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HomeMy WebLinkAboutBLD-90-695 ittstr o /Crwov frion-. 'ortilt 0444 s p:r ito TOWN OF ` • RMOUTH G� it., it c 0 r.et ..s titi�(go ca - . JMATTA ME 5 ht I 4"PSIATt 60 Application for a Permit to Build No. (q5 UPON FINALAPPROVAL��a1 10 MAP / ? d LOT --r7 FEE MUST ACCOMPANY THIS APPLICATION. DATE o v S 19 90 // 27 90 The undersigned hereby applies for a permit to build / z7/%09 according to the following specifications '4` 2 o..OvT>:Ka s •es F 3"Z e 2 ujd-s To to P..-io..L date- uN r -Poeirchcs S 1. Name of property owner /Lit licy w Qui Prro�rcttics ;sr c_ Tel.JLf-SocG Address /00 14o Atl cbwcJd VhAV r rvilirvi' WA7 , 144.-0,..W a roci-- 2.Name of Architect(if any) 4 ,.an.roci- 2.NameofArchitect(ifany) Ai0/-) Tel. 3. Name of builder t)Avi 13 . ()M t u Address /a CuN.7r.- Pt. (O. yfivw4 t 4. License No. oiV g96 Tel. 342--s-o&&Com/s) z9v-080V ( tiE) 5. Name of Mason A) ON E- _Address 6. License No. — Tel. 7. Construction address /0 0 4ce.Y;{<.fr-.nA1 Drib Q. /2,Na s (./U Ay Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family X / 9 0/STD �y Type of room No. 11. Commercial 0 R-.. ....z'�`nv..s 7 p_s 0-`' Kitchen ��� Dining Rm. 5-0 ct12. Other ❑ — Living Rm. 13. No. of stories Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement 0 Other 0 Deck 16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch 17. Garage — 1 0 2 ❑ Family Rm. Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood 0 Coal 0 Alterations P-0 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 From rear lot line Side line LOT RELEASED BY Signature G4).-a--- PLANNING BOARD Address /a-a- Atc Xi,V IN et'J Dr, Date yOkY.,.-.. 1A/.c^r9— BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: 4c'A1tN, Woo Prset cc it-N C_ BUILDING PERMIT /I: ADDRESS: 60 I�cnFNw.we .1 /selzkst C1v.e4.-,'j TELE. NO. : �t, -SO(4 DATE FILED: /06/PO BLDG. SITE LOCATION: a ° d / 'i (S et f 2t LOT/I: .C/ �.. cvwe-u VNO s nailnot MAP/I: 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 /fin DATE: t/1/6,90 N/A: IND TRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: /� DATE: ///G.--SO N/A: 6. PLUMBING INSPECTOR./ ` �,I DATE:11'6�G 4 d N/A: 7. FIRE DEPARTMENT: ,?. 7 , ' DATE: I lt0 Ic� N/A: PLEASE NOTE ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT EROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING PERMIT. COMMENTS: BLM/89 9,/,‘///il/ge HEATHERWOOD At Kings Way November 16 , 1990 Forrest White , Building Inspector Town of Yarmouth Town Hall Route 28 South Yarmouth , MA 02664 RE: Heatherwood Project Dear Mr. White; As discussed with your department , we are seeking a renovation permit to change three ( 3) existing, unoccupied units , 5101 , 5102 and 5104 , which consist of 2 bedrooms , full kitchen , liv- ing room and 2 full baths each . We would like to convert these to six ( 6) personal care units . These ( personal care) units would not include any kitchens , with the exception of one ( 1 ) kitchenette in the dining area, for the convenience of the residents . This letter will also serve to indicate that the conversion back to the original three ( 3) units will probably take place within 2} to 3 years . That would be when we have completed the construction of the personal care wing , which we hold a permit to build , but , due to economic conditions , must post- pone . This will not be a licensed facility, purely a monitoring faci- lity with a Certified Nurse ' s Assistant . Very truly yours , ATHERWOOD PROPERTIES , INC . • • David B. Oman , Construction Manager DBO : lk cc: M.J . Greene 100 HEATHERWOOD DRIVE AT KINGS WAY it ROUTE 6A to,YARMOUTH PORT, MA 02675 (508) 362-4400 or (800) 852-0365 • II{ . .. .....-. _.� .. .� �i E, • ;I� Pc—c H 4 J co 1/4., kk n , ,, zotorni du 'n S. 1- I � `� ly p1 . 1$ „ Ill . it i k to tK.-.... 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I 1' • • TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: I JOB LOCATION: ) 00 4-c�-lln..�we-vtl. l--lua,S (1-tvt.uk y$vwSk.k. rov* NUMBER STREET VILLAGE OWNER OF PROPERTY: 4(41no. khan I ptopc.tc c '12inC- CONSTRUCTION SUPERVISOR: `)ptji l. g ,© M A-N Ot Vane 3L2-S-066 NAME LICENSE NO. PHONE NO. ADDRESS: j a kJ AA,* •- PJ-jcr (AD ry4 . 4, fit- (2eC) 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 COI STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAI THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN( OFFICIAL. SIGNATURE: BUILDING OFFICIAL APPROVAL: