HomeMy WebLinkAboutBLD-90-602 off. AR
y. ��la` s�/g�
,e At Irt• Ss TOW YARMOUTH O1`Fc''` �°%��°
"' MATTA PIE 5 44`
�,t >•S6 Application fora Permit to Build No. Le oa ,
UPON FINAL APPROVAL 0 S'9b MAP /1/ LOT 00 AJ
FEE MUST ACCOMPANY THIS APPLICATION. DATE/t, '719 57d
The undersigned hereby applies for a permit to build /0 -it 9C)
according to the following specifications •
1. Name of property owner 7 a 44t2-y CAI4P/ Tel. /artWeb
Address 441 0414-i' 57- 5442. "A Cl 0#14-
2.
WC2.Name of Architect(if any) yvo2TS/II6 0ES/Gw Tel. 3CL-zZ,-/
3. Name of builder Llat. h4U//iLT1/4. Address Ifofib-4PTA LA-.(,w,Meru
4. License No. col-f13 Tel. 3 erl, fro ou el
5. Name of Mason _Address
6. License No. Tel.
7. Construction address 441 AA//Zs T,/"t ft n f 1.7,4 .
Flood zonterict o
8. Date of subdivision Approval plain zone
9. Private dwelling Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family. ❑ '3 SDD� gort 54.lefflaasove Type of room Na
Rol.-Ptog 1i
11. Commercial 0 D ea it .
,i e 4'rc. ,ern. .Z/YV -I
12. Other ❑ 11�pir 10?-sr • • I�mv�a l
13. No. of stories et it, /
Ho ,e 377 sr Bed Rm.
14: Foundation - Full 0 Half 0 Crawl 0 Slab 0 , �F Bath
15. Materials - Wood gl Cement 0 Other 0 �� Deck
16.Type of heat - Oil ❑ Gas U' Electric 0. Other ❑ 1 �c F porch /
17. Garage - 1 0 2 aQ faS. 7O0446' /�/ 3 Family Rm.
-tiara- 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 1 'LI t No. of feet rear I'\4 No. of feet deep 2./ft
22. Size of building: No. of feet front 37- No. of feet side I t No. of feet rear 52-
23.
223. Distance from nearest building: Front ,5 Ft. side 3 .a Ft. side St Rear "-
24. Distance back from line or street ' 1 S ' From rear lot line Cr o Side line 1 S
LOT RELEASED BY Signature d4/4" Qi4 . / 1
PLANNING BOARD Address 044624 Ian
Date !j✓► Amite. /t94 13 i L./. g
•
r
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM •
PLEASE PRINT: I ,y�
JOB LOCATION: 4444Unn W Sr 1,4 ti oTkt ThitY
NUMBER ,/ STREET VILLAGE
^
OWNER OF PROPERTY: Dia slay d //4P/x,
CONSTRUCTION SUPERVISOR: 1 Al . 1140(111J D o 4t -7 3 �2.-4� 7
n/�,,,� ^ , r,,,��� /Q�n( NAME 2 LICENSE NO. PHONE NO.
ADDRESS: - 0 &144,0 La.• LQ. ()A . VLt14... b 1.4. 4.1
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 INSPECTIO. PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN
OFFICIAL.
SIGNATURE `. A_ 'f i
BUILDING OFFICIAL APPROVAL:
r, PLOT PLAN
•
• FOR LOT # b bit)
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a
Well0
I
(lot 11 , ft. rear)
Cr
Abuttor's I Abuttor's
Name I Name
Lot # I Lot #
REAR YARD
If this is a - If this is
corner lot, •
...ft. corner lo
write in name I • write in
•of street. I name of
.b4 •
I
R. other •
- to street. .
1
itif
•
SIDE YARD +d SIDE YARD
HOU E 0e,
e, i-
(�_ �b _ FTs - r I a_Jc__ FT0 .
I la
t •
I .
SET BAF
S • .5 ft. __.�—
I
1
0
(lot I:b.. ft. frontage)
•
\ /
\\ // (NAME OF STREET)
/ Information IN P PAU r
/ \ Supplied by
/ 1
\ - i
•
MARK NORTH POINT
ICq �� * nn BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: it/ 14 $ ttto G,1 Q 0.. ,I1%- , BUILDING PERMIT #:
ADDRESS: (}p 4.i)Ct flcJ4L..3...ML .614I22r) TELE. NO. : 34L- awl) DATE FILED: �(�^,�.id
BLDG. SITE LOCATION: 4.41 /M1V �1
J, ke.� MAPIf: ill LOT/: 600(1
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, Z.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 PER2+IIT:
REVIEWED BY:
1. WATER DEPARTMENT DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT fa di /6/1/96 N/A:
/ND TRIAL 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. '& /f
COMMENTS: ►3�pc- > 3 '6n ONL v f, ' /)ie, /Cf7Q'y
e2±°/tie (a 1€m r Tv />�,- 6/5-to
stEc-Pfiv r
calj )J41/
t.
BLM/89 la3yf'