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HomeMy WebLinkAboutBLD-90-530 .�?�--�R POSTED c�k ���40 � ' :=� ° TOWN 0 YARMOUTHel`fewg�`l�9° , Application for a Permit to Build No. 1/4530 0--Z12 -qo MAP /ate' LOT c - Cr Z FEE MUST ACCOMPANY THIS APPLICATION . DATE -9 2/ 19 �'l�5 The undersigned hereby applies for a permit to build g/o14/ 4,0 according to the following specifications / 1 Name of -property owner >� Pt S ,i,c4%!Avd. Tel. �677S-- Address 79 � 5>�_�.a/67 A?aA� 2 Name of Architect (if any) Tel. 3 Name of builder A2/Ai .` /St vV Addresse /Sflt�/� SO-late.. 4 License No. ©457-C7 Tel. 35 -77d7 5 Name of Mason Address 6 License No. ^— ' Tel. __. __ 7 Construction address 9.9 .STUPISV 'eel g€717e€/�i Flood District 8 Date of subdivision Approval plain zone Zone 9 Private dwelling ❑ Estimated Cost --DO NOT WRITE IN THIS SPACE 10 Multi family ❑ #f/pe, Type of room I No. 11 Commercial I=1f 12 Other ❑ /2X/2 ' perssaeg nereAV #45;G'O Kitchen -juoct 77.ZeK Dining Rm. 13 No. of stories Living Rm. 14 Foundation-Full ❑ Half❑CrawlOSlab❑ Bed Rm Bath 15 Materials WoodR/Cement❑Other❑ • Deck /owl,- 16 Type of heat-Oil OGas❑Electric❑Other ❑ Closed porch 17 Garage - 1 0 2 0 Family Rm. 18 Swimming pool-Size Sun room Garage I 19 Storage shed -Size Shed 20 Stove-Wood ❑Coal ❑ / Alterations 21 Size of lot: No. of feet front No. of feet rear //o 1 No. of feet deep,/elfl 22 Size of building. No. of feet front .'k" No. of feet side *C1 No. of feet rear _ 23 Distance from nearest building: Front /c" Ft. side f.'Ft. side NA-Rear 9,e, ' 24 Distance back from line or street 4.1e_ From rear lot line siL Side line 34 / Signatureitjt LOT RELEASED BY Address JA-ArOZte A? PLANNING BOARD 'ca' 7jypmn-r, w:; h/4. Date BUILDING PERMIT APPLICATION SIGN OFF AP13LICAN2: 4//,j ij p A/ 7 BUILDING PERMIT #: ADDRESS: Ic yE)!r y PeAtI TELE. NO. : DATE FILED: S ZC1 -p0 BLDG. SITE LOCATION: 95' STUD/Cy ieeC/ MAP#: / 2S^ LOT??: C-T7 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 he .I DATE: 7/43."3 IR) N/A: IUS 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 TCN OF YARMOUTH BUILDING DE_A.Rhsrr • • CONSTRUCTION SUPERVISOR FORM Please Print: f DATE: R-02_4 ' 7d • AP JOB DATION: AI _ CV(/ /// 'v • NUMBER STREET ILLAGE OWNER OF PROPERTY: /7DW Atria S�41Z , 7/9/2oJT> CONSTRUCTION • SUPERVISOR: //2),M0fic77 /(f • OVS-5�7 g.90-7709 NAMEIC NSE # F ONE ADDRESS: /S Xc/% ,46.62d •S V��P/l7avf'�i sz away • (/ ' :• NUMB STREET CITY/TOWN .. STATE ZIP CODE LIISED'DESIGNEE: • (IF OTHER'THAN SUPERVISOR) NAME LICENSE # • 2.15 RESPONSIBILITY OF EACH LICFSSE HOLDER: t • 2.15.1 The license holder sh?11 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, rival or demolition involving the structural el=rnents of buildincs and structures only pursuant to the State Building Code and all other a_cplicable Laws of the Commonwealth, even thcuch he, the license holder, is not the permit holder but only a subcontractor or contractor to the ce_rnit 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 anended, shall be subject to revocation or suspension of license by the Board. • . • • 2.16 All building pe_-mit applications shall contain the name, signature and license number of the construction supervisor who is to sucervise those persons encased in construction, reconstruction, alteration, repair, removal of denoliticn 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 .dry responsibilities under the rules and roc;l aticns for licensinc F&nstructicn supervisors in accordance W4 th Section 109.1.1 of the State Building Code. I understand the construction ins cticn procedures and the specific inspections as Jcaallled for by the building official. • (LIC��'at,.22I.D CONSTRUCTION SUPERVISOR) BUILDING OFFICIAL APPFCVAL: -<-------W A1. / \ gO w� >„. "ice 12) 7 - -Dec< I .Z. 6'1' ,,\ i � . a i,g e ,i, N I1I ' -e- /6 5'4 STU04 EV /Ro%,o • PLOT PLAN • s ^ FOR LOT 11 C'^ 17 • Indicate location of garage or accessory building . Additions with dashed lines Sewerage disposal (cesspool) ® Well ISI I — — (lot ft. fear) I .0- - - - — Abuttor's I Abuttor's Name I Name a I` a Lot# v Rear Yard v v v 4Lo t# • w ft. w I W If this is a I If this is a corner lot, t corner lot, write in .p • name of write in other street. .name of 'other street. Sideyard HOUSE Sideyard ft. . f •t. •• O• t N Set (Back u ft. 0 o a _ ._ 1 a v I I -0' (lot ft—frontage) / 99 0-702)/eY Ron.a \ / V�� ) ) < (Name of Street) Information / \ Supplied by ,4/`/G.tl 167 ,117L / Mark North Point 0&ee 117/44/95.4- JQ - — = ,0" %o,MO 7Q 6,5 /� r 12 X /2 LF G K / - c Nil i M . _ (. / :/ L....,..„...1. -- -----------__ �I(I //OUSE I __._T ---- - - =-i - 1 1 1 i • __ _ , I _i , I . ---- L _1 ' i i t 'd i.. 1 d_4 1 f _ -__ - -F-T-6 r i 9r1 - r -r- r 1:-=I- irk--r- r -i—r—r_ X G fe� "9 -- z. & PIT 7 p.srfc j j1------- -- - _.._. .- n -- ---- - ��— - ._.._ all - / Foo �" /i ! . O NI n.... eft i ..__ _ nix./21 Dec* / t— X2'0" — -- 5' 99,, fr D/e/A.A4 . 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