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Home My WebLink AboutBLD-90-690 O Yq 0 .. s r. TOWN 0 ARMOUTHtt: eK `-ew (0�1 9k �G % MAit/d5fto ,` TTACM[ S .- •70 Application for a Permit to Build No. UPON FINALAPPROVAL�a 1(/x3/90 MAP 3/ LOT V a — I FEE MUST ACCOMPANY THIS APPLICATION. DATE /// 719 90 The undersigned hereby applies for a permit to build i/ 2.3/9 0 according to the following specifications , 'V- 1. Name of property owner 17s ,16/94.Ar S T, 264 L i—y E'�S I TeL Address €, m E 173" Mpr u J St W . erA. far V' 2.Name of Architect(if any) Tel. a Name of builder Pn?1e N. J?9e8 Q Address 97 Peg, Yort g Si", se9,9e1 4 4. License No. O11/979 Tel. '13a— is60 5. Name of Mason /V/i4 Address 6. License No. Tel. 7. Construction address 17S �4 M in sr CQrms-) W./k2. Flood District B. Date of subdivision Approval plain zone C Zone G .Ig 9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 2oj ",-*•= /Wmern 00S '. 11. Commercial noettre piZtO re Znit s Kitchen L)EL' wia.Dows /Oa) drnz ioi '02 it 12. Other 0 /araTho2 ran-moos Finn a - Dining Rm. Living Rm. 13. No. of stories 11 e f,1„S<� Bed Rm. 14. Foundation — Full 0 Half El Crawl 0 Slab 0 I Bath e 15. Materials — Wood 0 Cement 0 Other El /1/1 0 Deck " 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Idr Closed porch 17. Garage - 1 0 2 SamroRm. Suunnroom 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood 0 Coal ❑ Alterations y 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 lot line Side line LOT RELEASED BY Signature .-P ,____e -� PLANNING BOARD Address . e__ ezt, Date e��? "")-2^-e-o—y o G G I BUILDING PERMIT APPLICATION SIGN OFF PPLICANT: r /'fr M,Or/v sr�' •% ✓Airy 1SS7 UILDING PERMIT 41: DDRESS: $"j11./I� TELE. NO. : -775-- 'x 3.33 - DATE FILED: n/F/f'd • LDG. SITE' LOCATION: /75 /1/JA1.VS%(RT,.s-) MAP#: 31 LOT!!: lJ 9.'- HE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD, TER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER- INE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD ' LAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH HE FOLLOWING DEPARTMENTS: - ' RESIDENTIAL AND/OR COMMERCIAL BUILDING ATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. GINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE. ONSERVATION 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. ALTS DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E. : REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. IRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYSTEMS, ETC. E FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR SSUING THE REQUIRED BUILDING PERMIT: VIEWED BY: /� I. WATER DEPARTMENTS4 4 /P. 4' „, A1-0-7--DATE: A1-A1-0-7-- 90 N/A: 2. ENGINEERING DEP NT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT t� . DATE: /'/otf)C'O. N/A: . 'USTR e AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: / 1497/`/,r meq. DATE: //-/9 -70 N/A: 6. PLUMBING INSPECTO�, 1 l DATE: //-rq - fa N/A: 7. FIRE DEPARTMENT: (/W C3 t„ DATE: // 7..3e) N/A: PLEASE NOTE L STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE ISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF ,THE BUILDING ERMIT. OMMENTS: i-URTF R- -n}t -Fop- 13vlLD)A2(- ?-6 ccV47-M /S . tr 0 - Ar7 dA G6 T </Jn+w th- or RArrn .5 7.1:e lri Te it no veinkt✓1 4t ,+:C.jir/. LM/89 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM 'LEASE PRINT: fOB LOCATION: /7r ,vi o-/,( J I i2tctferttr) to g�,o u772 NUMBER „ STREET VILLAGE k 1S )WNER OF PROPERTY: 1 it MR' r i', i_ry /2v 3. - :ONSTRUCTION SUPERVISOR: p,67 tQ H, IJA.0/EQ 014979 II3A—As-6,d NAME LICENSE NO. PHONE NO. • ADDRESS: 97' DEEP Motif So, #.9ew ii-4 !Y-j,� 0s6O LICENSED DESIGNEE: LICENSE NO. (IF OTHER THAN SUPERVISOR) NAME 2.15 RESPONSIBILITY OF EACH LICENSE HOLDER: 2.15.1 THE LICENSE HOLDER SHALL BE FULLY AND COMPLETELY RESPONSIBLE FOR ALL WORK FOR WHICH IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE S BUILDING CODE AND THE DRAWINGS AS APPROVED BY THE BUILDING OFFICIAL 2.15.2 THE LICENSE HOLDER SHALL BE RESPONSIBLE TO SUPERVISE THE CONSTRUCTION, RECONSTRUCTI 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 T COK ONWEALTH, 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 OTHER SECTION OF THESE RULES AND REGULATIONS AND ANY PROCEDURES, AS AMENDED, SHALL BE SUBJ TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD. 2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMB THE CONSTRUCTION SUPERVISOR WHO IS TO SUPERVISE THOSE PERSONS ENGAGED IN CONSTRUCTION, RE STRUCTION, ALTERATION, REPAIR, REMOVAL OF DEMOLITION AS REGULATED BY SECTION 109.1.1 OF T CODE AND THESE RULES AND REGULATIONS. IN THE EVENT THAT SUCH LICENSEE IS NO LONGER SUPER SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTI ON THE RECORDS OF THE BUILDING DEPARTMENT. I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENS STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I U. THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE B OFFICIAL. SIGNATURE: BUILDING OFFICIAL APPROVAL: