HomeMy WebLinkAboutBLD-90-738 _. _�F•YgR, PosrED 0,k1 t',6.L'.
¢ . TOWN OF • e MOUTH I a/s,a/p
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CellMATTAC ?e� Application fora Permit to Build No. r) 3 2
UPON FINAL APPROVAL \Z Z� P1 MAP LOT l
FEE MUST ACCOMPANY THIS APPLICATION. DATE /qC (hi
19 �v
The undersigned hereby applies for a permit to build r-1-/7 2d
according to the following specifications
iName of property owner JTON It HMEK Tel.
Address 7 t'yv,E«E OR., co /,,Hewn, eq/€42.Name of Architect(if any) / Tel.
Name of builder ert.t'tvi) Address
4. License No. Tel.
5. Name of Mason __Address
6. License No. Tel.
X6onstructionaddress 7 MyAttccs Dg., So - yAgmoaTai
Flood / District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family ❑ Q7, co° / hct'»ti
11. Commercial ❑ Kitchen
12. Other ❑ J2 / i Dining Rm.
13. No. of stories ( yJ� � Living Rm.
I. ,�(,LutilK�m- Bed Rm.
14. Foundation — Full 0 Ha f m 'Crawl ❑ Slab ❑ abs Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16.Type of heat — Oil ❑ Gas 0 Electric 0 Other 0 Closed porch
17. Garage — 1 ❑ 2 ❑ Sro Rm.
Suunn 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
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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 ✓ �rn l-0-R �
PLANNING BOARD Address 7 Nywcz_cE Pg-.
Date So - yAcriocfTM
TOWN OF YAMOUTH
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DATE
JOB LOCATION 7 /Ty/vete-4 rbc. S0 . //4RT90uTH
NUMBER /STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" S:Mt' T"BEh414'K 399g -2.oat 3gs-3a7%
NAME HOME PHONE WORK PHONE
PRESENT MAILING ADRESS 7 /n/Aestc.At 0 ZI
Sa _ frgnou714, MA • 6a. 665/
CITY OR TOWN STATE ZIP CODE
THE CURRENT EXEMPTION FOR "HOMEOWNER" WAS EXTENDED TO INCLUDE OWNER-OCCUPIED
DWELLINGS OF SIX UNITS OR LESS AND TO ALLOW SUCH HOMEOWNERS TO ENGAGE AN IN •
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DIVIDUAL FOR HIRE WHO DOES NOT POSSESS A LICENSE, PROVIDED THAT THE OWNER
ACTS AS SUPERVISOR. (STATE BUILDING CODE SECTION 109.1.1)
DEFINITION OF HOMEOWNER:
PERSON(S) WHO OWNS A PARCEL OF LAND ON WHICH HE/SHE RESIDES OR INTENDS TO RE-
SIDE, ON WHICH THERE IS, OR IS INTENDED TO BE A ONE TO SIX FAMILY DWELLING,
ATTACHED OR DETACHED STRUCTURES ACCESSORY TO SUCH USE AND/OR FARM STRUCTURES.
A PERSON WHO CONSTRUCTS MORE THAN ONE HOME IN A TWO-YEAR PERIOD SHALL NOT BE
CONSIDERED A HOMEOWNER. SUCH "HOMEOWNER" SHALL SUBMIT TO THE BUILDING OFFICIAL,
ON A FORM ACCEPTABLE TO THE BUILDING OFFICIAL, THAT HE/SHE SHALL BE RESPONSIBLE
FOR ALL SUCH WORK PERFORMED UNDER THE BUILDING PERMIT. (SECTION 109.1.1)
THE UNDERSIGNED "HOMEOWNER" ASSUMES RESPONSIBILITY FOR COMPLIANCE WITH THE STATE
BUILDING CODE AND OTHER APPLICABLE CODES, BY-LAWS, RULES AND REGULATIONS.
THE UNDERSIGNED "HOMEOWNER" CERTIFIES THAT HE/SHE UNDERSTANDS THE TOWN OF YARMOUTH
BUILDING DEPARTMENT MINIMUM INSPECTION PROCEDURES AND REQUIREMENTS AND THAT HE/SHE
WILL COMPLY WITH SAID PROCEDURES AND REQUIREMENTS.
HOMEOWNER'S SIGNATURE C}�
APPROVAL OF BUILDING OFFICIALv
NOTE: THREE FAMILY DWELLINGS 35,000 CUBIC FEET, OR LARGER, WILL BE REQUIRED
TO COMPLY WITH STATE BUILDING CODE SECTION 127.0, CONSTRUCTION CONTROL.
/� BUILDING PERMIT APPLICATION SIGN OFF
PPLICANT: :3-0/4/ ` IEIJNOC. J NBUILDING PERMIT //:
•
DRESS:+-7 'My/knelt,i)I, . SO . YARa fritELE. NO. :j91"croa 1 DATE FILED:
•
LDG. SITE LOCATION: S,4tlE / MAP//: LOT/l:
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: I/� /L04.
DATE: /p'�-A5-(449 N/A:
6. PLUMBING INSPECTOR/l/�/'I .t ''/!.'�/,�!!/// DATE: / ake")/7 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:
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FRIEDLINE & CARTER ADJUSTMENT, INC.
436 Main Street, P. 0. Box 338
• Hyannis, Massachusetts 02601
Tel . (508) 771-3232
Fax. (508) 790-2344
TO: (v) Building Commissioner or Inspector of Buildings
( ) Board of Health or Board of Selectman
( ) Fire Department
Town of Yarmouth
•
Town Hall
Yarmouth, MA.
RE: Insured: PENNER, John P. & Donna J.
Property Address: 7 Mynelle Dr. 7
S. Yarmouth, Ma.
Policy Number: HP1239250
Loss of: rirrn76379071,
File or Claim #: 50050
Claim has been made involving loss, damage or destruction of the
above-captioned property, which may either exceed $1, 000 . 00 or
cause Mass . Gen. Laws , Chapter 143 , Section 6 to be applicable.
If any notice under Mass . Gen. Laws, Ch. 139 , Sec. 3B is appro-
priate please direct it to the attention of the writer and
include a reference to the captioned insured, location, policy
number, date of loss and claim or file number.
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail .
/14c--Z7
Adjuster
Date: // - 9G