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Home My WebLink AboutBLD-90-591 . Y aG� 9 4_ ' . TOWN OARMOUTH °Kr-v.01 fcio '•'` ty0 wi‘ no" PP ValLn "' Application for a Permit to Build No. -5-9 '''w.�.., toci el UPON FINAL APPROVAL . •L1DMAP 70 LOT s- FEE MUST ACCOMPANY THIS APPLI ATION. DATE 9 ' 0 19 90 The undersigned hereby applies for a permit to build s2"1 71 according to the following specifications z7/,r# s /� Tel. 39.9 1. Name of property owner 19/510 L •i' -Idle e u �� d6 0 Address 0102 4%91 My A.vfri Pd• 3•yist,p. 2.Name of Architect(if any) Tel. 3. Name of builder /1i-chine/ ArcA/✓c Address X533 C nec u;it pct Ainif 4. License No. OicZ ela 7 Tel. 77 / 5/y/3 5. Name of Mason _ Address 6. License No. Tel. p y 7. Construction address o'cR / A, D a• s pl 8. Date of subdivision Approval plainain District zone Zone 9. Private dwelling C9' Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 S°oo °d 11. Commercial 0 AM ova S/'ove April/f ON ' - Kitchen 12. Other ❑ B7' 4 oe �e...rc� t �ew,e _ Dining Am. 13. No. of stories / .Dec.F 'AO Vick a 5Thcrt Living Rm. ?S-, c V Bed Rm. 14. Foundation — Full Et Half 0 Crawl 0 Slab 0 �7 Bath 15. Materials — Wood C3'Cement ❑ Other 0 CD" o� Deck 16 X/ i / 16.Type of heat — Oil CEJ'Gas 0 Electric 0 Other 0 Closed porch 17. Garage - 1 0 2 SamroRm. Suunnroom 18. Swimming pool - Siie Garage 19. Storage shed — Size Shed 2a Stove — Wood 0 Coal 0 Alterations / 21. Size of lot: No. of feet front /to° No. of feet rear ro No.of feet deep /47s- 22. Size of building: No. of feet front 5'7 No. of feet side ay No. of feet rear 23. Distance from nearest building: Front ao > Ft. side s-° Ft. side ,-.5"-° Rear /s 0 24. Distance back from line or street yo From rear lot line Side line -z3 LOT RELEASED BY Signature L # a.z ttn ` a •PLANNING BOARD Address Date ,,�� BUILDING PERMIT APPLICATION SIGN OFF P.APPLICANT: MO/ 14i/'nes, BUILDING PERMIT 4l: • ADDRESS: 049- Av/y /5y,✓,6 • TELE. NO. : 3951 44160 DATE FILED: cl 'a0-9O BLDG. SITE LOCATION: MAP/l: 70 LOT#: 5- 7 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 Seta ( /J� DATE: 946/ 6 (' ((( N/A: 2. ENGINEERING DEPARTMENT: 1 DATE: N/A: 3. CONSERVATION: DATE: / N/A: 4. HEALTH DEPARTMENT //I DATE: of ei /97 N/A: • I STRIAE AND/OR COMMERCIAL PE TS 111 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. COM�MjEcNTDS: alit.. G ' �t an f�cr 0-00 � / l2L/G- I , .0-vri/ecr- >o X ',ge2-0 F7'7' ,i a ,D.6- BLM/89 )�} 0 .10 ' p 3c • . PLOT PLAN e C eft- FOR LOT # 'c _ 7• oink Aft em 5' ov Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ® S 3 p ` P Well 5 [IC 1't\t OCC I (lot /0-0 ft. rear) Abuttor's - fod I Abuttor's Name L' I - Name Lot # it—�,�� j �IG I _ Lot U.-cc /� R �P R•EAR YA'D , K?thf a"Y If this is aX If this ie corner lot, -GI-- . . .. ft. corner lo write in name �1/2% 1� Deck write in of street. R �V° IV name of ' ' 1� n. other �•. a) street. . P ` ro 4 SIDE /jYARD HOUSE at SIDESYARD o_�SL _ FTs �3 FT.') Exsf'/s . ( 0 I I 1 I SET BACK . '/d ft s I 0 • Got Q ft. frontage) �� ,C7y AP? Et . (n ) p.1 / (NAME OF STREET) / Information / � � \ / \ Supplied by °�.(� MARK NORTH POINT TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: �� JOB LOCATION: do.' 44:9741///44:9741/ /9/✓/1' All `�c^ . )657,07.9 NUMBER,fl STREET VILLAGE OWNER OF PROPERTY: /fd, c:dMr/rti CONSTRUCTION SUPERVISOR: X17/G/r410// /j��''` 050-0,27 77/j/// 3 NAMELICENSE LICENSE NO. PHONE NO. ADDRESS: fl e � AMtecS/ /V G+/- reenod 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 INSPECTION AS CALLED FOR BY THE BUILDIN OFFICIAL. SIGNATURE: tre.4, N"om `-' " BUILDING OFFICIAL APPROVAL: sa?�P"79 AOJ/�ylr� /',9 %CO . � 1 i� c�7-�rapv �I sq-oi Gm)", -9 J � ir 1 .0 I ' • IN t 43 2147%.10 o 1I R i Niz c ter- 4-y1, -eta • . sodfl 77r,,,,ddtf �+cii�mvs. 9rCSSU2C ��el� ' G` pato l it-J. ,v,- J ��v,4.d 1� �lg 42o 5 L etsyr a . L1Ge , /3 el- . ' 24� 411 / osf eV P ortofei% % • vs - i 1° ' : , fil*r.sAr\V" *SI I / • P* • , 1%1 /'ler . , oppr_ PPE. ft/9 i •51e.s ;ite, . . . **OA 4 a 4kbts. 1 yap oi_xg 4 s b�9k�NS • 1-00e, ste4 /�` ► id fit, CoNct