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Home My WebLink AboutBLD-90-725 'b CLQ /a-- i//9d it ; tti r- 7 TOWN 0 'ARMOUTH °r_Fe .' ' 1.Mg' kHATTAC' S �,''• •° -' Application for a Permit to Build No. 7asO UPON FINAL APPROVAL 12,i ' 1� MAP s—D LOT /1 6 FEE MUST ACCOMPANY THIS APPLICATION. DATE /a-�/� 9 990 The undersigned hereby applies for a permit to build /c-4//, accyrding to the following specifications a(Name of property owner AM. 6 kIZY Wru-/Arils Tel.37g-2%-0 Address 'y/ kE*/uE.bY LANE VArtnitot-TI4 WM, 2. ameofArchitect(ifany) Tel. Name of builder .$kADFfl;2� fC NAUEI) Address 2:5— 8A2N4lii- LA 4) &3? ) 4. License No. o o S34 2-- Tel. -3617--- 7ry 5. Name of Mason Address 6. License No. Tel. 7(&nstruction address 2.! KFJ/&/esy/ LANE Ca. Va mocru mA Flood District 8. Date of subdivision Approval plain zone Ca Zone R` H a 9. Private dwelling 0 Estimated CostDO NOT WRITE IN THIS SPACE /--5',cy Ir. Type of room No. 10. Multi family ❑ 3 tete. '— leanCC Filor.rDit 11. Commercial 0 / On B.C. tiros? Kitchen 12. Other ❑ C) Dining Rm. 13. No. of stories J1-44-(11-C-1Living Rm. 4:5---0, an) Bed Rm. 14. Foundation — Full ❑ Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement ❑ Other ❑ Deck 16. Type of heat — Oil 0 Gas ❑ Electric 0 Other 0 Closed porch Family Rm. 17. Garage — 1 0 2 0 Sun room 18. Swimming pool - Size Garage 19. Storage shed — Size Shed 20. Stove — Wood 0 Coal ❑ 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 2a 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/ �CJ1a..� ►�-/�• Y- thie- PLANNING BOARD Address 7�, $ARM1/U_ Re Date t) ADN 7104V-4 hVa /f' p n� � BUIILDING PERMIT APPLICATION SIGN OFF PLICANTt &At:foal 4, Sp EAd BUILDING PERMIT I!: DRESS: 2-5- 3PZAJUILL. ^D TELE. NO. : LJ. BARAtnAIK DATE FILED: • LDG. SITE LOCATION:2/ ,1ENAIsV L,CAVE MAP//: LOT//: E 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, Z.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: . 3y/CONSERVATION: DATE: N/A: V HEALTH DEPARTMENT 4 % DATE: /).-//9/70 N/A: INDUSTR • = 0/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 DISPOSER) 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 LEASE PRINT: J OB LOCATION: 21 KEA/gEbL 1"1SNE P. Ytpjn,o rw MA NUMBER STREET • VILLAGE WNER OF PROPERTY: IZk. GEktte 1-0) L4-1 ,4016 • • ONSTRUCTION SUPERVISOR: 231?, MtRD t m400) [ jc39 , NAME LICENSE NO. PHONE NO. ADDRESS: 2 p Iu M41 P---J aeifi /5T10.8 /bra ICENSED DESIGNEE: LICENSE NO. (IF OTHER THAN SUPERVISOR) NAME 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 STK 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 SUBSTITUI 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 SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDEI THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUIL OFFICIAL. l SIGNATURE: /,��zs:op / BUILDING OFFICIAL APPROVAL: f ,Ctta: ? v'i*` r}:%t` ;+: i;1-'x:1'4?:, :L' `"' a.::-.�.:•.:.s....._-,.._--- .._.,- r_ _ 'i' °.ify' wn..'1:=�;"�"'�F'P�. .itis.N;'s,..iY }'£;` >.SFc�-tiW+ Md:.�.a ..r v3.*-�- - • - •r$ g6f w♦f+rte .JCP Gkr 4'a•I.• •yiI•."_ - _ - . • • i r •" • : lq ...ls-.---..-... . ini C.. _ � �l • ga ` LOT b :.. Q i3L• d7 •w ., v O T _S _ • b • • • . • •