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4o TOWN OF ' ' MOUTHcK ' glfslote: .
e6)," .:70- Application fora Permit to Build No. ``� C
UPON FINAL APPROVAL ffi 8/�OMAP V LOT k/.S—
FEE MUST ACCOMPANY THIS APPLICATION. DATE ..y/' 19 f v
The undersigned hereby applies for a permit to build
according to the following specificationsJ790
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1. Name of property owner rja, f , r•.ea.e.,ct CA:, ste. - d/ `. 7�0-.23& -
Address </WV - yv7 n/o • /Y),,,:-, ft 5n • Ya✓nnc.�IH
2.Name of Architect(if any) — Tel.
3. Name of builder ?Kt,-- Tr-4,-,/,,,j Address
4. License No. Tel.
5. Name of Mason - Address .
6. License No. Tel.
7. Construction address ° W s"-VV7 Air Ma. -. Sf. So..\/G /n-.o. ri,
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
p
10. Multi family I �o c . u v 11 t.' Oce ?o int, Type of room No.
11. Commercial ❑ 8X ix DECK, Kitchen
12. Other 0 Dining Rm.
13. No. of stories Living Rm.
-D Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0• ��5 ° c, Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck P Ku_ I
-
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 Mal /{( (9--- 4
PLANNING BOARD Address w4-vv7 .Vo Met . -, SI
Date Co Ye, ,.. . .,f2- rn.4 a.1 e c V
BUILDING PERMIT APPLICATION SIGN OFF
T. Mate ,:n �/
APPLICANT: rrelec,',_. , /✓/aryca.e1 CA ,'S-/en BUILDING PERMIT It:
ADDRESS: 4VS-IR/7 /U? • maSt TELE. NO. : -7(00 26 1 DATE FILED: AcJ3 . /'/ /%5c
BLDG. SITE LOCATION: sa.y, e MAP/l: 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 DEPARTMENT ` DATE: 1://5/7-11) N/A:
I ��STR Y. 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: gc)o : OtJi.JCR. S/Cb) parr Pia'
BLM/89
07 57//s-igo
TOWN OF YAMOUTH
BUILDING DEPARTMENT
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HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE alt . iu /95c
JOB LOCATION (Air- c/'/7 , : r .. S71. So .YQ✓rr.oLz , /y, U1L , cie
NUMBER STREET ADDRESS SECTION OF TOWN
ascan Na.t)•..S
"HOMEOWNER"Fr..Lp!,c// '/Pae I CA,.'cite, 7 G. —.7 .P G a
/rnr
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADRESS 0./'7 /U o. /Y1 R c.-, S-I
So • /Q rry n m R e-ke 1/
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 PROCEDURES AND REQUIREMENTS.
HOMEOWNER'S SIGNATURE rn
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.
• • `.
FILE # D8274 CENSUS TRACT #
CLIENT: Donald F. Henderson, P.C. DEED BOOK CRT 1102534 PAGE
OWNER: Martha D Masa PLAN BOOKWPJ30301-8 PAGE LOT ,
APPLICANT: Frederick Christen, Jr., et all ASSESSORS PLAN PLOT
MORTGAGE INSPECTION PLAN OF LAND
I N
YARMOUTH
SCALE: 1"= 50' MAY 8, 1986
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I CERTIFY TO DONALD F. HENDERSON, P.C., SENTRY FEDERAL SAVINGS BANK, AND
ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR
• EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY
IMMEDIATE SUPERVISION.
THE LOCATION OF THE DWELLING AS SHOWN
HEREON IS IN COMPLIANCE WITH THE LOCAL °•
ZONING BYLAWS WITH RESPECT TO HORIZONTAL �C
DIMENSIONAL REOUIREMNTS. 1
THE DWELLING SHOWN HERE DOES NOT FALL
WITHIN A SPECIAL FLOOD HAZARD ZONE AS /
•
DELINEATED ON A MAP OF COMMUNITY #250015A "• n.•• '
DATED 5/8/77 BY THE F.I.A.
THE EXACT LOCATION OF THE BUILDINGS
SHOWN CANNOT BE DETERMINED WITHOUT AN Land Surveyors CM!Engineers
ACCURATE INSTRUMENT SURVEY. (®(be osfon ilttnb$urLtg Qty.,3nr.
172 PM=abt. •
delD!Mork to 02740
GENERAL NOTES: (I) the declarations made above are on the basis of my knowledge, information. end belief as the
result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land • •
surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this
date. (3) Ihis plan was not made for recording purposes, for use in preparing deed descriptions or for con-
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structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may •
be accomplished only by an accurate instrument survey.
.. PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) CID
Well 10
(lot ft. rear)
Abuttor's I Abuttors
Name Name
Lot # ' Lot #
REAR YARD
If this is a • If this is
corner lot, ,I.2 . corner lc
write in name write in
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of street. /,‘) name of
other
�1 p' p U/ ro street. .
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44
DoPZjI
SIDE YARD HOUSE SIDE YARD
fi FT. r\ FTI)• •
1' a
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SET BACK
(lot.t( • lift g ft. frontage)
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/ `o. 49//t
\\ // (NAME OF STREET)
/ Information
/ \ \ Supplied by
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MARK NORTH POINT