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HomeMy WebLinkAboutBLD-90-575 a _.p i.tc, age-4 FAT/7 o o TOWN OF ' RMOUTH 0K Fn° 9/"P°Yig.,, :sr, .ciiittettl MATTACMEES Al �,°� eY0 A 0 plic tion for a Permit to Build No.(-571/45- UPON ANAL APPROV a�/g9° MAP 5-01. LOT K 1 FEE MUST ACCOMPANY THIS APPLICATION. DATE - 19 90 The undersigned hereby applies for a permit to build 7/ 90 according to the following specifications /1 /- "- 9/z-d/9d " & 1. Name of property owner Veda Atm • Tel. Address 37 Ian Memorial Pe. N,ameo rchit t(if ny) VItJE J fAOh2 MYYDa ROW-7S Tel. V/30 1;2 OD (Warne of bui der QR Address (1-1-647" (. 'ST&EN ga. 5.. W S 4. License No. vy5/3.5-- Tel. WO -ayai) 5. Name of Mason Address 6. License No. _ Tel. - 7. Construction address 37 _liV Pi A1J i'VI emigi lt. DR S. Y. Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family ❑ /0250. 0 11. Commercial 0 ` Kitchen 12. Other 0 Dining Rm. 13. No. of stories s� Living Rm. �p 9 re) Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 / �' Bath 15. Materials — Wood3' Cement 0 Other 0 Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 0 > Family Rm. ;, Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size /d X l Z Shed /6 yrs, / _ 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 la' No.of feet side 1 j No.of feet rear i 2.' 23. Distance from nearest building: Front Ft. side Ft. side Rea? 24. Distance back from line or street From rear lot line Side line LOT RELEASED BY Signature cris... Alai— PLANNING BOARD Addres gOY 677 oCftl ail) ?D. Date R -PF.NA)/S, /n4 Cl laV A killi v >PERMIT APPLICATION SIGN OFF APPLICANT: ?a WOOD ih7QU(7• BUILDING PERMIT lf: ADDRESS: 064 /iU £D. S. OM//S TELE. NO. : 930-(2Y00 DATE FILED: 9 7/-90 BLDG. SITE LOCATION: 3:71/UP/MJ , 19/tt/f1t )*.MAP#: Sot LOVE: K 1 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 DEPARTME , , DATE: N/A: 3. CONSERVATION: P Vfl DATE: qJ -r/to N/A: 4. HEALTH DEPARTMENT / DATE: 'j��/q0 N/A: • END TRIAL 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 9// 7/10 11C, S �l TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: /„y�/� JOB LOCATION: 257 �DWPM &no/m- pia 5 JIL a r NUMBER v ,�y� Miar STREET OWNER OF PROPERTY: V /G( ( v? �,yy� QiS/3,S led--2W-0c CONSTRUCTION SUPERVISOR: , /�IYJC� ���` LICENSE NO. PHONE NO. /� ��� Airs-Foot c 17119 ADDRESS: 4, r7/ /, J S/Foo R. c. pENWIS LICENSED DESIGNEE: S E 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 PR CODE AND G. HE TSHE LLABINREAS SNSIBLEVFOFOR BSEEING BTHATIALALL OWOR IS DONE PURSUANT TO THE STATE BUILDING CIAL 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 S OF THE COMMONWEALTH, EVENYTHOUGH PURSUAHE,NT TTHE O HLICENSE HOLDER,E STATE GISONOT DE THE PERMIT ALL EHO DERR IBUTLE WONLYA SUB- CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER. 2.15.3 THE LICENSE HOLDER SHALL IMMEDIATELY NOTIFY THE BUILDING OFFICIAL IN WRITING OF THE DISCOVERY OF ANY VIOLATIONS WHICH ARE COVERED BY THE BUILDING 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. RE LICENSE ER OF 2.16. G PERMIT WHOCISITTOSSHALL SUPERVISENTAIN THE THOSE PERSONS,ENGAGEDUIN CONSTRUCTION,,lRECON- 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 N OF THE UIINSPECTIONCORDANCE WITH PROCEDU ES ANDETHEOSPECIFICIINSPECTIONATE AS CALLED FOR G CODE. I UNDERSTAK THECONSTRUCTIONFOR BY THE BUILDING OFFICIAL. � �� SIGNATURE: ''�' T"' BUILDING OFFI AL APPROVAL: PLOT PLANV FOR LOT # 62' ^ I Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal. (cesspool) . Well 0 Lo►4G Po WO I I (lot ft. rear) I Abuttor's Abuttor's Name I Name Lot # tI Lot # REAR YARD If this is a If this is corner lot, ft. corner la write in name write in of street. •i•+ I name of .4-. • I w other• • v street. . Ft, tjw • � it" Lilt S i ' YARD SIDE YARD HOUSE 40— NT 0 FT.1), i • Cr O • I Z SET BACK •ft \/ 0 (lot ft. frontage) 37 /ND/A-A/ MEfvar2i,q-C. De \ / \ / (NAME OF STREET) Infoà° Y n / \ \ MARK NORTH POINT