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HomeMy WebLinkAboutBLD-90-610 of` 4k (�/0 9 1(1 tgy $c T t, o TOWN OF ` • ' MOUTH JulnJ ibbrb/46 - ,1760, Application for a Permit to Build No. .t D. x5 / ACP 379x091 UPON FINAL APPROVAL � i� , � OD MAP � LOT #" bcP&Cal FEE MUST ACCOMPANY THIS APPLICATION. DATE,/4) 7-0 The undersigned hereby applies for a permit to build ���`J C'�� /04o'Ab according to the following specifications I 1. Name of property owner ©Sc,gn FA/Lc/P '5 YNd Tel.(798 c8 y.3 Address - ` P-060X /.s9$ If,an/MS /ii (21k7/ 2.Name ofArchitect(ifany - / Tel. 3. Name of builder 1 " i -Ass _ - /a E 5 Address /eal hgarlfr///1 57 6{ecAvii-am 4. License No. OaOSO$ Tel. 603- 37+1--729C 5. Name of Mason Address 6. License No. Tel. 7. Construction address �q 2 why*' /&f4 S - Cattneard Flood District a Date of subdivision Approval plain zone t Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 / 0Q,000•az) L/ go-vs--771 S • 11. Commercial L-1 et 0J , 'J �02S .0-v Kitchen 12. Other 0 Dining Rm. 13. No. of stories Living Rm. Bad Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 *P-75, Cro Bath 15. Materials — Wood 0 Cementer❑ Other 0 Deck 16.Type of heat = Oil 0 Gas ®'Electric 0 Other 0 Closed porch 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 No.of feet rear No. of feet deep 22. Size of building: No. of feet front No.of feet side No. of feet rear 23. Distance from nearest building: Front Ft. side Ft. side Rear 24. Distance back from line or street From rear lot line Side line iarsig- C LOT RELEASED BY Signature _____-64,-,, PLANNING BOARD Addressry •: — �/ - Date BUILDING PERMIT APPLICATION SIGN OFF 1/44 APPLICANT: er-X0 l'a4/ACIST/7C• BUILDING PERMIT #: • ADDRESS: g0. 64-1 /50c grants TELE. NO. : 391"'OKY3 DATE FILED: /LJ 9ni• BLDG. SITE LOCATION: A319a C&600/40.. at-to Sy ermphb LOU: / P ��� � 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: tV 2. ENGINEERING DEPARTMENT: o DATE: N/A: V 3 CONSERVATION: A DATE: N/A:----Or HEALTH DEPARTMENT //��(N DATE: /�lU/9d N/A: IND STR7 AND/OR COMMERCIAL PERMITS` GI:WIRING INSPECTOR: DATE: OCT 1 O 1990 N/A: tLUMBINGINSPECTOR a � DATE: / /D yD N/A: FIRE DEPARTMENT: R'it �J DATE: / ///0/7 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 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: ,y L C '/ JOB LOCATION: A.3/9-a u'h/tJ� IhM S giemoo h NUMBER _ T,, STREET VILLAGE OWNER OF PROPERTY: NUMBER, �/ oP's _TV • CONSTRUCTION SUPERVISOR: Ed 900/2/s AWN) p/ tows S as oSv-777s NAME LICENSE NO. PHONE NO. ADDRESS: /33 Feafiem 57 lt/fl,Y Ma . 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. 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 COMMONWEALTH, EVENY YTHOUGH HE,TTHE HLICENSE HOLDER,GISONOT DE THE PERMIT ALL EHOLDER R IBUTLONLY E WS OF THE PURSUANT 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. RE AND LICENSE ER 2.16. G WHOIT CISITOSSUPERVISEL NTAIN THOSETHE PERSONS,ENGAGEDUIN CONSTRUCTION,RECON OF 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 USUPERVISORS INSPECTIONACCORDANCE PRROCEDURES ANDSECTION THE SPECIFIC INSPECTION STATE AS CALLED FOR BUILDING CODE. FOR THE CONSTRUCTIONBY THE BUILDING OFFICIAL. !�'� ` ,�Q//� SIGNATURE: a..ale( /tut BUILDING OFFICIAL APP1 VAL: I r vA I ...2.„^•1 � n 29 -- o um it "6 fl a 751 A I xy40, iA - /' - - .. .,, V ti • ��. 7 0q S f nn` • A .,