HomeMy WebLinkAboutBLD-90-637 POSTED L4 (f'trJ-(7. to/c)744/
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�` igt.* % Application for a Permit to Build No. 3
UPON FINAL APPROVAL af, 10-- M O53 LOT L-
FEE MUST ACCOMPANY THIS APPLICATION. DATE /0/7�6 19 70
The undersigned hereby applies for a permit to build /9A 4/96
according to the following specifications
1. Name of property owner E. Allen 1Row\5eJ1‘\\e Te1.394-05tJ
Address 48 Maria. rv\a;r 5*reed So. Yarn oLk tt\
2.Name of Architect(if any) Tel.
3. Name of builder Gregor 7 C. eRounsA.I.V.t Address 48A). lfla"n 5+, So. Yarnio t.d4
4. License No. /)50 '7 7 Tel. 354 -0557-
5.
94 -0557-
5. Name of Mason Address
6. License No. Tel.
7. Construction address lP N or\--L main S1tea.k , Sour". Yet rn o u
kk
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
04
s,9,.4,2- s- Type of room No.
10. Multi family ❑ /So 0222- S� N
w C GAUSS
11. Commercial�'ot SW/1/77r--5 Kitchefi
12.Other 0 Dining Rm.
13. No. of stories 1 60 Living Rm.
Bed Rm.
14. Foundation - Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials - Wood l. 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 0 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 175 : No. of feet rear 19 9. 5 No. of feet deep .Z•55-:
4
22. Size of building: No. of feet front al= Ian No. of feet side AD:- 5'. No. of feet rear a9 '- I
23. Distance from nearest building: Front '4L �5 Ft.!de as-'(1‘ Ft.tileC0%th? Rearl9t 0a
24. Distance back from line or street I a8‘`of From rear lot line (9-4-101)
SideQlinel3S 42 '
f� ItS4s:da '-
30O"
I
LOT RELEASED BY Signature ' - (1- lea
PLANNING BOARD Address is '4.04.4 ma��l SS 22J, 60,01-4 /u ri, rniou4-4
Date
. PLOT PLAN
L- S
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well r
I I
(lot. . . .,3:..F. . ..ft. rear)
Abutter's I Abuttoz
Name I Name
Lot # I Lot #
REAR YARD
If eIf this
cornlot,is a 9'r r/0 II ft. corner
write in name I write
of street. I name c
lA ndS .1..; a other
a°i street.
Ce mcke 7 'b —
•4
SIDE YARD SIDE YARD
IIOUSE ����� FT
0 �=0 FT_ 0 • a {\
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IIn I
i 43Cq
In • I I
(e SET BACK
Iasi-0„ ft.
I .9
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I
40.1
Pot 17 5 • . - ft. frontage)
/ et_ 0) I)or\-\\ V\a;I\ Baja-V
/
/ (NAME OF STREET)
z< > < • .
/ \ Information G(1/4e_80 7 C. `Rel lite S¢il.1 1
/ \ \ Supplied by
MARK NORTH POINT
BUILDING PERMIT APPLICATION SIGN OFF
/
APPLICANT: ( Dre9or7 C. '7�out4S&OI Itt BUILDING PERMIT /{:
ADDRESS: 49 N\ C) C-N.� 1\1\-8;r-‘ SY'esS•So.? r, TELE. NO. : 391--0S-.5 T- DATE FILED:
BLDG. SITE LOCATION: 4}$ �0 -,` ma;n ,So.VarfkpAMAP#: 53 LOU: L- 5- •
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
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: }�l
JOB LOCATION: 48 IV0 k\ �M f b; n & c k Sou*L t?a rmotIkk
NUMBER ^ STREET VILLAGE
OWNER OF PROPERTY: E. Aloer� �Oun^S�4V11k • 1
CONSTRUCTION SUPERVISOR: Gf gc,ry C . TOtarznu ki 05077 .394 "0S5 7-
` M N ! C , / LICENSE NO. PHONE NO.
ADDRESS: AA na ►11�i^ S - So .VAd'^touT�'1
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 UNDERSTAI
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN(
OFFICIAL. /'
SIGNATURE: ( . e
BUILDING OFFICC AL 2ROVAL: )
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