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Home My WebLink AboutBLD-90-519 • o mgetg 05/1 * "r 4o TOWN 6 ' ARMOUTH oKret' / 0 0 44X $43 g g39 ka MATTACMC $ 41 4°"on:#1 le Application for a Permit to Build No. U / UPON FINAL APPROVAL "I 41DMAP ,S3 LOT 6 3 FEE MUST ACCOMPANY THIS APPLICATION. DATE ' a 19 �0 0 a / The undersigned hereby applies for a permit to build qo according to the following specifications p 1. Name of property owner c5 W4qk.Cr Uel Te1.1,(11-CC('Z(1+L Address-7 co epay a.rci4 , r.Ln-ftk++.4an,pn4-, (Ws,. jif 2.Name ofArchitectany) U Tel. 3. Name of builder I'A11.4C.s- 4- tsJnU AuJ Address . Cmc-Cl..- ) . (-4...kyrkitkii 4. License No.l9kOR Tel. Y )cc- I CIL\ 0 5. Name of Mason (-------' Address 6. License No. Tel. 7. Construction address 1l t.3 (e&)gym F 4coAd -\(-' 1( L) . R DiLiros -� 8. 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 S /co 0. g a,t. ' 11. Commercial ❑ tp2-1no�`sti \ac(sit P.L siA0-S J� / Kitchen 12. Other ❑ 1 `�Asj bla -WIO"t"÷ Dining Rm. 13. No. of stories -7--- . Living Rm. '^2._4a.2 Bed Rm. 14. Foundation — Full 0 Half i9 Crawl 0 Slab 0 ✓ Bath 15. Materials — Wood Cement 0 Other ❑ A Deck 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 01`..C.; 0 0 Closed porch 17. Garage - 1 0 2 SamroRm. Suunnroom 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!ear 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 A�� , Qp LOT RELEASED BY Sign. . ,!., � LS��,�`- ' PLANNING BOARD Address fl. G'scr �RcI. ePleZek. Date ( - CA Pn-_.-. ` - ` trw a_1.0 BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: Ml u�CL6,c., BUILDING PERMIT #: • ADDRESS: 60c11.5S42 M �C �� . P4R4%, LE. NO. :77) -1J14Q DATE FILED: tc BLDG. SITE LOCATION:1l E ('7) CO0NEJv\44t #: LOTH: Lk) -'-1 (4..n-w�o-cLL THE FOLLOWING INFORMATION OUTLINES TH 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: w DATE: N/A: 4. HEALTH DEPARTMENT . DATE: 8/z/'qo N/A: I i4STR AL 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 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: 1 \ G t 3 C,aN N ei y/sup-a- Natal CA:). (4 AirtAn veu-L NUMBER r i STREET VILLAGE • OWNER OF PROPERTY: _,�o(k1---S (r ) CONSTRUCTION SUPERVISOR: AA 1 (,(-4-/lg(— OckiC)p 1 -7--) a G_t scL d NAME LICENSE NO. (PHONE NO.A , 2 ADDRESS: J (OGI .S�--C l-��. `� bp- S '` enitr 'O.AJY` ) Yom, -i 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 CONSTRUCTION SPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. • � GC SIGNATURE: .4y \a T BUILDING OFFICIAL APPROVAL: • PLOT PLAN l FOR LOT # k � � !% Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ED Well or (lot ft. rear) Abuttor's I Abuttor's Name I Name Lot # ' Lot # REAR YARD If this is a If this is. corner lot, 1 ft. corner to write in name write in of street. I name of • � a other • d 1/21 b street. . ro • • • Si SIDE YARD SIDE YARD HOUSE FT. r\ (I FT 1) • 1 SET BACK ft. s - I /� (lot ft. frontage) / .. nn)NYE m A- f JO \\ / (NAME OF STREET) • •/ Information / / Supplied by kat MARK ► — MARK NORTH POINT ' �t+;5"act Z•)k —1 chtf" . »91 "gijc:,cn crC 'yyto^7! �vo1L-vaN0aN 7)70/0 4Mnf-S/xa 5�'�S�Z •XilW *lS . r Ley LL j� 1 l 1I 4' 1