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Home My WebLink AboutBLD-90-678 c illic o $c. T k4o-% TOWN OF •• a MOUTH 6r.&u if(I`(g6 Y 0 , wl� y tMATTACML S A w •°56 Application for a Permit to Build No. C' 7g fel UPON FINAL APPROVAL4. //�l MAP ;s LOT /- FEE FEE MUST ACCOMPANY THIS APPLICATION. DATE c 90 The undersigned hereby applies for a permit to build g / 9/9.0 according to the following specifications ////9/9b 1. Name of property owner 11;1-fi4 and/ n Tel.Ns-GAT Address /3.5- Ai#,FFI6 rhErc /WIC 4Pa arm. 144- e v43/ 2.Name of Architect(if any) Tel. 3. Name of builder KEAsti+ A- MAt/E2 Address 3 CA-PT !SE2(Ly LN, 7ruuzs?c r- 4. License No. 0 5O Ca 3 a Tel. 195- 62g$ 5. Name of Mason Address' 6. License No. Tel 7. Construction address 4'15 *Ai Sr- WEST /#ayarrr( /VASS 4148. Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE Lerrz.e*a.41--7--'s Type of room No. 10. Multi family 0 //.5b0ze "" T OXcTme G 11. Commercial LE/ ` t t I fit i / ' ')(- 30Xa-0-- Kitchen 12. Other 010 --ec�..¢`�,��`J Dining Rm. 13. No. of stories / U ' 0 ' bit fifer Living Rm. Bed Rm. 14. Foundation — Full 0 Half ❑ Crawl 0 Slab d -,57 5/47 Bath 15. Materials — Wood Ili/Cement 0 Other ❑ '" ' 2Deck ` 16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 /`f0'o .' Closed porch 17. Garage — 1 0 2 ❑ Family Rm. Sun room la Swimming pool - Size ` ,, 4. '} Garage 19. Storage shed — Size Shed 20. Stove —Wood ❑ Coal 0 Alterations 21. Size of lot: No. of feet front 145/ No. of feet rear /60 ' No. of feet deep (Pa 472 22. Size of building: No. of feet front z*' No. of feet side 30 ' No. of feet rear 244 23. Distance from nearest building: Front Ft. side Ft. side Rear 24. Distance back from line or street 165' From rear lot line a0'y Side line 331 LOT RELEASED BY Signature f%/ PLANNING BOARD Address /S 0((1 F/ET. kc Date ,Beekt I Q_, M* O4G3/ •—• ci" _____C21114___ezgm II - el-So liclaultnergArE_Avs. Bgb-uss-rere 441) :01451_ , _ . _ ._._ RE4.JEKDDEL_ eXistiNe .__&#414,47e _ tixAnED _iter___415 iltisAl Sr-_W 1,A/scum Frocz,_th$C__ Its __CeArcoakt.__ RifrAtt. Sive _(Nog 5a2D7 _ 4Mra vjm,s_s_ kat, ac4/46, tiersipier IA 444-s . 3).___ EKCA±E____SDgeLD/ODOid (4s__44414 24•04) 126‘06ite • AT RAC gi > Of state 9_ eekoue, _Vy1s1n1/416: GAg.frer6__ Dfibe...s_ itfitp_e-Epines MN eff6A412,_ 41tE Moon-- It5 glipokl - - --- --- -- - --- S - :2:4211 t - • i - amaretim 1 1 • meat pcsii of lbuiunatre : %Potts DooLCIthood flu,: of emiunt.6- vli _____ _ _, anla _ 1111 lir lige , nill iis volt . le 1 I aim rbgbaa fite55111-1 LoCATED kr REAL Pstess--ro Move WILMA) To Plan or Emu,mkt oir• &taxi ilk.. . .. _ . . BUILDING PERMIT APPLICATION SIGN OFF APPLICANT:OE(!.J Cof313Al BUILDING PERMIT #: ADDRESS: 1$S , P,FAIr-fl2 Arm TELE. NO. : a/See `6? DATE FILED: BLDG. SITE LOCATION: MAPA: of S LOT#: ,L 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 DEPARTMENTr/l/'" DATE: 10 5//9-d N/A: INDU TRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: eft,ft&Hery:7/57) DATE: /l-/oe9c' N/A: 6. PLUMBING INSPECTORaA 1DATE:7,// 4 / of ,. N/A:7. FIRE DEPARTMENT: �,,}�, DATE: y 11b eve N/A: PLEASE NOTE ALL STUMPS AND/OR BRUSH MOST 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: f j'/Z U c-%e , - TS/ C eke 57/k‘- C - 7'1�/TJON dam) LTJ 1-41-77 fir 37 Pane/ ' We /CDaw !7E:rni S / ry'r1 tyre BLM/89 ////V/9a TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: 5//j mfltM ST L4)EST y*'i►✓iOU?f} NUMBER STREET VILLAGE OWNER OF PROPERTY: SO N II CO R y CONSTRUCTION SUPERVISOR: KC,4NEt* A- PIA-yn& o41 297-4.25F NAME LICENSE NO. PHONE NO. ADDRESS: 3 &APT (30p6ty LN 'IC-#nzSPoicr 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 COP STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAP THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDINC OFFICIAL. 'SIGNATURE: 14 41- A BUILDING OFFICIAL APPROVAL: