HomeMy WebLinkAboutBLD-90-476 O1*Y`Aiit
o$ key TOWN O ARMOUTH 6+K FEW �I L/4°
• TTA n S 411
MA
: �• f% Application for a Permit to Build No. 777
. m g — eo.,'90
UPON FINAL APPROVAL ✓ MAP ‘X LOT V Y C
FEE MUST ACCOMPANY THIS APPLICATION. DATE
The undersigned hereby applies for a permit to build 6/90
according to the following specifications % b
1. Name of property owner E L d CII AAA.✓ Tel. 3 9R-6 2.7 9
Address / /_',4t'TA A, N;ctCE2 roA.
/AI
2.Name ofArchitect(ifany) "1 - Tel.
a Name of builder L a a a_Y Pa7Grttoi✓ ' Address ' `'1 3 9 s mtly.. Avr
4. License No. 0 / 6 19 9 Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address / C pTh iA- 1l/ A-sa-,.
Flood District
a Date of subdivision Approval plain zone Zone R. a o
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 / too, —
11.Commercial 0 Kitchen
12. Other % D etK l8'X/S [ cvet enSTA. Dining Rm.
\cc....caT PATS,. Living Rm.
13. No. of stories /Ly '8 Bed Rm.
14. Foundation — Full
�❑/Half 0 Crawl 0 Slab 0 4th.orb
15. Materials — Wood li Cement ❑ Other ❑ Deck hp X/S /
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 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 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
2a 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 x....-7
PLANNING PLANNING BOARD Address ! 3 ' (17,70-7:0A- Ate
Date ' S0 .221 ,)4 NM:77
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: 2P044....y41„0/- 4-^-1 BUILDING PERMIT if:
ADDRESS: / CAr�,,,,,, • At C--Z 7ljo v TELE. NO. : 3 9't—L172DATE FILED:
BLDG. SITE LOCATION: $'4,;w E ' MAP#: LOT": }EY4,
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 G . DATE: -//fo N/A:
/ tUS 'IAL 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: $LD4 f7, c sr - /11/N. /0K Di .X 4 15n1-04° F/ngsw•
Crg,YJ�Fi
•
BLM/89 •
TOWN OF YARMOUTH
- BUILDING DEPARTMENT -
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: ' '/ S-o
JOB LOCATION: / CAp1,�„ ^✓ ,/v,'G{�f�IL �✓ S. �A mp...94
OWNER OF PROPERTYNUMBER STREET VILLAGE
tdwa� C(/M0 •
. .
CONSTRUCTION SUPERVISOR: /.f}Rliy ,rasd_ 32t0- ó27939e e
NAME / LICENSE NO. PHONE NO.
c'�
ADDRESS: y3 9 J za-m„ /i✓C ,S o a.
LICENSED DESIGNEE: A./17/7/9 -
(IF OTHER THAN SUPERVISOR) NAMLICENSE 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 KEGULATED 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 PROC :UR : AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDINI
OFFICIAL.
SIGNATURE:
BUILDING OFFICIAL APPROVAL: - ' - ' " -
•
`e / CAp714 N N:G K- /L gav
fes"
Y
.v
Qt fa
107/0"
(N�
•
0
isopip
11,
STArtow Avg"
l
PLOT PLAN / .
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well 0
I
(lot ft. rear)
Abuttor's I Abuttor's
Name I Name
Lot # I Lot #
REAR YARD
If this is a • ; , If this i;
corner lot, 1 ft. corner lo
write in name I write in
of street. i• I name of
•
• I a other
0 ro street. .
4
SIDE YARD SIDE YARD
HOUSE
` 0 FT. 0, 0 FT t> •
Q •
• I
I •
SET BACK
•
ft
I
0
%
(lot ft. frontage) • •
•
\ /
\ /
\ / (NAME OF STREET)
/ \ Information
' / \ \ Supplied by
MARK NORTH POINT