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Home My WebLink AboutBLD-90-731 :61;•tilt,. p OIl Fe j o TOWN 0 ` ARMOUTH 14.I'ih° 00-14191k --i-g MATTACM[CS / %,,,<«.E,motg Application for a Permit to Build No. 51 UPON FINAL APPROVALiii J a-/74MAP 27 LOT S-3 FEE MUST ACCOMPANY THIS APPLICATION. DATE / / 1970 The undersigned hereby applies for a permit to build /PA 7/ cad according to the following specifications 1. Name of property owner Town of Yarmouth TeL 398-2231 Address 1146 Route 28, So. Yarmouth, Mass. 02664 2.Name of Architect(if any) Tel. 3. Name of builder Town Of Yarmouth Address same 4. License No. Tel. --- 5. Name of Mason Address 6. License No. Tel. 7.Construction address 700 Main St. Route 28, So. Yarmouth, Mass. 02664 Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling 0 Estimated Cost DO Nal-WRITE IN THIS SPACE Type of room No. 10. Multi family 0 3itiolJSH .SQA 11. Commercial ❑ !7° DEMOLISH EXISTING BUILDING 1-104.1 Horn . Kitchen 12.Other ❑ (MOTEL) Dining Rm. ►f (' Living Rm. 13. No. of stories �I`^► to Bed Rm. 14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 rod n�a� 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 0 2 0 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: Na 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 .o017::;-:::-SZ + PLANNING BOARD Address 1146 Route 28, South Yarmouth, Mass. 02664 Date r BUILDING PERMIT APPLICATION SIGN OFF • APPLICANT: Town Of Yarmouth- - - - BUILDING PERMIT ll: ADDRESS: 1146 Main Street Route 28, So. Yar TELE. NO. : 398-2231 DATE FILED: • BLDG. SITE LOCATION: 700 Main St. Rte. 28, So. Tall: 27 LOT#: S-3 THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD, ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH THE FOLLOWING DEPARTMENTS: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE. • CONSERVATION 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. HEALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYSTEMS ETC. THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: REVIEWED BY: - . 1. WATER DEPARTMENT DATE: It- -/y- - d N/A: 2. ENGINEERING DEPARTMENT: ,; Za, DATE: ® a N/A: 3. CONSERVATION: !�/��JI_�/ DATE: _ i N/A: 4. HEALTH DEPARTMENT y- Zer DATE: 11t/ Q N/A: TRIAL AND/OR COMMERCIAL PERMITS lx� 5. WIRING INSPECTOR: �� r DATE: 7 yC9 7d N/A: 6. PLUMBING INSPECTOR: f ' j DATE: 7//3/ 9G N/A: 7. FIRE DEPARTMENT: IV , V DATE: 7//3/o N/A: PLEASE NOTE ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING PERMIT. COMMENTS: r / / L-/` s.yflc I CC Mus(h-c P" +y - 1''�Ildd C/ /1�e .W'LO eO �o de-wogs/ et'i /,a' /slave/aiaiio� / ow' r �zWi',w/� hicafr'a7,r Mee _- -507-sib" 4o#/, / BLM/89 7f3/9a TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION: 700 Main Street, Rte. 28, South Yarmouth, Mass. 02664 NUMBER STREET VILLAGE OWNER OF PROPERTY: Town Of Yarmouth - CONSTRUCTION SUPERVISOR: Town Of Yarmouth NAME LICENSE NO. PHONE NO. ADDRESS: 1146 Main Street, Rte. 28, South Yarmouth, Mass. 02664 LICENSED DESIGNEE: (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 . -7.- BUILDING HESTATE . -7.-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 UNTILA 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 CON- STRUCTION SUPERVISORS IN ACCORDANCE WITH SECTION 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTAND - THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING SIGIIUL. SIGNATURE: of .- -:- ----r BUILDING OFFICIAL APPROVAL: - - - -