HomeMy WebLinkAboutBLD-90-626 -4
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MATTA 5
'e T76Ce Application for a Permit to Build No.
UPON FINAL APPROVAL ' ,a'�� I MAP If LOT
FEE MUST ACCOMPANY THIS APPLICATION. DATE M"17 19 90
The undersigned hereby applies for a permit to build 1 /%eta
AW/9/70
according to the following specifications
1. Name of property owner frlich&e,l S. a. Linda- C• I11CCluskeL Tel. 778^�07
Address 77 BBern.l Avenue.. f.) .Varmou(h
2.Name of Architect(if any) Nona.- Tel.
3. Name of builder .SCI c Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address Asa m e-) 7'7 &try Aven.,g._ to. Yu rmvoft,
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling d Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family 0 .h BcDO. -- lc,yoai s N 01->
Type of room No.
11. Commercial 0 ,tom 9/X?' SH-C. Kitchen
12. Other 0 --- �a� A)Cw Dining Rm.
$ > Living Rm.
13. No. of stories Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0' Cement 0 Other 0 fr/67.10 Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch
17. Garage - 1 ❑ 2 SSuunnmrroRm.
oom
18. Swimming pool - Size Garage
19. Storage shed — Size q X 9 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 91 No. of feet side 9 i No. of feet rear 9
2a Distance from nearest building: Front 34' Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line C Side line 2.4' 2 30i
LOT RELEASED BY Signature Vi 1 in rC
PLANNING BOARD Address 77 [3err y Avenue_
Date CO . Ya rmo on , Ma . 02473
__.r PLOT PLAN 11 Berri 40e.
4
W • Ya rrvlo J 1-k
FOR LOT # N - 2.
Indicate location of garage or accessory building
``_ Additions with dashed lines
3C° 'Ci\ Sewerage disposal (cesspool) ED
Well g
I (lot (O(O ft. rear) I
0 17
Abuttor's��LeQn I— I— L 1 Abuttor
Name s ij SHED ��— Z � � � Lot #
Name
Lot #
I
REAR YATtD—ir
If this is a If this
corner lot, ftISt corner
write in name I gq' write
of street. I name c
, other
74 Berry A, street.
it
SIDE YARD SIDE YARD
HOUSE
0FT. 0 (`'1 FT
*CO •
4 I • 30 ' •
I
I •
SET BACK
I
I
V-
(lot Co6 ft. frontage)
/ .4t 71 Berry Ave
/
/ (NAME OF STREET)
\ / '
/ / \\ InformationAl 1 M C1'_e
/ \ \ Supplied by is 1 �ICI los r
MARK NORTH POINT
4a / NBUILDING/PERMIT APPLICATION SIGN OFF
APPLICANT: /np1 I ,. L / i�CIUs/� t BUILDING PERMIT !l:
ADDRESS: 77 Derry A A . CO . yams- c% TELE. NO. : 77$t?941 DATE FILED: /4717-9Q
BLDG. SITE LOCATION: 77 &rr y Ave, MAPA: /8 LOTII: A.) -2. •
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, MARSI
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 DATE: 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 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
4 ,
r
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE /O -0- 90 kits/ l /
JOB LOCATION 77 Berry AUc' iva kits/ /4/YY10UTA
NUMBER STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" MC/714 £ linda McCloskey 778-29x7 398- 7777
NAME HOME PHONE - WORK PHONE
PRESENT MAILING ADRESS SQM2
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 PROCEDURESAND REQUIREMENTS.
HOMEOWNER'S SIGNATURE 92/1 7 r�
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.