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1-^+.,.,E•+`6Gd" Application for a Permit to Build No. (pap.
UPON FINAL APPROVAL IC''IO ° MAP 6 LOT m- Q
FEE MUST ACCOMPANY THIS APPLICATION. DATE /0//A 19 90
The undersigned hereby applies for a permit to build /OM
according to the following specifications
1. Name of property owner HA '- tits Ro 2Fr Co/us es Tel.? 7-,--7.230
Address 6-# G/4c7(4 D.te. 4P/viz— VU• )07j.fryov7V/
2.Name of Architect(if any) Tel. �, //
3. Name of builder a rN-� • 'dress Pa •So/Aanw Ka-/•
4. License No. OCC 609 Tel. 77b= 31?..
5. Name of Mason Address
6. License No. _ Tel.
7. Construction address,C3 e/-7Q/Ye Det- AA/V-Z_ \A) • \Ifl12►v1
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 /,/ dee . _ 6 5 /a u a �� /
11. Commercial ❑tcco_c -w-c,aE� Iv! n' 33 6,-- Kitchen
12. Other ❑ oa-o-1-� 9e Dining Rm.
13. No. of stories ► a g`X '9 r �,fitej Living Rm.
_ Bed Am.
14. Foundation — Full 0 Half fE Crawl 0 Slab 0 c7 Sr t 0 Bath
15. Materials — Wood 51 Cement 0 Other 0 Deck
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
�T/� Family Rm.
17. Garage — 1 0 2 I� -t Ottamet Sun roomm
18. Swimming pool - Size Garage r
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front /70 . U No. of feet rear /G q No.of feet deep 13/ . 78'
22. Size of building: No. of feet front .22 No. of feet side 9° No. of feet rear '2 r
23. Distance from nearest building: Front Ft. side 20 /
Ft. side 2511 Rear
24. Distance back from line or street 3 From rear lot line 9 Side line
LOT RELEASED BY Signat.�r– e -
PLANNING BOARD Address /f __2..,Ita -.. * rt
Date W yAii ort0011/- Ala _
//� BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT: MH F 1N g0fg/ hcN�Jf4/Uo-5 BUILDING PERMIT if: •
3J d/!/
ADDRESS: 1/c/Q J% e 10 ;61, TELE. NO. :773---2.23,3 DATE FILED:
BLDG. SITE LOCATION: .S�/ I�/ MAPA: � LOU: /1- •`Z,
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 X.t66: d-dxQ -•-/�'L
/ ) DATE: 1,13/9090 N/A:
2. ENGINEERING DEPARTMENT: �/ DATE: N/A:
3. CONSERVATION: / DATE: N/A:
4. HEALTH DEPARTMENT f,, % DATE: to//i/0/ N/A:
I. 'US "IAL 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. a / / / J
COMMENTS: osleP D 4 90 -”e `tom t-7(71) )4- \s/;4_ On It .
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5 � /-'YtE CODE
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BLM/89
PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed Lines
Sewerage disposal (cesspool)
Well 0
•. I I
(lot ! G ' ft. rear) I
Abuttor's I Abuttor's
Name Name
Lot # I Lot #
REAR YARD
If thisisa D- ��j If this if
corner lot, "i ....ft. corner lc
write in name ; write in
•
of street. ! 1r..._— k I name of
) I Q other
go Hoes e.. 0 street. .
b
•
A CagOOtQ...-
SIDE YARD SIDE YARD
HOUSE'
FT
dj53FT [10 II
• •4
M I c—
Q
SET ipBACK
.. $2 .ft. ,
I
I
oat i 70 • ft. frontage)
\ / Cllice% 4'e... el/1 We--
\\ // (NAME OF STREET)
•
----) <--- / .
/ Information `/
/ \ \ Supplied by a
MARK NORTH POINT
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I6.(7.35I_K I
41
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170.00
"I 1 kc
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PREPARED FOR : gcsEi' c c--1S6.L-VES 90-kA-
CERTIFIED PLOT PLAN
LOCATION. WEST `/oeMbtj1F1
SCALE, 1•":- do DATE cc-T•3, 1g 10
REFERENCE: LOT a
•
P.B. "Z_5S P. 77
•
L.C.P. .. .
FLOOD ZONE .0 ,r'' "''''•e, ' ' ',
/ HEREBY CERTIFY THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE ';= E''LiE!i t. •
GROUND AS SHOWN HEREON AND THAT/T
as CONFORM TO THE ZONING ;,\ 1, 1707 c
BY-LAWS OF THE TOWN OF 1 AeMOvT1-% 11 e;;'raT
WHEN CONSTRUCTED. >�,irretree
'�'� Sv
WELLER S ASSOCIATES /
7/4 MAIN STREET _/O/31 Q(7
YARMOUTH, MASS. O,14El
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
JOB LOCATION:53 C1TICnv Dec oh PA/'C- w, yAf•/`fOUi#
NUMBER�/ n / TREET VILLAGE
OWNER OF PROPERTY: /14. t /�Ir7 /lac/ Coiv5o/005 q
CONSTRUCTION SUPERVISOR:15)/lh`J /CN/lf'e etaoI 77c1 3793)
NAME LICENSE NO. }PHONE NO.
ADDRESS: /00 .So��Uw W457 ,Y,+rrrc0 //9 /7Jl
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 CO
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN
OFFICIAL. /��y�
SIGNATURE: Q�uls.„.4 c.��
BUILDING OFFICIAL APPROVAL:
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•
•
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•
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LOT NO. : ' ADDRESS:_('1/14(/"-%4,67,e, 2.
! OWNERS NAME: G. Cii i� �i S�•
. SEWAGE PERMIT NO. :' NEW: REPAIR:
DATE ISSUED: c2 DATE INSTALLED:
INSTALLERS. NAME: X ./%%J/J'
INSTALLATION OF:
WATER TABLE: FINAL INSPECTION BY:
DRAWING OF INSTALLATION ON REVERSE SIDE: