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Home My WebLink AboutBLD-90-685 ,.. , . 0/(wio,/„. :6,.yirik cs . ', ...s- v r F`t TOWN OF YARMOUTH /ti 1-q it,{ate ......9� y (� �� W's` • MATTACNC 5 • • • le l�,J C,°t 15. % Application for a Permit to Build No. mo UPON FINAL APPROVAL '/ ,I -� MAP / r9 LOT Tyz FEE MUST ACCOMPANY THIS APPLICATION. DATE Oil Z/ 19 10 ii/xo/yd The undersigned hereby applies for a permit to build ///zoo/9/ according to the following specifications 1. Name of property owner 4t3rrc- C /7(,)/2-v5 a/L-- Tel. ?6,24- 859v Address /(e Did (tulle ti lib-0W 'Mr ort Than 2.Name of Architect(if a ) w. r 3. Name of builder SM/ 7lf Address / Coon i-r- Dr/vG OeMn/S l4:License No. 002 y? 7 Tel. 365-- 5/ Z- ' 5. Name of Mason Address 6. License No. Tel. /1. Construction address /6 9a (a c-f/e 1/ Yarrh o v1,4.`,1 r f /'h055 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 ,/11/50D , 06 11. Commercial 0 I7v�� /3� Kitchen 12. Other -/N/$If oI� 0 Dining Rm. 13. No. of stories /- �.S_m O Living Rm. i_ - Bed Rm. / 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Sal , e Bath 1 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 ❑ 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 Fr rear t lineSide line LOT RELEASED BY ----iignature hVi- 4% w7z-, - PLANNING BOARD Address V aar/tr Date /9'Willi frie<1 0 24 i i BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: Alhtri C/ `�1.. )4r4/14- TELE. Lu r,is `J.'t(OBUILDING PERMIT #: ADDRESS: II( D/d CGfHt / 4r /7` TELE. NO. : ?1,1,- f'js�'- y DATE FILED: //2?9a BLDG. SITE LOCATION: SILImt as 440✓! MAPA: / / LOTH: 7- THE 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 DEPARTMENT ' ' DATE: /2/211701, N/A: ND .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. 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' v ` tea TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: # &/`(/ (,`/,s1/ S.kik A vk ia✓f4...1.5 NUMBER?/ f STREET /ILLAGE OWNER OF PROPERTY: (,FC urn s Yr CONSTRUCTION SUPERVISOR: /ght l Yc` 0075137 313 c —57 z 5 NAME LICENSE NO. PHONE NO. ADDRESS: 174 Cdvr /Gi' 1)r )?4i Pt (S LG ; d Z 6 3 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 C0MMONWEALTH, 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 UND STAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSING COP STRUCTION SUPERVIS IN A RDANCE WITH SEC,ION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAP THE CONSTRUCTION N ECTI PROCEDURES AND I E SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDINC OFFICIAL. SIGNATURE: irdi I BUILDING OFFI IAL APPROVAL: