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.
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SIGNATURE: e44."--(2_i7
BUILDING OFFICIAL APPROVAL: ./04- /NiG