HomeMy WebLinkAboutBLD-90-629 .Y.... wig 0 l+ /0lyY/d
1 Dr k,. o TOWN OF YARMOUTHFa' °Al7
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`�L.MiiEo MATTAO • 9_
-% Application for a Permit to Build No. 6
UPON FINAL APPROVAL �- J3/4'/9°MAP If' LOT _ Y6
FEE MUST ACCOMPANY THIS APPLICATION. DATE 1°/ a- 19 1,4°
The undersigned hereby applies for a permit to build 2yia-v/4d
according to the following specifications
1. Name of property owner MRS MRs LeOaneD cae,P//N TeI.77.5- G odr
Address 33 C./Pewits Pa"pc osr 40O
2.Name of Architect(if any) Tel./
a Name of builder Mal- 4' 6&h"in9/rn Address Bose /43 5. 42t-+tinc.v) yna...-1
4. License No. O7O (, as r Tel. 3F y 4" "V
5. Name of Mason Jam ..Cipov/chs' Address .s Lvirno srs-'*Pr ws7 r
6. License No. Tel. I/?a- ?L2o
7. Construction address ,3 r/2ozer PvAorNi*rr .PD Al Yamovm
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling A Estimated Cost DO NOT WRITE IN THIS SPACE
7 Type of room No.
10. Multi family 0 /�OOU,ov �_ ;,�Q /
11. Commercial 0 e, ,53...- /7 Kitchen
12. Other 0 7C 9 Dining Rm.
13. No. of stories / Living Rm.Bed Rm.
14. Foundation — Full 0 Half 0 Crawl% Slab 0 ) IC.`rtr * Bath
15. Materials — Wood X1 Cement 0 Other 0 efi pz'' Deck
16.Type of heat — Oil 0 Gas re Electric 0 Other 0 X , Closed porch
17. Garage — 1 ❑ 2 ❑ f t5 77'�4- 'P' Family Rm. •
Sun room
18. Swimming pool - SizeGarage
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
2a 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 le-ie-PQ A
PLANNING BOARD Address 3o 43 5 D , 001o6
Date
JJ / BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT:Le o h a h C[ , C c r r"'y�c�_ 1 BUILDING PERMIT l/: •
ADDRESS: 3� CV OWES e N t- c s e /1 CL TELE.� NO. : > > —GAG CDATE FILED:
BLDG. SITE LOCATION: 53 ert VO es Py t- G k CJ 5 e /\d.MAP//: LOT//: 61,7j
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: /J� ' " ' //�/
1. WATER DEPARTMENT 22ba.c-.0 , DATE: /6/2/9e N/A:
2. ENGINEERING DEPAR NT: V DATE: N/A:
3. CONSERVATION: DATE: / N/A:
4. HEALTH DEPARTMENT DATE: /67,),„)./96 N/A:
Q
G/`� ZND STRIAL 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 SUBMITED TO THE BUILDING DEPARTMENT P TOR TO ISSUANCE OF THE BUILDING
PERMIT. / dd;loi, Oft2 )/ oua on/ ,
COMMENTS:_4))(‘,p O,� w-�L o� (�
�Y�Y — US l ✓'e.- cct .il 2. 1?e�r&—i ,c — /
BLM/89
/oh 2/gs2
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: t/
JOB LOCATION: 33 C,fows: Pa4C.# We 4'D GI/ l M9moe. y
NUMBER STREET VILLAGE
OWNER OF PROPERTY: /VR st/YIRS LtlO,P/O CU.PA'Hfl
CONSTRUCTION SUPERVISOR: 139Ui- 4. 441/0m9nn 0a3 JFY 4/1/y
NAME LICENSE NO. PHONE NO.
ADDRESS: )30?v ,73 15- /39Y w Of
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.
SIGNATURE: / tar - /
BUILDING OFFICIAL APPROVAL: A./A' 4`"`—
PLOT PLAN. . . . /
FOR LOT # 3
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) a' '
Well 0
1 (lot. ..9S1....... ..ft. rear)
Abuttor's I
r Abuttor's
Name
Lot # CV Sk I-1 .1 Name
1 I\cb Lot #4,,i
REAR YARD ,}
If this is a • k If this is
corner lot, ..ft ��If I Lt4 corner to
write in nameri—drs'� � o ° write in
of street. —,� , I I �S!�� name of
•
I II �C I�� w other
° �e4'-` 2 street. ,
T E • , • ro
k! '
' r{sn
Rti
SIDE YARD . ' SIDE YARD
HOUSE I (LX 5-
E l 0 /a- FT. 0 t �] �c� — FT�
• \
4
41
•
I .
SET BACK '
33 •
.4-.9j 1 .4:9.1 i
G0
q
(lot ,! 0 a ft. frontage)
33 C kOov LS 2'v, cplig c ai b
• /
• / (NAME OF STREET)
Zi
Information
/ \ Supplied by
\
MARK NORTH POINT
ONT ELEyATIOy
., RIpGtr a "
�oGA- 7 .4I4
CEILING ASSEMBLY ,/ Z
TOTAL R=
f� TOP SURFACE U= WINDOWS:
LD
4 R=0.61
( } 9nr S
INSULA'11ON '
R=30
f al) f/I7/I?/UUII1hl 'n,) /
=SHEETROCK DOORS: ,
R= 0.45 /
—BOTTOM SURFACE /
P R= 0.61
1/2' PLYWOODia ; _INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION
R= 0.62 C r -R= 0.68 TOTAL R= G.W.A. /S i 7
WOOD —}" SHEETROCK - U
SHINGLES rR= 0.45 WINDOWS/��
R= 0.87 J• r 4'
OUTSIDE 1 -_ " FIBERGLASS
SURFACE
SULATION
R= 0.17 V �' C R=11
J �`
=SURFACE RESISTANCE
/
I . R= 0.61
II�� k,_ c FLOOR ASSEMBLY DOORS:
O /1b7 I , — FINISH FLOOR TOTAL R=
V 'Y R= 0.91 U=
h „ PLYWOOD
SUBFLOOR MIT ASIDE ELEVATION
TION
1 1/ R= 0.621 G.W.A., ��
OUTSID' JVd✓ V ) v / / / t 2Y9 ld y/:_
SURFACE \ (_i U i�-JC 14/�'L l IAJ tt
R= 0.17 '✓ WINDOWS:
r' t t
F —6}" FIBERGLASS
� • \ \ INSULATTUN FOUNDATION
CONCRETE ( R= 19 WALL ASSEMBLY
FOUNDATION \' � \ (may be used instead DOORS:
WALL SURFACE RESISTANCE of floor insulation)
R= 0.61
R= TOTAL R= LEFT SIDE ELEVATION
/ f / U=
!,-
VC tai G.W.A. .9YH
1\,1, �—INSIDE SURFACE" �/ rl
w� � ' R� 0.68 / Y'
e v WINDOWS:
n� 3/8" SHEETROCR
1" r' I R= 0.32 (��J' �/
if . t. ,„___1 1 " STYROFOAM j.\' �j DOORS:
16><I4 BM! ,
NOTES:
PERMANENTLY INSTALLED STORM
WINDOWS TO BE USED a
GROSS WALL AREA=
WINDOW AREA= LI6, °
DOOR AREA=
Z FENESTRATION= ' l ' 7 1
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'aa� ENCIOSE'CHECK OR MONEY ORDER A
L� EXPIRATION DATE I LICENSE !
P:. • CONSTR. SUPERVISOR FOR REQUIRED FEE
P 060/1991 1 :
•
'" RES 7X)NS i EFFECTIVE DATE • LIC-NO gI MADE PAYABLE TO
NONE Lc
'V" rl "COMMISSIONER OF PUBLIC SAFETY"
;,.,. ,•;�-�- - ,. •;�Ob13011489 006225 _
' I�PAUI A N C4flptrr I� (DO NOT SEND CASH
'3ax 163
SS i 020-26-97900, : S DENNIS MA 02660
° va°«•«Kr, FEE: iEASE NOTE FEE INCREASE
t . 1j�.OD.' I
«, HEIGHT: wr•iunwra.s,.°�r�l, r FFECTIVE FEB._ 1, 1959
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