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Home My WebLink AboutBLD-90-597 . _ _. - o�� eato f z/Sa it ,$4 % "; o TOWN OF •` ' MOUTH - cc" AAAAAGNC 5 kV, Appl ion for a Permit to Build _ q UPON-FINAL APPROVAL IO'k d MAP is LOT -4 .v.? '2 2`/ FEE MUST ACCOMPANY THIS APPLICATION. DATE �pop ` The undersigned hereby applies for a permit to build 9 according to the following specifications 1. Name of property owner bOKW2.40 met r--171e-Z- Tel. 2h • `e V Address 21 U,(4a 4v . k , 11.41 • 2.Name of Architect(if any) Tel. 3. Name of builder '1.1.411W ? l4 M Address 141 11,M411 ' 4. License No. OISC303 Tel. 3&Z • %fl \91"400n4rntri Alt 5. Name of Mason ^' Address 6. License No. Tel. • 7. Construction address 2141L00 L WA? (Jt4 • FloodG District 8. Date of subdivision Approval plain zone Zone �'L '" 9. Private dwelling ❑ g Estimated Cost- DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family ❑ O p,A/ ^-,�a u) 11. Commercial ❑ - r Per.- PhilAi Kitchen - 12.Other XI I'JGK, OP/01 / 439 Dining Rm.. 13. No: of stories Living Rm. ��—� Bed Am. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement 0 Other 0 Deck nu 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 ❑ ' Family Am. 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 (p '-�3i No. of feet rear 66 •6'3" No. of feet deep 113. 6`f 1 22. Size of f g: No. of feet front 30 I No. of feet side prNo. of feet reaFTh 23. Distance from nearest building: Front !O r Ft. side 321 Ft. side 3C..,y Rear 24. Distance back from line or street Bit I From rear lot line VI Side line' IS- S � /' 111 LOT RELEASED BY Signature < C`/ 1 PLANNING BOARD Address / 1 /N44-G,9 4". Date , /...n•A 2P' 1.%s1J , �.h.% i 024 BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: D(19 G 3• BUILDING PERMIT 11: • ADDRESS: 2 Ljt, . LEAF' t_43 • t 'TELE.` NO. : 2145. CI DATE FILED: 70 '3•/v BLDG. SITE LOCATION: 2/ S6 -�L � HJ . MAP#: 0 LOTH: -J-} • V•3 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: tic, DATE: N/A: X4. HEALTH DEPARTMENT DATE: io,Ix/Oe) N/A: RiAL 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 PERMIT. COMMENTS: BLM/89 i• ? TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: 1 , �Jn Ley4W1` to,I,�.y,�+' JOB LOCATION: 29t 611. .1 - * ' •NUMBEE STREET ). 'f 4vv,TI L7�GE OWNER OF PROPERTY: flA2A -O l)t ��j j� CONSTRUCTION SUPERVISOR: gni' . xx ELLL�7 �3 3 i Z' E LICENSE NO. PHONE NO. ADDRESS: 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 COI STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAI THE CONSTRUCTION INSPECTION PROCEDURE/. D THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN( OFFICIAL. iv r SIGNATURE: el? /f /i� BUILDING OFFICIAL • "ROVAL: I N\ S74 V--'e Za"i9 r LANE • GS.'G3 ' /f / a r Or r S foo sc M 4 4z/ Z0T W . ......( 4.2 . /3,7' V • • iii / Lora / / i j i / / lint hi i \ N r %y�.� EZEY, Ttrp of i . • OisT,,/G ��8> ZL.o/ % • Z-427-)C • . i - x,15.5' l;`:per r.ti�//� /✓or— 7a oP 6'X/s7n vG • 480VC /-f/Ce' Po/Air. ZI' 2a4' in co 9a, . I CERTIFIED PLOT PLAN • • • ' se Y . LOCATION WL-3T.)/i2/7o gin, GS,G 3 . ' SCALE es Zo' DATE .fLy 41 /9,4' • . • PLAN REFERENCE • es7NG h r1r' .as. .SNow!v. .,. eY.. P4 5.C. 8Z, T• ,,z,,,s..,;..�._ PG. /3 - qya''�0 as e; ;, . •••, i , i10• "'l ./.4.,...,i!,/ ICERTIFY THAT THE ER,sr/N.Q..;t.!wPS:77RR/ J i if.N1C_;,j,-::;i^;" SHOWN ON THIS PLAN IS LOCATED ON THE GROUND 'Ur is •� 1; ;,,,.;:•' AS SHOWN HEREON AND THAT IT CONFORMS TO THE • r%v'y7;,;,' j' SETBACK REQUIREMENTS OF THE TOWN' OF .. .Ye/YE ntay7/ .WHEN CONSTRUCTED. • DATE .t4y4 4 /f�• ,fo Wi9R0 .14 -/EL / PEn>7a'vt-tet REGISTERED LAND SURVEY Ice 'COX-10 eP Oil pt g,- -- - THzu �., �� 1 N 2' p'' D•G. IZ`' op Its► tom. ,c7zu�p ,��79 Cap ViF�� sa► r�Tur C,L`o,G. i� i ► tf ► u Gly 3,. 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