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- '+ ,tCP o* fi Application for a Permit to Build No. 39-5--
la -1 —qo /
UPON FINAL APPROVALC MAP to/ LOT' -)q
FEE MUST ACCOMPANY THIS APPLICATION. DATE / 1- 9pT19 % '
The undersigned hereby applies for a permit to build AYjl U
according to the following specifications /' /
/Pp
1. Name of property owner cf4NDy Si hF rektlMRAire7,i Tel. 31'2- 'r t!
Address "a lox q yk2i?oartl4Rr NA 021 ZS'
2.Name of Architect(if any) r1/4" Tel.
3. Name of builder Aut d N " • -sem 7� �•es Po Box acc , VAan4ovrlfo2r
4. License No. 03$ 271 Tel. 36L - 5046 {
5. Name of Mason AiE,t & #ANE Address Sou l/ YAP/Wail/
6. License No. NSA Tel. ►J/I •
7. Construction address In N. OAS 0YSi0.0 Lt./ (Cornice) , X P Flood
8. Date of subdivision Approval OM Flood
zone N/A Zone District �' 1
9. Private dwelling d Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 f'toi(,ho 03)
11. Commercial ❑ <J .24— J �¢� Kitchen
12. Other ❑ �2enci Dining Rm.
13. No. of stories i 2- ex,sTItJU -t446CS Living Rm.
14. Foundation — Full La i1alf-❑ Crawl 0 Slab 0 5g, Bad Rm.
Bath
15. Materials — Wood 0 Cement 0 Other 0 N/} Deck
16.Type of heat — Oil Lal Gas 0 Electric 0- Other 0 ' Closed porch
17. Garage — 1 0 2 0 r1/4Family Rm.
Sun room
18. Swimming pool - Size 14/fr • . . " Garage
19. Storage shed — Size "'' Shed
20. Stove — Wood 0 Coal 0 Phi Alterations 3
21. Size of lot: No.-af-feeifmiIf AC//tic -No.of-feet-rear. No.-of feet-eep-, •
22. Size of building: No. of feet front 3I ' No. of feet side 3s ' " aNo. of feet rear 31
coo Fr
23. Distance from nearest building: Front Soo fr Ft. side 300 Fr Ft.side T sJ,vafa ir.Rear 76o it
24. Distance back from line or street 453 1 r From rear lot line Boor set Side line ,2&30 PV
74.1,76-LOT RELEASED BY� ` Signatu e_j, V .41 3 I alpiS�Dt.- OPPA�+Tio,✓,
PLANNING BOARD . Address PO J '-33k 7
Date Wig/444f &r r1 r 2 c • r
/'njtDJl � BUILDING� PERMIT APPLICATION SIGN OFF
APPLICANT: 94)1.51;06 O( 6/9AVUTia,✓ BUILDING PERMIT Ii:
ADDRESS: 2 o. �CY ,y/, J/�R/�ICJIFeT • TELE. NO. : 3(2 -1r141 ,0( �P/9Xi
DATE FILED:/
BLDG. SITE LOCATION: 4{9 /✓i .54u0Y5 4J MAPA: /o/ LOW: 6-99
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 DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT &.3DATE: ey / r/Q6 N/A:
I US IAL AND/OR COMMERCIAL 'ERMITS
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
9/77 /f
% ,
TOWN OF YARMOUTH
•
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
O9 N- 5A -'DfS1Oe �N. (arrAe'e) i//1P/o �41-T
NUMBER
JOB LOCATION: y;�t( STREET VILLAGE
y1,,�
OWNER OF PROPERTY: <�a�/1 7 �A Q�,ed
0319-1 .R62- SoSO
CONSTRUCTION SUPERVISOR: Pack ,R�✓Dczson/
NAMELICENSE NO. PHONE N0.
nn /�" n n
ADDRESS: Po a0, a9g' c- *t v.ea r /114 d2(75-
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 SUPERVISING.
EGSAS
SHALL BE ESPONSIBLE TT
GLWORK IS OFFICIAL DONE PURSUANT TO THE STATE
BUILDINGCODEANDTHERAWIN
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
DE AND ALL
COMMONWEALTH, EVENY
YTHOUGH HE,TTHE HLICENSE HOLDER,GISONOT THE PERMIT EHO DERR IBUTLONLYCBE WTHES OF
PURSUANT A SUB-
CONTRACTOR OR CONTRACTOR TO THE PERMIT HOLDER.
2.15.3 E FI ANY VIOLATIONS WHICHIMMEDIATELY
RECOVERED
NOTIFYG IN WRITING OF THE
DISCOVERY
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.
HE
RE AND LICENSE
BER
T2.1 . ALL BUILDIG PERMIT HE6CONSTRUCTIONNSUPERVISOR WHO CISITOSSUPERVISE NTHOSE TAIN TPERSO N�ENGAGEDUIN CONSTRUCTIONt,UREF
SHALL CON-
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
CTION
OF THE
UIINSPECTIONCPROCEDURESCE TH ANDETHE SPECIFIC INSPECTION STATE INSPECTIONAS CALLED FOR G CODE. I UNDERSTAN
THECONSTRUCTIONFOR BY THE BUILDING
OFFICIAL.
SIGNATURE: 6-a,e
��
BUILDING OFFICIAL APPROVAL:
• y
L--1- t ,..•'r:,%gipp Old King's Highway Regional Historic District Committee
•I ' f r✓ • � ri l in the Town of Yarmouth fora • ( 3 J'6 7
• e r Ytf�7 / )
f / CERTIFICATE OF APPROPRIATENESS
c
Application is hereby made in triplicate,for the issuance of a Certificate of ApproilitatenenderSection6of Chapter 470,
Acts and Resolves of Massachusetts, 1973,for proposed work as described belawand on plans,drawings or photographs
accompanying this application for, r. rnti
CHECK CATEGORIES THAT APPLY: N Cr` r
' 1.Exterior Building Constructo�n: 0 New Building 0 Addition 1314teratlon 7,:..---,
• Indicate type of builddinng:L9'House D Garage •D Commercial D Other x
q
2. Exterior Painting: IW a: -is
72 N
• 3. Signs or Billboards:D New sign 0 Existing sign D Repainting existing sign.— Thi '
4. Structure: D Fence D Wall D Flagpole D Other
(Please read other side for explanation•and requirements). / q
TYPE OR PRINT LEGIBLY DATE S/�T//e)
ADDRESS OF PROPOSED WORK 49 N SANDY ct DE i Ai. ASSESSORS MAP NO. 10 I
OWNER ' K PJ1W5IQr. (2'RPoRkTloil ASSESSORS LOT NO. G- 29
HOME ADDRESS /[1 i30X 9 1/laRMouT/HP°oRT //M. V267c TEL NO. 42 — RS/o$
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
•
•
AGENT DR CONTRACTOR •HEN R Y l?. %vF r S TEL NO. 3( 2 - "NaC4
I
ADDRESS I D Roc- 9 VAn(ck..,>xJGd,er
•
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).
SEE ATTA CRC) . .
I
Signe AT Asa Nat
— 0 e C• tractor-Agent
Space below line for Committee use.
Received by H.D.C. •
�1
l Date g/2�19° The Certit c�te is hereby r`t'D 0,l',+r'�' ' • Date 1 f>2/(?
M c / it L,,,,.,..../
r- l i (4'.�,/.�,.
gr
Time t 7�� i �� 1 i /, 4. moi / /._..
C,.
`one By t o c _, ! .. , . ' 'f�''1/4.--. %/-4L-7-
// i
Approved X, IMPORTANT: If Certificate is approved, approval is subject to tjflj appeal period
provided in the Act. YARMOUTH COMMITTEE
Disapprove° ❑ .Please return :o: Yarmouth Historic District Committee OKHRD
Town Hail. 1146 Rt. 28. South Yarmouth. Mass. 026649 1/L
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a 14 l6 �, (is, c9, 20 > 5-IWOV SIDE Coke
lot
2ti it,-1 27 / (SASE /45 Mocop-NT)
C Z3 z8 CYNTO T ureau Box 25-6 Y4livavn'iar ,ate ozs 95-
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0.55• 'a4v I RMA/ Sr 4uyAztry
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- APPROVED
YARMOUTH COMMITTEE
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36
P go Po SED c,lokk
A(-T ER4yI0 l of
7FhZ E - ExisTi vF PoRNERS• ,
.® RE NUR of 6K/57-1A G /�,QsoN Ig• egiftvif Y
REPLACE Rose TR6a—i5 fiAlD FRoNT- - PdoK 64/,Cie av6
T/-/AT We RE- oN .8uiC01n16 . O&Ct,'Ac° CPI-brc; EmcsEDS
1:-.)ill/ SOME MODE'F%CATie NS'
GO PEPcfcEME wr OF Asper 5:14;vcces u;Ty spec/pep PRaDucr
0 57'AIN or KIEL' AUS EJC%57'i,JG TfiAt i,✓ Ad dpAQv
SPEc%s•co� QLo2 .
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APPROVED
LILA' YARMOUTH COMMITTEE
OKHRD
�C. /Writ/ea C/ £S 0.4 RADirib.� 7a C/,Qfr c sitc."!ko o.)
= co k.'Cc ap4Ar CC/irh?drE C 4fiVaco7n'v£Sj
V ADD _se.mo i.d k,7C//&N (ft/o✓F 57avC /uTa 2Ct/a. n)
U ENGRIGE o2 CLos£rs
(b ADD (Linc is o.J s£ o f4,0/r_
TCSN OF YARMOUTH
• OLD KING'S HIGHWAY REGIONAL E:STORIC DISTRICT COMMITTEE 3 tJ 4,
SPETTFICATION SHEET
APPLICANT'S NAME ;4t//)(/C'/L-- (2),,? P FOR: L.r n Q t2c
FOUNDATION: -- • ��
-- - COLOR � rgeo;, -f
SIDING: SPa- A-S E,ct s-(1 !kJ l- COLOR:
tn: y.
Driftwood- --.._... ..
C&_T`^TEY: -S p.r n-e h.s Ex.1 Sr tJG COLOR: !"t 5°"'Pres when mafng selection.
ROOF MATERIAL: SAME AS e+CtSr,,,JU PITCH: COLOR: pr-cIFr(,_)000
BIRO) LIthITE'o FOrntoo-) 17.-
WINDOWS: r - B n 1
`� �"PrrLt� C�Sem�T) SIZE: 2� q x Zr- Ir I 'r-'g IMM60 TD
2( Z+t)"x 3'-11" ) M,YTtN CA STi Qo-
TRIM COLOR: I ( IIR4' S"�
2 ( 2`-S" ik4'-s"'
t( Q'-1"r. ;'-tr'.
DOORS: " PE�Lp' F"LL. GLASS �v fr1tL,3� " �C iY` E3` COLOR: C.P'1aoT 5TAIK)
OV.T, 5000 Cowr
is•iGE8¢uStt
' SHuLLISS: W 000 OPE iziart COLOR: SA-inn e A S Awe
G,[ S• P.LUInn IIn Ct rO COLOR: TO gLtEYOO
W tt14 Roo
DEE: v _cam SIZE:
C.i s
r 44' 111=
IS
GARAGE DOORS:: - SIZE:
LSAGEBRUSH
♦51
c. ' W L)�J - __ - ___ _ __ _ _
STORM WINDOWS'& DOORS: d COLOR:
SKYLIGHTS (FLAT ONLY) Z 0DELLAI ) SIZE: Zr -1 o K 31`6" COLOR: To 1;LC tJ C)
.. - 2q-2sky • torF. Qat)f=
ADDITIONAL INFORMATION: '
ANYNljVtU
YARMOUTH COMMITTEE
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FOR ERROR IS I — ___. OMEMe1NCERS a SURVETC -
.RMOUTN. IFISCAL. YEAR 19871 OEKKISIp17.Muss . 0 •SG 7.
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