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BLD-90-453
y POSTED 009#14--72,704/00 $4'= P. TOWN OF • A ' MOUTH ogFau -041/6 �� TTACMEES �• eCke..�.,.W, Applicatipn_for Permit to Build• No. 463 ga UPON FINAL APPROVAL 1'as MAP q3 LOT 14 .7C FEE MUST ACCOMPANY THIS APPLICATION: DATE G t O The undersigned hereby applies for a permit to build 6/96 according to the following specific-tions 1. Name of property owner V I I M A f". f?t'/cd Al 1445. 6 SI 3 l Address G i r 4. . 0 2.Name of Architect(if any) Tel. 3. Name of builder ' i ► f 1r r- .%P• •dress i.Sume r . _ 6 , 4. License No. 0 0 7 f I l Tel. lei g-9-4 .53 5. Name of Mason Address 6. License No. Tel. 7. Construction address a, PA-RSGN/�-& 9a/y`,r Flo d District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling$.' Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 / 3, 0 0 0 11.Commercial ❑ Afln cr` XI6 T'O Kitchen , 12. Other ❑ j v�', 6. RN{ Dining Rm. 13. No. of stories 1 65 Living Rm. f7D,fr 5"; cr-� Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement 0 Other 0 ;, • Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch 17. Garage — 1 0 2 0 Family Rm. Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood 0 Coal ❑ Alterations 21. Size of lot: No. of feet front / 0"6 No. of feet rear /Q 0 No.of feet deep / e b 22. Size of building: No. of feet front (' No. of feet side q " No. of feet rear 23. Distance from nearest building: Front ST Ft. side ' S 7— Ft. side I o MO Rear "5 • 24. Distance back from line or street From rear lot line Side line LOT RELEASED BY Signature C���I ��f - 2 PLANNING BOARD Address /1 r V l�v'LdYtt-Q GQ Ae-46-4 • • • BUILDING PERMIT APPLICATION SIGN OFF f APPLICANT: l= or/W N v � T/f E-rII R. BUILDING PERMIT #: ADDRESS: // /IySiotnis ?K 50 Y/-,1 TELE. NO. : T9 ' In 53 DATE FILED: ' /0 0 BLDG. SITE LOCATION: MAP#: °13 LOT/I: Ai 7C. 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 �, ,4,7/�- �} DATE: 7-•.',R3-90 N/A: • 2. ENGINEERING DEP: ' INT: /// / DATE: N/A: CX'CONSERVATION: 4 oil, DATE: '7/p_y P a N/A: GC HEALTH DEPARTMENT I DATE: f oL 3 jd N/A: cU TRIAL 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 PERMIT. _- COMMENTS: W RTA - ©g- -co{Z A bbrr un) 01U ken" 51ba o f pousG- • • BLM/89 / / 1 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: /� JOB LOCATION: tjq-ecoM�64Z ( a / M T (/- R PORT- NUMBERSTREET VILLAGE CA/,.- OWNER OF PROPERTY: �( I M A Fi eeMc a J`J �^ CONSTRUCTION SUPERVISOR: Con- t/r( p (rpr'Ilr.nr..01 00�) I/ I 79 NAME ! f�LICENSE NO. PHONE NO. )(/ (��l/ H M o ADDRESS: � 9 o 6 (? c6 .I 6-8, 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 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 UNDERSTA THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. / �f/I'UPC�✓�C SIGNATURE: l? 1 BUILDING OFFICIAL APPROVAL: • PLOT PLAN .e- - - M 16 pfteSON & - Pbi/4I • FOR LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) a Well 0 I (lot 16 6 ft. rear) 0 %A uttor's I Abuttor's Name I Name Lot # 1 I Lot # VREAR YARD If this is a • If this is corner lot, ft. corner la write in name write in • of street. )• I name of +-. • Ia other • b • ro street. . 'G SI E YARD SIDE i ARD �` .00 /: FT_ HOUSE d_ D a FT 0 • • 1 • O `V , I 'II (7 SET BACK V 2 1/43 no 1 °� (lot.. ..111.O ft. frontage) d� \ / P/i-R7d '- 4Crc pnnil T ' \\ // (NAME OF STREET) / \ Information et...9Qedtt/ Supplied by / \ MARK NORTH POINT FRONT ELEVATION, G.W.A. 1 9..P" • CEILING ASSEMBLY TOTAL R= TOP SURFACE U= WINDOWS: QS�R -0.61 / 0/11.11I" UTATIONASS/ 50 X g,3 _ INSULATION a R=30 ' ?'•a P /171v1 s c wnnnnl _ dia \ \=SHEETROCR DOORS: � di R= 0.45 —BOTTOM SURFACE PP R= 0.61 I/2"PLYWOOD , INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION R= 0.62 1 r R= 0.68 TOTAL R= G.W.A. / i r7 WOOD PrU= —}" SHEETROCR SHINGLES Pr R= 0.45 WINDOWS• : R= 0.87 OUTSIDE Opp ....e==5}" FIBERGLASS /.(o F_ SURFACE INSULATION Q,/r7" FX i s I i R= 0.17 Pk R=11 H-rt 6 5.6 P. 1 011,1 _SURFACE RESISTANCE / R= 0.61 FLOOR ASSEMBLY FINISH FLOOR TOTAL R= DOORS: PP R= 0.91 U= }11PLYWOOD RIGHT SIDE ELEVATION SUBFLOOR r R= 0.62 7e. a ' n G.W.A. SURFACE R= 0.17 , WINDOWS: —6}" FIBERGLASS ! 3 0 X S7 INSULATION FOUNDATION [3 Q CONCRETE r� R= 19 WALL ASSEMBLY FOUNDATION ` (may be used instead DOORS: WALL � SURFACE RESISTANCE of floor insulation) _ R= 0.61 R NS QTOTAL U= LEFT SIDE ELEVATION • G.W.A. 74------ INSIDE ( --INSIDE SURFACE <) —R= 0.68 ,....:-:3/8" SHEETROCR WINDOWS: t" -' R= 0.32 . " STYROFOAM pi DOORS: ♦ 4 NOTES: i PERMANENTLY INSTALLED STORM WINDOWS TO BE USED 'l�p� �Q GROSS WALL AREA= 4 0 J- 1(J f 2 WINDOW AREA= eft 5-.- DOOR ''DOOR AREA- A % FENESTRATION= 1 4 Application to `r,''yii ! Old King's Highway Regional Historic District Committee r ,ti. i . in the Town of Yarmouth for . 3 s�� CERTIFICATE OF APPROPRIATENESS Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter470, Acts and Resolves of Massachusetts.1973,for proposed work as described below and on plans,drawings or photographs accompanying this application for. . S. CHECK CATI;,GORIES THAT APPLY: =o g . 1. Exterior Building Construction: ❑New Building ItrAdditIon 0 Alteration crx Indicate type of building:❑House ❑Garage ❑Commercial ❑Other r-7-.. n 2. Exterior Painting: ❑ n • c 3. Signs or Billboards:❑New sign ❑Existing sign 0 Repainting existing sign t! N C 4. Structure: 0 Fence ❑Wall 0 Flagpole ❑Other r-` -o YT7 w (Please read other side for explanation-and requirements). c TYPE OR PRINT LEGIBLY g //�� _ DAVE° 6 ADDRESS OF PROPOSED WORK /434413"/Iga rIbov r ASSESSORS MAP NO. 7-0 OWNER 2t / 4 F ,gr'/LS'e N ASSESSORS LOT NO 114 3 6 HOME ADDRESS 0 P, 4,- 001/ QoE- /'o!/v7 VA4macinrifinyTEL.NO. 3G ?-5"./3/ • FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). L ,9-o sae-e/y/ fl /hill c/<G--C,r',v/E' 66 fi /DC•r'euao0 >?D Vine mount Point- ,- oit-L-- f r,rMIP n, CA/e/vay ire 4'/47GFtuoo a /en 1/44 le m o u ra Po rpr mg r- Ro,t3eri w. smer.v' /may, uri,rr VA?Rnnou74 'to Vsa,fp v eu7ii,Peer n137 re et n7 /voL/Cs ov 8'/.4f1owner !o/An--yn aIvo ur///1oier • 111 39 4 o&Ce e-J 't-'4,e- /oz. mei- /Areso*#CGS ,4'4r k/.4 4ino arwfiefl (mein eAtooness- , s- ow�A /v 97' .ro Vsarr7'Iou ^F , / . / AGENT OR CONTRACTOR it 'Fpfrd(!MA n, �/r_tlrriCr< TEL.NO. S� 52 ADDRESS /J WW/,[ saivic R . co /AR may rti- DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side),including materials to be used,if specifications do not accompany plans. In the case of signs.give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). • Signed d ? Owner-Contra for-Agent Space below tine for Committee use. • Received by H.D.C. Date 6022* 0 Ap�nc CD Date �! (` The cal is hereby Date Time 9 LS ( ( � � , .1-1-1--, '\ , �� , , _ _ Ill' By � �r� .e - J Approved X IMPORTANT: If Certificate is approved, approval is suciect to the 10 day appethiettath - provided in the Act. YARMOUTH COMMITTEE Disapproved ❑ .Please return to: Yarmouth Historic District Committee p��� Town Hail. 1146 Rt.28. South Yarmouth. Mass. 02664 y/lp��'/J`f1'� TOWN OF Y??Y.OLTH 3 ,qi.,r OLD KING'S HIGHWAY REGIONAL HISTORIC IISTRICT CO.*MIITTEE SPECIFICATION: SHEET APPLICANT'S NAME 'Se Y/ so Yt FOR: /D )C /6 d I l 7 a-n-n FOUNDATION: ? ,r rOv RE () OAt riX 90 'fro anus cOLOR • SIDING: et- s fgoui-e R1E�i Si'6F fit//ti T Tet- O COLOR: Wei S. /4- / C - "5 ° t ,p Slat CED EY: COLOR: /Q ROOF MATERIAL: A-S pith-u z^T PITCH: C-e- COLOR: 5L•A}-Tr- WINDOWS: 2., ce-xtsT/NG,—, SIZE: 70'X S " 70 MV2.J{ cX61-, ( A-42 ,x 7 izo oc- sect\ 9b011e-ainasph TRIM COLOR: iil/ `� DOORS: COLOR: SdO11LRS: r_x i s ri / G 7-0 oJ" ti c' COLOR: =RS' yJffi rr A- &ut'4 / tt C COLOR: DECK: SIZE: COLOR: GARAGE DOORS:. SIZE: COLOR: APPROVED YARMOUTH COMMITTEE OKHRD (� STORM WINDOWS & DOORS: H1111(1Stl3ljj p y48313 loin COLOR: 7/z,fro A95) 141nr;,,tN, JONII01 SKYLIGHTS (FLAT ONLY) SZ: Ed Z( W' 06 SIZE: COLOR: ADDITIONAL INFORMATION: W iii> j,`(;{e»' g p XE5 Cit h 157 i/VG-> ,e • • 9/88:c1 TOWN OF YARMOUTH 33-41 J OLD KING'S HIGHWAY REGIONAL EISTORIC DISTRICT COMMIT= • SPECI_^ICATION SHEET APPLICANT'S NAME FOR: FOUNDATION: () " �0 uR 6 p D ' " K aa "To o T//Ed- COLOR SIDING: C L A- P Ba AAP FR 6 u T' pi 641-7- S l P COLOR: Witt Tr CEDD^1EY: COLOR: • ROOF MATERIAL: A-SPH'/'uLT PITCH: /912,1' COLOR: S '"rTi • QLrobio If CEAisn o-) 30/ref S7 WINDOWS: SIZE: (�, TRIM COLOR: f i fl i r r , 1 DOORS: t COLOR: r sro &Juntas: j`x�s riN� Re:To �r ` U COLOR: y3 LO =RS: /1-761-1 re- /+/- U/k?, N a COLOR: DEC:: SIZE: COLOR: • GAR GE DOORS:. SIZE: COLOR: APPROVED STORM wnows-rantO fatty "313 NINOI COLOR: YARMOUTH COMMITTEE i':,HaIA JO HMO). OXHRD • )/l/l90Of° SK1LIGHTS (FLAt(bl ei')Zl 06. 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