HomeMy WebLinkAboutBLD-90-723 • 'Rc TOW 0� YARMOUTH a Jl°J9°
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N�,"4 w.0 s 4'" Application for a Permit to Build No. 7023
tg--- � 11�° 8/ LOT Gsa-ZoUPON FINAL APPROVAL MAP
FEE MUST ACCOMPANY THIS APPLICATION. DATE� 19 go
The undersigned hereby applies for a permit to build /0////7/9 o
\according to the following specifications / //9d
V. Name of property owner I Sa ' Co rL b/S Tel.77 —6O 30
Address AtM-kDki pi). yPP1461)fn-t
2.Name of Architect(if any) n?212Y_ NUp1JA6l- Tel.
\3. Name of builder/Jag) I-ttllA 1/46E). Address
4. License No. aid 696 Tel. —175—O26
5. Name of Mason Address
6. License No. -' • Tel.
\ �7. Construction address /91/ MA-InJSA• Rign ttJ 'kn-'OU77/ ✓YI4 .
Flood G District G.3
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 i Estimated Cost DO NOT WRITE IN THIS SPACE
_
;ite of room No.
10. Multi family 0 /. 2O °' �S70p , ,'� t
11. Commercial- Kitchen
12. Other 0 Dining Rm.
13. No. of stories Living Rm.
Bed Rm. ,---
14.
�14. Foundation — Full ❑ Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood ❑ Cement 0 Other ❑ Deck
16.Type of heat — Oil ❑ Gas ❑ 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
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/ ..or 2 Ctie .bo -Er /2„..-
PLANNING BOARDAddress 1151 Chin] / t
Date LU. y/ rynnLgy
I BUILDING PERMIT APPLICATION SIGN OFF
PLI AN'TII:11 /MneR AAJEGt/NS BUILDING PERMIT 1/:
Di
DR S: 7 't an W, yartraf* TELE. NO. :-7/67a3 DATE FILED:(' S) /Igo
LDO SITE LOCATION: it(' /l/ 4/Akc , P 'a MAP#: LOT#:
yQ�OU#
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: N/A:
INDUSTRIAL 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
/V/1'7/9t. Pe -
. .
PLOT PLAN
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well or
I •
(lot ft. rear)
Abuttor's I Abuttor's
Name I Name
Lot # ' Lot #
REAR YARD
If thisisa • If this is
corner lot, i ft. corner loi
write in name I ' write in
of street. 'i I name of
.� - I o. • other
0 ro street. .
its
4 5
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SIDE YARD `S' SIDE YARD
N si
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HOUSE L FT f.)
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q. SET BACK
Q
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ft.
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(lot ft. frontage)
\ /
\ / (NAME OF STREET)
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Information
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MARK NORTH POINT
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I 234 IVANOUGH RD.
HYANNIS,MA 02601 TELEPHONE 775-0526
Maly IN
GLASS CORP.
MARK HUFNAGEL
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TOWN OF YARMOUTH
BUILDING DEPARTMENT
•
CONSTRUCTION SUPERVISOR FORM
LEASE PRINT:
OB LOCATION: At G'i I = , 4,01 AeJ
NUMB R STREET • VILL'
WNER OF PROPERTY: 4; 1 / 1 ! /-A,�Q/ 4 �• •
ONSTRUCTION SUPERVISOR: 04//EID / /Oh/ N`/ QSCo96 77 C-OS)6
/, //��� �j y� ^ LICENSE NO. PHONE NO.
ADDRESS: JGIGL�S it /J• Alb c
ICENSED DESIGNEE: 4)/2(0r) l^7 b ,tQAGrL o > Q X
0
(IF OTHER THAN SUPERV ) 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 HI
IS SUPERVISING. HE SHALL BE RESPONSIBLE FOR SEEING THAT ALL WORK IS DONE PURSUANT TO THE STA'
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 SUBJEC
TO REVOCATION OR SUSPENSION OF LICENSE BY THE BOARD.
2.16. ALL BUILDING PERMIT APPLICATIONS SHALL CONTAIN THE NAME, SIGNATURE AND LICENSE NUMBER
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 SUPERVIS
SAID PERSONS, THE WORK SHALL IMMEDIATELY CEASE UNTIL A SUCCESSOR LICENSE HOLDER IS SUBSTITUT
ON THE RECORDS OF THE BUILDING DEPARTMENT.
I HAVE READ AND UNDERSTAND MY RESPONSIBILITIES UNDER THE RULES AND REGULATIONS FOR LICENSINC
STRUCTION SUPERVISORS IN ACCORDANCE WITH SECT 'ON 10' i .1 OF T ' STATE BUILDING CODE. I UNDEI
THE CONSTRUCTION INSPECTIO "OCEDURES AND T SPE' ' IC INSP'C ION AS CALLED FOR BY THE BUII
OFFICIAL.
SIGNATURE:
BUILDING OFFICIAL AP'ROVAL: