BLD-90-589 cotictikA 0 Pit r/e7he
$s o TOWNS ARMOUTH ,
S 7AL o K r Q/z4/70
• MA 1C S 44J
`�'r° Application for a Permit to Build No. X49
9024-9a
UPON FINAL APPROVAL MAP -3 L C- it
FEE MUST ACCOMPANY THIS APPLICATION. DATE — 199D
The undersigned hereby applies for a permit to build 9/:- �,0
according to the following specifications 77�iio
1. Name of property owner Sylvia S. Alexander (Mrs. Charles F.) Tel. 771-3454
N Address 10 Thornton Brook Road, West Yarmouth, MA 02673
2.Name of Architect(if any) Tel..
a Name of builder Address 5 Partridge Valley Rd.
W. Yarmouth, MA. 02673
" 4. License No. Tel. 790-4240
5. Name of Mason Address
6. License No. Tel. ,
7. Construction address 10 Thornton Brook Road, West Yarmouth, MA 02673
Flood District is-.15-
8.
Date of subdivision Approval plain zone C- Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family
4 ' �4D Type of room No.
CI
11.Commercial C� Kitchen
12. Other / � ��� �3 St Dining Rm.
13. No. of stories /� Living Rm.
3 Bed Rm. •
14. Foundation — Full ❑ Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood ❑ Cement ❑ Other ❑ Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0
Closed porch i
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 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 ' rr From rear lot line Side line
LOT RELEASED BY \ Signature do L2 4 ahfi// LS'/
PLANNING BOARD \ Address 10 ornton Brook Road, W. Yarmouth, Ma. 02673
Date
., ..BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT': pit via g_ Alexander . BUILDING PERMIT#:
ADDRESS In Thornton Brook Rd., W. Yarmouth, MA TELE. NO. : 771-3454 DATE FILED: 8/22/90
BLDG. SITE LOCATION: As above. 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 DEPAR DATE: N/A:
3. CONSERVATION: • 7' DATE: ya G Qb N/A:
4. HEALTH DEPAR NT /� DATE: 18 N/A:
I Ra S 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
COMMENTS: Bac, > /en F -41-40,91 /a Ii Vaint
402_el?" (boil /75
BLM/89
TOWN OF YAMOUTH -
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
\ DATE August 22, 1990
JOB LOCATION /'Ten Thornton Brook Road West Yarmouth
NUMBER STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" Sylvia S. Alexander 771-3145L None
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADRESS 10 Thornton Brook Road
West Yarmouth MA 02673
CITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE •
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND-THAT HE/SHE
WILL COMPLY WITH SAID PROCEDURES AND R//EQQUIREMENTS. /
HOMEOWNER'S SIGNATURE j ,�J . 'r,����Q� _t%�i/
APPROVAL OF BUILDING 0 CTRL /
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
PLOT PLAN
FOR LOT # cr ,/
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) 69
Well 0
I (lot. i✓ I 1 ft. rear)
Abuttor's AI
I Abuttor's
Name Name
Lot # I • v Lot #
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RYARD
If this is a • If this is
corner lot, ... ...ft. i corner lc
write in name write in
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SIDE YARD SIDE YARD
HOUSE
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(lot.. . 2-.-/ O ft. frontage)
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310 CMR 10.99 •
Form 2 DEP FIs No.
•• fro be provided by DEP)
- �' YARMOUTH
--- = Commonwealth City Town
'-i= of Massachusetts Applicant Sy)VIa S. Al pxanAar_
Determination of Applicability - .
Massachusetts Wetlands Protection Act. G.L. c. 131 , §40
and the Town of Yarmouth Wetland Bylaw
From Town of Yarmouth Conservation Commission .
Issuing Authority
To Sylvia S. Alexander • Game •
(Name of person making request) (Name of property owner)
Address_10 Thornton Brook Rd. . W. Varnraith Address Sau+e
This determination is issued and delivered as follows:
"" by hand delivery to person making reotiest on (date)
E by certified mail, return receipt requested on &eX.4-- C /9'to (date)
Pursuant to the authority of G.L. c. 131 , §40. the Town of Yarmouth Conservation Commission
has considered your request for a Determination of Applicability and its supcorting documentation, and has
made the following determination (check whichever is applicable):
Location: Street Address 10 Thornton Brook Road wegt yawn-mil,
Lot Number:
1. C The area described below,which induces all/part of the area described in your request. is an
Area Subject to Protection Under the Act.Therefore. any removing, filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. _ The work cescricec below, which induces all;part of the work described in your reouest. is within
an Area Suciec:to Protection Under the Act and will remove, fill, dredge or alter that area.There-
fore. said work recuires the filing of a Notice of Intent.
Effective 11i7C.89
2.1
1
3. 0 The work described below, which includes all/part of the work described in your request, is within
the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under
the Act. Therefore, said work requires the filing of a Notice of Intent. •
•
, This Determination is negative:
1. 0 The area described in your request is not an Area Subject to Protection Under the Act.
2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but will
not remove, fill, dredge, or alter that area.Therefore, said work does not require the filing of a
/ Notice of Intent.
3. The work described in your request is within the Buffer Zone, as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act.Therefore, said work does not require the
filing of a Notice of Intent. •
4. 0 The area described in your request is Subject to Protection Under the Act, but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
• the regulations, no Notice of Intent is required:
•
Issued by Ta N OF Y' ' e UTH Conservation Commission
Signature(s) ► ,` '__�
ef
zL.,t eincQ %/At
This Determination must be signed by a majority of the Conservation Commission.
On this ?nth day of ceptembrir 1990 , before me
personally acpeared The Above , to me known to be the
person desc::bed in, and who executed, the foregoing instrument, and acknowledged that he:she executed
the s as his.her free ct deed.
Ch) Iy c&mmtatnn Ficprns Knrber e.!4"3
Notary Public My commission expires
This Determination acres not re,.eve me apeticent from compiying with as other aeoecabie leoerai.state or local statutes.oromances.
toraws or reguations.This Determination snail be vane for three years torn the nate of issuance
Tne a:meant.the owner.any person aggrieved by this Determination.any owner of lane spurting me ano upon wnicn ine o 000seo work
Is to oe Cone,or env ten residents of the city or town in wnicn such lane is iocatec,are nereoy notelet o:tneu right to request the Department
of Environmental Protection to issue a Suoerseoing Determination of Appiioaoiuty,orowoing the reouest is matte ov certmec man or vane
aelrvery to the Department,wen the aepropnate filing fee an:Fee Transmittal Form as prowoeo m 310 CMR 10.0371 within ten oays from
Me awe of tssuange of this Determination.A copy of tne reouest shah at the same time oe sen:by ceruheo mail or nano oeovery to tne
Conservation Commission and the azelican:.
2.2A