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HomeMy WebLinkAboutBLD-90-617 F� O� Yqki; • . mK s T o TOWN OF Y ' OUTH ,01(<00 H ` MATTACME 5 4t •� 6Ce- Applicata n fora Permit to Build No.___ UPON FINAL APPROVAL 1611I4q° MAP `?D LOT 2 -- / FEE MUST ACCOMPANY THIS APPLICATION. DATE /0/7— 19 96 The undersigned hereby applies for a permit to build /0//5�9a according to the following specifications TAIL1. Name of property owner (V'-i_f j 1 ,41 Tel. 77r-o /— Address l/ S — /7/- 2.Name of Architect(if an T , ,�/ a Name of builder Ci- • to Q.�1 /�4�/ Address V/ A -� 2, lz+ rt (O 4. License No. ©o y L 2— Tel. ' 5. Name of Mason // _Address 6. License No. Tel /� 7. Construction address Y i 2�Z Se— Tel. Flood District a Date of subdivision Approval plain zone Zone Re_aS 9. Private dwelling ❑ Estimated Cos DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family ❑ U0 by 11. Commercial V ��w ��er 4 c� S, Kitchen 12. Other O SC.G d Dining Rm. 13. No. of stories / dfrfit "�Q Living Rm. Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 jfrA a A„ 0-6 Bath 15. Materials — Wood 2 Cement 0 Other ❑ Nk/ Deck Closed porch 16. Type of heat — Oi Family Rm. 17. Garage — 1 iel ❑ 2gQ`l. evofeAr aoft 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 1111 , LOT RELEASED BY Signature I— - f� -' / PLANNING BOARD A •dress / - .....9.._ ' 't / to !v Date Or'?G 3,,, TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: `� JOB LOCATION: ;_e,, .?itk 4e /AL NUMB R STREET • VILLAGE OWNER OF PROPERTY: 9hie / /¢� rs. to. PC C4t� CONSTRUCTION SUPERVISOR:�j�,. e.5 l' `g'/t cq 009 2 2- 77 s f 7p/ / NAME LICE SE NO. ,+ PHONE p� ADDRESS: S/7. /� �.�i z �. C /Z41Gilli`� ,A . ,,_ 3Co LICENSED DESIGNEE: (IF OTHER THAN SUPERVISOR) NAME LICENSE NO. 2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: 2.11.1 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 0 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 SUPERVISI SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTE ON THE RECORDS OF THE BUILDING DEPARTMENT. I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERS THE CONSTRUC ON INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILD OFFICIAL. l BUILDING OFFICIAL PROVAL: nu LDING PERMIT APPLICATION SIGN OFF APPLICANT: C.11.1•24.-t-e l\ eAterD/r BUILDING PERMIT ll: ADDRESS: 37 A 4-^�i .IJP_( 4/ 14 TELE. NO. : 77j 9-0272/DATE FILED: /O ^/J=7 BLDG. SITE LOCATION:?7 MAPII: 2D LOU: :2!-- 7 ' 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, MARSE 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 SYSTI ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOE 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 / �I DATE: /9//574.76 N/A: v� NDUS "IAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: /p --AT ' 9O N/A: 6. PLUMBING INSPECTOR• DATE: /0 N/A: 7. FIRE DEPARTMENT: Y. ( DATE: /0/S/4/' 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: / dc c%9r/C lL ,,oe'1 // rt, c ie-is74erer-/e2/wg. `70 Grir�O�f/i/1/t'� BLM/89 PLOT PLAN w• FOR LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ED Well ® LAI( l ( ^ 0 �2 m a I (lot ft. rear) Abuttor's I Abuttox Name Name Lot # Lot # R 4 • R YARD If this is a • If thi= corner lot, corner write in name write of street. '• I name c ,, - o, other I SIDE YARD SI"E YARD -HOUSE 0 FT. 0 0__ _ _ —FT f> . . SET BACK •s I ft. s 40- 7 (lot ft. frontage) \ / -F,,i_zir--itee a_p_______ / N / (NAME OF STREET) • / \\ Information ` — / \ Supplied by '� '� __— MARK NORTH POINT