HomeMy WebLinkAboutBLD-90-573 6 YA POSTED 91/M
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.�>•Y Application for a Permit to Build No. S73
964007v
UPON FINAL APPROVAL 9' / /- 90 MAP 6194-ta LOT S k1-7
FEE MUST ACCOMPANY THIS APPLICATION. DATE Y/g/90 19
The undersigned hereby applies for a permit to build 6///9/90
according to the following specifications
1. Name of property owner uosEpf/ C Niune,vro Tel. 0-080
Address 3s-s- cElsa sr, "h-wiwnni /14 6, 72/ 881-1342
2.Name of Architect(if any) Tel.
3. Name of builder 13Rt tw S. he cmarly Address 32 clay'', Ra. to. y yflnovi-H
4. License No. 04,0-6,5— Tel. 36 2 - 47 2 7
5. Name of Mason Address
6. License No. Tel.
7. Construction address S sMs a,A. -v in. So• y4RHo✓r4
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 "/3 00, —
D
11. Commercial 0 conJrcocr Rcoc ov.:n �e> Kitchen
12. Other ❑ E)nsr.Mc p,sr.o (air/79 i- Dining Rm.
4M-e J.04tcteactW Living Rm.
13. No. of stories
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab. Bath
15. Materials — Wood Cement 0 Other 0 Deck
16• Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal 0 Alterations /
�' EC21. Size of lot: No. of feet front /3C No. of feet rear /3 G No. of feet deep "i3 �Eg
22. Size of building: No. of feet front 40 No. of feet side 24- No. of feet rear 40
23. Distance from nearest building: Front Ft. side Ft. side Rear
,.,-/-/der:
24. Distance back from line or street 40 From rear lot line S.3 Side line -1-2/ ?R
LOT RELEASED BY Signature C4-472v4 l /
PLANNING BOARD Address 3 at Ccv 2 Pert? .
Date tU
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
NdR (�O f1i SO• yAanou'T//
JOB LOCATION: J / Anr
NUMBER STREET VILLAGE
OWNER OF PROPERTY: .TOSEtt" CgrufrN?CJ
647sos 362 - f7e7
NAMEE H
CONSTRUCTION SUPERVISOR: BRIi4 °C N2 y LICENSE NO. PHONE NO.
ADDRESS: 3 2 CAa✓1 - u' , Vgarfou77,1
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
T
BUILDING CODEAND
GESHALL BE TH DRAWINGSSASNAPPROVEDFOR
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 SRUCTURESCOMMONWEALTH, EVVENYTHOUGH HE,TTHEICENSE HOLDERI,GISODE AND ALL NOT THE PERMITER HOLDERIBUTLONLYE WTHE
PURSUANT A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
DISCOVERYG
2.15.3 E LICENSE HOLDER SHALL
WHICHrAREIATELY 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.
2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER OF
THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, 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 READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON.
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAN
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL. � �
ibr
SIGNATURE: fizyte,,;9i/-
.t,
BUILDING OFFICIAL APPROVAL:
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: (?OSEpL/ ClAuttrgrc BUILDING PERMIT #:
ca4a (C010
ADDRESS: 3Ss neNrs. sT At#<'-4 HA TELE. NO. : P,4/- 134 2 DATE FILED: 09P/O
BLDG. SITE LOCATION: .S S'04,$2eh4N 2Y . 36. V44. MAP/l: fes- Cb70 LOT#I:
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: / I
1. WATER DEPARTMENT �� .�_. DATE: 57;/41.-
p�y-. 90 N/A:,; J
2. ENGINEERING DEP ETMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT fW //� DATE: p// /`/7/`7, N/A:
I 'US 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: /_vn - 't. CoJ2t A, .bin,A�,(Roop oLES std.&
Ihcc - tto ohs Hr _e_r.ch'ce w t>LL $'cKe %pal- Adel-y/accc wec,4'
$'1--D6. J ill. /!. /c6rnr, c Croup Tio. ) q'.34-to iv egt ? /41-R0vr"
fvi.v/SN r ft/4M
o"t9 A-O-o F /('cam.✓! -t-s %-nt7/t-mr/ay
Z4/11
BLM/89
9/"Vgd Dr9
t a PLOT PLAN
HAP -11 06 70
FOR LOT # - X..(
,..,cT 4 6/F/
Indicate location of garage or accessory building Lt S.C. ( w, s r re.,c,C
Additions with dashed lines
Sewerage disposal (cesspool)
Well 0
I
I (lot fa C ft. rear) I
CT
Abuttor's I Abuttor's
Name I Name
Lot # k 2 I Lot #4hca
ED NAS!! G -7-.44.3A-3is #/.
1 REAR YARD L.4aocetmt
If this is a
If thiss�LE
corner lot, \-A. `S a ft. r. corner to
write in name write in
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of street. i' I • name of
.)--2. - I w other
¢ d °)i
astreet. .
re
ft, 3 fort 517
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a4'
SIDE YARD HOUSE 2�' SIDE YARD
0_yy$_ FT_ r) 0 38 FT t)
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SET BACK
ft.
- I -4
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0
(Int / 3 ft. frontage)
•
\ / S/-lig/ 5_, ' Ro-4-.6
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\ (NAME OF STREET)
''� \ Supplied by Ft`c A f pf.fsua.e'- '— ' S
MARK NORTH POINT
•
•
, • a
KEEFE & MCCARTHY
BUILDING & REMODELING
939 MAIN STREET UNIT F-1
YARMOUTH PORT, MASSACHUSETTS 02675
(508) 362.4727
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