HomeMy WebLinkAboutBLD-90-461 $c f,"r o•° TOWN OF YARMOUTH e -fW 7A7/9O
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4°"S"` O Application for a Permit to Build No.
UPON FINAL APPROVAL �� 11)01/11 0 MAP /Co LOT 1
FEE MUST ACCOMPANY THIS APPLICATION. DATE Fc
The undersigned hereby applies for a permit to build 7 `r;/90
according to the following specifications /3/a>
1. Name of property owner 04 A., or aC - - ^ y? '-�, e . 77/-- t
Gi?
Address/C. y w ,OccI6Z.O wit e CO. y-4TK/o.r<H Ali 02073
2.Name ofArchitect(ifany) co Cd cet- 71 41J$tTt, .47 H TeliCZ– 1-5/
a Name of builder&A-".J� ( • w cc. «"7 AddressA arc-s /is' y9 "'`tiA4 7-
4. License No. ®/C-r2 7/ Tel. 36 t 8/3/
5. Name of Mason _ Address
6. License No. Tel. /
SE" ' w Rlro 6C/.sc7 ‘...e-2. l .s2n/a✓ri"7L
7.Construction address/� Flood i l '<-;1/2n-ea
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 0 /5::. o o
11. Commercial 0 /e we.
riC/,� � Kitchen
12. Other ❑
Cd�� Dining Rm.
Living Rm.
la No. of stories SC; d"t 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 ❑ Electric 0 Other 0 _Closed porch
17. Garage — 1 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage co, /
19. Storage shed — Size Shed
20. Stove — Wood 0 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 SI- line
/ , /,
LOT RELEASED BY Signature � r /re-
PLANNING BOARD Address A. a. C //9
Date rirt�a%n7 //c>,(7 /�
•
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: ! I "P;VWC
JOB LOCATION: /�p oc c'>..1OccJ4/Zo /414," C . �,4L
N B R STREET LLAGE
OWNER OF PROPERTY: /f/c/C , 0 n/3 f✓G- 7 eLy ..lo/L
CONSTRUCTION SUPERVISOR: 64.4'.c/.4ti , G,./&'ctN . olp22y 3G2-8/3/
NAME LICENSE NO. PHONE NO.
ADDRESS: /e /D . �JX qq 76`71e -7e,e/.9. 02(a9_5"
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 COI
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA]
THE CONSTRUCTION INSPECTION PROC 'URES AND SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDINI
OFFICIAL. / ,
ear
SIGNATURE: _a d .1--
ors....-- •
- -
BUILDING OFFICIAL APPROVAL:
,BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: /CCJq 6 q 4.e._CPC BUILDING PERMIT #:
ADDRESS:A) . .16V/7 TELE. NO. : �4j X13/ DATE FILED: J ZS�iJ
4RKto vr _c '#
BLDG. SITE LOCATION:/Cy cf.t0.1 k-.dl/tp goer MAP#: /(y LOTH: c�
w, y arc..en,
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, Z.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, Z.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 citg_4_4(2 ATE: 745191.)
N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERDATE: N/A:
VATION:4. HEALTH DEPARTMENT „ /l o/ DATE: 7/ � i N/A:
INDUSTRAND/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. / /
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PREPARED FOR : PAUL. 1IAF-I L.IE-
CERT/F/ED PLOT PLAN
LOCATION. tIE511'AaHcritIA
SCALE: l''° so' DATE wLY z3, M
REFERENCE! LOT S
P.B. P.
L.C. P. 191724° :,,Nri, a I
FLOOD ZONE C cry.�° iri,.'
/ HEREBY CERTIFY THAT THE BUILDING y'if
."`�H u;,;,.',�,''
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON AND THAT ITEYEREii H.
Ives CONFORM TO THE ZONING V ILJCAEEY ��;>
BY-LAWS OF THE TOWN OF YACNlOL I n-1 e »��0 i
WHEN CONSTRUCTED. \� • ST� F,.l°�a��
WELLER & ASSOCIATES / ^ +�i'� ```�y�
7/4.MAIN STREET _ �272,q/20
YARMOUTH, MASS. DATE '
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PLOT PLAN
FOR LOT # •
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a '
Well
I 60 �7.iDcc�,q/2.0G`/,(/ I
• (lot ft. rear)
Cr-
Abuttor's I Abuttor
Name I , --• Name
Lot # I ; l Lot #
REAR YARD
If this is a • / If this
corner lot, I ft. / corner
write in name b write
of street. I ; name o
;-; - a other .
0 1-^� o street.
so1 ro
4 1_ _•
SIDE YARD SIDE YARD r�'
HOUSE �,
b FT. 0, a FT.!),
•• 4
I
L `
S T BACK 1
z
pf.n,o 7 s. 1
_ `-5
") fti4
8, 3,
(lot ft. frontage)
\ /
\ /
\ / (NAME OF STREET)
1
/ \ Information �
/ \ \ Supplied by "fee........
/
MARK NORTH POINT