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BLD-90-711
a<, w-, is-/ 30,---/ it ,40 TOWN OF YARMOUTH a "` C�'A' 1.1/5/16 ceMATTACHE 5 44 4°4°SW19'" 6 Application for a Permit to Build No. 7/l UPON FINAL APPROVAL . 11 l ' MAP a6.7 LOT r--7? FEE MUST ACCOMPANY THIS APPLICATION. DATE Ra Moo 19 co The undersigned hereby applies for a permit to build /W#90 according to the following specifications /g/#9, 1. Name of property owner Jag. IQ{ ;�t©Lb- // // Tel.'?cT41- 30 S Address `?.a `1A cr�.ur .n he a i"L&. • yAn w•N - li.44 €5 . 2.Name ofArchitect(ifany) /1JO.viC Tel. h,4 r 3. Name of builder -�'v^1-Z-5- \,t/�:uk ARt . Address 4 45Na;4sA,lset 2 AW,u,rc+z " 4. License No. Q I Q "3'7d1 Tel. COQ,- 47-7- q -Wc, . 5. Name of Mason 4 __ nz Address 6. License No. Tel. / 7. Construction address 26 MocAv ;, c R 4n /-11, . Gr`. / t' ncn-e-V Flopd District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family 0 1b 5) Soo / Z,)(/( Type of room No. 11. Commercial ❑ 0 syr A-- Kitchen 12. Other Er-- 54b 'RI itiJ Dining Rm. Living Rm. 13. No. of stories / 92- 5y II( Bed Rm. 14. Foundation — Full ❑ Half 0 Crawl ❑ Slab ❑ Bath 15. Materials — Wood ❑ Cement ❑ Other 0 A A 8,80 Deck 16. Type of heat — Oil 0 Gas 0 Electric ❑ Other 0 Closed porch Family Rm. 17. Garage - 1 0 2 Sunroominfarp / 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood ❑ Coal ❑ Alterations 21. Size of lot: No. of feet front No. of feet rear 3-2 No. of feet deep 22. Size of building: Na of feet front rob No. of feet side 2A No. of feet rear 6e 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 �.a_ z PLANNING BOARD Address ii.C10 Q fAMsuPit? Akci- Date /M ►i-skois!t AL(�s , 021,41 / BUILDING PERMIT APPLICATION SIGN OFF -PLICANT�:� rmticS \.�//z'THh�C3/i6C- BUILDING PERMIT 1/: DRESS:Z( J�� �t}S�/ [�;�Z � � �O ,plllfjvr,Q'ELE. NO. :Q17.42(r DATE FILED: //-'0/576 LDG. SITE LOCATION: MAP/F: LOT/{: 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: N/A: 4. HEALTH DEPARTMENT , DATE: /21--/--2/C0N/A: I 'eUSTR AND/OR COMMERCIAL PERMITS S. 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 ///10/7a 102/ • PLOT PLAN FOR LOT # 2 . Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) ED Well 0 I . I (lot ft. rear) Abuttor's I Abuttor's Name I Name Lot # I s Lot It REAR ARD If this is a /�� 511/1 If this is corner lot, y/�i ft. I�x` `� � corner ioi write in name • � M ov�£w Oi write in • of street. i•+ ' .._t_. = . \ r' name of N 5�j(a) • other A • '- i 0 �i �DN n.,- ro street. . it, Alli SIDE YARD HOUSE24 SIDE YARD fi ap FT. r\ f]-- fA.— FT0 I I SET BACK a I (lot ft. frontage) \ / 20 LAceecv.nrs'}(ao I„_,.) j (o.yre w c n11, \ / / (NAME OF STREET) / Information / \ \ Supplied by ti..4 MARK NORTH POINT 4 ONT �� cvG.W.A.ELEV TION G.W.A PPCEILING ASSEMBLY /_ TOTAL R= �Q ,Q �7I TOP SURFACE U= WINDOWS: \11'' R=0.61 ff -�+� 9" FIBERGLASS vJ INSULATION _ • R=30 -- \/fr can olf *KUM _ . dO - SHEETROCK DOORS: � R= 0.45 Ir . —BOTTOM SURFACE 4110 R= 0.61 -- 1/2"PLYWOODv ,; - I •ll • WALL ASSEMBLY REAR ELEVATION R= 0.62 It it; ass TOTAL R= G.W.A. WOOD " . .._ . - U= SHINGLES y _yc� R= 0.87 ��� WINDOWS: OUTSIDE • /g' 71" .,. „� .G. . s SURFACE ,FN3ULATION R= 0.17 4 R--1-i =SURFACE RESISTANCE ' I • ii mil R= 0.61 FLOOR ASSEMBLY �y J., � _ FINISH 91FLOOR TOTAL R= ���. D �1RS t, /11? c lj . --'r' PLYWOOD c31/ 43,04 �( D RIGHT SIDE ELEVATION SUBFLOOR R= 0.62 �/ /- � G.W.A. - OUTSID SURFACE V V V R= 0.17 ,-•- WINDOWS: —61" FIBERGLASS INSULATION FOUNDATION CONCRETE R= 19 WALL ASSEMBLY • FOUNDATION Tom- DOORS: WALL SURFACE RESISTANCE ��Y be used11)11- ' stead JI R= 0.61 of floor ins ation) R= h TOTAL R= � '� U= LEFT SIDE ELEVATION 1� G.W.A. /—INSIDE SURFACE R= 0.68 • 3/8" SHEETROCK WINDOWS: i R= 0.32 91 fl " STYROFOAM • �� DOORS: /l i t n-. n r_ .,ar7 NOTES: P Y II STALLmo STORM WINDO TO B USED GROSS WALL • ' •_ WINDOW AREA= DOOR AREA= . l Z FENESTRATION= I • . TOWN OF YARMOUTH BUILDING DEPARTMENT • CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: ILA JOB LOCATION: 20 ILk O KI M 4 (Ter,v) L1 \t-L0444, 610( )771.4 NUMBE STREET VILLAGE OWNER OF PROPERTY: . O4j 4 alrl 61..-0 CONSTRUCTION SUPERVISOR: Spntigter \4112.7-11-447/2.Pcg. Q16-nGI 4D-q21& ` NAME �( LICENSE NO. PHONE NO. ADDRESS: 2(pjl �✓-'tic-IAIjrr /\iII�Gi2 jCj — M H/ -zlt �(��/�1cot_ LICENSED DESIGNEE: 1 ) ,,q , ill to (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 COP STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTM THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDIN( OFFICIAL. /� SIGNATURE: /L._— a.....- BUILDING OFFICIAL APPROVAL: i{)449,__In pgcg I ah ti/m / ion 12 pet,, 2v 7 \n/c-ri4G.CC647 • ; :z; 7- G..� X046 I Ply re.dire el H it A.b J 45"s r. 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