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Home My WebLink AboutBLD-90-700 ,at•Yq. / d If/x fid 4 1r 114o' TOW • F YARMOUTH orr ' "b-G/9 ° it' in • ,"4o.«!n_ Application for a Permit to Build No. /o P UPON FINAL APPROVAL it ,at/MA 1// LOT II 7 FEE MUST ACCOMPANY THIS APPLICATION. DATE 1 O The undersigned hereby applies for a permit to build .o,I // 90 according to the following specifications 2� ///Zg'/.t2o 1. Name of property owner R3kenr liner/a I Te1:3 h a 9 3CS- Address t/liy Fla in Y1- Iron)w-h1oun -r /414 - 2.Name ofArchitect(if any) 1 Tel. 3. Name of builder 3ovn.4lLtio PIA', S dress 20 U✓Ilo✓" S7�_ '�(.//��Ivuw i�� 4. License No. 0 L1(157 O Tel. 6)- ` Lt2(1? / 5. Name of Mason Address 6. License No. Tel. 7. Construction address 5/40-e----- 92, /n472yam. ' Flopd 5 District 8. Date of subdivision Approval t plain zone Zone 9. Private dwelling II& Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family ❑ 9 � 00 Type of room No. 11. Commercial 0 ,, iase+ eaa Kitchen 12. Other ❑ (J-eire-2-/-Cdaf 41/21"-S7 " rrea" Dining Rm. 13. No.of stories �``�' �'� Living Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 ,P-C-: [r.° Bed Rm., Bath 15. Materials — Wood 0 Cement 0 Other 0 Deck 16. Type of heat — Oil 0 Gas 0 Electric 0 Other ❑, Closed porch 17. Garage — 1 ❑ 2 ❑ Family Rm. 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 From rear lot line Side line LOT RELEASED BY Signature / S' PI PLANNING BOARD Addre-r 9-C) •On/AA 57. 1 Date - VJ, y/ ikcxvI- py-1 QM- 0 Z6-7J� / f S// BUILDING PERMIT APPLICATION SIGN OFF PPLTCANT: &Let — lht2/(1e.-i BUILDING PERMIT /l: DRESS: X99 40141 . yPUQIt TELE. NO. : ?1‘2 eg311DATE FILED: // Z6 b LDG. SITE LOCATION: /107,:9 /424„.;67,0/ 4.-1/1, YP MAP#: 11/ LOT//: U 7 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. ALTH 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: 1. WATER DEPARTMENT DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: 1 N/A: 4. HEALTH DEPARTMENT , i DATE: /1/� /q'(J N/A: I 'US 'IAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: 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: LM/89 TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: ! J /10/n s 7. 9/4at o u rR UST NUMBER /I � y STREET VILLA48 OWNER OF PROPERTY: �C�b�2 7 'I I.e'z 'J 64 CONSTRUCTION SUPERVISOR: jan4iti.9-J PA;firs O _J 1'! S 10 3 2 `12`19 NAME , LICENSE NO. PHONE NO. ADDRESS: L `U Ov,\ O0‘.n_ Ste' - -I AnvLlcJ'i t 02C vw4 LICENSED DESIGNEE: 111 (J (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 / E 'EC " C INSPECTION AS CALLED FOR BY THE BUILDIN( OFFICIAL. SIGNATURE: BUILDING OFFICIAL PROVAL: 17ini.xy 27 fts_fQ-2f(242 2 IN 2fl' o qv/il Zy 7-') 66f k1.1 _ II ?- i' EII 1.1 I ` s lir 4---T . a�. i,- a AMP 4 � £-t&tIOt9i4u❑ 4 . • • o ECEIVE FRIEDLINE & CARTER ADJUSTMENT, INC " 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 l Fax. (508) 790-2344 TO: ( V1 Building Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectman ( ) Fire Department Town of Yarmouth Town Hall Yarmouth, MA. RE: Insured: PSOMOS, Penelope & THERRIEN, Robert H. Property Address: 499 Main St. Yarmouthport, MA Policy Number: 030031177 Loss of: Fire 11/06/90 File or Claim #: 50051 Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appro- priate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. J /lf>/ vy /(/-4 >C7 Adjuster Date: //.9- / V 2.0