HomeMy WebLinkAboutBLD-90-670 • POSTED : Cyle2e r.fkbd
** f V' `� TOWN I ` ARMOUTH oK ' 'VQ/4°
TeMATTACMEES ht
t""0"' -F- Application for a Permit to Build No. (0 70
UPON FINAL APPROVAL P MAP PI LOT R- 1-/7
FEE MUST ACCOMPANY THIS APPLICATION. DATE //A9 90 •
The undersigned hereby applies for a permit to build / /.3790
according to the following specifications /* 96
1. Name of property owner S hh M A*yu o TeI.B/3-SS'/- 76'06
LOt 1 2
Address 126.51 S`a�ob Rag 31 6'48
2.NameofArchitect(ifany) S Tel.
3. Name of builder Riot (Mr 6 /er Address 00? Red Faivh /?v. erewst%
4. License No. Diff 673 Tel f`f 6– ins?
5. Name of Mason _ ,— Address
6. License No. Tel.
7. Construction address /0 l(earia"5e? Po(. S ,jarma✓*
Flood .. District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multifamily 0 1$q 00 Type of room No.
11. Commercial 0/. Kitchen
12. Other l�J Dining Rm.
' co. Living Rm.
13. No. of stories Bed Rm.
14. Foundation - Full 0 Half 0 Crawl 0 Slab 0 Bath
15.Materials - Wood 0 Cement 0 Other 0 • Deck 1jj'apicgf- L
16. Type of heat Oil 0 Gas 0 Electric 0 Other 0 Closed porch
Family Rm.
17. Garage - 1 0 '20 Sun room
18. Swimming pool - Size Garage
19. Storage shed -Size Shed
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: ft of feet front ?S. No. of feet rear W 0 No. of feet deep �/0
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 y 0I f From rear lot line 35 / 1 Side line '7
LOT RELEASED BY Signature U4,4 -<i CC9A
PLANNING BOARD Address
Date
r
BUILDING PERMIT APPLICATION SIGN OFF
•
APPLICANT: l/t/' LIter Ed-4r/) J BUILDING PERMIT it:
ADDRESS: c3Q7 /LG�1 /w1 IgOL /� TELE. NO. : 7i6 -bizS1� DATE FILED: _ qd
BLDG. SITE LOCATION: ID Ira /[OA'/TMAP//: LOT/l: 2_ 7
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 OIHhR 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 TE: /� DDATE:
/ •4""h()1. WATER DEPARTMENTN `_'�'7�'",,_7_e-,-- ATE: Q N/A:
2. ENGINEERING DEPARTMEN : 4 / DATE: N/A:
3. CONSERVATION: �� //�� DATE: /1/7//0 N/A:
4. HEALTH DEPARTMENT DATE: / e3 N/A:
IoUSTR • 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 SUBMITT 0 THE BUILDING DEPARTMENT PRIOR TO ISSUAN E OF THE BUILDING
PERMIT.MN // V�J ry/aQ�inoi � In h4 4,04
COMMENTS: �� O�.ac/ /
Ioace_On/
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B124/89 /4 4/)
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TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
JOB LOCATION: /0 /fearsar,5e fie- g0t.-1- Ya rim°0-11
NUMBER0:311,1
� STREET VILLAGE
Z}
OWNER OF PROPERTY: p{1 111' / I Ctil 3 Ot V1 0
CONSTRUCTION SUPERVISOR: water S, 1le,- 0'1787.? M-112S9
n '` NAME Rd
NO. PHONE NO.
ADDRESS: 36, 7 /[ea( / win Rd ' ereuvSler MASS.
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 0
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 SUPERVISI
SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTE
ON THE RECORDS OF THE BUILDING DEPARTMENT.
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERS
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILD
OFFICIAL.
SIGNATURE: f! 444)
BUILDING OFFICIAL APPROVAL:
•
• PLOT PLAN
FOR LOT # V7
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well 0
1
(lot 80 ft. rear) I •
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Abuttor's I Abuttot
Name IName
Lot # I Lot #
REAR YARD
If this is a 3 5 If this
corner lot, ft. corner
write in name I write
of street. I name c
c other
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a street.
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SIDE YARD SIDE YARD
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SET BACK II/
10
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(lot q'S ft. frontage)
\ icearSa r@e Road
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// (NAME OF STREET)
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1-ISIZ6oN COMPLYS WtTA TIRE 51n•LIb-IE :7-1
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REGIS IL-Zat t s zo SUCV-Yot C
THIS 17LAI47 IS Li OT BASED Ot-t ALI OSTEQVILLE o MASS.
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T�LCR.
310 CMR 10.99
Form 2 DEP File No.
(ro be provided by DEP)
�' YARMOUTH
Commonwealth
ca Town
of MassachusettspppliCant Walter Fyler
•
Y�
Determination of Applicability
r Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
and the Town of Yarmouth Wetland Bylaw
From Town of Yarmouth Conservation Commission Issuing Authority
To Walter Fyler Same
(Name of person making request) (Name of property owner)
Address
10 Kearsage Road, So. Yarns„rr Address Saar.
This determination is issued and delivered as follows:
C by hand delivery to person making request on (date)
by certified mail, return receipt requested on ry-toper 9, 1990 (date)
Pursuant to the authority of G.L. c. 131 , §40. the Town of Yarmouth Conservation Commission
has considered your request for a Determination of Applicability and its supporting documentation, and has
made the following determination (check whichever is applicable):
Location: Street Address 10 Kearsage Road, South Yarmouth
Lot Number:
1. C The area described below,which includes all/part of the area described in your request. is an
Area Subject to Protection Under the Act.Therefore, any removing, filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. _ The Work Described below, which induces all/part of the work descnbed in your request, is within
an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area.There-
fore, said work requires the filing of a Notice of Intent.
Effective 11/10189
2.1
3. 0 The work described below, which includes all/part of the work described in your request, is within
the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under
the Act. Therefore, said work requires the filing of a Notice of Intent. •
•
•
. This Determination is negative:
•
1. 0 The area described in your request is not an Area Subject to Protection Under the Act.
2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but will
not remove, fill, dredge, or alter that area.Therefore, said work does not require the filing of a
Notice of Intent.
3. V The work described in your request is within the Buffer Zone, as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act. Therefore, said work does not require the
filing of a Notice of Intent.
4. 0 The area described in your request is Subject to Protection Under the Act, but since the work
• described therein meets the requirements for the following exemption,as specified in the Act and
• the regulations, no Notice of Intent is required:
•
Issued by TSWN OF YP!! acc
"OUTH Conservation Commission
Signatur '` `� /% e' ?
•
op)47/ t
This Determination must be signed by a majority of the Conservation Commission.
On this " 4rE ay off L'�-+�+-
�/ _ 19 6 . before me
personally acpeared _ , to me known to be the
perscn deserted in, and who executed, the foregoing instrument, and acknowledged that he:she executed
the sameas h free c5 L
yr camninwn 6aua na.++6er r.Mel
Notary Public My commission expires
This Determination opts not reeve Inc applicant from comowmg wan all other aDplicaDie lepers!.state or local statutes.ordinances.
bylaws or regulations This Determination snail De valic for three years form me Gate of issuance
Tne apolicant,the owner.any person agarievec by this Determination.any owner of land abuning the lana uoon wren the pr000sea work
te to De cone.or env ten resiDems of me cny or town in wnrcn sucn lane is locate:.are nereoy notif lea or ineir right to reouest the Department
of Environmental Protection to issue a Supersecmg Determination of Aponcaoiaty.crowding fns reouest is macre ov carnhec man or nano
Delivery to the Deoa^.men:.won the appropriate(dine tee an Fee Transmittal Form as provicea in 310 CMR 10.03,7)within ten oays from
the eye of issuan".,B or finis Determination.A:coy of tne reouest snarl at tne same time oe dent Dy canine:mall or nan:oeuvery to the
Conservation Commission one the applicant.
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