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o tr, /9 -0F BAR. 7,x-3 CJ Sic- �.4'o . TOWN YARMOUTH ©KFrw 7/n/�6 N M ,' fir ' �,< >; 6 Application for a Permit to Build No. #q UPON FINAL APPROVAL J1L' 17/49 MAP 66 LOT P.g4- FEE MUST ACCOMPANY THIS APPLICATION. DATE The undersigned hereby applies for a permit to build //A% /?a according to the following specifications �h a 190 1. Name of property owner wee g4ene- Tel. Address 36 ,%%OC/!/N(///taO -etre wi y/2e/ffov7N 2.NameofArchitect(ifany) ,P a -% ggYoo"/ Tel. a Name of builder Of Sawcia- co Address /97I*'vsr '4 AA/4n 4. License No. 051736 7 Tel. '»S`/77 8 5. Name of Mason _ Address 6. License No. / Tel. 7. Construction address 16/iOC/O #40,#i5 /4vc M,Y4&gOon/ Flood District a Date of subdivision Approval plain zone Zone 9. Private dwelling OEstimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 3 0 0 0. — 11. Commercial 0 ->G Kitchen 12i Other 0 aV / Dining Rm. 13. �"� Living Rm. No. of stories U K ff� L`� d' Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 CCD Bath _ 15. Materials — Wood OT Cement 0 Other 0 Deck 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 0 - Alterations _ 21. Size of lot: No. of feet front 'AO 3 No. of feet rear /0 5 No. of feet deep 1/3 22. Size of building: No. of feet front 6‘ No. of feet side a V No. of feet rear G 6 23. Distance from nearest building: Front //O i Ft. side y0 Ft. side 38 Rear 9A 24. Distance back from line or street q3 From rear lot line to Side line go LOT RELEASED BY Signature ,/ jr, / PLANNING BOARD Add •ss /77 /s ' C. D Y/0/4e) Date - , ,P.c'y 5/ ,,og e co 0 • TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: j if& t*#o JOB LOCATION: /J 6 4mo laws- Meech r# NUMBERSTREET VILLAGE OWNER OF PROPERTY: l� /rawer- CONSTRUCTION reCONSTRUCTION SUPERVISOR: M/4V° 'z/kv;Ox/ ov7369 7/r -/778 /J .J7'.v NAME �f j�A LICENSE NO. PHONE NO. ADDRESS: /99 4ger &C A' /e/v/%rs 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 ONSTRUCTION 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 COI STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA] THE CONSTRUCTION IN ' ' ION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN( OFFICIAL. SIGNATURE: BUILDING 0 ICIAL APPROVAL: - t ,P%w,iied 27442 gy/BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: ,i /n5/9t?wft7cC (2/7J'/MN's° BUILDING PERMIT ii: pQQ ADDRESS: J7 1,4e r,tt4 rid, ,44 /H/5 TELE. NO. : 772/7/a DATE FILED: 7-77..-37e2 BLDG. SITE LOCATION: 16,OCnel04/,f%7 J4//C' MAPA: LOT/l: Tap( 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 fa DATE: 7//070- N/A: INDUSTR 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. l ,/ -�^ COMMENTS: 3GDG . Vgw r /940 NC. T P fz>&c C 7.7eD F ela1-Ir" SoN-a-TuRnR,c ra Be mvI-Mtt. -9 ' Stcc, p' o/ w Gdi�Y/).GPTrams T6 o Min ,-4017 - BLM/89 1 7nil o a P)/Citlic At O'( PLOT PLAN FOR LOT # t Sg fl?a rKa. Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) Well F q.S 14ami i htt \lt� I (lot � ' . rear) I Abutter's IAbutter's Name I • Name Lot # I M Lot # moi, / 1► N, - REAR YARD If this is a // If this i corner lot, iii . .ft. corner lc write in name 4' 1 write in of street. ' /s _I__\/ name of +- • .-a _1.til4 ' a. other a ' 0 b street. . re 4 SIDE YARD SIDE YARD 0 Ago FT. HOUSE q I7LI- FT \ C . • . es 1 :0. I oa I �- • �' SET BACK • LL. '43..f -- :1 I I Rot rill ft. frontage) (NAME OF STREET) —4 < • • • . Information / / Supplied by Snra,y,gy 0 MARK NORTH POINT 9_K 36 /,JOc/ob<r%Jfe 4 iv.- • �. w, ygielioor nt, E III I 1 1 I i I - I I l l I f 1 I f I� I I I I I 1 • I 0,' 3\ / e DQl Ca£RAGE Rat Rom*/V • o .ten / J , / , i II I ��J\\II II II l I I (f• { J I 1 l i I 0' . \--- f11Q1( s_. 36 ;froct'/,vG4 eQ 474/ r • 4Pe Yom,° oa7w, 4147 ion/sr/acre-0 i v r,94F ,PEA As Fxrsrtit pea( &"� �- Q �sflu --- r— Ale A i 13 ,, 4 4 I ;c4*(-r 0 0 10,11( a • e ik Tv oxo vt Ib;oc - 4<A+�_, r govi be . N G.W.A. r- CEILING ASSEMBLY TOTAL R= TOP SURFACE U= 1 WINDOWS: R=0.61 9" FIBERGLASS I — — / INSULATION R=30 clf n I)Ili;1IIZMn,min n .n rl 1 \ - SHEETROCK DOORS: I R= 0.45 ' —BOTTOM SURFACE R= 0.61 1/2"PLYWOOD ........----INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION R= 0.62r R= 0.68 TOTAL R= G.W.A. WOD OODGLES ........--1" SHEETROCK U= S ( R= 0.45 R= 0.87 WINDOWS: OUTSIDE /=31" FIBERGLASS SURFACE INSULATION R= 0.17 �' R=11 =SURFACE RESISTANCE R= 0.61 FLOOR ASSEMBLY ` , — FINISH FLOOR TOTAL R= DOORS: R= 0.91 U= \ }" PLYWOOD RIGHT SIDE ELEVATION . 1 � SUBFLOOR 11// R= 0.62 OUTBID j / G.W.A. SURFACE ` 1 VV V V (%�/�L7U 'L'UJ R= 0.17 , 2 WINDOWS: } FIBERGLASS INSULATION FOUNDATION CONCRETE /t ,, R= 19 WALL ASSEMBLY FOUNDATIONI (may be used instead DOORS: WALL I URFACE RESISTANCE �_ C R= 0.61 of floor insulation) R TOTAL U= LEFT SIDE ELEVATION -F t_ I G.W.A. �—INSIDE SURFACE I R= 0.68 3/8" SHEETROCK WINDOWS: I -`R= 0.32 `_1" STYROFOAM . t- : I DOORS: • fy t 0 - t t . , l r . t• ' . .' NOTES: PERMANENTLY INSTALLED STORM WINDOWS TO BE USED et n GROSS WALL AREA= 6(5 WINDOW AREA= 0/0(, 4j . DOOR AREA= 6/ I % FENESTRATION= I TOWN/CITY OF RESIDENTIAL BUILDINGS ENERGY INFORMATION (LOW RISE) BUILDING LOCATION •--t-t ei-Itu.1f_' I _. . AUc4_ i_ _._., _ U-Wo is , pe r,, t lJ_va was recrI ! M4uuccac ' 1c, 5 Ln gzaryUel Icjcll. ADw 3o Co LI ow sr+ mew ,40.12 4 ) A4 /OZ 1 µNC�ISD AD 2 / I U D v,y 0 44 LLD as(AD OD)f (ADS LIDS) SNDp46/ ' ylHoD ( ATRIUN Li ADS ts C a'/ x a'`'r)+( x —. `/�_ 't p � �L�./(9' - ADD / / U0 " - ! o 0, 70 13er I.JtLY AW ��.5 n11.11.1 PpogarpraCop kit1404.ls 4440 DOORS = (AC-t ADD) Ai4 ( /0"b )+(py =0, /i9 x Ioo = ./9 lb 506 IF WINDOW AND DOOR AREA EXCEED FIFTEEN (15) PERCENT OF THE GROSS WALL AREA THE OVERALL WALL Uo VALUE MAY NOT EXCEED 0.167 (Uo = 0.105 FOR ELECTRIC • RESISTANCE HEAT) IST ROOF/CEILING,FLOOR OR FOUNDATION U-VALUEE LSA MEET REQUIREMENTS OF TABLE 2009.1' FIND Uow FOR WALLS WALL Uow = (Aw Uw) + (Ac Uc) + (Aon Um) aaAow S n o. ay . L.1,61_43.06Xio13l,-C1_x .5?? 1 + (&/_.x.—�° _ VE)L/ 30G 30� I I-F 3i . . Gal. GRoot. / 6. 032- •UD0.= (A a.a :�gW\i 1'Ac Liza PCD('/ usk /f� e0. (y/l0 d tips // Go 'x oR, SQ9 b.�09 1 I )+(._L .o3z� /_ SKYI,�0S9 Aaw `7/� I Ow off! /6P ~lett- AG, / —9 o, 03p, o.d / OA¢5 ISr Apr /SCI doe cT,D �/6 ilw_oao• J 1I Fo&4 Z, A5 air .: • — 3tr," Apr �-, Jor L -IC=110w AIM= tq, ALTERNATE COMPLIANCE SECTION.20093 • THIS STATED Uo (or U) VALUES OF ANY ONE ASSEMBLY, SUCH AS ROOF/CEILING, WALL, OR FLOOR,MAY BE INCREASED AND THE Uo(or U) VALUE FOR OTHER COMPONENTS DECREASED, PROVIDED THAT TIIE OVERALL HEAT GAIN OR LOSS FOR TIIE ENTIRE BUILDING ENVELOPE DOES NOT EXCEED TIIE TOTAL RESULTING FROM CONFORMANCE TO TIIE STATED Uo (or U) VALUES. ENVELOPE ALLOWABLE Uo (PER TABLE 2009.1) (Aw• •0.03) + (Ac •0.65) + (AOD 0,40) + (Acta 0.033) + (AoF 0.021+ (Arm, COS) _ AuoWs•PtiF /y,pv 6-5; rb 5.,410 se;S`if • ( /QST ro.0S)+(/ero x.4.5)4( 01x0.40)+( Iacis(/`f`f xoo5)+( 40.09)_/d9 05 /era 91 / ALLOWABLE Pea TABLE 2009.1 'ELECTRIC RESISTANCE HEAT U-VALUE WALLS = 0.05, U-VALUE WINDOWS = 0.40 ENVELOPE ACTUAL Uo (USING ACTUAL VALUES OF DESIGN OF ENVELOPE) (Aw Uw) + (AG Uc) + (AOo Uoo) + (MR UOR) + (Aor UOF) + (AowF Uowr) A ..- A 1 .5-316.5" .51151' g.q° S• 376 ` 2 = rvCr 5",L. (121x ,a ta®! z S+{ / x ,� Gvx ' ,1��/Y.o +/ _\ =/3243 102.4 ACTUAL • f T ; COMPARE VALUES —R THE .: VALUES FOR ENVELOPE ACTUAL MUST BE LESS THAN OR EOUAL TO . VALUE OF ENVELOPE ALLOWABLE TO PASS. n PASS FAIL • S