HomeMy WebLinkAboutBLD-90-506 F q
`v.
TOWN OF Y s ' MOUTH o.Ka
w
4OX4 — 01
tA TTACM[ 5 ti
M "°Rona+ g
Application for a Permit to Build No:
11
UPON FINAL APPROVAL S g�a MAP / 91./- LOT not
FEE MUST ACCOMPANY THIS APPLICATION. DATE ,u/ A7 19 qn
The undersigned hereby applies for a permit to build 1723i/9d
according to the following specifications ',
1. Name of property owner Pe -1' et- 4 h d kilt- pi / et A d i 5Jo Tel. 5 of
Address Ad - , ' ! ✓ 4, . . . . C r: (J9'g-0l5- _
2.Name of Architect(if any) Tel. c/
3. Name of builder-.Sal kie77/ f/aEF H AM Address 7 grovel WicL DR. S y*t-
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel. n
7. Construction address 5414e jet et G Z (4 Z hr ii k ql- t £feuu (f" ,--
Flood District
a Date of subdivision Approval plain zone Zone
9. Private dwelling$ Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 2S-to -elf) $ /9
11. Commercial 0 )S• Kitchen
12. Other 0 fl ensoa w5.J)o05 c Dining Rm.
Rm.
13. No. of stories 2 Living
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood ® Cement 0 Other 0 Deck
16. Type of heat — Oil E Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
2a 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 aCkl) t "` r„,
PLANNING BOARD Address 6 Z 14€4-(1 ka.oq An
c p li o o 0-411-1 1 1 6 2-611
S
TOWN OF YAMOUTH •
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE /U� 0 fft /ffO r
JOB LOCATION rp Z / / Hit it rc hunt d(�.( / 1-140v
NUMBER Audi
ADDRESS SECTION OF TOWN
"HOMEOWNER" (e ft t. d- VI r, AudifJO 3Rg- log
NAME HOME PHONE / WORK PHONE
PRESENT MAILING ADRESS .11 04 a /, IIS
(tor,ti6U #Gi R 4— 14A- � �6 -m-
CITY R 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"- e f l j u p� 4
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.
TOWN OF YARMOUTH
OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE
SPECIFICATION SHEET
APPLICANT'S NAMEIQ.n ttr 441Ifff 4(/11-10 FOR: Gt /14-e(rriaiH'f- A��.�
FOUNDATION: COLOR
SIDING: COLOR:
CHIMNEY: COLOR:
ROOF MATERIAL: PITCH: " COLOR:
Z &C tide e6°,J C 235' APPROVED
WINDOWS: z-tit derx,i C4 236' . 11-62/ W,DI(b SIZE fj( 4 YARMOUTH COMMITTEE
5 w! OKHRD
TRIM COLOR: I1 4 t-fe NI ha )91
DOORS: COLOR:
C :N
SHUTTERS: lL n a COLOR:
0
ll' `Y COLOR:
GUTTERS: c:
Ct $U
DECK: S `� SIZE: COLOR:
a
GARAGE DOORS:. SIZE: COLOR:
STORM WINDOWS h DOORS: COLOR:
SKYLIGHTS (FLAT ONLY) SIZE: COLOR:
ADDITIONAL INFORMATION:
9/88:c1
t.
, ' if r \1 Old King's Highway Regional Historic District Committee
rf : r' it • in the Town of Yarmouth for a •• 2. O (-Hs ,1
• G "Vi- -�--); •
CERTIFICATE OF APPROPRIATENESS
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter470,
Acts and Resolves of Massachusetts. 1973,for proposed work as described below and on plans,drawings or photographs
accompanying this application for. c
CHECK CATEGORIES THAT APPLY: Zc o ...1
1. Exterior Building Construction: 0 New Building 0 Addition ,Alteration Y •�
Indicate type of building:0 House 0 Garage 0 Commercial 0 Other ,- z
2. Exterior Painting: 0 ('"> CO
• • 3. Signs or Billboards:0 New sign 0 Existing sign 0 Repainting existing sign rx-.:. -p -v114. Structure: 0 Fence 0 Wall 0 Flagpole 0 Other v C V
77
(Please read other side for explanation•and requirements). A
TYPE OR PRINT LEGIBLY / / - DATE 6- 7V--P7
ADDRESS OF PROPOSED WORK /(0,7 H�PYn ll an* 1,142 ASSESSORS MAP NO. ��7
OWNER /P-f'b it rr- i' i r r , �t,yrt A ori rrt£� • n ASSESSORS LOT NO./ ")
HOME ADDRESS7 �'le r-r+ ll n / Ai `�24. 4!,: t J'f(il- TEL NO. 7 Q -/eiy.r
,
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
•1 Ay* -/ de /. e ✓ct.'c x.a/l art y— ,---i Ern„r,v ,Qv.: 7 a• ,J k,c,/k-�4 /- o ye e e
- 3/ it..),,., bsu
�1 .f. t 41/! CIG Re- / /tl,+rdief,7" 44r.1 1%rufl
cr c-c.� 1-I",,"(-)').'f" cLG7S
ti Nhl/andAL./ //
-1,- "V- C. �: C,-0 Ne > GA
G cA (4t c-F el �t",vcicJlr` ,L'l•4 C(Is 4.s
i ZQ1ci.* �c . tS 0(jd UCrlrcz- / gel Lcke er4 =7' ,>, AJ d 1). //e o/fr vs/lc r C,-4 9/cd c
AGENT OR CONTRACTOR TEL. NO.
ADDRESS • .
DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,other side),including
materials to be used. if specifications do not accompany plans. In the case of signs, give locations of existing signs and
proposed locations of new signs. (Attach additional sheet, if necessary).
• 7
; f !Z e lnq 9 /Fr fi clef(oft- r
Signed U Ol t LA.i-� di-LA-al.. Owner-Contractor-Agent
Since below line tor Committee use. J
Recetved by H.D.C.
Date 64,11 ID The Certificate' hereby/I - 1/ ` Date a ti
\` Time /0-- l 11St 1 `' 1,„1.---,-- (
, i
‘,...• ( i✓ ( I \ j •.''''SJ
By Le
Approved \0 IMPORTANT: If Certificate is approved, approval is subject to the 10 day 4�riod
X provided in the Act. YARMOUTH COMMITTEE
Disapproved 0 .Please return :o: - Yarmouth Historic District Committee OKHRD
Town Hall, 1146 Rt. 28. South Yarmouth. Mass.02664 4✓A,D(,/Z7/q0
••
; -
• •
I
0
. . I
•
•
.
.
I
.
I
4~ 1 •
r 1
7
w \\.......„„,
. . . \ . .‘Aayutaws-tc)-4iclxwes -Q----- - .
CSC-'MCNTi C til Z _.. . .. .
N'mnsvin '2 NH313 NM01 -
HiliCNriV:. 'U MMOL'
PS: l d 12 NM 06. ••
APPROVED
YARMOUTH COMMITTEE
I�A�T' /2-7/90
i
1
•
-1Q C r;,`Uc vJ .S (2) ,
-c,�s� MSU T , C 235
iI]Uf1SVIal F MUTID NM0l
RifCs;'VA _.';: '410
PS: l d 8Z Nor 06. - •
APPROVED
YARMOUTH COMMIE
U3i\ini:. 3 J • viRD