 4...50/114'6?--4...50/114'6?--04...50/114'6?-- 11 r t_ P_o%-
� / ASSESSORS LOT NO.B/l/i�•�
HOME ADDRESSn7% ,g�//pggq/ &e fid". TEL.NO. (442174 7
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
g/&t laTle , gG4p//i,Jgailt r. #‘, tmeyis �r//r,�dP�
Lif • • if/ t i/i/. /D. / . Jan r" ii - IT,
: . isit rd
AGENT OR CONTRACTOR OS ec',4pe- Colo e/) TEL.NO. 9S OIdtAe—
ADDRESS /75 OLIV- s
DETAILED CESCRIPMON O€ iOPOSED WORK: Give all particulars of work to be done(see No.8.other side),including •
materials to tEused,f specific tions do not accompany plans. In the case of signs. give locations of existing signs and
proposed 'actions of ew signs:(Attacn additional sheet, if necessary). - -
•
-'� Signed 4- �� a i
' Owner-Cont for-Agent
Space below one for Commntee use. =y+
Received by H.D.C. �;
-
Date Chi I" The Cer't/ifi• to is here90 n'?"t/2) Date 6 fiS/? J
`•t
17-41Time17-414�� f Vfl
‘ Byt !- APPROVED
YARMOUTH COMMITTEE
Approved -`)` IMPORTANT: If Certificate is approved. approval is suciect to the 10 day adehEIRD rlod
provided in me Act. fo 113140
Oisaoorovec ❑ Please return to: Yarmouth Historic District Committee.
Town Hail, 1146 Rt. 28. South Yarmouth. Mass.02E64
I
, ' NOTE: This sketch was drawn for mortgage inspection purposes only and Is not to be recorded, or construed as an
instrument survey, it should be further understood that if an instrument survey Is accomplished at a later
date we will not be responsible for any changes that occur. This mortgage inspection is based upon
technical standards as adopted by the Massachusetts Association of Land Surveyors and Civil Engineers Inc.
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• OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE 3 S-2-
SPECIFIC,
-ZSPECIFIC TION SHEET
APPLICANT'S NAME /ll�!�sl% 4feleY FOR: /w
/LP loi///.tj/•,� ) jOy
FOUNDATION: COLOR
SIDING: COLOR:
CHLWYEY: COLOR:
ROOF MATERIAL: PITCH: COLOR:
WINDOWS: SIZE: •
(7^-7 m
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TRLM COLOR:
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DOORS: = COLOR:
SduistRS: COLOR:
• Guiit.KS: COLOR:
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XDECK: <etTo/573_ r SIZE: jOpoCOLOR: p T _e_c
Yrgez r P56402k3a 'peaa — STairs 'D ay
G .i_GE DOORS:. SIZE: COLOR:
STORM WINDOWS & DOORS: COLOR:
SKYLIGHTS (FLAT ONLY) SIZE: COLOR:
ti ROVED
Y/*2 OUTH COMMITTEE
ADDITIONAL INFORMATION: ��
61131;310 " ►9
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-1 OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE
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SPECIFICATION SHEET •
APPLICANT'S NAME_ �.g er/P,./iii FOR: #tel/IZGI//.11/�j C✓�'.�•
�,-/ .i / 774—
FOUNDATION:
,FOUNDATION: COLOR
SIDING: , COLOR:
Cyl^1'EY: COLOR:
ROOF MATERIAL: PITCH: COLOR:
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WINDOWS: SIZE: z` • 1
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TRIM COLOR: R"y A
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DOORS: c£OLORk
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SriL'i lY l(S: COLOR:
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(.uisLKS: f COLOR:
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ity-,AoTIr.S'ayD10 o — S7a'As To aR«e way
GARAGE DOORS:. SIZE: COLOR:
•
STORM WINDOWS & DOORS: COLOR:
. SKYLIGHTS (FIAT ONLY) SIZE: COLOR O
• 1'RRUOU KCOMMITTEE
ADDITIONAL INFORMATION:
•
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Page 56 Little Rock `^ '
Page
Chamber of Commerce
4300 West Markham Road
Little Rock, AR 72201
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