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Home My WebLink AboutBLD-90-451 posit) ; Cizgalqz`//96 )41f [ TOWN O ' ARMOUTH af' r A, 7/496 (O/ _ ws�1�/ H ;" MATTACHEES �% _ --w 0 7 Application for a Permit to Build No. '`/S UPON FINAL APPROVAL MAP/27)/a /3f LOT T FEE MUST ACCOMPANY THIS APPLICATION. DATEX 19 The undersigned hereby applies for a permit to build 7/&9e) according to the following specifications d 1. Name of property owner t^ (-LA�' ` `"“I€1 7/ Tel. C..2_ 4652.. Address / T15 KA T6-5 fin t k-4 2.Name of Architect(if a ) , / Tel. a Name of builder or C J7-fi1A2-ems Address o'l3 an-6,,,,t_ ,6-fai/a 4. License No. 1 0 Y7y8 Tel. 377 -55-Y1 A"`'" 5. Name of Mason Address 6. License No. Tel. /) � 7. Construction address Xi ./ (u,9 / 4/(v s 4V , U7& /frA Flood / /ftDistrict 8. Date of subdivision Approval i . plain zone Zone 9. Private dwelling [B/ Estimated •st DO NOT WRITE IN THIS SPACE Pi Type of room No. 10. Multi family I ;Ci o-oU . et 11. Commercial 0 672CX Kitchen 12. OtherDining Rm. X/°/✓�N f1TjJf('fJc=D Living Rm. 13. No.of stories _ 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 �aS Bed Rm. Bath 15. Materials — Wood III Cement 0 Other 0 Deck 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 ❑ 2 ❑ Family Rm. Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 2a 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 SignatureX /i 4 4 sit PLANNING BOARD Addre -tom - .. + Date 412-41at,,u BUILDING PERMIT APPLICATION ?PLICANT: X ()")l(._CLPSY � c.' SES1 BUILDING PERMIT /: ?s / 'elSee Z 4,C-52 e(tz,o( el DDRESS:/ S �z S P�"C(� TEL.NO.:}( DATE FILED:Y l/ LOG. SITE LOCATION: 9•c/`nC`5 n*nr/�*A',wCsw#Y MAP /: //9/ J1211 3S LOT I: 7 C Y� diiovrH/'oiet /O / he following information outlines the procedural steps required to obtain a Permit to BUILD - ALTER - or ADD tructure within the Town of Yarmouth. The Building Department will determine compliance to the following (A) EQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING. The Building Department will be responsible for as he applicant through the following departments: RESIDENTIAL AND/OR COMMERCIAL BUILDING ATER DEPARTMENT: Determines Compliance of Water Availability. NBINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. ONSERVATION COMMISSION: Determines Compliance to Wetlands Acts, i.e.: If lot(s) border any type of Wetlands, Stre: Ponds, Rivers, Oceans, Bogs, Bays, Marsh Lands, etc. EALTH DEPARTMENT: Determines Compliance to State and Town Regulations, i.e.: Requirements for Septage Dispose and other Public Health activities. • •IRE DEPARTMENT: Determines compliance to State and Town Requirements for Personal Safety, Property Protecti 1.e:: Smoke Detectors, Sprinkler Systems, etc. be following departments must sign off, in the respective order, prior to Building Inspector issuing the required uilding Permit: • EYIEWED BY: I. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: d N/A 4. HEALTH DEPARTMENT: / / DATE: l/a 7/ N/A INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A 6. PLUMBING INSPECTOR: DATE: N/A 7. FIRE DEPARTMENT: DATE: N/A PLEASE NOTE ILL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE DISPOSAL SITE MUST BE S '0 THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING PERMIT. :OMHENTS: • TCYIN OF YAPZ'DUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Please Print: DATE:V Ir1��/ w � / JOB LOCATION: 45- j' P ,1/ isn1 'V,frits/ w Gwirei 7 NUMBER STREET VILLAGE OWNER OF PROPERTY:X ipi l C.(.' CN r`1 (_t61S9 CONSTRUCTION '' // dq SUPERVISOR: (Si C hz/C LT//S W 0/C0 W 374 i cTfl NAME LICENSE # PHONE ADDRESS:, ,a)3 God.‘Raito.el o1U &ia!,5Tet? AM 00263f • NUMBER STREET CITY/wc N STATE ZIP CODE LICENSED DESIGNEE: LICENSE # (IF CIPHER THAN SUPERVISOR) NAME 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 buildings 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 subcontractor 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, reconstruction, 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 ceonstruction supervisors in accordance with Section 109.1.1 of the State Building Code. I understand the construction inspection procedures and the specific inspe tions as called for by the building official. SIC;dATURE: �/ �i,Jis�7 /` ( ICEN CONSTRUCTION SUPERVISOR) BUILDING OFFICIAL APPROVAL: ('-'--- _-, . _ . ... .. ...... 1' • • 3>!N6.ncwx r ^), - S,- c«s 5[.ian6 OR. ncoow� .> Ar __ Kira4e / <o.v . 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