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H�,cc* " of Application for a Permit to Build Na. l'
UPON FINAL APPROVAL -✓ 1// 7JMAP I LOT 431
FEE MUST ACCOMPANY THIS APPLICATION. DATE411 Ol/. 9 90
The undersigned hereby applies for a permit to build �� 7296
according to the following specifications
1. Name of property owner Chit' e � Aru i Omrts Tel.G/0 3,217-69,2.2Address i 01-1 A sell .S-I" , We-ft 1204%i /11
y ,
2.Name of Architect(if any) Tel.
3. Name of builder_�1 ,uNf Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel. '
7. Construction address i qN 11 rI the C-rlove ied To trth_ ya2rnoo h MA. _
Flood zone ct n_ aS
8. Date of subdivision Approval plain zone nil
9. Private dwelling ❑ timated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 4/00,09 0
11. Commercial 0 4if pKitchen
12. Other 0 Dining Rm.
13. No. of stories Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab ❑ - Bath
15. Materials — Wood 0 Cement ❑ Other 0 Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
Family Rm.
17. Garage - 1 0 2 ❑ Sun room
18. Swimming pool - Size Garage
19. Storage shed - Size Shed
20.Stove — Wood 0 Coal 0 Alterations V
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
LOT RELEASED BY Signature clAntiAl Tt17 –
PLANNING BOARD Address 10 4/ / Jel/ J7`"
�,/
Date t /eJl pocbtity, /IA-.
‘' TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE NQV. { 16190
JOB LOCATION l qI LI one Gao e ) _d_ utb 2/hw��1
NUMBERE /IVn .y
STREEETT ADDRESS / SECTION OF TOWN
•HOMEOWNER" C/VIS Aeg• i rnim (vii 3a'I Gyaa 3&O -N HOME PHONE� WORK PHONE
PRESENT MAILING ADRESS Iffil L�Je'� „H-
aleft
1y
I' M a1 /301..
CITY OR TOWN (Ju billy 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 PROCED S AND REQUI' 4I S.
HOMEOWNER'S SIGNATURE (y . 7% , I ,41.
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.
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