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Home My WebLink AboutBLD-90-664 ,pF•YAR, S7Ep Oro 4?ci •c- pi o TOWN OF RMOUTH (of'-' ✓ 141n° TTACNC $ �r �,MA• •• . Application for a Permit to Build No. 6 6y UPON FINAL APPROVAL ' /,- _9 MAP S/ LOT "6/9.3 FEE MUST ACCOMPANY THIS APPLICATION. DATE _ .'1 9O The undersigned hereby applies for a permit to build // 9/70 according to the following specifications /� ///996 1. Name of property owner ams2 /11 eCaAWt.e`I Tel. Address f0 S/AILOW CROOK RD S. wWRn1 2.Name of hitect(if any) Tel. 3. Name oi r 'Pin SPS/N/SLC CO Address /79 Aget'flYCF E.O /IS; 4. License No. (006693 Tel. 775-/77g 5. Name of Mason Address 6. License No. Tel. 7. Construction address /D 5/5/ CL04., /, Z,Oac' "OM° Flood District 0_ y0 8. Date of subdivision Approval plain zone Zone 9. Private dwelling ® Estimated Cost Op DO NOT WRITE IN THIS SPACE 10. Multi family 0 ?COO, 00 /la/ S�i24 ,is1 Type of room No. 11.Commercial 0 xemig scare# WilMSACC"- r" Kitchen 12. Other 0 49°S71�la 5440/,46- Dining Rm. m. 13. No.of stories 04/6- �os / Living . 6-0 Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 p_s°2 o-o w�? ,,yh 15. Materials — Wood 0 Cement 0 Other ❑ �v 7 — Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch Family Rm. 17. Garage — 1 0 2 ❑ ,Ig.emee 6 traaa/Pitun room/Oyu,' / 18. Swimming pool - Size pm6nc S UEfur Garage 19. Storage shed — Size0 K w�u KG Shed 20. Stove — Wood 0 Coal 0 ith}"T 1' Alterations i 21. Size of lot: No. of feet front /00 ' No. of feet rear A20No. of feet deep /00 ' 22. Size of building: No.of feet front 3 5't No. of feet side god No. of feet rear 3 y 23. Distance from nearest building: Front /010 i Ft. side 70/ Ft. side 0 / Rear /30 24. Distance back from line or street - g0/ From rear lot line aO ' Side line 3 S' LOT RELEASED BY Signature % 11,1' PLANNING BOARD Address \114 i nPOS7nt LE 9 OM) Date [1^01 N AU 5 Yh Y4 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM • LEASE PRINT: �Jq� OB LOCATION: �O -5-7219//0/4 4 o/ / NUMBER / /y/ STREET VILLAGE WNER OF PROPERTY: Gx✓i/o�/C/�J //�/� �C�W/cy 7.5-=/7763. � ONSTRUCTION SUPERVISOR: /, SSG,9'/ K Ste/at/dor 0066-n q/7 5/77 , p� NAME LICENSE NO. PHONE NO. ADDRESS: /97 /[//J /V35G`4, ,40V//1 0/955 ICENSED 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 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 PER`TIT. 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 SUBSTITUT 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 INSPEC ON PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUII OFFICIAL. SIGNATURE: %. 1 BUILDING OFFICIAL APPROVAL: • 1' PLOT PLAN FOR LOT # 1/99s3 Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ED Well g (lot �v� ft. rear) I 4 Abuttor's I Abuttor Name I I Name Lot # q I Lot # REAR YARD If this is a P O If this corner lot, l' ft. corner write in name write of street. Val I name c is I 1 a other oQ 0 I o street. 4 Ewe /Naba1Sp w SIDE YARD SUN hUv SIDE YARD S FT. HOUSE f FT p- _ _ _ Li a IIII . • O 1 SET BACK §0 ft. I CI- (lot 100 ft. frontage) /b . S/V/91 IO0 I/bait' / / (NAME OF STREET) / \\ Information /�np� �p /� /J / •\ Supplied by jC1/ A7'�/W.C�ira 4 AW 1�,f 10/i/G MARK NORTH POINT BUILDING PERMIT APPLICATION SIGN OFF a Ll APPLICANT: 43/....*Nee, CogAf2Ny BUILDING PERMIT ll: ADDRESS: /79 /f ,/ ,gplf /�/,NN/S TELE. NO. : 7,757-776 DATE FILED: /0-,07-7:0 BLDG. SITE LOCATION: /0 54',4294) /9/200‘ MAP#: S� LOT#: ,6 ,73 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 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 /C1/3C/90 \14---