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e6): .-- TM - Application for a Permit to Build N0.49 9
UPON FINAL APPROVAL et gr./ 7-10 MAP 33 LOT K- 36
FEE MUST ACCOMPANY THIS APPLICATION. DATE __ ______ligv
�/ 7� e
90
The undersigned hereby applies for a permit to build
according to the following specifications / 9
1. Name of property owner �i d �3` kEEAti)ti) Jtarn Otte_ Tel. 7~/5-8361
Address '2, �l.lOrfnn `-2t d . UI• Ja.rmoul-11
2.Name ofArchitect(ifany) Tel.
3. Name of builder D113(1QC Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address L. Il u & .. . . • ' r as • .
lood 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 $ "400pD r-
11. Commercial 0 opwa deal lay )( /a-1 ) z../ Kitchen
12. Other 0 _ Dining Rm.
13. No. of stories Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 0/5; 0t0 Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck )zX at! 1
16.Type of heat — Oil 0 Gas 0 Electric ❑ Other 0 Closed porch
17. Garage - 1 0 2 SamroRm.
Suunnroom
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 0 0 .iA Am!gA 0 Att7
PLANNING BOARD Address 33 AI OA -1nx Rd.
Date • VirZ10 /a-Lai . A4(4L0z673
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: did _t. J (Rrotoj . BUILDING PERMIT 1!:
ADDRESS: 3 id)h Pc(. W. i1, TELE'. NO. : 775-636: DATE FILED: fj • M3- 90
BLDG. SITE LOCATION: MAP//: LOU:
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 DEPARTMENTDATE: s—/K/70 N/A:
st9lI U$ 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:
•
BLM/89
PLOT PLAN
FOR LOT # 3
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) En
. Well 0
Ivet..3' ' ft. rear)
Abuttor's I Abuttor's
Name itpvenne- I Name
Lot # L55^ I Lot #
U REAR YARD
If this is a • /^ , 4 If this i.:
corner lot, W ...ft. all corner lo
write in name • write in
of street. •
I a. Ifoy es name of
lel- � ,�IZe a) other
)Z b street. ,
b .
4
SIDE YARD SIDE YARD
6L FT_ 0
HOUSE L ®-19 i ± FT t>
•
• 4 C
b
SET BACK
•
..•.0.5.:ft.
.�
1
(lot ft. frontage) •
\ / 66T40 ?d • .
\ /
\ / (NAME OF STREET)
•
/ \ information n 2& 4 �/�/y�) q
' / \ Supplied by ( � t0 Y`-`"
/
MARK NORTH POINT •
• •
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE Atli IST RS,, 'O
JOB LOCATION yiF3 0AD-{n n -Rd_ vtl• (a( nu)u_--f h
NUMBER STREET ADDRESS SEC ION OF TOWN
"HOMEOWNER" &Id A kEeAnn .AM\teo-i1& 775-,836,14 �J.S9-5l</• a4viZ)
NAME rr HOME PHONE '' WORK PHOI4E
PRESENT MAILING ADRESS 33 AJcr-vn e,-4.
•
4( GUrDu1h ,_.IAA 02( 93
ITY 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 PROCEDURES AND REQUIREMENTS.
HOMEOWNER'S SIGNATURE ( c ,`_ 7(4'IL(Y t�-p
i
APPROVAL OF BUILDING OFFICCA /714
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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