HomeMy WebLinkAboutBLD-90-462 `- oF'Yet i ., air` 74S/90
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. - { �o TOWN OF YARMOUTH o -, apho
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Le :CY, Application for a Permit to Build No. '16
UPON FINAL APPROVAL 0 7/ 3117 MAP N2 LOT Seg
FEE MUST ACCOMPANY THIS APPLICATION. DATE 7/5//1
The undersigned hereby applies for a permit to build 7/9/796
according to the following specifications
y .9Name of property owner a{i i GrTe1.3 n-o -t`4
A
Address -Ds 9 li' ` 0•vqt--�
2.Name of Architect(if any) Tel. —
.4Name of builder /9-�Ar-s 1/c) Address agre / �,
4. License No. Tel. ''2'9
5. Name of Mason Address
6. License No. Tel
1.
1. Construction address tit me l
I AiU_ WV
Food District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling j Estimated Cost / DO NOT WRITE IN THIS SPACE
10. Multi family 0
�/ Type of room No.
11.Commercial 0 9. 7 #. dr Kitchen
12. Other 0 v /4"" %, Dining Rm.
13. No.of stories a'S Living Rm.
Bed Rm.
14. Foundation — Full II4 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood iCement e Other 0 Deck Joy/ U /
16.Type of heat — Oil 0 Gas i 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 ❑ Alterations
v
21. Size of lot: No. of feet front td4 No. of feet rear /d; Na of feet deep A
22. Size of building: No. of feet front No.of feet side' No. of feet rear
fed
23. Distance from nearest building: Front Ft. side / Ft. side 1 O 6 r Rear/OOF
24. Distance back from line or street ,,3.0 From rear lotoline 4as Side line
LOT RELEASED BY Signaturc,; ftattarO
PLANNING BOARD Address -ZAka 490...lt OU) '
Date ky�J t�i 4il n1g1W(, /i' t `
BUUILDDING PERMIT APPLICATION SIGN OFF
A •
/PPIJCANT: 1+f 1N�ia �f/G b BUILDING PE IT il!
'A/DDRESS: 3 Cf /s� TELE. NO. : � FILED:
BLDG. SITE LOCATION: w ycryiMAP/l: � LOT/l:
THE FOLLOWING INFORMATION out NES 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 • v ^ • / DATE: -;;Arl N/A:
IND /TR AAND/OR COMMERCIAL PERMITS-;;Asp
S. 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 S GNED RECEIPT FROM THE
DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO SSUANCE OF THE BUILDING
_PERMIT._
� — It COMMENTS: gc-3)6, 9 az FTGS• — //Z N. lQ x'72//¢ 1
oz) /j1 t >%.4Tu 2 C5' 'Td Q7iy tt'T .Sn#Z (o b r
BLM/89
•
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE 'i/ ' / / r / `/ � �/ nl e
JOB LOCATION 24.tumB yi 7l�, �1111
i w J i 1�D y7 I�•ry
�{"/��BER jjj,,��$Ty�ET ADD )SS 'I' 9 ' SECTTTYYYON OF TOWN 4,�473
"HOMEOWNER" A WC/i/ p. s 1 I C-1 a[..6/3 97--�-V 9
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADRESS i.% 1 1/4-t_E 41, AWF
S o2.473
CITY OR TO ' ST ' ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTE, 'ED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SU : HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICE SE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SEC ION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO : A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY Ti SUCH USE AND/OR FARM STRUCTURES.
A PERSON WH,L CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A"HOMEOWNER. SUCH "HOMEOWNER" L SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFF CIAL, THAT HE/SHE SHALL BE RESPONSIBLE •
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH SAID PROCEDURES AND REQUIREMENTS.HOMEOWNER'S SIGNATURE %yt..1 et. /319
"'
APPROVAL OF BUILDING OFFICIAL
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
1111J:.
LIP ea 4114 ViO tell0 en.7a/nd frx
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PLOT PLAN
T
FOR LOT # MI L Lot 128
Indicate location of garage or accessory building
Additions with dashed lines
)
Sewerage disposal (cesspool)
Well
M� ?M a4*•, Ro1,uY Smlli
M'c o
Lot 5 6 (lot Afai sff ft. rear) fie}- S
- - - • o P11.1 2_
Abuttor's Abuttor
Name hul tOrS/1)3a( Name
Lot # Lot #
Fl.AcC23Rose R YARD 529
If this as a • f If this
corner lot, corner
write in name r write
of street. • 1
• •E name o
4- / I pm in ' x /p i n other
A i •t'' ' �' -a a) treet.
p�` 1/ • • V
.
/ ay,_,�_•_ ./ SIDE YARD /SIDE YARD
•
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pie�(Q % toolFT_ (• � HOUSE /O� FT� 4\,
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SET BACK
1
1 isis,,,
(lot joO ft. frontage)
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\ / alb t1)6LE-A 0 Al V P>
\ / (NAME OF STREET) r
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/ \ Information - /
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/ \ Supplied by v Q4-taCt-CRIA27
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MARK NORTH POINT