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BLD-90-674
6g 106/kd t o rY,9Ji CLW �� I�/�� $c- ; rho TOWN ARMOUTH oh • MATTACMC $ 4'r // QC ..:*v0, Application for a Permit to Build No. ' 7 UPON FINAL APPROVAL �V' lI f�6 ��bMAP 4 o LOT F r7 FEE MUST ACCOMPANY THIS APPLICATION. DATE / 19 The undersigned hereby applies for a permit to build / /6/ according to the following specifications ////4 1. Name of property owner A�"th 0 ,4��f�ti/�. T . 7 Address /s/woo i/ii��.b/RiG•i7- layeEmi7m-h 2.Name of Architect(if any) /Tel. 3. Name of builder RQ,_/ulina Address $q,,2Sfbk /HQ% 4. License No. 0 0/7c-�' Tel. la, ---///1c. 5. Name of Mason Address 6. License No. Tel. 7. Construction address /37f1oa9ngh%RJ 14, UI 1 Flood / District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 34 o00 3'72-SF 11. Commercial ❑� �,,, /�42o' ,,a_ , //S Kitchen 12. Other �� I'( G'G�, S� —5—, IC) Dining Rm. 13. No. of stories rdy"iz f.2l`—.-` Living Rm. Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 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 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 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 1- A '/ `/ - PLANNING BOARD Address 5? /9GR e %/ If Date 5&�e/psf�d Net 0fl 50 BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: ,94//0 Mann ' //79 BUILDING PERMIT If: ADDRESS: Tfc.ge. TELE. NO. : 34,9-JN ht DATE FILED:S/9Q f/7 9 t`a h -t /W a. ✓9-� 3 0 BLDG. SITE LOCATION: /c/y � 0;, 1 • p ', -17. OR LO,' gcU 'KsMAPII: p 6 LO : S 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 INSPECTOI 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: /I/1 S/4O N/A: INDUS lAX. 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: ! gra 411-- Nati S€137ic S?G ""-‘ Mu1' e-t 1nS*.11t/- ¶apt n-esi.4 � 7JssvoSr a-t( it fro B LDS If t%srrf ,ter! five /ti0 U r CGrzcs � I/o r eere-u N ,c`i r if1Det- VtiiNY,Af6- /`aQA-C. BLM/89 p- FRONT ELEVATION G.W.A. °fig♦ 3 . CEILING ASSEMBLY TOTAL R= '3/47 TOP SURFACE U= WINDOWS: /� R=0.61/ • 03/ c [ , 9" FIBERGLASS INSULATION R=30 V)J) 1 MJU1/l�t/1Mn n n4 \_SHEETROCR DOORS: I R= 0.45 • ' ism —BOTTOM SURFACE R= 0.61 I/2'-PLYWOOD Pi INSIDE SURFACE WALL ASSEMBLY g R= 0.62 1 r R= 0.68 TOTAL R= /i7. REAR ELEVATION • P'/ /�(1 GTW.A. WOODSHINGLES � OF —i" SHEETROCK U= - 037r L 7 4 J e j'v L ( R= 0.4 WINDOWS: R= 0.87 ` �'' lfiq 3 .S 0 OUTSIDE `/=3}" FIBERGLASS•3f SURFACE INSULATION R= 0.17 R=It / 3 i SURFACE RESISTANCE R= 0.61 f, pp •- FINISH FLOOR FLOOR TOTALSERBLY�/-y T DOORS: ?( r R= 0.91 U= • 0951 - X .„.,,,,,- r}„ PLYWOOD SUBFLOOR RIGHT SIDE ELEVATION \\\ Q j— R= 0.62 G.W.A. ./70 OUTSID ,f SURFACE l 7 V V sit R= 0.17 . WINDOWS5 / FIBERASS INSULATION FOUNDATION CONCRETE R= 19 WALL ASSEMBLY FOUNDATIONI (may be used instead DOORS: /Lw, URFACE RESISTANCE WALL ! i R= 0.61 of floor insulation) 3 3 R= TOTAL R= U- LEFT SIDE ELEVATIONp L $ G.W.A. /fes/ �—INSIDE SURFACE O R= 0.68 - i I /.-3/8" SHEETROCK WINDOWS:7 / +' R= 0.32 ' 1" STYROFOAM i �— DOORS: _ t ' i , d. 5-S I. c . .. p I . . 4 r _ I n i . .i NOTES: PERMANENTLY INSTALLED STORM WINDOWS TO BE USED 4 GROSS WALL AREA= •, WINDOW AREA= �'.9'. DOOR AREA= 5 5. s _ % FENESTRATION=,.I 1{ O • TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM • PLEASE PRINT: � JOB LOCATION: NUMBER M©l/t{” 9/JJ � //II s �S/VILLAGE 5avin 0/�f// / STREET OWNER OF PROPERTY: m a ,L ,m(' /I lel rgk e' pp��// q0 CONSTRUCTION SUPERVISOR: pan,41q 0 !7//l9 0 0 / 7 ✓ ---/// NAME /,��7 /// LICENS ANO. PHONE NO. ADDRESS: 5 °9-. AOA; #/Clio /" nn S tJ/ !Vl o. 09-G Jo 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. r SIGNATURE: 11-0 97 , V BUILDING OFFICIAL APPROVAL: PLOT L PLAN FOR LOT # I✓ Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ED Well I (lot/O '3 • 3 O ft. rear) I AbuLLur's I n Abuttox Name I Name Lot # o& /_ I Lot # REAR YARD If this is a • M If thi s corner lot, corner write in named ' write of street. .-1`t� . name c .1-, • I a �2 M I °sv . a other i V� d¢ o a T oo ro street. ,C •4 SIDE YARD SIDE YARD © FT. HOUSE L O FT • 0 bo I• 1 I 1.4) SET BACK . 3.. .1 .ft. 1 1 C ✓ (lot.�0 / ft. frontage) / (NAME OF STREET) / �� Information / \ \ Supplied by )9CIA/e4-1 • WZ!�9 icy?r7 / �/ MR NORTH POINT • • • PlaIVATc WA MoCt./A/Ca/2D LAA/C 4owaE: ' , : . • • • /03. 30 _ , • 33'+ .. Lor• • • . . zo't . N • ;� ,I\ . I • • - Lor SC Io, oto S. F. 'E' 38'4- • • / 03. Ze=' y• RICH.{RD w,�+, ""` '°I` CERTIFIED PLOT PLAN \`` -:` LOCATION WE:. SCALE Iii= 2o' DATE I olgiio I CERTIFY THAT THE EXISTING DWELLING IS LOCATED ON THE GROUND-AS SHOWN PLAN . REFERENCE HEREON AND IS NOT LOCATED IN THE Lor BS FLOOD PLAIN. v . Ro&C. 24-6, PA ee /4-Z DATE : �olfilio �.A. 0 bA tcAL..) BAXTER t NYE, INC. THIS PLAN .IS NOT BASED ON AN / REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OSTERVILLE-- MASS. OFFSETS SHOWN SHOULD NOT BE ' • USED TO DETERMINE LOT LINES. APPLICANTANTF/oRJ/ A . AvI"ThEI.E