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HomeMy WebLinkAboutBLD-90-511 et (4 lad I4yip oF•Y`9R, ,, pKFEiA� yJysp4o o. r� y TOWN OF Y RMOUTH ? MATTACHC[5 ..2 r %04L— 6Ce Ap n icatiion for a Permit to Build No. lr"I/ ea UPON FINAL APPROVAL 23 g° MAP /6 LOT Al gr FEE MUST ACCOMPANY THIS APPLICATION. DATE e-z3 19 ?0 The undersigned hereby applies for a permit to,build 0 b according to the following speci ations rr / fro ..--1. Name of property owner • . )61 tins �d-�' & Tel. Address 61 CAir r1TTRuce)y 11vf• Matio.+A ) W1a. 2.Name of Architect(ifany) Tel. ...----3. Name of builder niain rA ll OUS/J3 - . Address 7a:gale L/tf WOW uo 1T_ MA 4. License No. O/4T6 ( Tel. it°17-3V-fit ° -504 5. Name of Mason Address 6. License No. Tel. _ -_ _ '__L _ :_ , >' E-7. Construction address - •- :I Flood 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. Multifamily 0 .---1-, 97� — ✓�"�d""`��" "' n 11. Commercial 0 o ti>_eq • Kitchen 12. Other ❑ 7X /S--- Dining Rm. 13. No. of stories Living Rm. Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 1,1/4_5-; ce-D Bath ,, ( t 15. Materials — Wood 0 Cement 0 Other 0 Deck f X 1(5- / 16. Type of heat — Oil 0 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 i etaa a /�� 1-c-teX PLANNING BOARD ✓ Address /O 73:0•0V yk Date Wet er✓sIT WA - o- c34 �/]/� BUILDING PERMIT APPLICATION SIGN OFF APY'LICANT: C/ O4tA Ji U- Uhl/L> BUILDING PERMIT It: DRESS: 7:0 4Q3( L/' 10 6?Vd! r II9 _TELE. NO. : 7.3 y DATE FILED: SOIA, ,_BLDG. SITE LOCATION: 1.1l, 6l ZCW .75- 44 /ri MAPA: /© LOTH: 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: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS S. 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 " ' TOWN OF 'YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: /- /� Gl'/A////� /I . /L', JOB LOCATION 114 arm," 74t U. w. �leArkt ' ` NUMBER �^ l f STREET VILLAGE OWNELPROPERTY: Or• TakkII^l- CONSTRUCTION SUPERVISOR: 'baNA. 41, 011t 2 / m /SS( / �— NAME &let LICENSE NO. PHONE NO. ADDRESS: 7-d' X Lfq' &let4'✓OI1 MA - GZS3b LICENSED DESIGNEE: (IF OTHER THAN SUPERVISOR) NAME LICENSE 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, ON- STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 1094,1 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 CON- STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAND THE CONSTRUCTIO INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. • //� SIGNATURE: &h •A ��'(((ggg{{{ ' / BUILDING OFFICIAL APPROVAL: „{ ) ' 1 - 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 Name Lot # Lot # L REAR YARD If this is a If this lE corner lot, . .ft. corner la write in name 1. write in of street. name of • ( Ito ay'm`( a other 1^'�� p v street. . • • 4 . SIDE YARD SIDE YARD HOUSE 0 FT. r� FT t>�l 1 • • \ � • SET BACK ft. S (lot ft. frontage) \ / \ / (NAME OF STREET) Information 7)ai40( RfriSupplied by // MARK NORTH POINT • 24 6) 0 ' 83 LANE N O ' E3,/ , . . • r • 0 Q Lot 38 Z3 '4 • (a RI • 70.6 _ 6i : ,z FSt CM I ;:,-"-i, M N . •• i : , - I 2.6:8 'S 8 • / • IU>i-- _1c1-- • - 11111116) I. 2 3r 33 • • A' 1132 OS . . Moss ` o' WIDE k°AD - NOTESI - NJD . al. = I2.o M5.L_ _— - -- LTHIS PLAN IS VALID ONLY IF IT IS STAMPED AND ---- CML) IS .4.1' A60Ve HIGH PT. Irl- RD, SIGNED IN RED. THIS OFFICE ASSUMES NO RESPONSIBILITY FOR INFORMATION CONTAINED ON COPIES WHICH DO NOT HAVE ORIGINAL STAMPS AND SIGNATURES IN RED 11AS- BUILT11 PLOT PLAN 2.THIS WAS NOT STANDARDs SET FORTH IN250CMRD T SECTION 6.04 ' ' YARMbu n.j, •• �/1 THEREFORE THIS PLAN IS NOT TO BE USED FOR ►IYIASS• TITLE INSURANCE PURPOSES — Lot 38 GQI -r ISL-A,NO Roan I CERTIFY TO JAMES 1416H _ LAND USE TECHNOLOGY, INC AND TO THE 113 lese la Or yaerlovrn •. H ( FORMERLY R. J. O'HEARN , INC.) THAT TO THE BEST OF MY INFORMATION , . SWAN •RIVER PLAZA 35 ROUTE 134 UNIT 3 KNOWLEDGE, .AND BELIEF , THE • SOUTH DENNIS, MA. 02660 i RX,NIDaT1 Ota SHOWN ON THIS PLAN -•�' '••. . " E,IECHNo ',., JOB NO. 3S`)c1 HAS BEEN LOCATED ON THE• GROUND AS tea: ..••••.�0C�� DATE •• INDICATED AND THAT nt-1.5 LOCATED IN °°°°°°°°° : y: 3 -7-qo • FLOOD ZONE Ala PER' FLOOD, INSURANCE = �,' .Vol,: RATE MAP DATED•i!�' n— Skz1 ifz, t CLIENT • .,/ ...,,.J.. t 'n : mc. 1977 . 3 HIGH i • '- . 1: •• • `� � SCALE 1 H'Th .N/' 't . • � I-30 .r : o ,•J••a . Y . # -IC, J�/ `J �s®iter - s ofuFIES' ,'.• es AT REG. PRO , r 9N!L • LAND SURVEYOR ""•°°^•°°"°• SHEET I OF 1