HomeMy WebLinkAboutBLD-90-495 ° '- 'S. TOWN OF POSTED ROUTH' ° `rett- ' ' ��1�t�9c
• MATTACMEES -�
6 Application for a Permit to Build No. IP
1,0
UPON FINAL APPROVAL R�/�'\y� MAP ay L /" -�
FEE MUST ACCOMPANY THIS APPLICATION. DATE yIs 1996
The undersigned hereby applies for a permit to build c//S/9a
according to the following spe ifications 7a_67/3�e e
'1. Name of property owner r— E-0 51' f ' Tel. 3 6 L so??90
Address 3 in !--' 11c'f, n-ext4
2.Name of Architect( ny) LL// Tel.
i3. Name of builder 17 '1- Address ti , ,(,, t4 t
4. License No. Tel.
5. Name of Mason /address
a License No. Tel.
v7:Construction address -J5/0--./Y7 Co S(/,- Nv'L w .re
Flood District
a Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
�x Type of room No.
10. Multi family 0 �/ `750, PI
tE
11. Commercial 0 .511/4-
Kitchen
12. Other % S'`g4 9 X j Dining Rm.
13. No. of stories /500 ' Living Rm.
�� Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 pl. pian Bath
15. Materials — Wood 0 Cement 0 Other 0 triad Deck
16.Type of heat Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 ❑ 2 ❑ Family Rm.
3Q,ov Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size g'X9 Shed ,,F-1,p'
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�jrear lot line ! Side line
LOT RELEASED BY lSignature P ` ` !/v " /
PLANNING BOARD / Address 3 ���,
Date �h v�2
�,..
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:��/
DATE �//1j/c�Q- f /J
CJOB LOCATION %J0 22/2 k(„P rLt
NUMBER STREET ADDRESS SECTION OF TOWN
/"HOMEOWNER" d 9NAME 5 ROME PHON- E WORK PHONE TO
e-flESENT MAILING ADRESS a ,/t 241-5-2 - `e
/5
CITY
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 PCCEEDDUR�ES AND REQUIREMENTS.
/OMEOWNER'S SIGNATC FtI �
QQ�
APPROVAL OF BUILDING OFFICIAL //i1 �J
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED •
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
BUILDING PERMIT APPLICATION SIGN OFF
. �.
APPLICANT: BUILDING PERRMIT ll:
AD RESS: 2O�f e Y 2. SY/3 L e y TELE. NO. :3 ' ��Qa1 DATE FILED: gAl/SD
G. SITE LOCATION: 0C110 - 2.92, �..c #/1 ,L MAPA: A9/ LOU: / - Z
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 l/ _ j DATE: c/,/c/yo N/A:
r OI i.ISTRAND/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:
BLM/89
4," PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well of
I
I (lot ft. rear)
— — — 44 - - -
Abuttor's I 9Abuttor's
Name N � Name
Lot # I A " Lot #
A0 r
'LAR
If this is a tvIf this is.A
corner lot, 1ft. corner to
write in name write in
of street. '., I cbname of
• a,
I other
¢ d aoi street. .
b
.
4
SIDE YARD SIDE YARD
HOUE
0 FT. 0 0 FT •
�I �/ are, f • ,yz
4 •
I
•
SET BACK
• ft
I
I
0
(lot ft. frontage) '
;yo7, YE 50 -/7/52 /9a/Z
/
\ / (NAME OF STREET)
Information
Y-41-7/ \ Supplied byU E &JAI,
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MARK NORTH POINT