HomeMy WebLinkAboutBLD-90-517 QED eP }
s �4o TOWN OF ' ' RMOUTH °K ' g/x,/9a
0 94—H
eisp:c.-760 Application for a Permit to Build No. �77
UPON FINAL APPROVAL # h /1cAP 33 LOT ,cg 9
FEE MUST ACCOMPANY THIS APPLICATION. DATE a / o
'
The undersigned hereby applies for a permit to build ca
according to the following specifi ationsq z#0
1. Name of property owner %)0041-) (I ) t TeR- nacho
Address-76o 49. r-s-I'cor ``ion-v) 1 trot" fM%..%rock . -
2.Name of Architect(i any) ' Tel.
3. Name of builder xci 4-L, A Ta Awrw Address 3t Gct-tfgtr :a- (,,t.).
4. License No. D t\ 0g Tel. -)n'(S4 0
5. Name of Mason Address
6. License No. Tel.
7. Construction address'sl'-k itt(� (q em+ USA 11J. Jin - l��tD
Flood 1` Disirict
8. Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
y ' l „4 7 Type of room No.
JO. Multi famil ' -� f�
11. Commercial 0 '`Demo<.gn. ext ;`s3 Sect-c % ��S i Fug Kitchen
12. Other 0 Mc-301gs -¢need Dining Rm.
13. No. of stories 1 Living Rm.
2
Bed Rm.
14. Foundation — Full 0 Half ip Crawl 0 Slab ❑ � Bath
15. Materials — Wood,$. Cement 0 Other 0 Dot IL e--4- 4• Deck
16.Type of heat— Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 ❑ 2 ❑ '"c .4"...1 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 1 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 Sign a � �G
PLANNING BOARD Address 3a.. f..� -D'`1 A--
Date (,13 LI ptitn,.a<34- t MMA- ,
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT:LLLA- L c a hJ AAL 1 BUILDING PERMIT #:
ADDRESS%7a {ej,pcs,-( 41-4 1 (1). (f A1u 1ZJ4E. NO. f7) �(SC'F 6 DATE FILED:
.Kr ` e%.LJ
BLDG. SITE LOCATION: 1“1(e,� }� (o ��a,ver„nq� MAP#: LOTll:
THE FOLLOWING INFORMATION OUT INES`THHE 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 aff -t DATE: g' ��¢) N/A:
NDIAL AND/OR COMMERCIAL PE' TS
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
• '1,
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
JOB LOCATION: kS k{0 C-23OA)em.Aft a._ (-0 Art\ La • t
NUMBER cis STREET V'CILLLAGE
OWNER CONSTRUCTION PSUPERVISOR ML ti f\V2J= tA)IJ x O4<4Og 7� '-' Thu
I � NAME ' \ LICENSE NO. PHONE NO.
3� NADDRESS: GU-�Src.`( '7 W C.\t�'ft—Ol"t a V/ ✓ n A
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, ALTERATION, REPAIR, REMOVAL OF-DEMOLITION AS REGULATED BY SECTION 109.1.1 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' NSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL. ` Q
SIGNATURE ---,004
BUILDING OFFICIAL APPROVAL:
PLOT PLAN
FOR LOT # l 5: `c
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Wefl afj
I
I (lot ft. rear) I
Cp
Abuttor's I Abuttor's
Name I _ Name
Lot # I Lot #
REAR YARD
If this is a - If this ii
corner lot, i ft. corner to
write in name I write in
of street. •
I name of
i..: II other
II o•
0 street. .
W • b
4 Sc
SIDE YARD SIDE YARD
HOUSE
40 FT. 0 0 FT t> •
I .
I
SET BACK
,- I
I
0
(lot ft. frontage)
\\ // (NAME OF STREET)
,—4 < c
// \ \ Supplied by AOA ,..L _ _ ,�
/
MARK NORTH POINT
t v At, sort "Lb 1 -+ c1d3U1 „q A "c, ,59 ,
'2l2° S 4ev'bS,x,/ 543S%Z, •x-vW , $
1 rE� -3 'r'ro7
StSbr 5x7X Me
1 1
•
r
✓ FRONT ELEVATION
• G.W.A.
CEILING ASSEMBLY .r`'
TOTAL R=
TOP SURFACE U= WINDOWS:
= 9"
/ FIBERGLASS
INSULATION
R=30
�fnn/7/_RO.61
MAUtnn •
\=SHEETROCK DOORS:
I R= 0.45
—BOTTOM SURFACE
1 R= 0.61
1/2"-PLYWOOD IP.....-----INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION
R= 0.62 R= 0.68 TOTAL R=
' G.W.A.
WOOD
SHINGLES Ir `R= OH45TROCR U
R= 0.87 WINDOWS:
OUTSIDE \ --31" FIBERGLASS
SURFACE � INSULATION -
R= 0.17 l ; /� R=11
i ` =SURFACE RESISTANCE
'% R= 0.61 FLOOR ASSEMBLY
t , - FINISH FLOOR TOTAL R= DOORS:
J R= 0.91i. U=
Zi F2-2
F lc"
"SPLYWOOD PLYWOOD 4
RIGHT SIDE ELEVATION
y j/ R= 0.62
OUTSID (, ��jJ , / G.W.A.
SURFACE ;+ I I- V IJ V Li A(J UV LAU�.',itid.
R= 0.17 , I � ++ WINDOWS:
' II —61" FIBERGLASS '
/i
,_: (. INSULATION FOUNDATION
CONCRETE + 1 R = 19 WALL ASSEMBLY.
FOUNDATIONI (may be used instead\ DOORS:
WALL SURFACE RESISTANCE
1 R= 0.61
of floor insulation)
,
R= -TOTAL R= LEFT SIDE ELEVATION
U=
r, 1 G.W.A.
INSIDE SURFACE
1 R= 0.68
3/8" SHEETROCK r WINDOWS:
P 7.."---R= 0.32 - I '
•
1" STYROFOAM
' t ; 1 ..'"-- DOORS:
d , -
NOTES: '
PERMANENTLY INSTALLED STORM
WINDOWS TO BE USED
GROSS WALL AREA=
WINDOW AREA= r
DOOR AREA=
Z FENESTRATION= 1