HomeMy WebLinkAboutBLD-90-551 .' ,t •Yqk; o En? wi 9(51!25
• os, w eir y`TOWN OF Y OUTH oK g�s��
• MATTA fl '1
�0e."0. .* f- Applica ion for a Permit to Build No. 551
UPON FINAL APPROVAL q . 6.q 0 MAP q 7 LOT g_- I
FEE MUST ACCOMPANY THIS APPLICATION. DATE 1/(p 197
The undersigned hereby applies for a permit to build //e/4
according to the following specifications
ame of property owner CLI (CAA-se) ThoU2A S Tel.39 Fre (1 Q
Address zz u. 0,-f mar- luz *l-J . etilk S y 3°4. 9,447
2.Name of Architect(if any) Tel.
3. Name of builder H CiZ Address
4. License No. ' Tel.
5. Name of Mason Address
6.9No. d Tel.
lel. Construction address" Z'L w . G--e- AI W CSTE'Q ml e-n So V A I_moc7nN
Flood District
8. Date of subdivision Ap royal plain zone Zone
9. Private dwelling Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 VISd'o . try �� c/'L
11.Commercial ❑ o pit
demciiii. ) ) 'L. X 0 Kitchen
12. Other ®� �/i c-el- g., Dining Rm.
iga-
13. No. of stories r cW3v-v Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood ❑ Cement ❑ Other 0 Deck apt._. y'
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage - 1 0 2 SamroRm.
Suunnroom
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 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
s� From rear lot line Side line
LOT RELEASED BY I4ignature � nL
PLANNING BOARD Address Z�.v . l t,V L6PT it.r- 1141
Date tC1, tl R' ‘
� BUILDING PERMIT APPLICATION SIGN OFF
15:11 ICANT 1 C C/�--Li (C \j€) CrtWiS BUILDING PERMIT #:
ADDRESS:' L \M. Gr UAL4-t&t__ Ki TELE. NO. (2Akr0118 DATE FILEDD::
BLDG. SITE LOCATION: 4PML..R MAPF: 7 > LOT/f: R.
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: i/fro N/A:
I STA 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
Q/wv`
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE Effi4PTION
PLEASE PRINT:
DATE 1 131 gib
JOB LOCATION Z.Z. W • (stoic"( WCSTEL J C1) co t't N
NUMBER STREET ADDRESS SECTION OF TOWN
"HOMEowNER"[ggt,I CC6 , Matti.c 3S$_a—tr R' 31+3492 3'I `F- i 20(� ), icy
N HOME PHONE WORK PHONE
PRESENT MAILING ADRESS
CITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH SAID PROCEDURES AND REQUIREMENTS.
HOMEOWNER'S SIGNATURELThrntio
APPROVAL OF BUILDING OFFICIAL /an J/nZ-
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
...
3 5' 9
r
m -.l
123.03 _
Jr.
At 1 R";;<.. ..t 7
vrri Il r , . /
tr
PRoPoseb'.. � krti
c ...
1.
r?9 - KV
0 +op of p
cont.. ,t Q'
* %co - -Fna. 1o, - „ I
0 'c?' al 21.35
N \�1
J N ,� .Si` O
L.CST 1 = .J
15,40G .s.f. t
44t. F
F
1 1
1 i
133.'74'• -
29•'' 19.3 I$'9 APPROVED
YARMOUTH COMMITTEE
OKHRD ne,� ;'�
WEST 61zEAY _WESTEaM ROAD ?IZztioV�' -�
Gee be E-D 0/_or ecl' A N NOTE: Top of FoJr'G IS.
Locn - . : `-oUTV t " iT
.I✓to'_ 1 { f Ac c• . . ,' , A8'��/E N'G eon,/
�}h Iti Fo/lo
3cgL.E• :`_.L..; •fare-: 1-.) c . 5 ' 14 3 -,
.,e4 'eeeA/ce
LOT 1 • • PL.nc - ._ 33I PG. 'jq
PFZEh -` 4 c roe- Un"u i EAF- lc..oA-r
S Her_ I rrtr" Ce..e. rne'r THq T TFIe a&/LDi.V•-
SI-JOIV4/ O• •.I/S .°L.4N IS L 0C n re a O.V E•
kr
V, M F
Kin calx e -ineerin7 i
ci a... e,ve..vsSes
q AJO SCISVS OOD / a! • c l•
eo CTE Gn-Yflet1otJ T4-1, A-lfl S 5. • •.are- Lc A,va atlare r-te
1 -tt- B3- 154 *r...- --,. .
i aton o
C7--t ' y' ✓ Old King's Highway Regional Historic District Committee
in the Town of Yarmouth fora
3564
•
•
CERTIFICATE OF APPROPRIATENESS
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts. 1973,for proposed work as described below and on plans,drawings or photographs
accompanying this application for: `
•
CHECK CATEGORIES THAT APPLY:
1.Exterior Building Construction: 0 New Building 0 Addition 0 Alteration f.���/
Indicate type of building:0 House 0 Garage 0 Commercial 1,Other _i rC_, .9
2. Exterior Painting: 0 / r •
• 3. Signs or Billboards:0 New sign 0 Existing sign 0 Repainting existing sign �r:t
IV 'e1
4. Structure: 0 Fence 0 Wall 0 Flagpole 0 Other fN is
(Please read other side for explanation-and requirements). ]�D
TYPE OR PRINT LEGIBLY v" ORTE XII
A
,-
vg ..
ADDRESS OF PROPOSED WORKZZ�1J, nt '1 �a/- t ASSE SORS MAP NO. 17 ,
OWNER Qit.4i1 mO02.-4.-Is
ASSESSORS LOT NO e-1
HOME ADDRESS TEL TEL.NO. cri I
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
COI"r- S2.4✓S (3 W • C71-EAE 1 X SYAK SO. 114.-i.-6‘04.-.1-IN
i)i ft -r\-t C...0 e 1 -11 YJ .` .r r s )24 S
freNE ,-•i-`{Pta-r t\c IAAI u 4 f-s'rt-s 11. 1 ) . G-
AGENT OR CONTRACTOR t e•Q-QA en0Q11-7l S TEL. NO.)SCZ-ell r
ADDRESS Src
--
DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,other side),including
materials to be used. if specifications do not accompany plans. In the case of signs,give locations of existing signs and
proposed locations of new signs. (Attach additional sheet, if necessary).
Signed `` •
Owner-Contractor-Agent
Sone below line for Committee use.
Received by H.D.C.
Date
glee k° The Certil at is hereby Date (ilca
at_
Time (At
I ' I, (
1i 31 By Ce �i � -6
•
'",� ��%f �' APPROVED
Approved ' 0 IMPORTANT: �Certificate ' a Yov� pro alis ubject to the 1ttteme9flvebP,apiitE
provided in the Act 1/21
Disapproved Q .Please return :o: Yarmouth Historic District Committee I�' HRD
✓✓✓��\ Town Hall, 1146 Rt.28. South Yarmouth. Mass.02664 oGlz490
TOWN OF YARMOUTH 3..5-/
•
q
OLD ICING'S HIGHWAY REGIONAL HISTORIC i:STRICT COMMITTEE �G
'
SPECIFICATION SHEET
APPLICANT'S NAME i La.; �'Q�( s FOR:
FOUNDATION: COLOR
SIDING: COLOR: ..
CHL"YEY: COLOR:
r
ROOF MATERIAL: PITCH: COLOR:
C
WINDOWS: SIZE: :0
�4
a '
1",
Lss
TRLM COLOR: Pu-‹ a 71 te
rn 4:
n`.? co . 11
Cn-.1
DOORS: abLOR:
SHUTTERS: COLOR:
GUTTERS: - COLOR:
DEC:: SIZE: 17-•(--32t
ZX3D1 COLOR: f ri-*urrr(
rAsOn prim
GARAGE DOORS:. SIZE: COLOR: 9
STORM WINDOWS & DOORS: COLOR: APPROVED
YARMOUTH COMMITTEE
OKHRD
SKYLIGHTS (FLAT ONLY) SIZE: COLOR:
PIP g/Z219e
ADDITIONAL INFORMATION: •
9/S8:el