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Home My WebLink AboutBLD-90-539 ;.Qi•Yqk i 4,.9. TOW OF YARMOUTH ot<rew Olii° M•ATTAGML 3 �4• i es): e••n•e�'�d',-. Application forloa Permit to Build No. 53 UPON FINAL APPROVAL��b•30 90 MAP /D LW F -10 FEE MUST ACCOMPANY THIS APPLICATION. DATE co ad' 19 9 o The undersigned hereby applies for a permit to build il3%e according to the following specifications 8/3o/pd 1. Name of property owner R 1 C I4 A e a A- . e R o w N Tel. 9 9 i-P 92o Address 6ai 874- aY —Pot BU,4 o'66 kit ay.-1,R4oa-7W / At . 2.Name of Architect(if any) Tel. 3. Name of builder /..0 H-40/) A , P R°ail_Address 6/a••}c 0f-4-ei 4. License No. Oa 9/off Tel. 77 1— 3 93 ° 5. Name of Mason _ie 0 8 en 7 19 ire-er L N Address an C4447•P 17 Ive ri,a ca,h' 6. License No. • Tel. /— CO —29-6 - 9 ??2 7. Construction address / tifigi 14140 P /P E a Lem g W. n- € h o it7:y//74 , Flood [district 8. Date of subdivision Approval 7///l 6 3 plain zone 4 -la Zone - as"' 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE a) tix 8 Type of room No. 10. Multi family Lai to ° • ° o , 11. Commercial 0 SMAP F° tKitchen 12. Other ❑ fr/iu h ��'e Dining Rm. 13 No. of stories Living Rm. �a-S 0'y Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab gl--- Bath 15. Materials — Woody(, Cement 0 Other 0 Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 ❑ Sro Rm. Suunn room 18. Swimming pool - Size Garage 19. Storage shed_- Size d'/�k 4/ ' Shed V.)01- / 20. Stove — Wood 0 Coal ❑ 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 Fr7 LOT RELEASED BY Signature 6 � Ae e PLANNING BOARD Address ' t' id;36 Pr Date LV. 72-o„r-i-4 fi,q , a� � 2 R� .�25.61' cofl o • h LOT 10 S ssy). (,qR�q A ' ,� ti 10,600 sq.ft.t RECORD S2''F ece bony X7:67. 10,532 sq.ft.f CALCce ti 1 \ .59 to 99 •00. •4 ^l „ c�P - o os to 43*--____6 �� F Q g' ('a (SOp�S+iI r m o F,- "' RgMF�0 vARr , �' QA). N �\*2' ss •�o al/•°o- �_ ,o 4SeV 4 SSOy ' ' 'OS ij ,� *0. tle w /, $ (fr�'4jqe� BUILDING"Oro PERMIT APPLICATION SIGN OFF 4- AP LICANT: /C//-q-FARO 1� . ,o DR o WA) BUILDING PERMIT it: /f ADDRESS: ggi GQ r - ad' —fl c . C..,,,,r67.;TELE. NO. : )7 /-1 711 0 DATE FILED: P/31'I 70 le.}d-n ✓Aluof//'Ery( L/6Nr 4: BLDG. SITE LOCATION: 14,/,1-A44/1.47,71- , MA . MAP//: / 0 LOU: F yO 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"lf / /5$ N/A: I USTR 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. i pCOMMENTS: $GDC- J L9'L T l&e rActC it4-7- Sf{�D tc H Hf+ a-elD 73 Ice Ko.v7ll,4-T- AlL� CCWt-c-s. 4- to iL 1 ac-- 75 a SPi Ali: ick 27S-7) BLM/89 ikh0 fa/ TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: /,W u JPNoi1,IlGn L /ACJ F w /a-ftfil° a7/4 Lill. NUMBER STREET vIL OWNER OF PROPERTY: RIC 14 .4 Rn s • 13anun CONSTRUCTION SUPERVISOR: gict /EAq giro N oay, 0 2- 77i- 3770 NAME LICENSE NO. PHONE NO. ADDRESS: La/ R7F AP fir . *R /'7ot7J � fin •(oa6gT) LICENSED DESIGNEE: LICENSE NO. (IF OTHER THAN SUPERVISOR) NAME 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 G CODEAND SUPERVISING. ETH THE AS SHALL BE SNAPPROVEDFOR BYSEEING BUILDI GT ALL OFFICIAL DONE PURSUANT TO THE STATE BUILDIN 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 O DE OF COMMONWEALTH, EVEN THOUGH PURSUANT TTHE BUILDING OAND E S THOUGH HE, THELICENSE THEHOLDER, ISNOTOTHER I PERMITHO DERBUTLONLYWA SUBTHE CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. G D2.15.3 ISCOVERY LICENSE HOLDER SHALL WHICH AAREIATELY COVEREDOBYFY THEHE BUILDINGNCIAL IN WRITING OF THE 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. HE NAME SIGNAT RE AND LICENSE ER OF T2.1 . ALL BUILDIG PERMIT HE6CONSTRUCTIONNSUPERVISOR WHO CISITOSSUPERVISESL NTHOSE TAIN TPE SOONSS�ENGAGEDUIN CONSTRUCTIONI,�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 RED AND UNDERTAND MY ITIES DER THE ES ND ULATIONS FOR ING CON STRUCTIONASUPERVISORSSIN ACCORDANCENWITH LSECTION N109.1.1 OFLTHE ASTATE GE BUILDING CODE. IUNNSDERSTAN THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. /� I SIGNATURE: € '1 61-7?-7-0-?„- BUILDING BUILDING OFFICIAL APPROVAL: