HomeMy WebLinkAboutBLD-90-555 y �F Yq ,. p �7G��/p/`
- "r f`r TOWN OF ARMOUTH or Few 9 /o°/4o
"* e,' Applicati n for a Permit to Build No. 1-�—
UPON FINAL APPROVAL /i0J%0 MAP / 7 LOT Lf/ ii
FEE MUST ACCOMPANY THIS APPLICATION. DATE ' _ 19 4.d
The undersigned hereby applies for a permit to build 2 /U/90
according to the following specifications q O
1. Name of property owner 3 U t is D o (CU / /�� �5"G-Corr
Address to 64 ti 2 ca0 14e61- Y4,,,,,1%f$ t
2.Name of Architect(if any) NoiQ Tel.
3. Name of builder !Zi cba,i6re„nee Co4r1Acre( Address (Po B14YGArra 7(040 frcznInailc,7
4. License No.m try 5 /SIC( Tel. 3 $5-i/0 2/
5. Name of Mason A) 0 A Address
6. License No. Tel.
7.Construction address Zo 1$gY /1d 4-P w•7
' Flood District 2_I�
a Date of subdivision Approval N/A- plain zone Zone
9. Private dwelling nY Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 2-1/oo Oil
11.Commercial 0 - ' -enk Se d--0 39,,, Kitchen
12. Other 0 "7c0 o ter Dining Rm.
13. No. of stories Z. s€14 -`;-- _ Living Rm.
Rm.
14. Foundation — Full 0 Half 0 CrawlSlab 0 S O . o-v Bed
4p
'DDT /
15. Materials — Wood$( Cement 0 Other 0 Deck
16. Type of heat — Oil 0 Gas 0 Electric leOther 0 Closed porch
17. Garage — 1 XI 2 0 ?cr5T 4c Family Rm.
ori e Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Nod e' Shed
20. Stove — Wood ❑ Coal 0 Alterations,Or,m&I
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
LOT RELEASED BY Signature 641-€40/1"/vni"\--
PLANNING BOARD Address G° &WY YR1n4 ID A-0
Date `,Arnn9mtfie rr AL
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
JOB LOCATION: !° 64Y '0'5 A1/47- ,4'ftodiY
NUMBER _ STREET VILLAGE
OWNER OF PROPERTY: CM,'/5 D Deed
R i a �/?onee ` Ir ets--k0 Z�
CONSTRUCTION SUPERVISOR: Q l
NAME LICENSE NO. PHONE NO.
ADDRESS: lU 0 45t/I Y -tin 4'
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
BUILDING CODEAND
GETH THE AS
SHALL BE SNAPPROVEDFOR
BYSEEING
BUILDINGALL
OFFICIAL DONE PURSUANT-TO THE STATE
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
COMMOTNWEALTH, EVENY
YTHOUGH HE,TTHE LICENSE HOLDER,GISONOT THE PERMIT DE AND ALL EHOLDER R IBUT LONLY E WS OF THE
PURSUANT A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
2.15.3 E
G
E LICENSEIVIOLATIONS WHICH ARE
Y IN WRITING OF THE
DISCOVERY
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 ISOR
RVISE
STRUCTION, ALTERATION, O
S
IN
REPAIR, REMOVALSOFETHOSE
IS TO 109.1.1
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.
DER THE
ES
D
NS FOR
CNSING CON.
SI HAVE RED AND UNDERTAND MY TRUCTIONASUPERVISORSSIN ACCORDANCE NWITH LSECTION ITIES N109.1.1 OFLTHE STATEGBUILDING CODEI.IIEUNDERSTAN
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: �� ...l'/7\-`
BUILDING OFFICIAL APPROVAL:
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: /R(cA .A0AreAnPt COAKtikrat BUILDING PERMIT It:
ADDRES,: . _lo b '"Ay Y444 /14)9 TELE. NO. : ✓Z SS'yd r( DATE FILED:
BLDG. SITE LOCATION: 2-U of y /a!}0 MAP//: LOT/l:
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:
31,CONSERVATION: DATE: N/A:
HEALTH DEPARTMENT DATE: 917 7/y0 N/A:
I IAL AND/OR COMMERCIAL PERMITS J
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:
731-AG- 'J %J, c . tee2o*H 3 ' X3' .Z,ra FXisn#c givitifert
t, Emc ari b t XI tc- AIR/pfl is
Lk
1-1.1 D/XX- //Cad W 4-c- - i/v s r de /7.€c O,a<.O
,7) 5LfGIG j,Q, L Wit,c- nicer 5-"aneves /itavi,cGmCk'
(J`
BLM/89