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BLD-90-439
sALE D A--E 7, . 10 - 7 i-, 9d TCH Art DATt5 f, 7 ii'/go -tt4tL$ - 7(23�To -:Of•Yq jt., • I • ey _ ¢ o TOWN OF YARMOUTH Crl„teT TA,t 191 ° .,. Application for a Permit to Build No. 139 ��'' UPON FINAL APPROVAL ? ..‘ ,\9 -10 MAP 5 3 LOT R I - l FEE MUST ACCOMPANY THIS APPLICATION. DATE 19 5o " The undersigned hereby applies fora permit to build - 1//7/ 4) according to the following specifications �/ X47 /9� . 1. Name of property owner f3oSUl� S • MME.INItoc• / el. 7t,o•- 2330 , Address Iz7n fzrc- 'zit s, YA24tauff 2.Name ofArchitect(ifany) c'o've Tel. 3. Name of builder_Aricarcw-s ltssr Address P. b • K 7.r Z3 f-t4sNPEE AM 4. License No. N/i3 Tel. 1/77 -. TF...ur oz4v 5 5. Name of Mason /"n Address 6. License No. Tel. • 7. Construction address - IA I 3 ' ' - .a $ S .i. Flood Dis rict ...-6.a 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 CI Zoo • O[ 7ZNr � "kir 11. Commercial 0 Kitchen 12. Other ❑Vr 7/0a �+w ry��t Dining Rm. 13. No. of stories ,� Living Rm. Bed Rm. • 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath 15. Materials - Wood 0 Cement ❑ Other 0 .--- rn�� Deck irn16. Type of heat - Oil 0 Gas 0 Electric ❑ Other 0 7. Closed porch 17. Garage — 1 ❑ 2 ❑ Family Rm. .5 ` Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove —Wood ❑ Coal ❑ 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 ( M.k K. a/104_0.6:1:k_ • PLANNING BOARD Address 17 'n 2r- zS Date S. Ya 40o r!/ n-,a r r 4 i • • ' lY i(1) 'niriro11nfirati17Jisa{1'fivasfiavanfi(1r 1`iii iiTAtitIr1v#'i11y • t I Certtf nate of fLame eet�tanth Acskt . REGISTERED . ,� issue IT<e: APPLICATION Daft treated or ii( 114 % CONCERN No. ACADEMY TENT MD CANVAS INC. manufacture 2910 South Alameda Street 5/25/89 L F-337 Los Angeles, CA 90058 s 1 This is}to certifyethat the materials described on the reverse side hereof aye been flame- r retardant fAt1 ' 2?f00Ser�I-r5 nfly nonflammable). P .O. t30X 1885 •• FOR ADORES CIM MASHPEE STA MI. s . • Certification is hereby made that: (Check "a" or "b") ❑ (a) The articles described on the reverse side of this Certificate have been treated wi' a flame-retardant chemical approved and registered by the State Fire Marshal and that the •pplicaticn of said fi. chemical was done in conformance with the laws of the State of California •nd the Rules and Regulations of the State Fire Marshal. • Name of chemical used Chem. Reg. • _ Method of application ____.................. © (b) The articles described on the reverse side,hereof are made from a flame-resista t fabric or material 7. registered and approved by the State Fire Marshal for such use. :a Trade name of flame-resistant fabric or material used._.22R Vinyl Reg. No F-332,,, H The Flame Retardant Process Used will not Be Removed by Washing :;. (wits et*Ili net) a 21 David Bradley By Tom Shapiro — P esident Nemo d Applicator or ProdudSon Superintiff awn TNe Ei I 1 U1.1(1• TAT).IAU& ?rT• 1 U t !I i 431M T $J41twah• 5TA .W.1tssipt TIT b T IT 1.1117 VW TAIAI1 TAT1•ITA i BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: (3QSU/> s (b1QeWE WC: BUILDING PERMIT #: ADDRESS: (173 J-TE- 2Fl 5 y4R/O0/(.j TELE. NO. : WO - 7.33f) DATE FILED: Yrf/na BLDG. SITE LOCATION: MAP/l: 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_ n'. 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: 40/¢.,(, e DATE: 7lrglgo N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT Rt„ DATE: -7///022/90 N/A: • INDUS IAL /OR COMMERCIAL PERMITS ci TJ� 5. WIRING INSPECTOR: ,÷4(7, DATE: af- /3.-W N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: r ( > (i-- , DATE: 7-19-'n 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: 5- %, �� "het'" Orr/ aeede1 A'Av«7 .0919° ted 73/9° o«��� x. /7aik11 rtee. BLM/89 ,v ' 1 � Q V. 3o�v S ,w f-1AetNE Mil tiou«e1k' i /S� k7o Cl lig Ile PA /0/ VOT7 c . 51 „ i(i: th- /S LA,V� Tt tri o �s,��s , v ] A r3 `. ,i )it