BLD-90-619 o TOW : YARMOUTH
0 A �IH�•,
� MAT TAC\M[ 5 Ari
% ApplicatiFlo on for a Permit to Build No. 1019
UPON FINAL APPROVAL 1° MAP /a '51 LOT �/ /)
FEE MUST ACCOMPANY THIS APPLICATION. DATE ('a(C/ 19 94.
90
The undersigned hereby applies for a permit to build ��//6/d//6� d
according to the following specifications �// /�'
1. Name of property owner L sW(S T7(( C /to y Tel.3AZ ZO?C
\ Address /f wE/R /?4,4-n
2.Name ofArchitect(ifa y) --,---r------
� Tel.
'N 3. Name of builder •"�-'` - ,=_`-- • 'dress
4. License No. Tel.
5. Name of Mason _ Address
6. License Na Tel h �,/ „
N7. Construction address /t{0p W 2l�AveM/o/t eA (' 'A'7"
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family 0 \Gin-Ale-4,46 l NI : Type of room No.
11. Commercial 0 in ,6 IX' 5T//' Kitchen
12. Other 0 earrGt 3t4 Dining Rm.
13. No. of stories440_5—,
Living Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 0-S ` crb Bed Rm.
Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck i fc p ,T r /
16. Type of heat — Oil 0 Gas 0 Electric ❑ 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: Na 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
LOT RELEASED BY ` Signature 6A7ttO � 7a-
P�
PLANNING BOARD Address i qi Vv (R g 0
Date Y/4-MA/IMI'HH t2'4t
/ V(/ �1BUILDING PERMIT APPLICATION SIGN OFF
L
APPLICANT: E- (c fie cilli ff4Y BUILDING PERMIT #:
ADDRESS: ( 40? y' go
D TELE. NO. : 36? -8071-DATE �O�Z//9/�
FILED:
BLDG. SITE LOCATION: YA- ' /1gourwAb
- ORT- MAP : 6/ LOT//: LP I '
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 INSPECTOI
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 9 DATE: (PIIS 1 Io N/A:
' SUS 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.
COMMENTS:
BLM/89 /0/5-/90 7
' PLOT PLAN
FOR LOT # *a
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well g
I (lot ft. rear)
Abuttor's I Abuttor
Name I Name
-
Lot # I Lot #
REAR YARD
If this is a • If this
corner lot, ft. corner
write in name FE--'7'y+ 1 write
of street. 4- , ex(Srikc name c
-4 . in. . ( a Peek a other
w • Z aa) street.
do to
ft CE-- 09 C—•--W
•4
SIDE YARD SIDE YARD
HOUSE
. 0 FT. 0, FT�
M I
v SET BACK CP
I
I
(lot ft. frontage)
/
/ weiR (?°,4-p
/ (NAME OF STREET)
E / nn
/ \ Information / y •�� 1�Vf�"/
• .--
/ Supplied by
/
MARK NORTH POINT •
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT: ift &DATE O�( n �/� /L
JOB LOCATION / T ? W6 (fan- Y vtagi it0f 7--
/NNUMNUMBER
B/ER //'��STTREEEnT ADDRESS SECTION OF 'TOWN
"HOMEOWNER" / (c K� ( 1/47 4 bi Xi-2n
NAME
S--
NAME HOME PHONE - WORK PHONE
PRESENT MAILING ADRESS /c(i) W.9000
90 0
Y/V/Wart & r �' /� s, Dz67C
CITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH SAID PROCEDURES 0 REQUI' �jj
HOMEOWNER'S SIGNATURE es", A #4 / /,%J2 ilaged
APPROVAL OF BUILDING OFFICIAL
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
r
. - _ 3.7
I ' 111 c,
ioZ 3z • + /78 i6,
co 3 -NI O
I
. 142 4, • I
I ,. , 6 011iM
17. 5 I1/4\ ( —. ShArii(P" -
.10 .A )6.3 b _ ,,
3
• t/7. J, I i-rDEC 15:i .. ':..an/ .3 00% a 8 y
Act 1 Ig.2 I \ . ..:' 7'9 ,/(5.43' /or-.
- N 3/2 /8./ �.ea✓o56 C I ,e 'a �._�. •;
`3? � .31 0 \ ia.8 .au/t. Ci// " I . .oj //cc'
/ I4, • -' '=,?3 . ..3 -1r/ {./': � ,
/ i-g r—. •
11 / ft k tu ,, 1 ° f . I ,,. ,-. .
�o 01 Z :KP9N�-3•-1 I ,.::or ry%. TEST- I-/CL L
• zi Io h► � od.Pa' �� ��,' • R E S 4.11_. 7-3
Isis, WelkRb. /00.00I. ,
' 7 j .0 j'F.� Tc.) Wiv lC'EC0Kc
.. \ DA -re- 7 % S/79
\...- 147a-72. ,-c_.9 7 SCr7LE ,'
cWN WA7-E12 . : AVri , L..t-1 .JLft. / VSP
i/, /'9 Un' bOILIJ /NG StI8A..1 •: .tffk--)U: tic ' :E Y5
0NT ,3o S /D ;- /2 .e .z ,g ,: '_'_
%F WAY NOT TO Lit L _0 :2,'- ) EL., P . O :-' OSc= D 3ED/eOOr-/ ...
? SEIVE ,e , 4E _S >•.•5 -rE !-1 '.- _ _.. SJ DESIS" ` LO /-/ 330 GFi., / 7Dr-iy .
_ DES /GN I nF177 / "JG /5 : 'Sc � . 1,PO�., SF ", / 5 'a/ f�1' `:i 2c 0 ;
c/- .'r 3 /1 . =Joa a &c' cq --- ,-• vCi— n dS{�''' •. .IA .'jy� .'90 iv M .I. :v I1_/ d0.
- - — -_ Iw b er u,,; . r1 ?a'/nc``3?' -'aEd R -1-7 S �/v / a7 /ns 3P, •
- - 77_./ 3_LdQ ,nY(s 1�) ' .'a0-/ ;v00 . 3 OC 1- / -L &I-i'
7
�4011c' 5 E 2 .'n
/ oa' D .-.;H.L
Q 3 c; pd O '7$el S / N b''7d S l
>l.Li�r1nro / a _> ,off a/./ ' -,:c:..%' ' oN / � , /ng := N-4 -L `-"/-.L <c3 / .1.. -2 a\
;Y ' 1-9_L J '.L cj 3 .g S a ENT ti g/N' / 7
.c37d0a'd woa.=1 ,p / _/p G-/ n /-/ / • SSVN `1.a OSHi(1 II1.-Y(1
r/ A..
t• :, g c_� S1 /d .`7N / NOh' -' -7
-C—T5-435 in 7 a b../o c.6
- �cirvnof woa� .0 / :/ 0 1-dn< - - . � f WI7H5007. 0 -_ a' o ,,
/V (,_/- o %_Ld3.S r <'Sr1''s1'e- g, /Yb'>Q pit
;� c.� F� � � of a FN o 6,y a1aN. d 6B 2 a'oo
j 1 '/,rn .r 0Y / scrr a �+o Ka'--S/ 9n X1/`/ 000 g7Ev'sS
• (` /...a�• LlHlf/yi.S • -Ncl d //I. ,N/ C 3 Q c3 O o 3 a': 3 .7/N/
- / Y 0031o9l{.50,01 ryr0HS 5'6-1 OA 1o7 9r`'/3rd
c6L46/ '52 AYfl :31 'C O £ = ,. ./ / a7 & o,S
vi 0210iilY •. /irOdf-/-Zno%va'd/� : N 0 /-2 & V O 1
vi 21fIHli{V 3 ,
q,VNQiI e/ N d 7d 2 0 7d .
r7; ,7'.glc-/r i arvnoa49� 4. ,..Se/Jo fu/Ai_/
•. ;."
ya.' 01 is/a n/ / w .�r r7 ':'- r
/ /„/nw/N/w ,oz
•
a'aama's got/qv Ye 17/✓ _la 3n N/
//,,/., 8; !Qrnr1 Lz`'a4N/ -�a'7^N/ 1H✓/1a'91HM>
w . %/ -.-I 0.. 9-.(?) // ods 7 4 -C-Cs ii7—o �'r %��9t 3 �C ts/&i - pc2d3S lafanN<
'�)I , 00 Z a� t . /C1'/add H.7
a/�no N 70� -L,/3AN/ N077d9 O 6/ •
7�F' oT 1 /d 91 _ 1aa/IIv/ F - 000/
NO1.S ->' N� t�37 5i74 ,/d,/gr Zfl/ MN - z- - �03�. .
11t v 10ob� �o� i :�/ N�N.•O/
a ysH. a N07 a d� ,a_l, ae at rviH _z� �.. /, 0.1/,d
*girl Nz/, /:.t/£ 000/ :oil
Del ti • 3N/7„ rrov tlHaLlet .
•
�{ ,, aster ff'Q .,� iv1N,.e - �rm.7n; INoa/1SHo_p-
_err _._ � � �/ X041
.1 e•-; Q=7U NEJM L./..5'/Q
Ci...A, -/ 7 .,c. 7NO.LS �l• — ./nH/<N/w.o/
— '•
l✓fiNN/w
^n 1t/a 1.7 :•I:' l✓c3 aaHa S Q3Hsi/` /d /O .1 rill-i1 /M / IT - /r
,o
\ .
sr v, _/n?,17ad os 92. QN�lx= o1 21. noJ :7701-/Nyt4
z .9,,r cnorna?dW /- 7 d i.7 Ss o N ` o fi7 No<1l�cz/ 'o4!
N�c1.'f� -
i \tr ^0 cad d 0 cl o1- 1
• 1'
LOCA-Tios O& Se-pnc �NK
7 / TANK cavEg
APPROx
r
S o u tlf- -5 r
CORNM OF f0USF