HomeMy WebLinkAboutBLD-90-641 • a• TOWN OF YARMOUTH , O.K.Few 0°l"'ti/4D
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MATTACM[ 5 MI ��
CC�•••t•a f% p !cation for a Permit to Build No.
UPON FINAL APPROVAL eit-90
1, ID -
MAP 423 -
/ 02/7
•
FEE MUST ACCOMPANY THIS APPLICATION. DATE yam: •
The undersigned hereby applies for a permit to build /a 84,90
according to the following specifications
1. Name of property owner .J 07A/ �a4/90
� /o Te1178 cYS3,S
Address3s' /In f
2.Name of Architect(if any) / Tel.
3. Name of builder 2)/f de 0/ 16-- e7 Address •
4. License No. 09-1-7F5Tel. 39P /3 i`
5. Name of Mason - ' Address
6. License No. /DTel.
7. Construction address 6—
G1/L�-/
Flood District
8. Date of subdivision Approval plain zo e Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
Oe
10. Multi family 0 /4 . '0 , i as ti SF
11. Commercial ❑ < i , I0"6 , � Kitchen
12: Other ❑ /[,i �, Dining Rm.
13. No. of stories �✓3' Living Rm.
Bed Am.
14. Foundation — Full 0 Half 0 Crawl 0 Slab ❑ Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room/0/6. /
18. Swimming pool - Size Garage
19. Storage shed— Size Shed
20. Stove — Wood 0 Coal ❑ 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
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
/
i
LOT RELEASED BY Signatu � = _ - '
PLANNING BOARD Address � ''/ �
Date d c 7
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANt: k/OJe c,E ,¢ /,,/ BUILDING PERMIT /I:
ADDRESS: ? / p-f e STA J( TELE. NO. : DATE FILED:
BLDG. SITE LOCATION: Sf1"/'+'"� MAP#: /,23 Lou: / ca/,
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 DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTME /
rrnii/ DATE: Jo 1 3l1�/� N/A:
rr
NDUS;•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.
COMMENTS:
t/sa - mast Sr/JTic "h Ic- ISS Ct F &( p-e(iti,.T
��o r.�[7,. c.c n c%. / /77i.v. 4' gXe-e-wl Arnim 6'4,4-ttit 7" f &, -s
BLM/89
, jet". /67.r-40
LOT NO. : -2(-7 ADDRESS : {" DSA-Ke 5;+
OWNERS NAME: S,e SKA-1A
SEWAGE PERMIT NO. : SI-9 NEW: REPAIR: X
DATE ISSUED:jig/87 DATE INSTALLED: I-1) 67
INSTALLERS NAME : Vev, ., ecs\en.
INSTALLATION OF: loco qPI P,t
WATER TABLE: FINAL ,INSPECTION BY: /40
DRAWING OF INSTALLATION ON REVERSE SIDE:
A
3
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iocp R.p ,7.3 .
t3 < 3 r
N ., 1eCc5al. 9.1 3-re SC '
C-D 31 ,
' PLOT PLAN
4
FOR LOT # a 7
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) Ea
Well 0 jA
_ a- A,
(lot 1¢5 ft. re r) •t3 I
— — — — Q I — —
1 - -
Abuttor's I
t
Abuttor's
Name I Name
Lot # I .� Lot #
REAR YARD
If this is a • a- • If this is
corner lot, 47 ft. corner lc
write in name I write in
of street. I name of
.: I a other
• -d ro street. .
Say--,
SIDE YARDj4 SIDE YARD
if HOUSE
0_S__ FT • 0
!�/i FT.0, •
A-1 iI
•
I
I •
SET BACK
Irft.
. I
I
0
if
(lot 1 I'- ft. frontage)
3 r-->Ak4 c
/ (NAME OF STREET)
Oh_ \ � Supplied by Gk+d. � 1�/��
MARK NORTH POINT
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jar,/ Seen
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T =I °' ' f " I I Sw6 ;' ,� ! APPROVED
I �
YARMOUTH COMMITTEE
I I___ •
IV:_ �I i G i OKHRD
(fpr rive Nous( -
14 , • >
l' LO NTT 2733 - /3
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" 9,733-1
h.ECEIUED -----"C —
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TOWH Or YARtIOUTH i — �"
IOWN CLERK 8•TREASUfiffr ,•_-. ' -
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APPROVED C H
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YARMOUTH COMMITTEE 1 I `) '
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OKHRD
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— — — 14 �
— -- — AaaiTiaN- --
- - . _. — APPROVED
.-- - YAIS0UTH COMMITTEE
---- -- - - — MAD
j01-el/ S1,41,7
R�� S � E� �.� 33-F .
.
FRONT ELEVATION
w G.W.A.
CEILING ASSEMBLY
TOTAL R=
(
�l TOP SURFACE U= WINDOWS:
yR=09"1
01` FIBERGLASS
/ TION
R=30
-
cl/PDA pi)fuzulnMn n A,i1
\ \=SHEETROCK DOORS:
e ti R= 0.45
ax+ f —BOTTOM SURFACE
J/ R= 0.61
1/2' PLYWOOD �-INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION
R= 0.62 R= 0.68 TOTAL R=
G.W.A.
WOOD • /._}" SHEETROCK - U=
SHINGLES
R= 0.45
R= 0.87 WINDOWS:
OUTSIDE . /=3}" FIBERGLASS
SURFACE INSULATION
R= 0.17 ' R=11
— SURFACE RESISTANCE
j � R= 0.61 FLOOR ASSEMBLY
- FINISH FLOOR TOTAL R= DOORS:
\i(
R= 0.91 U=
/1 - }„SUBFLOOR
D RIGHT SIDE ELEVATION
- I/ R=i0/.62 G.W.A.
OUTBID
�i 7 V V U v UV AICI��J cV(tot /ate
R= 0.17 I:- JwsfS WINDOWS:
—64" FIBERGLASS
\ •, INSULATION FOUNDATION
CONCRETE iI � R= 19 WALL ASSEMBLY
FOUNDATION (may
be used instead DOORS:
WALL 4 SURFACE RESISTANCE 1 R= 0.61 of floor insulation)
R= TOTAL R=
LEFT SIDE ELEVATION
U=
C $ G.W.A.
INSIDE SURFACE
alt op # 7.—R= 0.68
6tittG0 3/8" SHEETROCK WINDOWS:
�Jd�l�f�l 1 r—R= 0.32
•
1" STYROFOAM
' t; 1
1 4 I ��
NOTES:
PERMANENTLY INSTALLED STORM
WINDOWS TO BE USED
GROSS WALL AREA=
WINDOW AREA=
DOOR AREA=
. I
Z FENESTRATION= 1
•
- - Application to • �" ^�
all .% ';► Old King's Highway Regional Historic District Committee
in the Town of Yarmouth for a
y
U °�J 4 f
CERTIFICATE OF APPROPRIATENESS •
L
Application is hereby made in triplicate,for the issuance of a Certificate of Appropriateness under Section 6 of-Chapter 470, .
Acts and Resolves of Massachusetts, 1973,for proposed work as described below ander plans,drawings or photographs '
accompanying this application for: c
i-'t
CHECK CATEGORIES THAT APPLY: n 77
1. Exterior Building Construction: ❑New Building IgAddition 0 Alteration ar r* n
Indicate type of building:: )-louse 0 Garage 0 Commercial ❑Other -x"I NJ n
2. Exterior Painting:( R"2 0
3. Signs or Billboards:0 New sign 0 Existing sign 0 Repainting existing sign 7
5 a •i
4. Structure: ❑Fence ❑Wall ❑Flagpole 0 Other ar
(Please read other side for explanation and requiremenfsS?= t'
TYPE OR PRINT LEGIBLY DATE. ?/&//G
0
.4
ADDRESS OF PROPOSED WORK 3S DRAKE S " ASSESSORS MAP NO. /z3
OWNER ✓OSeltSkIg,/A ASSESSORS LOT NO. 7'2/7
HOME ADDRESS Yf 2/2A/(CE 577 TEL. NO.393'- 8SSS
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
Jeso/i 2 Men..4; 4, Deelke Sh Amity rftee/ey, a¢ DD4Ae. Sfj itut dy
Etat/Amu, 39 azenwy%N !AA&I 17141,Alt '/ /to7c• Fdw.aeraiJaJJw , 40 7.ue. Sfj
7A11,J F,i yrr4.4/0 /ra deishott/1. /hA/o/ev,A 0z,14o'; afe Hwek', ai 1`7,r' 4.
AGENT OR CONTRACTOR _A-4 anuslAvethrAI r Aenr0RL/,AJy TEL. NO.'374-23ll
ADDRESS 72 AO; Si. 31:74/027d W �1 02444* ! _ ..
DETAILED DESCRIPTION OF PROPOSED WORK:Give all particulars of work to be done(see No.8,other side),including_ ., .,
materials to be used, if Specifications do not accompany plans. In the case of signs, give locations of existing signspnd;,. -
. proposed locations of new signs. (Attach additional sheet, if necessary). _ """' '
` (/ -a+e+►r- tractor-Agent
1 Space below line for Committe6 use. , • _- -• ' . - _ -
Received by H.D.C. NS MOND D: 'with Anders n 6' French Doors w/ grilles: all door
II / and windowswood trimmed to matFh ex sting. •
Date �'?I�► The Certificat ' perebyl� aY so "t'1�` ��Date 1/' r� • `7
Time — L -Pi GV ✓ 4 -...,1 (' , Ns'
y
S By c -
t,`
Approved NO% IMPORTANT: If Certificate is approved,approval is subject to the 10 day apd a l�d
provided in the Act. YARMOUTH COMUITTEE
Disapproved 0 Please return to: Yarmouth Historic District Committee ' t7t,)( �►,!D
Town Hall, 1146 Rt.28,South Yarmouth, Mass.02664 Y�Ap . ] V /
TOWN OF YAM.= Z 73 3 4
OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE
SPECIFICATION SHEET.,_ -
APPLICANT'S NAIL' Vu 1 G' [AA FOR:. i''svni„/P/n-vi 404/, 74,✓.v
H, n
3 C.MA it Si; PrrEnirn
tk
FOUNDATION: c cti(/..C.. 4 � '9Q se 20 All :55 COLOR
TOSIDING: w n'ft el Ont& l ONN CLERK a : TREASURE), COLOR: /vATNnf;
CHL`LNE?:ThN/i- / COLOR:
ROOF MATERIAL: AjrAfral A,^'745 PITCH: a2- COLOR: A ca./.
'A A a
WINDOWS: AN chis f/q/ C-as CA)ktrac.4 SIZE: ic X 5
TIIL`I COLOR: "lit (6.47 in 0
DOORS: t/A'cte/l1V 6 ./- c rtTiZ• "An." /nom. 9 L 7-C 3 UJ`cO/f COLOR: /�jntc�,�,
�L7✓G// Dpurt tt7IGaZJCGce5
SHU=S: NO COLOR: 7i Nl}-
Gula:,:: /4 Livid,/v.- COLOR: W A , 71--‹
DECK: ---)N/} SIZE: COLOR: ---
GARAGE
—G RRAGE DOORS:)/v/9- SIZE: COLOR:
t.
IO
YL'2"*OUTH COMMITTEE
STORM WINDOWS & DOORS: k0 in COLOR:
SKYLIGHTS (FLAT ONLY) /(/O SIZE: ' COLOR:
ADDITIONAL INFORMATION: 19 I0.6.1J t,�J ,� CLL1)-1 ' 4! •
-Y34,0 OA J2-La
t.+•aa 10 J
9/88:c1
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: �/ rAitin //^�JOB LOCATION: 3S �/tA-,& 57L ofGtL �'NUMBER // (7�/� STREET VILLAGE
OWNER OF PROPERTY: /(/f V/�O'/� q
CONSTRUCTION SUPERVISOR: /, (71, 417/7 a q-q-/PSS .391----,* /3
NAME LICENSE NO. PHONE NO.
ADDRESS:
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:��- %
BUILDING OFFICIAL APP OVAL: