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HomeMy WebLinkAboutBLD-90-736 °4'•YHjQ Po O oKre''' )1 j96 '4, t �, o TOWN OF YA OUTH s esil:L.:f'g, Applica ion for a Permit to Build No. 73 l l t i �' -i9-q9 UPON FINAL APPROVAL MAP LOT FEE MUST ACCOMPANY THIS APPLICATION. DATE /V'-/it' 19 90 The undersigned hereby applies for a permit to build /3?"? according to the following specifications A.W/ 9/96 1. Name of property owner 72w4/ oP ./92 r S11-1 Tel. AddresV?/&Wrs7— gel,, F,l- 7- 2. 2.Name of Architect(if any) /� Tel. a Name of builder /T C/tRPL D(o&,eTS Address 69,- deid9PAPmt .q0 4. License No. lh5-2cP-4/ Tel. (5 9F- /G/F-2 • it • V.y-.e /2,4-- 0 3 5. Name of Mason _ Address 6. License No. Tel. 7. Construction address/o,?ersT /t �-1'T Flood District 8. Date of subdivision Approval plain zone Zone 9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE Type of room No. 10. Multi family 0 14 000 11. Commercial ❑ g j Kitchen 12. Other /'a Dining Rm. 13. No. of stories Living Rm. Bed R m. 14. Foundation - Full 0 Half ❑ Crawl 0 Slab 0 Bath 15. Materials - Woods Cement 0 Other 0 Deck 16. Type of heat — Oil 0 Gas 0 Electric a 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 /'A' /2,L 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 YC?"-/— PLANNING BOARD Address /%),- D,2adIRE/4 Date AJesr et h /t/44,_ a.s1/i 3 BUILDING PERMIT APPLICATION SIGN OFF PLICANI`: /*/e/f ,c . 2ge,e775 BUILDING PERMIT #: DRESS: AV ehn,eeleo1e 41 4J )A1ELE. NO. :(2142:-/GVH DATE FILED:/ -/ LDG. SITE LOCATION:4045 s% 2A MAP//: 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►" C/ DATE: i .) f70, N/A: INDUS 'IAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: ' .,/ '2/1/' DATE: _4(.42--/frgikN/A: 6. PLUMBING INSPECTOR: gr /p �-/r-t, E 7-1 -7y a v 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 ' ' PLOT PLAN FOR LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) e . Well to I I (lot ft. rear) - - — — — 0 Abuttor's I Abuttor's Name I Name Lot # Lot # REAR YARD If this is a • If this is corner lot, 1 ft. corner to write in name write in of street. I, I name of ) a other p 0 / w street. . w V 4 /NTEIRIDR eF 3c..6, SIDE YARD JO/ 0 SIDE YARD HOUSE 1J 0 q FT. if �' f� 0 `or /0i is a FT.0 • I year str 44."9 14--$ • I v# - ..2.1y SET BACK 3j Nl ,N W/9GGS ft. spa ", y„ap, C,e004 -41 I oN Con C2ep, '�” ,. I o?.YIt ,&' C Jaws I. Sir ca G, f2i coe2 . Nc. (lot ft. frontage) Pones r ,� o.s-o ary 7.o al • ;/ • / (NAME OF STREET) • / Information ' / i <1. 2_61._____ / \ Supplied by MARK NORTH POINT TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: JOB LOCATION /T O/P/PrST ;;;;?;-42;;;;?;-42 .8W't"/ . NUMBER ,/ /U STRE T �/ VILLAGE OWNER OF PROPERTY: i5G04) OF y/.e//JDooh - PQT O/" G'e t CONSTRUCTION SUPERVISOR: Aljefaft 0.5-3.612e.1 L.? ��NAME // / LICENSE NO. PHONE NO. ADDRESS: ha elMe J.eene 4. A/esr $ z',cai4 MY- 0n2h 2 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 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 UNDERSTAP THE CONSTRUCTION INSPECTION PROCEDURES AND THE SPECIFIC INSPECTION AS CALLED FOR BY THE BUILDING OFFICIAL. • SIGNATURE: e44."--(2_i7 BUILDING OFFICIAL APPROVAL: ./04- /NiG