HomeMy WebLinkAboutBLD-90-613 o R um) /ol ► Z-1
-;o�'Y'��,;�., CV ��., f=�'�' to lq..�Qo
L,. o TOWN OF YARMOUTH l
0 14'0 j� . .
�,Mk."01 [ . Application for a Permit to Build No. 10 13
,4a�,.u�o•�6c�;
UPON FINAL APPROVAL 6 lf✓d9 MAP 0-7' LOT2 I.r6
FEE MUST ACCOMPANY THIS APPLICATION. DATE ./0/719 9 a
The undersigned hereby applies for a permit to build ���qd
according to the following specifications /02M`/d
1. Name of property owner M C fat) V e a U Tel. 3 9R -675'8
Address /a 0 Paco S-/- . S. in v irobi-h
2.Name of Architect(if any) Tel.
3. Name of builder pct 01 6/ NO1tn0 5 e I Address 38 nkeC Rd. Al as it/pe e
4. License No. ROD ? b Tel. 1177- /a `71
5. Name of Mason Address
6. License No. Tel. i
7. Construction address /(26 B P G ( o h S I . S. )/cr)- nn o Z-
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling V Estimated Cost DQ NOT WRITE IN THIS SPACE
/ � p'.= Type of room No.
10. Multi family ❑ '�/�� D UD� � 4��
11. Commercial 0 oZ aSS Kitchen
12. Other 0 / T 5x*p 7 Dining Rm.
13. No. of stories o K P ���� ° U Living Rm.
Bed Rm.
14. Foundation — Full 0 Half ❑ Crawl ISlab 0 Bath
15. Materials — Wood ii Cement Ik1'Other 0 Deck
16.Type of heat — Oil 0 Gas [i'Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 Family Rm,gyp /
ID
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal ❑ r Alterations
21. Size of lot: No. of feet front /t.� No. of feet rear /o2 J No. of feet deep 1a O
22. Size of building: No. of feet front 6 8 ' No. of feet side 3 0 ' No. of feet rear (0 5
23. Distance from nearest building: Front 9$' Ft.side at, Ft. side *8 Rear gag
24. Distance back from line or street 4' 8 From rear lot line .(c� j Side line t) 9 '
LOT RELEASED BY Signature / I) 0Ai g te_G ^^, Q
PLANNING BOARD Address 3 A So vi P_C Rd M cislip QQ
Date baLCL9
1 Q N1i 1 ,/ BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: R OO VVI Acid; C / O h BUILDING PERMIT //:
ADDRESS: Ip� O IJ ea (phS S.yori,.,aT, E. NO. : 39R 479gDATE FILED: D q
BLDG. SITE LOCATION: MAP//: LOTII:�/�ljr
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 DEPARTMENTCd213.(JA).A_i-ti. DATE: too/tO /',C N/A:
INDUSTRIAL 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 STUDS 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
/o/io/90
FRONT ELEVATION
C.W.A. /VO
CEILING ASSEMBLY
TOTAL R=
,OPL
CE U= WINDOWS:
=0.61 gS
a 0
9" FIBERGLASS S-R30 ATION
R=30
40 \
\=SHEETROCK DOORS:
I R= 0.45 '
i, _ —BOTTOM SURFACE
R= 0.61 --
1/2'-PLYWOOD 12INSIDE SURFACE WALL ASSEMBLY
R= 0.62 ���CCC R= 0.68 TOTAL R= R ELEVATION
G.W.A. f/ y/C)
WOOD /-1" SHEETROCK U= /
SHINGLES R= 0.45
R= 0.87 WINDOWS:
•
OUTSIDE /=31" FIBERGLASS
SURFACE INSULATION
R= 0.17 R=11
=SURFACE RESISTANCE
jf r R= 0.61 FLOOR ASSEMBLY
fl , 109 — FINISH FLOOR TOTAL R= DOORS:
2( r R=1 0.91 U=
--\
-- }" PLYWOOD SUBFLOOR RIGHT SIDE ELEVATION
C
R 0.62 G.W.A. l zE
OUTSID
SURFACE I - � /
J
� MVV� U v0L V U
R= 0.17 ,. . WINDOWS:
—61" FIBERGLASS
INSULATION FOUNDATION
CONCRETE * R= 19 WALL ASSEMBLY
FOUNDATION (maybe used instead / DOORS:
WALL 1 j SURFACE RESISTANCE of floor insulation) 7 O ---/ SL/ )1T Q
R=
R= 0.61 TOTAL R=
U= LEFT SIDE ELEVATION
1. ! G.W.A. /
�—INSIDE SURFACE
1 R= 0.68
• 3/8" SHEETROCK WINDOWS:
1' --R= 0.32 �0
1" STYROFOAM
1I ��I DOORS:
' 4
NOTES:
PERMANENTLY INSTALLED STORM
WINDOWS TO BE USED /
GROSS WALL AREA=
WINDOW AREA=
DOOR AREA= / � I _
Z FENESTRATION= / Z' 70 1
PLOT PLAN
' FOR LOT # b 5Wi
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a '
I
\.. Well 0
. I I
(lot. ./.1- ft. rear) I
CI-
Abuttor's I Abuttor's
Name Name
Lot #brI I - ` Lot #
bi \REAR YARD i � /`r
If this is a J i /a if this is
corner lot, , ft. `( corner lo
write in name % Iwrite in
•
of street. i• 63,,...a,.._ •f-_ ao_� I name of
.,•- ..T i _1 °� y a other
p ;add:t - 1 o street. .
e'0 w
4
SIDE YARD SIDE YARD
HOUSE h c
b (�
FT `+ L FT . G
•
Q cC
SET BACK
—
/
(lot.. !.asr ft. frontage)
\ / Beg Co h S _
\\ /// (NAME OF STREET)
/ Information / J/ /
/ \ Supplied by �l Ca V i Gf /7 G�✓‘c419 P �^
/ \
MARK NORTH POINT
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: C ,/ � l J
JOB LOCATION: / (R Q Be e Co Vl S 4 - s _ y G r W1 bi,4
NUMBER / STREET /VILLAGE
OWNER OF PROPERTY: I`� R j Q U v c Cj c i
CONSTRUCTION SUPERVISOR: TNu i ) Jf tIln o 3 P L O.5-40LICENSE b/NO. PHONE NO/1 7o
ADDRESS: 3 e es iR S.
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 CO1
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAI
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDINI
OFFICIAL.
SIGNATURE: (A/lM Vii/
BUILDING OFFICIAL APPROVAL: QJ4/f /-
a
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