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BLD-90-618
.ar•�rq $-to c�c7-,e- /o�/l q o `i“ a' TOWN • YARMOUTH oK few loiti(RQ ce `""c� y` 1� • MATTAttl[ 5- �� t—,e. 6Ce Application for a Permit to Build No. dl0 -no -TO UPON FINAL APPROVAL \ MAP /0 / LOT 51 FEE MUST ACCOMPANY THIS APPLICATION. \ DATE /O//C 19 9'd The undersigned hereby applies for a permit to build /©/4A, according to the following specifications 1. Name of property owner L • P«re- Tel. \ Address .02f Sec flt4 W,. / fry 2.Name of Architect(if any) Tel. � 3. Name of builder ' G'74,6 a ie� Adress9D /3e/4.f tie,, !/��/ � I t N. 4. License No. DO 7 s7/ Tel. 1{-1A .3"1 5. Name of Mason Address 6. License No. Tel. " 7. Construction address ,-51 Sc aA,,u lea ,Y Pori-- Mod District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multifamily 0 . ` Ins ao - ;---- X31H Type of room No.3c 11. Commercial 0 92.ay- 3o'Y394 5'r/ Incurs Kitchen 12. Other 0 Dining Rm. 13. No. of stories Living Rm. Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 S,S• Bath 15. Materials — Wood 0 Cement 0 Other 0 Deck 16.Type of heat — Oil ❑ Gas 0 Electric 0 Other 0 Closed porch Family Rm. 17. Garage — 1 0 2 ❑ 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 loto�line�QQSide line LOT RELEASED BY \ Signature A1 1 aft i de. '/, uC 778yo'19 PLANNING BOARD Address ro6fi . %%J4 //7r�-0'�tc / Date &nor�i /4' 4yit&a M frcr TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: / LOCATION: (.5%, r4t�iler / de- JOB NUMBER 'STREET VILLAGE OWNER OF PROPERTY: A. e /P/rNrq CONSTRUCTION SUPERVISOR: drraderka✓ OD 727/ f3.Z 3 Fir NAME "LICENSE NO. PHONE NO. ADDRESS: t& 4CL'S ,#/eJ�l/ /f/ /4ewk:4/ 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 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 CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILD OFFICIAL. �j / SIGNATURE: / � a�tJ BUILDING OFFICIAL APPROVAL: • �\ Application to 3 .S 7 p • .... • ,. ,,,,, Old King's Highway Regional Historic District Committee • ,� in the Town of Yarmouth for a ~ -7 CERTIFICATE OF APPROPRIATENESS ■ Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness underSection 6 of Chapter470, Acts and Resolves of Massachusetts, 1973,for proposed work as described below arid on plaSr s,drawings or photographs accompanying this application for: of CHECK CATEGORIES THAT APPLY: el* m= !n 1. Exterior Building Construction: 0 New Building 0 Addition 0 Alteration C) Indicate type of building:0 House 0 Garage 0 Commercial 0 Other oc't I t'TI 2. Exterior Painting: 0 y� C 3. Signs or Billboards:0 New sign 0 Existing sign 0 Repainting existing sign . r�n3 -4 m 4. Structure: 0 Fence 0 Wall 0 Flagpole 0 Other en W 7 iif (Please read other side for explanation and requirements). = 0' Q� TYPE OR PRINT LEGIBLY c DAT9-0,,/--* E �V ADDRESS OF PROPOSED WORK ( �✓el'ir' q,1/4: 1 ASSESSORS MAP NO. 10 OWNERi. ., - /-.d.i / r•ASSESSORS LOT NO, f ' HOME ADDRESS —ai r vr�.. ,i-/i. i,�i// y TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OW 4 - . Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). / a4/4.1 / ,, fla (26/24-2 , 1 ACr ; dr,if 41014frai . AGENT OR CONTRACTOR \�/ r' J 4714 TEL. NO. 779 f'o 7r ADDRESS /7f r711-7 gi ,a // & DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,other side),including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). n 41114-4., . Signe,- Own•r- o actor-Agent Space below line for Committee use. •Received by//H.D.C. ]7 Date Sib? The Certific to i er by /f,9,�/it,.:?D Date /u/3/9U /Jf� !/ Time /P. „-_ —. I ( / 1 J J:!: /.,1••�! �. / °M4° By �_ _ t, .'� �\' , a" . YAsti H COMITtEE Approved YD IMPORTANT: If Certificate is approved,approval is subject to the 10 day appe�'aff d i'• provided in the Act. Disapproved 0 Please return to: Yarmouth Historic District Committee Town Hall, 1146 Rt.28, South Yarmouth, Mass.02664 • • • • ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The tour categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows,doors,siding,roof,light etc.,that will be visible from any public street, way or public place.The following scale drawings are required in duplicate with application:two plot plans(if addition-show existing buildings in outline),four sets of elevations.Also required are snap shots of existing buildings,where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. . 2.EXTERIOR PAINTING:An application is required for any portion of a building,structure or sign to be painted that is visible from a public street,way or public place.Color samples must be attached to these applications.An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3.SIGNS OR BILLBOARDS:An application is required for any sign or billboard to be erected within the District,with the following exceptions: - a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event.Certain temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d.'A single sign of not more than 1 square foot in area showing the name,occupation or address of the occupant of the ,.. premises on which they are erected or displayed in a residential zone. 4.STRUCTURE:An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building,sign or billboard,but including stone walls,flagpoles,hedges,gates,fences, etc. GENERAL REQUIREMENTS 5.Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided In the Act. 6.No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7.A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch,sash and doors,window and doorframes,trim,gutters-leaders,roofing and paint color. 9.Unless application is complete and legible and all material required is supplied,application will not be accepted or acted upon. c., GQQ`es.Af the Act-establishing the Regional Historic District may be obtained at the Town Hall. G-.;:,: f TOWN OF YARMOUTH 35'16 OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE t SPECIFICATION SHEET APPLICANT'S NAME FOR: a shed- - zoYY/D FOUNDATION: COLOR SIDING: COLOR: CHIMNEY: COLOR: r ' OOF MATERIAL:,95��4 b. 5 PITCH: ? COLOR: ,�y/JG/� (m RTA 41°:36" oy yfo ru-edtet ti Cl WINDOWS: SIZE: q *'•+ b TRD`f. COLOR: xzo 911- C.7 any a rn ••-423 DOORS: m5OLOm: TY1 e A c. w " c '. 111 C Oh Sdtu SPS: z COLOR: l 6L11hRS: COLOR: • DECK: SIZE: COLOR: GARAGE DOORS:. SIZE: COLOR: STORM WINDOWS & DOORS: / COLOR: lA S T-LIGHTS (FLAT ONLY) Ve !/!t SIZE: -3djI�3SZ"/ COLOR: L %�G YL... ADDITIONAL INFORMATION: • 1V1411 APPROVED YARMOUTH COMMITTEE OXHRD • 9/88:c'_ PkortecED At rTbW SKY.Ll c.ws • RECEIVED '90 •OCT -4 P3.56 TOWNOFYARMOUTH tOWN CLERK & TREASURER • • • 11 _ _ F13 x :::1111 00000 35-16 • f 1- r j • • 101311D Pie. g IG- H-r- APPROVED 51 erszpe.4BERgy LANE YARMOUTH COMMITTEE OKHRD YARHour'►i Rear MA. _ 1-1