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Home My WebLink AboutBLD-90-583 . a: - l :Yq"it o o ia/ lo "rep TOWN O ARMOUTH pa{0A ..:54 / ATTAC �,MC MC S - Application for a Per it to Build No. (5F� 61 4591) UPON FINAL APPROVAL �X AP LOT FEE MUST ACCOMPANY THIS APPLICATION. DATE e -- - f'` • n e The undersigned hereby applies for a permit to build 7A 5-'0 according to the following specifications 5G/LE//CT,S . /,:•16-79) 1. Name of property owner C 1)A4tar-5 5C4- CM 45-'~ 7e_S- Tel.77/ 9-2 7 Address 2 Fr h^ tr.-u2 yr-A0 `'� ea. a . ,to PARK- ciRCCe, Alw4NAng, nm if /7)149 363j 2.Name of Architect(if any) Tel. 3. Name of builder P&TL ,U'8G^'41-22 le 7 ' dress 3 C1 oc ( o0ó-0 VA . w° cyrw.ur.q 4. License No. Cao 6 4SrY Tel. ' 3 ,77- // 9/ . // ,/J 5. Name of Mason PCT& ' 'f) Ir.tcr l` 7��d rc ` 3 CLol�� c0'V ,f , 5 i"• river? 6. License No. o. O Cif i`t Tel. 5 3 7/7 9/ 7.Construction address " .2 Cr ' C rut/ in v C-11-j 7 219 - Flood .. District a Date of subdivisioonAApproval plain zone Zone 9. Private dwelling It Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family " ❑ j¶ '5j o 0 0 , o a NiLii.i Type of room No. 002.4 .uK c0 11. Commercial. ❑ � F<itchen 12. Other ❑ Dining Rm. 13. No. of stories l 17070 foe Living Rm. Bed Rm. 14. Foundation — Full ITHalf 0 Crawl 0 Slab 0 Bath 15. Materials — Wood ErCement 0 Other 0 Deck - 16.Type of heat —. Oil 0 Gas e<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 21.Size of lot: No. of feet front /0° No. of feet rear /0 ° No.of feet deep /°/616 ° 22. Size of building: No. of feet front 3 i' No. of feet side 'fo No. of feet rear r 23. Distance from nearest building: Front /51' Ft. side ''b Ft. side 4 .6 Rear ‘c5 24.Distance back from line or street 3° From rear lot line '5 i. Side lin: a h i / LOT RELEASED BY Signatur: /'.� .. -6/A • 42'- - --/- V PLANNING BOARD Address . ! A J0654'1 Date f • ` C.�-,+ 4&' ilk t AciSS / 5�a '-t .116 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: nn JOB LOCATION: o� �-na r•oO'' 7 nO . W L S i_ y/i 2 Pro c. r-r, NUMBERS S L�2 /�✓ (e STREET VILLAGE L OWNER OF PROPERTY: C f-I H CONSTRUCTION SUPERVISOR: 1 G i L-L A-) • 69.--/L7(C7 60 efC 9 52-// 9/ NAME LICENSE NO. PHONE NO. ADDRESS: 35- A-0c(lwo0O All _ 504 L`1C>1...0c& 7r/ rfSS . 02/` S LICENSED DESIGNEE: (IF OTHER THAN SUPERVISOR) NAME LICENSE NO. 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 SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STATE BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL 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 STRUCTURES ONLY PURSUANT TO THE STATE BUILDING CODE AND ALL OTHER APPLICABLE LAWS OF THE COMMONWEALTH, EVEN THOUGH HE, THE LICENSE HOLDER, IS NOT THE PERMIT HOLDER BUT ONLY A 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. 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 CO' STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC I'.PECTION AS CALLED FOR BY THE BUILDIN OFFICIAL. n SIGNATURE: Y// )6E1 40 dr BUILDING OFFICIAL APPROVAL: