HomeMy WebLinkAboutBLD-90-468 -.6 'Yd et 6W7/34 6tt
.“. v�E TOWN OF t ' MOUTH 7/31/4 n
Ou wx y
N MATTACM[ 3
:Lam 6 kr Application for a Permit to Build No. I/6(
iL
UPON ANAL APPROVAL nel/
MAP `1-1 LOT it)
FEE MUST ACCOMPANY THI APPLICATION. DATE JV a
The undersigned hereby applies for a permit to build f!I I g o (413)5c1 ,Ira
according to the following specifications I p
1. Name of property owner go 0 is Tay SUN a lTel.
Address b 81.418 VA
• 2.Name of Architect(if any) Tel.
3. Name of builder 41 1C W44 EG S1-IR111 i Na Address 23 (.1W.&' 1(12 P&VA16
4. License No. 644229 Tel. r7.60 - 1513
5. Name of Mason Address
6. License No. Tel.
7.Construction address g 19 HA 0 RD ta4✓ncy4 / 4Oc
Flood District
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 4,000
11. Commercial ❑ Clea– /6 We' � _ Kitchen
12.Other 0 a_ Kitchen
oy Dining Rm.
13. No.of stories Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other ❑ - Deck /6%./0/ /.
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
20. 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 Signature *41,0417
PLANNING BOARD Address 2 3 (AVE 4)
Date /ivtitS Od>7 *et '12631
BUILDING PERMIT APPLICATION SIGN OFF FSF
' APPMICANT: $afe4 ke(rj kikrfpBUILDING•PERMIT l :
(413)$96•gz
ADDRESS: $ ATIV 1112 TELE. NO. :
DATE FILED:SA Z / 9ry
BLDG. SITE LOCATION: AHI R Jt,t/ MAPA: LOU: J Io
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 DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: / ' DATE: N/A:
4. HEALTH DEPARTMENT 0-yIv j1/4/ DATE: 7/j 7��(5 N/A:
(� 4RDUSTRIAL 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 TUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
COMMENTS:
ikc�C 1 , /TS rvwS?' NoT ii< oocv S•�oA���'1-2
'dLD6 1> /Y/in, /Fir ifRi'L 34, "
i/i/tcD in it. 1m N, ?o" fibtx. off " fllrp, Fizoen ala 5€
(t:' Ri-at- i//vsr" StpPCt-r 3ovs A-orf-n fir TP iPn-i' —
-
q'X q' Posrs GZ 7 %i% kiI LL )4r /I%nc'L rr
4� F3,flu 7aBi- SP/CED r17f+-)c. 6 "
BLM/89
eCIWN i-exRir wHiff .
•
NA a °A PLOT PLAN
s rlY ' C�. 9 1HW 2b
FOR LOT # `, to
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a
Well. 0
(lot /a ft. rear)
— — — — 0
Abuttor's I I Abuttor's
Name I 0v4 Name
Lot # I Lot #
REAR Y4► a' i"°M guy
55
If this is a
tip
V(��6 two 04I If this is
corner lot, ( llt�(. V corner to
write in name —r— — write in
of street. (• r Pii.DFA`EDe; 1 name of
J-1. - ; C^�tic6 I e other
l6r20i 2.04 1+ 14.-- ;o street. .•
fb
._ --,,\ •
4 A140 9 ri ^ _ _I
SIDE YARD SIDE YARD
"� . FT. HOUSE
�_ 31 _ FTo r
All
ivy la lam .
I Q
. I
SET BACK 5
----
�._ I ft.
I
0
(lot MP ft. frontage)
/ , 1/1W6 17-0
/
/ (NAME OF STREET)
/ Information =
/ \ Supplied by I I
/ \ i
MARK NORTH POINT
Mn paXv7o0 Poo
CONSTRUCTION & REMODELING
23 LANE ROAD
` DENNISPORT,MASSACHUSETTS 02639
R E C E I V E D (508)760-1513
p
190 JUL , • P :110
I'' ioi1 '1' I
,oWH r(6$14 `'15;Ic7°P EX1;i
1001 CLE
nva
W/0E44 09 6M0 H0156
6,4701109
aax14
5(DOe t..9 3).5i'f• t .
1Sf1N6
D X, r:
Ibirt
. . v 1.•', tt7
•
2. %LK ocic-NT out.- •- 2r_ f tPiC4.:1.;:ailgiat151,1GAS
al NOUS' 41:0 a . .•S .'fs4T lir . W , . ..
7 T DEt C. 15 CBNrI L8J6 S2 obi A • germ?.. ; -.a gout
�b I2 " for ?o�pT. .. ,. =
4, lo° c6 NEWT -roan iv "sofA ° f5s - C3) R�fS
72 36" >P p46 tits s 11 foc5rrtz BASE !b`' 6v/9F .
S 1116 &t-'64 W la 65 &'reti X1)40 51'YIW L'W
. i ovvl ? 5f nnv anti965 Ci bp.wwiNo
•
/tallow
YARMOUTH COMMITTEE
OKHRD
a . Wfi1ie
8 Ofisi7
.Ipp![/NG .$1YL E AlaMN bed
foil AAll 'CI I2
Zrc C' p
.
ri"' N's--
,1l.1
04 41sissitaill : 4x9 vp '�'�
tato
EMA_
3Y1 �i11116yriarsaistotwt
PSC( /r
Pli 04l11sk01s - . - _� Zed CO
1I7Ai 4n4 rirrnrn7 .'
APPROVED ; 2%# a
COMM 5) i; 1 ; lY bate
YARNIOOKNRD �,.r- Thl
111 •1
iisi
DECK 7xi 'rorlbtOp 1/4.
in 6411151OU xi cap
r 24
7
. r f�fB� � i� [jjILlI
, 2,0_ ,
itgaivt
. gaimitta 4
BECK •
IS 0,4001144 I
!Mad 014frif tell
(& S44$
. ., /. V
EXHIBIT A 3
cc.- MG A : FAs1FN►NL fa Hocdc'OEOa «poLwJ13 I. got JGO :
w pl paS 0/i' 5126
? : 3/sx5" 3AgpVC of Gre4, or
GNVJM s sneamN4 Wee ;y4,21?, '/a
SOLS 5ipN6
z"o.� 7 w'a BOX'
I ErnTiar4il(bU.,t an- 5/Zje�ta&Z
ZAS q 'Cat:
41111villa 1 - braig&
1f/AIV 6-01515
COSI p)(maa i) r,i:ll 5'n r BnztusWt:
Fouvrogrio.V !'9Rvlh7LXi 0011911
q b ftl?ve—W
DOUBLE ZIS Zig Pi's TeStrEo eo< (PT)
um 045a2.) l rg 4. Phraya iiiktri
mist goat
r//mn1t'$l 36 '
LATE ! t9 4n s PY1-ay Vt4'
' z12 CO1 P ON ably C ^
QE-rsIL B : Rici hvAr II , T/J ���t t? tors:15
iDie4.1 I
,/L ZY4 .
AZn
se
fa 7'j% O.C. la BWula& R O.c'.
Across 8xci 16Auvst as
II7,1gca o 41700
Azxd' ,a«
a z 4 %al Deeemh
4rz
11', tea We •
S/i L/b'l )
13/8`x`6#CleeAYg 0311S
inoW7 v/zn 7frs Iqa / ; $ 4f• oi#'a i
APPROVE,
YARMOUTH COMMITTEE g,Iw ismii,
OKHRD /9 fl) /.5;Mg
,4'd it, CtlIg7
...WA-4Z' LA• ? .,. .. 't�.� . . .. .: i
:. :�_-L.: : �:
' " ' .
< .. 1• -
0
*_y
ZOSP
RISOE - ---- - r' -Al .
. T.O
G q Q . 17
D• - N
I • . N=± 7
• • c •"
•
•
• Ctier6E BEMsLa ibm ' -;6Y.'d-'
14 x.74 •
. r
'FWUt4OfltOW fei6NT _ •--. ., • __
4 "3.- (YOs(.°rat
•
• 4$ N • 3. I 41`Mot'
•l.i4,..s: • per . . •� Eriry
;.,.,
=.2:S _cc
.
•... I * .,.n1.:tVeret^. Y;•-
' . • ... tics -
:
.
a µ err. : ....
.. -•.uta; ;:.,._,., ; ,.,.y. .
'.N Ch.NM.«-.,.1^ _ . .I...f..-.,,...A...,•••- :••••1• ..-..----"---., .
-7Vglik i' 1S Y4iti--"'esi ce/t - Dz:._arecl/as MW' c P 71z \ya
killD
• J�lA1 W/ : PefiZes f2fir 2/V APPROVED
16214/1• (IV I rgVI0 - _ YARMOUTH COMMITTEE
• 1/Nitrites 2)72OKHRD
. IIID 1-hailBhiner 15 611 b11M76Y1 .
•
"'; .,i r: :'•4 !rz ..' - SmlIs GPS .ffeatigt- -. . -
's ,.tr
•
•
•
.. . •
#r:ax".'+"Y ... `•_yK^�+f5''i��t",�(r.':��Sf."..'1 .. �{.� - .,j?' ..,.}!• '.',� i•} q �_ `-
•
• '!n_. _..i -....N.M 7.1 `! :!•al. 'viii. 4.�nf. 1 ,f.J•.. • ' Yi-+1 ••
. -s9so}k ".—" a . . Pal tt"N.^` `1+'!rd! N. , .Nle;' I ..•
• CO
• c‘ n
•
•
. .90 JUL 26 P 2 :1 :.. •
;p.�'!i OF YA"r'1`V 11:4. ;..; .
"' 1014H4 CLERK a TREASU :VI
INI%\. ..,,X .
•
•
:i ?-�h. . r•:
:�; 4.-
44—,
nll ISI III IIIIIR y; nm��nn ., >.
...„...............„.„ "."A"Alt.
'__MY ..:.t win s.. :S 'y .a
'-- 4taro I O5 r_v.�`l pewit . .
tqs'--
111
.rte �' l8 '°;"!.s '-•11.10"
.1'�� .: i. ...n- •..a'�r aa� w"'-
y ^Z I / .r ie•V•-rtrr o rax, on
. '{ F4'. J- e . /��f' _."
iEh .' a'-4 - .. ..-,C-"- -•
rx !�x3sy .Cir . -.37C1/411 ..n».' rnbr .
+.rw � sr.yrk »z 7'..r p,rRi.'4t`t n"1 r. . . .
7-..
p U +H4i-`•• •
....irl
,/ �,'
tt:r.':.,ar APPROVED
^w^+ r• YARMOUTH COMMITTEE •' =;.
OKHRD
,:c,- {.a,,,,•.
44•
R ifx _!
' •tr/y4 ...... _ - ..y Sj:,. u
Application to •
•1" .101:$
°" `fr �.. Old Kings Highway Regional Historic District Committee
in the Town of Yarmouth for a
CERTIFICATION OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo•
graphs accompanying this application.
TYPE OR PRINT LEGIBLY DATE JUTS 10 ICAO
g
ADDRESS OF PROPOSED WORK ti 4 A 6 ASSESSORS MAP NO. 9.4
OWNER KiAfLTN 4 `Z.5ta12-V INH Iie/! �4 ASSESSORS LOT NO.
�1V-� /0
HOME ADDRESS 9/ faeuLTr " ), W?Lgea Wit�/m4 NO. 413 . 32 g'
AGENT OR CONTRACTOR M1CJI' Z 5/Mr) es&z 616- .01 0 - 229
ADDRESS 73 e 4NF /W .Da /�ly/,519ger M TEL. NO. .`�0 r/C
This application is for exemption of proposed exterior construction on the ground that:
❑ (1) It will not be visible from any way or public place.
X (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and, if an addition is involved, show- '
ing location of existing building. ON "IRE O)lc C Of 1}{6 1 47,g/A). lc
• t.
BO/to - A Dr,“ 16 xl0 riff . PzsSs 020 rzemeD nirmeist 15 65)146
- vsOD . '(Nb Vila- PlA y ycZ vn_ticRC, BnLU5WCS ' °t 14 RM&N4
(505 run/II INA) , A 557 0f Sr6PS we/ aL50 ga. emit of id
12 , •7. c5.saV C6� sof StcGP 4 Noe (AKIN ON t9( 1W)op Of 1h DSL '
'
ta; a t 2.0 • .
.-- aR>L `V NOT lb Sen
4— x.
•
11' U
z — l�l�'dre� '�r'
. C,- g ,- O
r SIGNED
Space below line for Committee use.
Owner-Contractor-Agent
APPROVED AS AMENDED PER REVISED D!R%,A'WXNGSY -,/-
. Received by H.D.C. he Certif'cate s hereby 4�7'J/,,t,7 ,777/,s// /, 'r / ., ,,,-,-
T �'
/ (/ jay ..
•
Date 7//O k ,rr7 I : t r r). �� �" i1 I
007 3 •s,...._ / ,//
Time ki -
/r ,/ t ./Lr f `,YS lq
C/ / 11 APPROVED
By el--- Date .7 a /y YARMOUTH COMMITTEE
OKApproved • 0 The categories of work entitled to exemption are listed on
Disapproved 0 the back of this form.
• WH of
•
949,000 \ . • 960,000, '
®'0
®GNt b
1111111
:h15
O121�1011 •1 I \ ,�
,
c 103vs kn. u '
•31 ea
Pa � 1Q .PYR .�oQCq` O Q ' ' o s .
< / a "i1.
1.14 1 I
r
411
oel ! al v . u O 0 / R
.2"7
t 11s ll'-'^^�} .18
MI
11 O ((��// — Qa- MISS THACHER'S
A
If
1410 Mo 1 O D !1
.r 14M I.n .taac. -La.._ aAL:t - POND l•
.n �u
1 Ju (.0
O <:,
t AKA 1\``
m y O �`
!SMIT
""O J11 'd0 MUO 7.010 .
y MAO IR
p1 /A7�//,jvn/ •
i
O 414 •
,I1 a + TOM/ 0/ '�I N J'
24 1.p� as YARMOUTH COMMITTEE
N-• •
O 'V O• 14:1 is OKHRD .
•1
OP J1 'I Km
Pa O
Jt 1
is y.
I.)
Rt O i Y 1 ..11{ Y1 "
.41 Je M70 Al .p ... •• JO 0/lab
4::::),
,al m 'Y10 , .113 1.0114.4110
�' .17 h-�n Trmw.
O J7 O K l_1`.'
Rr
a k 0q
O M O y Q cn1
�� 441161
0 Rt al •
t1 JJJf1SV3211 $ o LANE.
NH3lON
NdVA !`
Prvanr
''1�:`j J NMOi .
s it 'r Mt Y14'
17 st
A. .' '. •C:Z d •
9Z �)f' 06. 1 r o I
,,,
1 11 ' $
.‘I: . • o
Of
its
�/ BEATON Bo il�`);J I nu !o, F R' mi �{� j
' li, O 7,11 .''1
'• .� .1 'v, ). ' 1
la ,� , 1t1' , • n 1
1 - 111 , .3 I
`l
1 ORARrRR1 SOt ••• .„ ' ,t i Tt • '
I ' �•'
,•‘y 4s,//'R 11% °
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: rn 'n y�
JOB LOCATION: �1�YDF tzie ranod ovTH pai
NUMBERSTREOWNER OF PROPERTY: dxit4/!/ /1T� VILLAGE
Met
N
CONSTRUCTION SUPERVISOR: /3c�J-i /f/�Q9* goo 044.22c? 7E0 ./5.73
/- NAME / /��y� �p LICENSE NO.cy PHONE NO.
ADDRESS: p�3 e:AMe= akiV1s/V/UT / m/� az
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 CO]
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 BUILDIN'
OFFICIAL. / a /
SIGNATURE: 75176� 1 / / i '
BUILDING OFFICIAL APPROVAL: