HomeMy WebLinkAboutBLD-90-524 .
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44 `r o TOWN O ARMOUTH alga-1j' . eh.3/9b
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Vt'O"� art1�. 6Ce Application for a Permit to Build No. all
_ .
071
UPON FINAL APPROVAL MAP 3a A TSA •
FEE MUST ACCOMPANY THIS APPLICATION. DATE it/ 19 90
The undersigned hereby applies for a permit to build vliq d
according to the following specifications •
1. Name of property owner WILLIAM " T Ac Ca ffes I' St'- Tel. 771-67x1
Address 7 aernar, ann, Lr/6Sr Vise/wan; Jill
2.Name of Architect(if any) �2/Dr1/G ' " Tel. -
3• Name of builder" ',? hr 3-- MUsm Address MrgeivsiS Br/AMaPn* 4slh✓rte
4. License No. 39693 Tel. leo - S34o / oze.ss
5. Name of Mason MewE .ere4aiied Address
6. License No. Tel.
7.Construction address 7 efega / Msr9plaISr Veg./flare/
• 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. Multi family 0 3di o 0 0 . 61114 Wirt(.2
11. Commercial ❑ • Kitchen
12. Other ill.--ax.erN'alis E /10144,4,7-7 Dining Rm.
/a 'ail hx ,3- o-% u Living Rm.
13. No. of stories OME , ,� �S� Bed Rm.
14. Foundation — Full ❑ 6I j Craw1T❑ lab Bath
ec
15:Materials — Wood ❑ Cement ❑ Other oet. mufti • Deck.
16.Type of heat — Oil rbas ❑ Electric ❑ Other 0 Closed porch
17. Garage- 1 ❑ 2 ❑ a Family Rm.
. Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed "
20. Stove'— Wood 0 Coal ❑
I Alterations
21. Size of lot: No. of feet front I/O No. of feefrear We No. of feet deep /o O
22. Siie of building: No. of feet front a 2- No. of feet side 24 z 7lL7iNo. of feet rear 6 2- -
23. Distance from nearest building: Front //O ' Ft. side 3o ' Ft. side Sb I Rear GO r
24. Distance back from line or street 3S-1 From
/rear
rl lot lliinnee 3c. 1 Side line N ' 1 /G f
LOT RELEASED BY Signature
PLANNING BOARD' , Address /DS- °'Yfl e%°eVeir6 ; •
Date 4sfie v,e, /' ' n6s-,se "
BUILDING PERMIT APPLICATION SIGN OFF
APPLICAN,I: LalI�IRM J. 4VFEFitY fl. BUILDING PERMIT #:
ADDRESS: 76,' /// IOTAP TELE. NO. : 77/-c7t# DATE FILED:
•
BLDG. SITE LOCATION: 7rA46.4/4 ..,A/.flt,47. MAP/l: St LOT/I: JHA
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: g'/�9° N/A:
p US IAL 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: 'tOC > ctn,ac- GUiri'f/N IF ' Ay/5w" tLOO/t
/y/vs7 Bt. r,1 an: et Cu 1 rH 3ecc.noss •
957. Sr 6. / &9.c.. 7 .SMIK° D2 9-/o/• 7.2. /'/tAt.gs royct4
SI.
BLM/89
�� 1941 L
, PLOT PLAN
FOR LOT # 3-8A
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well rgl
(lot //D ft. rear)
0
Abuttor's I Abuttor's
Name ,( I Name
Lot # e9A I r/_ lb Lot # 7,A
REAR YARD
If this is a f o f 2 S If gib If this is
corner lot, 3C. . .ft. corner lo
'TS? '�
write in name ` i k write in
of street. i•+ ia 141.�a peapos�. name of
42.- Q Y3rl 612-gENHolt a other
a)
ro j t• 41 A- 'U street. .
L-G Aft oPEN 'l d
•
' GAPAck. r pezc�{
SID YARD p. SID a YARD
4 HOUSE
o• v li— _ FT_ r'` �] ��o 11
0 14 /- t../ 4a , a 1 `o
• o
I
1 •
SET BACK
3S'/-ft.
41
I
I
0
(lot Ji 0 ft. frontage) '
\ \ �/ 7 BCAuN goAD
/ (NAME OF STREET)
..
/ Information Te 6csc T. mus-r0 [j u tqnf �.
/ . \ Supplied by )
MARK NORTH POINT
1
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: p .
•
JOB LOCATION: 7 Bnn'vN gm) , WWsr I'Awgovr'/ MnM
NUMBER a� / STREET_ VILLAGE
OWNER OF PROPERTY: UIILL/AM J. /•f C O-nne£ r ) e.
CONSTRUCTION SUPERVISOR: 73 bef'-t "3-. M vrro 39693 Izo 5310
/NAME LICENSE// NO. PHONE NO.
ADDRESS: /OSS�//HAWS Sace J'•�'/1I, ninte✓fa6//nit eras'`'
LICENSED DESIGNEE: pati
(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 C01
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAI
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN(
OFFICIAL.
SIGNATURE: / 2
BUILDING OFFICIAL APPROVAL: