HomeMy WebLinkAboutBLD-90-679 / .
$ . ;"T �a�?a Asn° TOWN OF YARMOUTH f L t i14I4c
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� I��"`VG:L. 6S, Application for a Permit to Build No.
::;_.?. o P•4*►ak P r i 919°
UPON FINAL APPROVAL - MAP Siovt i LOT b —A9
FEE MUST ACCOMPANY THIS APPLICATION. DATE - a3 19 9?J
The undersigned hereby applies for a permit to build /// / 19/96
according to the following specifications9°1. Name of property owner Dr OtkAR 24 .C.b4S79v/ /�'S
e .
Address 70 q6, fco Lk RA (hFS *No4- Wil/
2.Name ofArchitect(ifany) Otis A. Rob in,c,o,v g IRviu9 Ra . WM6nry . Tei, 6/7.2Y9-art
3. Name of builder Richits DP c ma Noss Address at 00014t maid 5 t sirindo74
4. License No. O CCt'893 Tel. 3981-aa 93 v
5. Name of Mason Address
6. License No. Tel. •
7. Construction address 31 Uncle R0 ken*'s Rd (Geear Isu,un'
8. Date of subdivision Approval 9/9187 plan zone B Zone R- 87
9. Private dwelling EK- Estimated Cost DO NOT WRITE IN THIS SPACE
10. Multi family ❑ S b t2 Od 0 jt ptc 3 c-7S—Sr Type of room No.
ai
/gig,/ 7y6/SF S/TnN6/'-nt /
11. Commercial ❑ �_ Kitchen
12. Other ❑ 60 3 G 5h Dining Rm. /
13. No. of stories a- • 'S Living Rm. /
If— p Bed Rm. 4-
14. Foundation — Full a Half 0 Crawl 0 Slab 0 Bath /z
15. Materials — Wood dement 0 Other ❑ AV � / 9-5-4 " Deck 61-
16.Type of heat — Oil eGas ❑ Electric 0 Other 0 fq—/ 03 d q6 Closed porch 3
17. Garage - 1 ❑ 2 ❑ G� / S n'�y /
18. Swimming pool - Size 0 � Naca /
Garage
19. Storage shed — Size Shed gb4--, ,y /
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front / 51 s f / No. of feet rear t 75= S'it No. of feet deep 34) : a(
b� `
22. Size of building: No. of feet front -L No. of feet side 34) ' No.of feet rear g" a '
23. Distance from nearest building: Front A7 Ft. side St Ft. side '2 S` Rear u0
24. Distance back from line or street P rip From rear lot line 1/7 Side line SD
LOT RELEASED BY • Signature ;Feld.v,QS- 300 G`v-e.e.e.4
PLANNING BOARD #2747 Address a0 /14,73/ '//1/IA% 5 A.
Date SEE 8'°'P1/4- C,• y Q i",21 aa 7X /17a . aa66se"
REcb cD Pt-A44 7314 Reco2Der, 5/6/88 6L.C.
BUILDING PERMIT APPLICATION SIGN OFF
A'PPLICANT:tH ()+&J gg Z f} LbAS TA I BUILDING PERMIT 1/:
ADDRESS:.3cr 0/V/('4o /t1F61jyol7/ s TELE. NO. : DATE FILED:
n ,[ tt "39 ()4ccC / yy
BLDG. SITE LOCATION: (�-IL'tn..�QI? T,olaarnRe>MAP#: *pi ' 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 7:„.4, ¢, pJJ.... DATE: G . 2 3 -Pa N/A:
2. ENGINEERING DEPARTMENT: SEE 8.0.4. DATE: /l 90 N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT 1 Thcb, ES UAL1 - DATE: 11 II-al 4D 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: *Water Dept. - Town water is not available.
F- 614.Ut /,rte : Pier GX O"Cell no S/`t-s
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BLM/89
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•
TOWN OF YARMOUTH
• BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT: � /�
JOB LOCATION: 34? Ne ie Bo f Qo f '5 A . &r�a� T'<a-4 1
NUMBER STREET VILLAGE
OWNER OF PROPERTY:
CONSTRUCTION SUPERVISOR: Pt, 1>p51/141v'i(/ S 05/9883 318- aa13
NAME LICENSE NO. PHONE NO.
•
ADDRESS: a 1 \ s . V 1, i 5 I S! / <le 0_ 65{
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 109.1,1.0F T -
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 CON-
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAND
THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: /FiG�G'y��n2//012:l _7
BUILDING OFFICIAL APPROVAL: ��l>
\IIIITMIT1'1111^I.rn,,,::1111111!nm11eMITI1e1I1IIMIMMIIIIMIIIIIIMlrllnl+IUMITImleplmnMITIIIilnl(ItnMIIIII IM11?I111[1'!11111111IMIMITITTI MI!IItI MIIIIIt11f!1!f'lilllt!le IIITIW
= ENVIROTECH LABORATORIES � �� f1 \� `! ' t
F
liE • NOV jun -
E � 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 `�yy _
; .--i 5.
FLE
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CLIENT: Davenport Builders LOCATION: Lot 10 Great Island Rd. g6 ADDRESS: ' 20 N. Main Street W. Yarmouth, MA r.
S. Yarmouth, MA 02664
COLLECTED BY: Desmond Well Drilling SAMPLE DATE: 11-2-90 TIME: 4:00 Li
DATE RECEIVED: 11-2-90 SAMPLE ID: 588 =
• JOB '': New Well WELL DEPTH: 40'6"/ 21 '
RESULTSi. S OF ANALYSIS: __
EEj.
Parameter Units Recommended limit Result
FIE Coliform bacteria/100 ml (MF Method) 0 0 3
CC —
kr pH pH units 6.0-8 5 5.80
71
a Conductance umhos/cm 500 92
a
▪ Sodium mg/L 20.0 7.0
a
Ei= Et
Nitrate-N • mg/L 10.0 0.03
E.
a.
Iron mg/L 0.3 0.05 _
Manganese mg/L 0.05
Y'
▪ Hardness mg%L as CaCO 3 500
Et Sulfate mg/L 250
Potassium mg/L 20.0 Ei
Ez
Alkalinity mg;L 200
Chloride mg/L 250
E
Turbidity NTU ' 5.0
EE Color APC units 15.0
K=
c▪ Background bacteria TNTC
Eal
COMMENT:
G
•
YES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETE'S TESTED.
_ RX El I _
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IS 9.6' 14. MER- THAN
Tt1E 1114$ fbi Nr of
JOB 40 90-249
CERTIFIED PLOT PLAN
PREPARED FOR:
LOCATION: LOT 10 UNCLE ROBERTS ROAD YARMOUTH
SCALE: 1 "=80 ' DATE: 11/29/90
REFERENCE:
L . C . C . #4075J OTHAR ZALDASTANI
I HEREBY CERTIFY THAT THE STRUCTURE
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON. •
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p99down ca e en ineerin , inc .
1 o McELWEE
1 CIVIL ENGINEERS / qlL��,�/
LAND SURVEYORS /loll29/990 '.arc i'ti�.C. .na1iC'N�
ROUTE 6A YARMOUTH MA DATE / R \ ilisr•-e •• YOR
1 2AI_617-742-8353 TEL No . Oct 17 ,90 `12 : 10 ' P .01
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William H.Connolly
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ZALDASTANI ASSOCIATES INC. Consulting Engineers wind
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7 Water Street, Boston,Massachusetts 02109 617/367.6060 Hugo C.Hwttig u1
Pain T.Eaton
FAX NUMBER: (617) 742-8353
To: r i nrnrr
From: of tf : _DAG?7 191
•
Date: 11 ccrn3112 1440
Number of pages including cover page: '10
-
PROJECT: &'i lc/tisO
Description of Items Sen;
A
•
If you do not receive all of the pages or cannot read them, please call (617) 367-6060.
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