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Home My WebLink AboutBLD-90-680 r: ...,,,, '' ''O TOWN C YAR MOUTHo �tal� �ga , ---- � • Application for a Permit to Build No. 6o g'0 m ii--01-1 1) MAP 4, LOT a - 33 FEE MUST ACCOMPANY THIS APPLICATION . DATE /L-% ` 70 19 The undersigned hereby applies for a permit to build //L%o according to the following specifications /7206 / 1 / Name of property owner g//f Atr Aj d'• Tel. 4/9'/-77°? J Address 1 5 Rifh ey Rand 5 , 5! 2 Name of Architect (if any) N /iQ-- Tel. 3 Name of builder 4//4 N /q , cJ r Address /s'/'4Y/ec7 API S, $< 4 License No. 0 /5-6- 7 1 Tel. ? 9V - 7 7 0 7 5 Name of Mason N 7,-1- Address .+li- 6 License No. s--/M-Tel. _ n//ar 7 Construction address t 4 Ayinn'u Jnnir 5- .y blood District 8 Date of subdivision Approval plain zone Zone 9 Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE 10 Multi family 0 0100. Type of room I No. 11 Commercial ❑ Kitchen 12 Other ❑ Dining Rm. 13 No. of stories Living Rm. 14 Foundation-Full ❑ Half❑CrawlDSpo I�l,7e 4175; 0-0 Bed Rm 15 Materials Wood[,$J Cement,Other❑ Bath Deck 16 Type of heat-Oil ❑Gas❑Electric❑Other ❑ Closed porch 17 Garage - 1 0 2 0 Family Rm. Sun room 18 Swimming pool-Size T i Garage 18 Storage shed -Size 2' )C / U . ipinalu Shed 7'X/0 / 20 Stove-Wood ❑ Coal ❑ Alterations • 21 Size of lot: No. of feet front 90 No. of feet rear `' _ No. of feet deepdO 22 Size of building. No. of feet front No. of feet side No. of feet rear 23 Distance from nearest building: Front L Ft. side Ott. Side, Rear £0 i 24 Distance back from line or street1 From rear ' lot I' -ie _12.L.. Side line 60 ar Signature �.� er LOT RELEASED BY Address /C Alf//c c R PLANNING BOARD So y i e m v v b-, n Date BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: �� N g5pN d BUILDING PERMIT /I: ADDRESS: /S ji?Pi9,/ TELE. NO. : a9c/-77OPDATE FILED: BLDG. SITE LOCATION: e✓,9//.27yt.tl/rinlg MAP/I: ,e LOT/I: D - THE FOLLOWING INFORMATION OUTTLINES 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 DEPARTMENT /,i DATE: E�/-�/9'O. N/A: �/� TRIAL 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: BLM/89 r77/Id cs9 PLOT PLAN FOR LOT 1/ I) 3 " • Indicate Iodation of garage or accessory building ' Additions with dashed lines Sewerage disposal (cesspool) Well Il 1 1• _ I (lot iv, / ft. fear) I Abettor's Name (o 1 Abettor's Name w 3 4,p, .,® 6 ^ gg yA 2 Lotti w SHf�Rear Yard Vl o" AJirubR6aK W- •_- -_ ` • ?k-. I w If this is a a m � I / If this is a corner lot, ( write in corner lot, name of ‘ : sa write in other street. i;',1 'name of I1 • 'other street. Sideyard_ b1/4114 HOUSE Ib Sideyard 40 3O � ft. 5, < __ _ 7_ _.t0' Cr Set Back 0 5� 's • 32 ft.• o a - — .1 I a I Q 0 (lot / 0 ' ft. .frontage) • \ / ,/ \ ./ Yic 54 ay 1013'N'Z \ / (Name of Street) / \ • Information / \ / • Supplied by /3//5ea / v 8F, r Mark North Point TOWN OF YAIv GUTH BUILDING DEPA.rT"I CT • CONSTRUCTION SUPERVISOR FORM Please Print: DATE: //- 6 - 76 ' JOB LOTION: J//Y/t�,4l .1 aw-e. SO f%'.0 lnov-YA NUMBER STREET VILLAGE OWNER OF PROPERTY: /7//s.v t'.,l e CONSTRUCTION • SUPERVISOR: 1P/4-Ai /q,ti r e /SS7 c . 39Q- 77o 7 NAME LI/� SE ®® • PHONE ADDRESS: •/5-- X'//f c KO' �p V/1,2 /37 o-r'Vi, 131, r' 7 1 cy NUMBER STREET CITY/TOWN . STATE ZIP CODE LICENSED DESIGNEE: O/ $ $-7 C'/ • (IF OTHER THAN SUPERVISOR) NAME LICENSE n • 2.15 RESPONSIBILITY OF EACH LSCS. C FOLDER: 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 elenents of bui?dincs and structures only pursuant to the State Buildinc Code and all other applicable Laws of the Commonwealth, even thcuch he, the license holder, is not the permit holder but only a subcontractor 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 penn;t applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by Section 109.1.1 of the Ccde 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 red and understand my responsibilities under the rules and recut.tions for licensing cgonst_ucticn supervisors in accordance With Section 109. 1.1 of the State Building Code. I understand the construction inc:nr''-ion procedures and the specific inspections as called for by the building official. SIGNATURE: r f/C- (LICENSED CONSTRUCTION SUPERVISOR) BUILDING OFFICIAL APPROVAL: — — f -- 2-y y — die- -- - -- - - -- -- - 2YL;- - i -47 '-/�1 eft/ t/per � — g>< / t4"0G j --- ------ ----------- --- -- — --- — — —_ 21r Lv_16 a 0—c—__— -- i - - — 10 " IO O6 ✓ 3 _