HomeMy WebLinkAboutBLD-90-592 T
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TOWN OF ' ' OUTH m,K FEW 9/%377b
0 . pi HJ
• MAT TAC M[ 5 4.j
V,,4�.,.ATO• g Application for a Permit to Build No. j9
UPON FINAL APPROVAL 69-2 --96 /37' LOT /1/45--
FEE MUST ACCOMPANY THIS APPLICATION. DATE Stver L/ 19 7D
The undersigned hereby applies for a permit to build 7/2419d
according to the following specifications i ,/a7/7a
1. Name of property owner uw�owl A-1/1 dn,d Tel. N
Address 9/ Loa44Qe/lp., DA,JG rrnnodrHApr 't4- 0.2G7S
2.Name ofArchitect(ifany) The-fro fn/IS L Tel. 4/732r/t9s
3. Name of builder 1Z i o hard �irtnner CoAr rtc a dress (D 0, Felt") gad
4. License No. t Cgs Tel. S08'- 3r5-¼z(
5. Name of Mason /address
6. License Na Tel. �
7. Construction address ?/ 4oat iroid Pis;t k r,,e.rrtft r- m.r oa67r
Flood �( District
8. Date of subdivision Approval 1124r I/ 1,66 plain zone does aos Zone
9. Private dwelling V Estimated Cost DO NOT WRITE IN THIS SPACE
p Type of room Na
10. Multi family ❑ 111000.00 ,00.0i,m 'I�u1 bra SF glop toorn
11. Commercial 0 WAS") QPnwatc�., .t-Pn c4 It� Kitchen
12.Other ❑
AAP Ic7tt tt `r-l7,Sa ALt`''1,,a 3.74 rD Dining Rm.
Living
13. No. of stories Z gGr �� S� Bed Rm.
14. Foundation — Full 1Si' Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood I. Cement 0 Other 0 Desk
16.Type of heat — Oil I Gas 0 Electric 0 Other 0 •e 4porch /
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 113. zy Na of feet rear 119.0 0 No. of feet deep /?-0, 3 2-
22. Size of building: No. of feet front No.of feet side No.of feet rear
Ste Pe4s 'c5
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
LOT RELEASED BY Signature gr-la 6 D //
PLANNING BOARD Address (vo aeny ft,.7 fe
Date T4i'nasfik it /'►1't 0,2.6 75
n p /�f BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: �SkeJAid " 6414) . BUILDING PERMIT 11:
(
ADDRESS: l l Lei/ %O6it) Ref TELE. NO. : 3PS ypw DATE FILED: Se,
Q1 /-
2
BLDG. SITE LOCATION: CO LoNgft((14 �`a MAP#: /3 y LOT/l: ?Cr
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 SEPTACE 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 /at&?( a p pe DATE: 7.-491-.90 N/A:
2. ENGINEERING DEP NT: DATE: N/A:
3. CONSERVATION: DATE: p� N/A:
4. HEALTH DEPARTMENT Anti/
DATE: / //170 N/A:
I USTRIAL AND/OR COMMERCIAL . ' ITS
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: WATER DCPj, - W06%1'412, SeRvic s' Mt)Tr BE CUT PR1oR. -rn
tXr.AvATptO P,y toA rrJ DPP-. kr cntAuaf2 c-xVfJSe . SaRv)C -rn T P RP Lrr-ATet)
A-r Ofl)ar cXPFtJSE. Cotor RACro? —rn Uo-r,P ta4V1.L D1Pi . -r#rte guy;r1,)4SS
Pay AHEAD of ild^- NF. D RIR Sefv1C.E rtr.
]3-D6 ) / r '31Y4c2' e c
t) //tier o wf-ez- E -OF $A Si 2-rs
6717-jivb./
BLM/89
g/2�/9d
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: /
9 I L- 74-4 e (I//
OcU d/w€ A-mear7heoovir--
JOB LOCATION: STREET n VILLAGE
NUMBER bee W p t . mtcc,,t.t PI. 4 A /inIA-A)
OWNER OF PROPERTY:
Q '6 ,J 6tt4'„a/ /5t< 3es-- 1dz
CONSTRUCTION SUPERVISOR: 1\ lM �Q LICENSE NO. PHONE NO.
/,, NAME� //�J
ADDRESS: (X(2 /Srfy `jlc,n
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
BUILDINGCODEAND
SUPERVISING.
ETH THE AS
SHALL BE SNAPPROVEDFOR
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 SRUCTURESPURSUANT
HOLDERI,GISODE AND ALL NOT THE PERMITER HOLDERIBUTLE ONLYWS OF THE
A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
G
DISCOVERY2.15.3 EOFIAANYSVIOLATIONS WHICHMAREIATELY COVEREDOBYFY THEHE BUILDINGNPERMITCI� IN WRITING OF THE
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
STRUCTION(,UALTERATION(,VREPAIR,WHO
REMOVALSUPERVISE
DEMOLITIONTHOSE
ASPERSONS
ULATEDENGAGED
SECTIONS109.1111NOFRRECON-
RUCTION,
AND
THE
LES
SAID PERSONS, THECOE AND THESE RUREGULATIONS.
NO
WORK SHALLIMMEIN EVENT THAT
DIATELYCEASEUNTILA LICENSEE IS LONGER
SUCCESSORLICENSEHOLDER ISSUBSTITUTEDG
ON THE RECORDS OF THE BUILDING DEPARTMENT.
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CON.
OF E
DE. I UNDERSTAN
THEUCONSTRUCTIONIINSPECTIONCPROCEDURESTAND H ETHE OSPECIFIC N IINSPECTIONAAS CALLEDTE FOR G OFORBY THE BUILDING
OFFICIAL.GNATTURRE: 6?-tt,t"
SIGNATURE: nA.,
BUILDING OFFICIAL APPROVAL:
FRONT ELEVATION
G.W.A. 4PSr/
CEILING ASSEMBLY
. 'OP
TOTAL R= 30,6'•
SURFACE U=0,03Z ,kq AA./OL
rma
=0.61
9" FIBERGLASS r
INSU- ATION
')MPn11,11
C! \=SHEETROCK DOORS:
I - R= 0.45
/ -BOTTOM SURFACE gi
�
/ R= 0.61
1/2"PLYWOOD ,-"-C . R=
SURFACE WALL ASSEMBLY REAR ELEVATION
R= 0.62 R= 0.68 TOTAL R=011174r/ G.W.A. (p if/
A.
WOOD = . 5 - U= 0,0(610240
SHINGLES
= 0.0(6 0240WOINGLES -R� 0EC
R= 0.87 L--y WINDOWS:
•
OUTSIDE J/ tt FIBERGLASS Noa Q
SURFACE NSULATION
R= 0.17 R=1 '
1
1 =SURFACE RESISTANCE
`j R= 0.61
FLOOR ASSEMBLY DOORS:
- FINISH FLOOR TOTAL R= IV/2.- �1a✓L
'V R= 0.91 U= (i,041r-
1\
}" PLYWOOD
J1 �/ SUBFLOOR RIGHT SIDE ELEVATION
/ R= 0.62
/ i G.W.A. 7r� iwiAm
OUTBID' l
SURFACE is F /v V Li V iv j/V V L/i,V Ud
R= 0.17 , - I WINDOWS:
}" FIBASS
/76
INSULATION FOUNDATION
CONCRETESR= 19 WALL ASSEMBLY
FOUNDATION (may be used instead DOORS:WALL URFACE RESISTANCE of floor insulation)
R= 0.61
-
R= TOTAL R= LEFT SIDE ELEVATION
= /A,
i., i 1 G.W.A. if
INSIDE SURFACE I
1 �R= 0.68
•I1 -3/8" SHEETROCK
I WINDOW/Xi
32 1
1" STYROFOAM
•i �- DOORS: ,
t , I A/641e'
t t . .. t I ' ' t 7 ; l n 4 . •
NOTES: n
PERMANENTLY INSTALLED STORM (f Ea war ' t 44/,/.
WINDOWS TO BE USED Yes
GROSS WALL AREA= 2801 LO g — L0c/}Tjd,✓
WINDOW AREA= 14'
DOOR AREA= �A, MY4r10UTfaOrr /41/fr tate .r
X FENESTRATION= 1 S yt /T vom&0-t Ad,e0 .t d t
re3kS-VitLI
,► DPosea �9� 3 48"sz it
----- rTo HP N.2-w ro 4
• 77C— " 77
0 _ WID6
tgofig?
71 ITC 1:21t• rfl
T�
is 3 ,
--- 91.8 �/ • / Q
Me
4-30
-3e �'4 t` R 1 0J - 4
Z 7' ``�% 4. by ' � 3
ofl--5^ oNy
0
St o'� 30.2 -;- J
.. 'l.���a` MEWS-
. W
lfk
k 4 a
' ,
N I A.
. `
.\ 15) aF 503 ,
o
/Zo• 3 Z _ APR. 'ED
\ .
ZARMOUTH 0sMMITTEE
OKH D
Lot 19, ' D 7/9/so
CERTIFIED PLOT PLAN
LOCATIONS/LSF oad Da.Mails oh
noir: T</r PaoPC7zryDoes Nor Cat wiTffinv SCALE . / a'' 3o ' DATE .g. .41/ai
aELtf42.4/z° fcooD Zcwc. (Zons "C ') PLAN REFERENCE SN8O( " ' !e?"'AE
.3.6712 .A) DN.COn»lll�ify PANc+t- NO, as-oaiC-
rdO ZC=/71HP /202/4.5a2) SUNS /7/ /9d'6 8/,en,4 /r/X4/�7gc?7yi fil'ISS.fa2marcnbbyrM
oF.Mg..rJvc./igiuv,//,?96c_- TtF7
SiZ.sLuo flt7Z-ENG.wtcIr-DE.JN/S/d
Am. se"eS$ sMR14.cam R. SCzast
ioH OF M�f�;
o` -44;$0 I CERTIFY THAT THE ErY/S t2Al.rc.Dtoe -.c/.
{, SHOWN ON THIS PLAN IS LOCATED ON THE ORt
li 'J" AS SHOWN HEREON Q4 zz` _ L
.Cl0�,1"/LO.r.x..tniv? ?T
4.r . �'� OTi•: 09- DATE . 0/5//9' . .
40 SUK�, u Af4n
PLOT PLAN
•
FOR LOT # IS—
Indicate
location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) CD
Well to
(lot ?f g3 t ��ft7 rear)Z I
Abuttor's I Abuttor's
Name I Name
Lot # I Lot #
REAR YARD
If this is a • 3 ! If this is.
corner lot, . . . .ft. corner to
write in name � write in
of street. '! I name of
a other
10.• 0 a0)i street. .
ro • TI
•
•
N.
.,
SIrrD''E�� YARD ! YARD
i� FT. Cs" 3 HOUSE ft -1°
'0—• 4T�
•
. I (.J
SET BACK M
.90, a ft, "'
1 I4-1
I
I
0
(lot I ao 3 Z' ft. frontage)
\ /
\ /
\ / (NAME OF STREET)
/ InformationSzett\A •
/ Supplied by
/ Ov.v.t
MARK NORTH POINT
3flzq
Application to
•f f- ' Old King's Highway Regional Historic District Committee
.11/ ,til in the Town of Yarmouth for a
--7 CERTIFICATE OF APPROPRIATENESS
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter470,
Acts and Resolves of Massachusetts,1973,for proposed work as described below and on plans,drawings or photographs
•accompanying this application for. _
F . .
o [)
CHECK CATE ORIES THAT APPLY: Fz , rr� 1
1. Exterior Building Construction: ❑New Building ddition ❑Alteration A9 -t .7
Indicate type of building:0 House 0 Garage ❑Co mercial ❑Other a e '�
2. Exterior Painting: —1-x) -�
3.Signs or Billboards:❑New sign ❑Existing sign ❑Repainting existing sign y 2 g L''
4. Structure: ❑ Fence ❑Wall 0 Flagpole ❑Other �_""A
(Please read other side for explanation and requiremei+ts). �Q[t
TYPE OR PRINT LEGIBLY T _ DATE 7 /�Jd
ADDRESS OF PROPOSEDWORK9/ LaV crteleni Litt rr / SSESSORS MAP NO./3V
OWNER r d W R1O I 'j-/ 'PC./A'1-t ' 44t t /v,..) ASSESSORS LOT NO. /sr
HOME ADDRESS q7 iLO4)CF..e/, Pt . kV'. tA &fy 'CMCTEL.NO. AiA
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
75ArnoS , pore, j11 l= Vi (oS 47F,4r Rid v41e't7o .,c
�
e O.rrs zm4, R. 974ck9fC -, £., 4b-nrd✓7%?fre;r. mncs
AGENT OR CONTRACTOR' r e,C oQ//418fDi1/,02- C ,fi/,d-Inc TEL NO. 3f r--C�,f
ADDRESS �10 6- j y F/1/� 1;g4,4 lo,
•r
DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,other side),including
materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and
proposed locations of new signs.(Attach additional sheet, if necessary).
uGft. � • .
Signed -
Owner-Contractor-Agent
space below line for Committee use. _
•
Received by H.D.C.
•
• Date -9/)'SO The fica i -reby /la/,, Jet) Date S/i`f/yJ
t
c. Time /Cl- - Ce C . y�/.�i/�/' a , , \ `1 `\c":..
ce
By
ayfirm
r� �-� YARMOUTH COMMITTEE
Approved 0 IMPORTANT: If Certificate is approved, app oval is subject to the 10 day appe e d
• provided in the Act. / , ,2 2 9 Z/n/ o
Disapproved ❑ Please return to: Yarmouth Historic District Committee (�.�J
Town Hall. 1146 Rt.28, South Yarmouth, Mass.02664
TOWN OF YARMOUTH
OLD KING'S ZIGnZdaY REGIONAL T=STORK DISTRICT C0.*"_`LTTEE
Q A SPECIFICATION SHEET
APPLICANT'S NAME 1\ IGAtke981onnP/ FOR: Eitti4/P / 742..C.L./V •J
(O /314? P�9/rr �O Q 91 Ao.oc Fe9,74i
FOUNDATION: PlASO/d2 1 —t'001 eS COLOR
SIDING: C 1 Ap 4p4rD COLOR:
to V7t1 :- Eyi5`641
CHI-`RIE=:
/Vs D J COLOR:
ROOF MATERIAL: PITCH: COLOR:
ASPel-A cr 7 r /Z LDL-11-C-1<
WINDOWS: SIZE:
90-et. e etryz
TADS COLOR: S cc Pc-a4 S
S or\ e 4s EstST)i
DOORS:
z COLO •
o
See ` tgni nrzi:to ,'i
SMITTE.RS: n:COLORZ
NOtte sz.-ex
GUTTERS: NG is-COLO/0
ALV niAnion
cr O,
DECK: 100 Gilt- SIZE: COLOR: •
GARAGE DOORS:. SIZE: COLOR:
Noel
STORM 'WINDOWS S DOORS: COLOR:
Ptr
• SKYLIGHTS (FLAT ONLY) SIZE: COLOR:
Z got-0 SeeFc.A"NU
ADDITIONAL INFORMATION: • oPPanvrn
/ K c .rJdv YARMOUTH COMMITTEE
nKupn
TOWN OF YARMOUTH 3
OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT C0._ TTTEE Li a Z• 19
�{��f7 II /� �J SPECIFICATION SHEET //
APPLICANT'S NAME " IGRke✓ /�/P.MP/' FOR: ELvfl/d T 41441;4.2)
D /SIAY 7;g/ , FdA-I 9 / 04JS FLr/r&, 0/Yu2
FOUNDATION: r/ACod 2cy —POW' fN COLOR
SIDING: CLAP&AtD COLOR: _
to ✓3)A1-C:: E)115`+1 S
CHMIE?:
/V^,0 J COLOR:
ROOF MATERIAL: PITCH: COLOR:
SPi-� �T V r /Z . IDI-n.�<
WLNDOWS: SIZE:
e"Jae,'sOn) arVZ
DIM COLOR: S« Pc-Aft.) S
S Gjti‘ e 9 S Eict san.✓<
DOORS: Zo 401.0%
Ste PtAeti m= , rn
;7
SHUT-MRS: p ►UOLOR2
NO^'e --a
m s 3?
GUTTERS: '-4 40LOTC3
& Lvt'',NVen s,77. Vi
DECK: 1- d c G SIZE: COLOR:
•
GARAGE DOORS:. SIZE: COLOR:
NO64tz_
STORM WINDOWS & DOORS: COLOR:
N/A'
SKYLIGHTS (FLAT ONLY) SIZE: COLOR:
Z 12o'ro SreFc•-'' S
ADDITIONAL INFORMATION: •
FFF nuVEO
" 7 & /1 i( , t to.p C 77 iv YARMOUTH COMMITTEE
WccHRD
1_40 7M90
. , - - ---