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<°- t ace Application for a Permit to Build No. '7 /9
UPON FINAL APPROVAL IZ• fo '/i. MAP 6 / LOT Q 7
FEE MUST ACCOMPANY THIS APPLICATION. DATE _47t--19 90
The undersigned hereby applies for a permit to build / 0/90
\according to the following specifications /a/6/jav
N. Name of property owner die ,t°D 1 Jccsr/f!' 7 Tel/el"-fei-uI7
Address 93 vf, �cz, MI, ,c',pf/✓/!r .r/iV odto
2.Name of Architect(if any) Tel.
\g. Name of builder el,..Viz _ Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
Construction address 7 e«.n .r7 sr y�,r- o kt" iim
Flood District
8. Date of subdivision A.proval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 K ,7r0• a Pe-
lt
11. Commercial ❑ 9x�o� ���sl'"_ _ Kitchen
12. Other 4 � 6,01 e �v� Dining Rm.
/ Living Rm.
13. Na of stories er Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 AS—I CT) Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16.Type of heat — Oil 0 Gas 0 Electric ❑ Other 0 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 Na 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 _ 9Z ,!� �f-,I�Y
PLANNING BOARD Address JZ/' /4-r •n,i /Sti
Date ` it/�kcie:_t . </ n?n/ 1
BUILDING PERMIT APPLICATION SIGN OFF
PLICANT\ ,P Je',f/ef B LDING PERMIT #:
D SS: 3:2g fig-Art , 4 !/-4'eit , e,n,/, V/ TELE. : 601-en-,9479DATE FILED:
LDG. SITE LOCATION: -/ eine,/ c %(b /1/110/1 MAPII: 6/ LOT//: 9 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 01aER 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 ✓ 1' I DATE: //bye.° N/A:
I rkUS . • 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
EMIT. > QQ /� der �/ �7
OMMENTS: a0)G- / IlO pIY Cc /r s J/ecO,e�-�G I - T /TS CYUJwe2)
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LM/89
///i679a a,4
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE /// / d
r/9
JOB,LOCATION �' ex f/27 S-r
\\ NUMBER STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" /c,1,"tz2 ,' VatiC s to-1- -firti
vv NAME HOME PHONE WORK PHONE
`PRESENT MAILING ADRESS Q.? ,e;16,41!/7,//7 As'
Cr,
/OR TOWN Al/1161
ITY ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN-
DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH SAID PROCEDURES AND REQUIREEMENTS.
HOMEOWNER'S SIGNATURE_ ' ,iLs'J-
APPROVAL OF BUILDING OFFICIAL S Y
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
PLOT PLAN
FOR LOT # Q 7
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well or
I (lot ft. rear) I
— — Q
Abuttor's 4 Abuttox
Name 13�' Name
Lot # 'YARD
14 /:.�•� �� Lot #
•, REAR YARD
If this is a • \- If this
corner lot, 1 • corner
write in name write
of street. \ A, I /0d name c
a 9 . )).. S / I i • • • y Prig' .)°' a other
L • a) street.
4
SIDE YARD SIDE YARD Q
HOUSE 6
Q FT. O • 0 FTri .
`1 0 y
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SET BACK
ft
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0
\ (lot ft. frontage)
\ _7_V 7 C.6niir'-41 crl
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\ / (NAME OF STREET)
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/ \ \ Information �J %c/
• / Supplied by
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MARK NORTH POINT •
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