BLD-90-452 re. i s7,0 6,74,9a
° TOWN r YARMOUTI� °ereu pfeir,
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Appllcatiotfor a Permit to Build No. Lisa
Q 4.a6 MAP is LOT 7 ' 3- /-1- T
FEE MUST ACCOMPANY THIS APPLICATION . DATE st/ 1 96
The undersigned hereby applies for a permit to build /�'-/90
according• to the following specifications 7/ /96
J L -fl
1 Name of property owner /7�c. qn eN�(/r7t Tel. -ki3"0
Address 57 ilitgutiZIvs A' /hg2/1644 /hr+ oi734
2 Name of Architect (if any) Tel. _.
3 Name of builder TAria/ KE/5 y Address 7z Thm:v ,r71 373. yrpnr,�.[,r`717
4 License No. 04¢ 9P'S Tel. -99-4-.22/3 _. / [
5 Name of Mason Address
6 License No. Tel.
7 Construction address ov S /frena/{,qc /.t'-e- Ph $4tin-dw
thn
Flood District
8 Date of subdivision Approval plain zone Zone
9 Private dwelling ❑' - Estimated Cost DO NOT WRITE IN THIS SPACE
10 Multi family ❑ , ; goy eta 4/10,47. ow S Type of room I No.
11 Commercial ❑ }k . .,e , lftPM*z rvve
104u` t%v!G/No. - Kitchen
12 Other . C1 TrisucaT2 roan Dining Rm.
13 No. of stories d Cnc¢ Living Rm.
14 Foundation-Full ❑ Half❑CrawlDSlab❑ �� 6tesrQJ7G Bed Bath
I
e h
15 Materials Wood❑ Cement ❑Other❑
ratio, a-c) Deck
16 Type of heat-Oil ❑Gas❑Electric❑Other ❑ Closed porch
17 Garage - 1 ❑ 2 ❑ Family Rm.
Sun room
18 Swimming pool-Size Garage
1'9 Storage shed -Size Shed
20 Stove-Wood [' Coal ❑ Alterations oL.
21 Size of lot: No. of feet front No. of feet rear No. of feet deep
22 Size of building. No. of feet front . a _ No. of feet side 4* No. of feet rear 3.9,
23 Distance from nearest building: Front Ft. side ._ Ft. side— Rear
24 Distance back from line or stree` From r=ar/ot line Side line
Signature / ' ��" , /
LOT RELEASED BY Addres -' 1 ', A
PLANNING BOARD 'ti� y9 -r / A
Date /
NUB! DING i riRMlT APPLICATION
APPLICANT: MetanG/C )P NN le / ��JJ BUILDING PERMIT #:
ADDRESS:37 j/ -W,C,.vr loge- //9,n//✓n•o //Jf!- TEL.NO.:�.¢r° J'if DATE FILED:
BLDG. SITE LOCATION: MAP #: /p LOT #: H3-1V— 1
The following information outlines the procedural steps required to obtain a Permit to BUILD - ALT
-or ADD TO - any structure within the Town of Yarmouth. The Building Department will determ
compliance to the following: (A) ZONING REQUIREMENTS• (B) HISTORICAL DISTRICTS (C) FLO
PLAINS ZONING. The Building Department will be responsible for assisting the applicant through j
following departments:
.
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: - Determines Compliance of Water Availability.
Q •
ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage.
CONSERVATION: Determines Compliance to Wetlands Acts, i.e.: If lot(s) border any
type of Wetlands - Streams - Ponds - Rivers - Oceans - Bogs - Bays
-Marshlands, etc.
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations, i.e.: Re-
quirements for Septage Disposal and other Public Health activities.
FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Per-
sonal Safety - Property Protection, i.e.: Smoke Detectors - Sprinkler
Systems, etc.
The following departments must sign off, in the respective order, prior to the Building Inspector issu
the required Building Permit:
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: w / DATE: N/A:
�
4. HEALTH DEPARTMENT: / - -DATE: 7/'5 `Lt/may) N/A:
INDUST'AL 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 RECE
FROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO
ISSUANCE OF THE BUILDING PERMIT.
COMMENTS:
1Jew 5.74( Mcis7-h- lost1'1 /0viol-CI- OCGQ1OrL , - v wiT aTO-AGI Tokt
I' akc- ./.3drateet5r alive la nomurn 61. B/It• T ear Fein. s if i 0,ge , ,
EyrlLazro✓t D ems 7; ,/XZwr E6fws•Mi mr. ,&23C &?32"
kkBP-86i� I� Ok"/c- 7b6 kd
' `6 PLOT PLAN
FOR LOT # /13 -n - r
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) 69
Well 0
-I4'
I (lot & ft. rear) I
Abuttor's I Abuttor's
Mame I Name
Lot # I Lot #
REAR YARD
If thisisa • If this is
corner lot, ft. corner lot
write in name write in
Df strcct. •i,, I name of
+- I a other
C 2 street. .
,b
4
SIDE YARD SIDE YARD
HOUSE
0 ]^O'- FT. t� /2 FT t>
�I �/ 11
I r •j
I
I
SET BACK
•s I
I .
-4
I
0
Ja -t-
(lot � ` ft. frontage)
N / o2/ U//V k1/44 le JMIQC
\ /
\ / (NAME OF STREET)
/ Information
\ _ /
�_ //
\ Supplied by V/b /°�r_ C y .
MARK NORTH POINT
�.
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: L 9�, r/ j
JOB LOCATION: 02/ S/414--AAP /49/1/2- l/V i/e/ILN9.v?/I'/
NUMBS -{"��- STREET VILLAGE
OWNER OF PROPERTY: tjgn.d -e,VNe q
CONSTRUCTION SUPERVISOR:-/ WW v ,F//6t7 o �,9A5 3716-c:23/3
�j NAME r LICENSE NO. PHONE NO.
ADDRESS: 70Z it9//U �m144
LICENSED DESIGNEE: j
(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 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: CO1
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAI
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE-BUILDINI
OFFICIAL.
SIGNATURE: r - 7-
.
BUILDING OFFICIAL APPR AL: ==
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