HomeMy WebLinkAboutBLD-90-564 ... i, 4 o TOWN OF ' RMOUTH O E 4/lu freeoto 't c
;• MATTAENEES 0-6
% t....a0 Application for a Permit to Build No.
UPON FINAL APPROVAL 9'I MAP 3o LOT x 35'
FEE MUST ACCOMPANY THIS APPLICATION. DATE9 ?o
The undersigned hereby applies for a permit to build (7//-2—i
according to the following specifications Cl//x/90
1. Name of property owner i`/<frA?/(4g CL9 Tel. 92 b ios"7
Address 62 Fn/n 4,o .mai 4.-atm iny0,
2.Name of Architect(if any) Tel.
3. Name of builder/L. ei /Nntc/ Address y.7Z Son1A,, /2 i4) ,tvk
y� <Vv— 7'z3 rn/i .
4. License No. '1f' Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address 33 WQAldwrlyd wr-y w, 1Arath,
Flood ' District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 11/ Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 42 Hite' fgr`G,c 560 5f
11. Commercial ❑ l hie n,E�tai i � Kitchen
12. Other 0 r_ TO, 09 Dining Rm.
1 ''~^75(6 , Living Rm.
3. No. of stories
Bed Rm.
14. Foundation — Full Half 0 Crawl 0 Slab 0 Bath /
15. Materials — Wood EVCement 0 Other ❑ D kk
16.Type of heat — Oil Enveas 0 Electric 0 Other 0 Elesed porch
17. Garage — 1 ❑ 2 ❑ Family Rm. /
Sun room
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 I`7 6 No. of feet rear / 7 6 No. of feet deep 9 9
22. Size of building: No. of feet front Or No. of feet side .21) No. of feet rear a.
23. Distance from nearest building: Front S1trCe 1" Ft. side Cps Ft. side Aonr' Rear to I
24. Distance back from line or street ! C From rear lot line 2 ' Side line g
LOT RELEASED BY Signature l�y�% 4r—on_
PLANNING BOARD Address rY2 .,-l4.r/1t-a/ lel
Date F,,e0rrn."4, yrs o 2 r sZ
•
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: ,� , / �/
JOB LOCATION: `5,71 �U'7�" �'`� STREET I / nt�1 Yt
NUMBER / VILLAGE
OWNER OF PROPERTY: /L fjomin - iL'n
/ � Ob 775' ci'o- 7/23
CONSTRUCTION SUPERVISOR: V/� �(ic�//1/1/1 LICENSE NO. PHONE NO.
NAME/ J
ADDRESS: 70,15,A2. ✓P4e,u-xC124'/f %V l ��7i 'foz1 17d9.
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
BUILDINGCODEAND
SUPERVISING.
ETH THE AS
SHALL BE SNAPPROVEDFOR
BYSEEING
BUILDI GALL
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
AND STRUCTURESCOMMONWEALTH, EVVENYTHOUGH THE STATE
HOLDER,GISODE NOT THE PERMITALL ER HO DERIBUTLE ONLYWS OF THE
PURSUANT A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
D2.15.3 ISCOVER! FIANYSVIOLATIONS WHICH AAREIATELY COVEREDOBYFY THEHE BUILDINGNOFFICIAL 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
RE AND LICENSE
ER
T2.1 . ALL BUILDIG HE6CONSTRUCTIONNSUPERVISOR WHO CISITOSSUPERVISE NTHOSE TAIN TPERSONS�ENGAGED UIN CONSTRUCTION, OF
SHALL CON-
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 CON.
CTION
OF THE
G CODE. I UNDERSTAff
STRUCTION AND ETHE SPECIFIC INSPECTION STATE AS CALLED FOR THEFOR BY THE BUILDING
OFFICIAL.
SIGNATURE: I -
BUILDING OFFICIAL APPROVAL:
'l BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: //,0 BUILDING PERMIT II: (JO 7Y7‘
r7
YY‘
ADDRESS: Yrt2 Jam,=,+,-/,r7. kvit/3/ (;)„,„ix TELE. NO. : Syo- 7123 DATE FILED: yZ'.S/j'()
BLDG. SITE LOCATION: 33 Let/ Stamey Glay a) 3o Lon:
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:
REVIIWED BY: /
V I. WATER DEPARTMENT ��JQ��Q SATE: (744/9� O N/A:
2. ENGINEERING DEPARTMENT: ! DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT DATE: 7//obar N/A:
INDU TRIAL ' I/OR COMMERCIAL PERMITS
S. WIRING INSPECTOIR: 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 SUBMITTE TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT.
COMMENTS: /Gaik`Q big -f/a k41 /Q, Jh d-[LSe On /c/
tint — V2-1.0 pre
✓ t^-ST jt. t as,v a 0". el/ea/9d
�I.DG l (9X Co cf.:ILI /err 'Thi srs SP''w,na d-o /y. G
N. rot.H D . GJA ..c- (0,r-u- (71t Wi ryer,r to-&r,n 0- 4 .13c to w
R " A-P,on- Ants,/ (Air-VI .-
BLM/89 17 /9a
i
.
n. w -6G
_ i.
ninui
t> :-...- lY!!.K IN ao J V `..i
7 rug I
•
U
NEW N ADD11 (O
`y . 2-4
N. J
•
ru-o cn8 - `
•
,•
.;. x c-----'1 V
..--.t'
:1''
„,..,„. .,,,,,..„, ,, .e
cI;
•tif :. :
'1 Y
. eLd —.-" '""--,1 • ' le'r'Eot•d. i
•
- L OoR PLA N -_ __
ii AIT r. • . . _
t H. - :.t.t. WL
SCS '' .a Y • >:.4 - ..
•
:1:r .,
•
fief? R .. ,:fi ;
, ,; t ...-'7`,..'.
..
" ' 2kERnarE• rs —_—_
?: ,17 ' �..lE ..� �• `/ ''�/ CGU Q� .".—. I
� � A „E�c y <
C' 5 G'p� P W,
A., 3x6 cc i�riv�= ��:s,s is ec. , :r r.;::;,.
F I
i .i' ��
. fi,? ':e'' '^•- r;tvoHt
4D-bEF" 5.
-:::',1..„ .. :
•
: 1 - ,.
'i.e
> PLOT PLAN
FOR LOT # X are
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well jo ,o/07/
X--Za I
(lot /-2 ° ft. rear)
I I
Abuttor's I Abuttor's
Name e4r6e-
- Name
Lot # X-37 I Lot #
REAR YARD
If this is a • If this is
corner lot, 3 a ft. corner to
write in name 1 write in
of street. !•+ I i" name of
i; - • s' u Q ' other
Q 3 0 ro street. .
,b _
4 ,
' . I, 20,c22
jSI DE—YARD SIDE YARD
1 HOUSE F ' . n 0 g° FT •
•
Ao . ^ I,0e)e/o i 3
t I
r
SET BACK t
14 ..•.V.4 ..fts V)
I
0
(lot ft. frontage)
/ W&io( ye'd w i
\ /
\ / (NAME OF STREET)
/ \ Information /� . �. V
/ \ Supplied by !/„G7
/
MARK NORTH POINT
ELEVATION
G.W.A.
CEILING ASSEMBLY R
TOTAL R=
TOP SURFACE U= WINDOWS:
R=0.61 �..J anath.s,a .1104./119" FIBERGLASS 2Yf 2s 4 .
INSULATION
R=30
•
\ \=SHEETROCR DOORS:
R= 0.45
I —BOTTOM SURFACE
R= 0.61
1/2"PLYWOOD ��CC y I/--INSIDE SURFACE WALL ASSEMBLY i ELEVATION
R= 0.62 r R= 0.68 TOTAL R= G.W.A.
WOOD }" SHEETROCR - U
SHINGLES � R= 0.45 J� WINDOWS:
R= 0.87 �(
OUTSIDE --31" FIBERGLASS-) A\ Att440,il
() D�61P 7
�y
SURFACE INSULATION °�`t0 +
R= 0.17 11
==-SURFACE RESISTANCE
i' i� R= 0.61
FLOOR ASSEMBLY DOORS:
JFINISH FLOOR TOTAL R= I
R= 0.91 U=
/1 f-- Rndeisen bk.
�( P SUBFLOOR-- }" PLYWOOD RIGHT SIDE ELEVATION
— R= 0.62 I
OUTBID �J G.W.A.
SURFACE hJ V V V L/��U j/�/LSU ��1JJ
R= 0.17 , ' , WINDOWS:
�' I 61" FIBERGLASS i
\ • 1 INSULATION FOUNDATION
CONCRETE SII R= 19 WALL ASSEMBLY
FOUNDATION (may
be used instead DOORS:
WALL ! SURFACE RESISTANCE d R= 0.61 of floor insulation)
R= TOTAL R=
U= LEFT SIDE ELEVATION
L 1 I G.W.A.
�—INSIDE SURFACE
1 R= 0.68
I 3/8" SHEETROCK 0�ande.4Sm✓ -I(� 1M
A' R= 0.32
1" STYROFOAM y��C
' i �- DOORS:
14 I
NOTES:
PERMANENTLY INSTALLED STORM
WINDOWS TO BE USED y-ys^
GROSS WALL AREA=
WINDOW AREA= 3 Z sefr'
DOOR AREA= y2 JJ may-
t
Z FENESTRATION= /3. sis' I