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Home My WebLink AboutBLD-90-654 611417e412-/91 6 $ � "t 'r eo TOWN OF' RMOUTH eal- �dili-ls° tp,, '• MATTACMCCS • 9 % "ss = Application for a Permit to Build No. UPON FINAL APPROVAL �- MAP a<; LOT E / 4 FEE MUST ACCOMPANY THIS APPLICATION. DATE Oct 2 9 19 9Q The undersigned hereby applies for a permit to build //5/ according to the following specifications �i�'c77 1. Name of property owner at-64 4---4,,ta /227./11am Tel.77 6.,CS-3 Address 2 9 44„7:,... -tc, 51, tint /...-_,..e 2.Name of Architect(if any) Tel. 3. Name of builder A� aLt`U E /nlo -On) Address 4 4 1. Pte, A agrR 4. License No. O 1 3 / y / Tel. 3 9 y- / & Z Z 5. Name of Mason Address 6. License No. Tel. 7. Construction address o2 9 M;70-71:4:0 v5 avt l icon ctA, Flood 1 District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE eType of room No. 10. Multi family 0 5 galls n o I_itattpzy 11. Commercial ❑ -ei ', Kitchen 12. Other i Dining m. .- � 13. No.of stories Living R . / air- _ Bed Rm. 14. Foundation — Full 0 Half id Crawl 0 Slab 0 2-S e Bath 15. Materials — Wood VCement 0 Other 0 Deck 16. Type of heat — Oil 0 Gas Electric 0 Other 0 Closed porch Family Rm. 17. Garage — 1 ❑ 2 ❑ 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 /07 No. of feet rear / 0 7 No. of feet deep f L. D 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 LOT RELEASED BY Signature f_drift-u (Al PLANNING BOARD Address /(( 6,4- r Ple44.1 A a Date sp //cv`'rnua'(�.' /Iti_ FRONT ELEVATION G.W.A. CEILING ASSEMBLY T TOTAL R= TOP SURFACE U= WINDOWS: R=0.61 — 9" FIBERGLASS 7—INSULATION __R=30 vflll 1 AMMIU l1I1 n A \=SHEETROCK DOORS: / R= 0.45 1 —BOTTOM SURFACE R= 0.61 1/2'!PLYWOOD. 2�_INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION R= 0.62 I� R= 0.68 TOTAL R= G.W.A. 70 (2-- I —}" SHEETROCK U= WOOD A SHINGLES %.2., R= 0.45 WINDOWS: R= 0.87 --1 • ` r OUTSIDE /=3}" FIBERGLASS SURFACE INSULATION R= 0.17 / R=11 SURFACE RESISTANCE jf R= 0.61 FLOOR ASSEMBLY 1 , `7 •- FINISH FLOOR TOTAL R= DOORS: 7 R= 0.91 U= j -- " PLYWOOD L' \ SUBFLOOR RIGHT SIDE ELEVATION / �^/ '/ 1 R='0..62 G.W.A. / a SURFOUTSACE 1 V V V V `/ uout/Et/ ) R= 0.17 #1--rr�'J� /L ,' WINDOWS: FIBERGLASSINSTION FOUNDATION CONCRETE R= 19 WALL ASSEMBLY FOUNDATION (may be used instead DOORS: I URFACE RESISTANCE of floor insulation) WALL i R= 0.61 TOTAL R= LEFT SIDE ELEVATION U= i. + G.W.A. 4 7 �—INSIDE SURFACE I R= 0.68 3/8" SHEETROCK WINDOWS: I I �`R= 0.32 1" STYROFOAM pi ��— DOORS: . II NOTES: 9 CZ INSTALLED STORM WINDOWS TO BE USED GROSS WALL AREA= 2 0 y /` WINDOW AREA= , te' eQ- / - DOOR AREA= ,ai t. S .s Z FENESTRATION= i BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: 6tJQ2Dti /,0 a to Q BUILDING PERMIT It: ADDRESS: Jabal ! TELE. NO. : 39c'—/f} 2Z DATE FILED:Qa-/47-9Q BLDG. SITE LOCATION: 27 f2e4 -,,:n' C).1.164.A, MAN,: LOT/1: • 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, MARSE 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 INSPECTOE ISSUING REQUIRED BUILDING PERMIT: REVI BY: WATER DEPARTMENT � / j/ 9/,� (,e) DATE: /0/? •940 N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: ' 4. HEALTH DEPARTMENT /0 „ DATE: /Slip N/A: ' 'US • • 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. 4 / //� _� / / % _/ / COMMENTS: ,p . D/��// 2� N > oii �/ /t r�-w5>el-o /1 Q-u.SrL, Q02/ ,LLQ - p n• Foye 0. " ,#OOv: t-1/2N/s< cc/t/l-/1¢' IVa-a v/7)//- If) X, ?- F-ovJc 0 # '2/N. Avil * ffccC S S BLM/89 �C� la 29/YQ TOWN OF YARMOUTH BUILDING' DEPARTMENT CONSTRUCTION SUPERVISOR FORM LEASE PRINT: • • OB LOCATION: A / '`� STREET 4 j1LLok� �X 46J NUMBER WNER OF PROPERTY: /°tte i-4 -e) 662E-e ONSTRUCTION SUPERVISOR: W ap,t ( Ld w✓1-on, 013/ Y / 377—/gal �NNA�ME J LICENSE NO. PHONE NO. )DRESS: I4 G V` n._ `A/Y�Q Sd, f`l�� a, ICENSED DESIGNEE: LICENSE NO. (IF OTHER THAN SUPERVISOR) NAME 2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: 2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND. COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH HI IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STA' 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 SUBJEC TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. 2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER 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 SUPERVIS SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUI ON THE RECORDS OF THE BUILDING DEPARTMENT. I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSINC STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDEF THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUII OFFICIAL. I�]�� J � "�" SIGNATURE: hi r,,�v`" " `C(/ ora-a)-0 ) BUILDING OFFICIAL APPROVAL: PLOT PLAN FOR LOT # '2' VS /a A S Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) Well 0 I (lot /0\1/2ci ft. rear) Abutter's I Abutter Name Name Lot \# I Lot # 6-to^owck; °rook REAR YARD If this is a /� If this corner lot, . . . . .1�./ . . .ft. corner write in name write of street. sii , name c a other <P, ) street. 4 r0 SIDE YARD a HOUSE SIDE YARD • 0_C2g , FT_ 0 '2 (3_32 _ _ FTt> . s , 1: • o 0 - 0 • n • 1 �. SET BACK Lir ft, I I 1� q-a (lot. .tP.24a. (. . .. . .ft. frontage) \ /V1ci10ek SPP eel - \ / �/ \ / (NAME OF STREET) / \ Information GJ aS C..) a / \ Supplied by / \ MARK NORTH POINT I I • • • -i2 I • • xc • • 1\ v -- RS?fl tT-5Hiu&L€S yr j O` • e - NE.W1'-0XStO - -ET_t&CTc-- • I I I 8 iiCo r i d I �I apt- 1 =exp WM-RR MS • • Salt bW ' IZEr.. 1I I_ _I pi1 =Ixv It-It!C-, • • � II ii 1 1 • • n • 1. 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