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tf;cMATTACMEES 4‘il ..,,e s6 Application for a Permit to Build No. O 7�
poi 1i—r q— 90
UPON FINAL APPROVAL MAP / 00 LOT //'l
FEE MUST ACCOMPANY THIS APPLICATION. DATE N v 9 19 q0
The undersigned hereby applies for a permit to build /l// q/90
according to the following specifications, a/
1: Name of property owner Ae 0r yy .5 lei r Tel.
Address sit R+• G 7+ , V trwto.n$ fort"
2.
ort-
2.Name of Architect(if any) Tel.
3. Name of builder 6'n-cid 4.k€ 2. Address 90 /_fie//'s /Via a�
4. License No. 0n7 77l Tel. 93a -57453 w' Q€c.u" M
5. Name of Mason Address
6. License No. Tel.
7. Construction address S3/ Rik /o A , qarm oul-t1 Por't'
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling Jul Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 90D. en Da
11. Commercial 0 /2�iet, Kitchen
12. Other 0 Dining Rm.
Adia-int-f--ege 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
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
Family Rm.
17. Garage — 1 0 2 0 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 __Ac 4 &€-- .i.e.
PLANNING BOARD Address qo lei,//'s AA,.k 2d.
Date W. .%h /Wet. D,,16 7/
L
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
JOB LOCATION: A14-14,/ (c4 \)
NUMBER/` STREET VILLAGE
C�
OWNER OF PROPERTY: e4,ry S C G ler
CONSTRUCTION SUPERVISOR: Gent/d /hq�er ti-k% 00727( "f.3,a-sis
NAME LICENNSE NO. PHONE NO.
ADDRESS: 110 Re/f S 4/Pck Ref (4 /44rtu c 4
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 OF
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 SUPERVISING
SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUTED
ON THE RECORDS OF THE BUILDING DEPARTMENT.
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING CO2
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTA2
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDINC
OFFICIAL. �� .!G�
SIGNATURE:�t L6� / - ✓/S.
BUILDING OFFICIAL APPROVAL:
'' yV_.r. 17‘) Application to .
iP.04pf F,P�T,,
S. E'� . Old King's Highway Regional Historic District Committee
vei
AW in the Town of Yarmouth for a
. CERTIFICATION OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo-
graphs accompanying this application.
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TYPE OR PRINT LEGIBLY U%J� / DATE 11171.7r`
ADDRESS OF PROPOSED WORK 9 �/(9 4' YP ASSESSORS MAP NO. Jere'
OWNER Amy � ASSESSORS LOT NO. i-/
HOME ADDRESS V// TEL. NO.
AGENT OR CONTRACTOR 74sWc1 ,A& � /
ADD RESS (74' Spit x/- J"/y Oe5 14LS TEL. NO. 771107O
This application is for exemption of proposed exterior construction on the ground that: .
❑ (1) It will not be visible from any way or public place.
❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and, if an addition is involved,show-
ing location of existing building.
peri Cf SPI .iii 7: rilecedY2.1
• /C'St'ic `41 Comas-- X40 A a
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SIGNED _ "� �J '
Owne-Contr r- gent •
Space below line for Committee use.
ir
��J77CReceived by H.D.C. . The Certificat is er by o ) 'S
/!/ r ) /1r /I 1/ 4 . /l
—.Date 0 (� �
y us
Time / /
By !�— Date 7/1 . I' . ' !' /"r i ..t/ .
Approved /7 The categories of work entitled to exemption are listed on
Disapproved the back of this form.
EXTERIOR ARCHITECTURAL FEATURES
SUITABLE FOR CERTIFICATES OF EXEMPTION
FOR RESIDENTIAL USE ONLY
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FENCES: 1. Post and rail,split, half round or round;natural finish •, '�
2. Square rail;white or natural finish
3. Stockade;natural or gray stain finish;not forward of face of main building
4. Picket;white only
(Maximum height of all fences, 4 feet)
HEDGES: natural, not to exceed four feet in height •
DECKS: constructed of wood,on single family dwellings, built after 1900, at first floor level, at the rear only,
railings not to exceed 30 inches in height, not over 50%to be visible from a way;natural finish or color
compatible with building involved
BREEZEWAYS: enclosure of existing breezeways, consistent with style,material and color of house, excluding sliding
glass doors facing street,way or public place
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FLAGPOLES: on residential property, not over 24 feet high, not less than 20 feet from way,constructed of wood, with
natural finish or painted white, or of aluminum, or of fiberglas or metal painted white
ARBORS AND TRELLISES: of lightweight,wooden construction, not over nine feet high
ROOFS: , natural cedar shingles,or asphalt shingles per approved color samples; not over-five inches exposure to
weather
SIDING: ,natural cedar shingles,or wooden clapboards-natural or approved color;not over five inches exposure
to weather
STORM SASH,STORM DOORS,WINDOW SCREENS, SCREEN DOORS,GUTTERS AND LEADERS: permissible if
consistent with style, material and color of building
LIGHT POST: permissible if consistent with style,material and color of building
AIR CONDITIONERS:portable,window units at side or rear of building ,
STONE WALLS:':eonstruction of field or split stone, not exceeding 30 inches in height --
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NOTE
1. All prior bulletins hereby superseded.
2. Conditions contained in certificates of appropriateness shall,be binding regardless of any exemptions contained herein.