HomeMy WebLinkAboutBLD-90-474 .“ 1' o TOWN 0 ` ARMOUTH . K
117 4/
cs,t W6 Application for a Permit to Build No.
_OP '‘ - 90 L 34
UPON FINAL APPROVAL _ MAPL7/4-a�FEE MUST ACCOMPANY THIS APPLICATION. DATE 991
The undersigned hereby applies for a permit to build 57/(p/ 9'6
according to the following specs ications / /
1. Name of property owner ! o�F a-1 2`9 s`tS "'p Tel: a-V/ 5-3
2 ( '
Address 5- J
ai a ocx� P9-0-
\32.Name of Architect(if any) /� Tel.
\ . Name of builder o -0 S v • dress /aS,-5- .pi/C;r,( 'm'
\tt, License No. rs/ Sl Te17�75--•3oif/ • � / b /41,54- ti fli, c&3-r 1
5. Name of Mason Address
\ 6. License No. zr Tel.
�7 Construction address 2 b-- /c t� nW 46-N —`-' tu
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 rid c 0• •— . SArgu rc j a
11. Commercial 0 f i.5 Kitchen
12.Other `l -9141�Virt 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 0 Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ 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(� %` �� �
PLANNING BOARD Address ( rznne�.[O-aai ..---7q--7L.,\
Date hi y eerc pTc«/ ie
BU
LDING PERMIT APPLICATION SIGN OFF
APFLICANT: A 6/7 / S4. re'f's , BUILDING PERMIT #:
1 t
I ADDRESS: J OA/C/ly (,c klej 14.411--41 TELE. NO. :,270_ gin DATE FILED:
$
BLDG. SITE LOCATION:5 (j e A S A-kv-<' MAP#: LOTH: 25-
THE FOLLOWING INFORMATION OUTLINES THE PR'OCEDURAL 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 DATE: N/A:
INDUSTRIAL 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:
•
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BLM/89
•
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE 6:/:-//37/11e)n //
JOB LOCATION Cj .60:(t 2 Qs./ of L tiC
AteeZi
7CLa/� ADDRES SECIONOF TOWN
"HOMEOWNER" {( �� I) ��aO2sQ �fa ^ q /s-"s
NAME HOME PHONE/
WORK PHONE
PRESENT MAILING ADRESS -5)917/CA-S /T" ,-R,
LA) ynrmdutg. hiJyrss D .26 7 .3
�
CITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 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 BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, 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 PROCEDURE REQUIREMENTS.�
HOMEOWNER'S SIGNATURES C`fes
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.
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MODEL HBUPMTVRO
(House Bracket Unit Pole Mount)
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to elaborate ground or yard mounts which require much above common ground mounted interference hazards.
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11 ! - I I I - _ POLE SUPPORT MOUNT ASSEMBLY - P S M
I II 1 IIT 1 II I I 111' BILL OF MATERIALS
ITEM DUAN. PART NO. DESCRIPTION DRAWING NO.
1\ --
I IKY1224 HOUSE MOUNTING ANGLE 8850520 -
2 I KYI225 PIPE MOUNTING ANGLE 8850521
3 I KY1226 DIAGONAL SUPPORT ANGLE 0850522
4 1 FY15 SADDLE CLAMP • 0850019
`.1I - - -• 5 2 2102I3GA 1/2 X6'BOLT ASSY (FULLY THREADED) N/A •
11 I I - I 6 3 2100I7GA I/2 X I-1/4'BOLT ASSY C770404
111 p l
�Jh 41 I - ) PART NO '�p\ GENERAL NOTES
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I. AAL SEAL ARE PROVIDED WITH ALL UBOLT EDASSEMBLIES.HE 1/2 X 1.1/4-BOLT ASSY 3. ALLFABR I CT IO DRAWIN, TR BESUPPL ED E OR SHOP US--HOUSE WLL ITYP. 3 PLACES) 3. ALL FABRICAtION DRAWINGS REFERENCED,ARE FOR SHOP USE ONLY.
_ 4. TO INSURE SAFETY, NO POLE SUPPORT MOUNT INSTALLATION SHOULD BE
STUD - . ' . . ATTEMPTED WITHOUT A LOCAL PROFESSIONAL STRUCTURAL ANALYSIS- -
I/2X 6'BOLT 5. IT IS THE PURCHASER'S RESPONSIBILITY TO VERIFY THAT HIS INSTALL-
POLE (5'O.D.MAX.) .2. ASSY ITY .I ATION IS ADEQUATE TO WITHSTAND ALL LOADS IMPOSED BY HIS MOUNT
(REF) - a AND ANTENNA. -
CAI q 6. LOCAL ZONING AND/OR BUILDING CODES AND INSURANCE COMPANIES MAY
y,1 - REQUIRE AN ARCHITECT OR STRUCTUAL ENGINEER APPROVAL PRIOR TO - -
INSTALLATION.
7. ALL MOUNTING HARDWARE TO BE SUPPLIED BY OTHERS. (5) II/16- DIA.
HOLES ARE PROVIDED TO ACCOMODATE STUD SPACING OF 16'OR 24'. _
24' I 24' 8. INSPECT MOUNT AND ANTENNA INSTALLATION EVERY 6 MONTHS (OR
' 16- 16' 16' 1 AFTER EVERY STORM) FOR TIGHTNESS. - -`.
9. ALL ANTENNA INSTALLATIONS SHOULD BE GROUNDED,BY THE INSTALLER, tie '`
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TO MEET AU. APPLICABLE CODES.
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PART NO. NOTE a ASSEMBLY SHOWN No A Revision Dwrnouon ♦Den mer
KY 1224. WHICH ES MUSTINCLUDE
BE ORDERED UNR-Rohn
SEPARATELY.
11
PART NO. 7 SUPPORT MOUNT
CONNECTIONS OF POLE
IS-! PART NO. KY1226 SUPPORT MOUNT TO BUILDING ARE n"'
21•!
KY 1225 • TO BE SUPPLIED BY OTHERS. IT TVRO POLE SUPPORT MOUNT ASSY
MAY BE NECESSARY TO ENGAGE A (FOR 5.00'0.D. POLE MAX.)
LOCAL PROFESSIONAL ENGINEER 10
27-! I 1 . - DESIGN INTERFACE OF POLE SUPPORT ScaNunles,otl. evpecdewpen wn n inches.
-- ..•-•.., MOUNT TO STRUCTURE. - NONE Tolerances1 _ .
Drawn by Dam Decnnale- Fraction. Angles
- J GPW 05-16-85 x *
DESIGN NOTE CheckedtrY Wn Material ' Roush Wegm
�. Jr/7-BS Tm.a....�no n me p.epeM a ur+a-noon n N na ro be
$ - _ THIS MOUNT IS DESIGNED TO SUPPORT A MAX. B'D IA. App,oKe [nyn.e,mv D.N r���,coped w traced m whole or S.pan wnnw our
SOLID,GRID OR MESH DISH (EFFECTIVE PROJ.AREA s d1y�,y� _
8 __, / 60 SQ.FT.) BASED ON WIND LOAD OF A.N.S.). (70 OS-•1D-CS Rile Number^�
/ Approved try Production On
a IAP.H. BASIC WIND SPEED) A58.I, EXPOSURE'S'.
V - _i_✓ Approved by Sales Doe Onwl.y Number
PLAN VIEW `"-- illi ��-
5g,..1—$s BB50530
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