HomeMy WebLinkAboutBLD-90-743 ' " PosrEo 00107/6 /2/17/1C)
/z//7/1C)
FTA
$� f `�o TOWN OF Y MOUTH ow /1/1-00
` MATTACMCCS "�
°� • e,. Application for a Permit to Build . No. 71/3
---018--470 . `
UPON FINAL APPROVAL 0- � MAP 62
/ LOT T ► n
FEE MUST ACCOMPANY THIS APPLICATION. • DATE 12-17 19 96
� .2g
The undersigned hereby applies for a permit to build /
/2/2 -/'70
�o
90 •
according to the following specifications
Name of property owner kiss ill mtltu- TeI?l8)So:-Gcoc -
AddressSaoc K.lev.a. fly: , kerrnt., .it's Calc).
2.Name of Architect(if any) Tel.
3. Name of builder ` S
G=b �� `� � ,k‘;' ___Address 16 Gn;oc. Si-. �.,:rnw11. �l,
4. License No. O'orrs i b Tel. ,36a - t-04q
5. Name of Mason Address
6. Lic se No. Tel.
irtonstruction address 116 13. ^na , Sk. 5. wwvNno.A4.
FWod Zone ct 2' .2.s-
8. Date of subdivision Approval plain zone
9. Private dwelling ❑ Estimated Cost / DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family ❑ . / S-_"a
11. Commercial ❑ 1, ' ' ' ' ,Q' rKitchen
/cr'x .- . Dinin Rm.
12. Other ❑ � y/,iX�$ g
13. No. of stories o"X/d Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab ❑ 00-.1-C; Li Bath
15. Materials Wood 0 Cement 0 Other 0 Deck /
16.Type of heat — Oil 0 Gas 0 Electric 0 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 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 ✓ - "
PLANNING BOARD Address ao ug4,0.4 St.. y� afo,,ihei2 r
Date - -1/4/4.- 362 — V2Yf
BUILDING PERMIT APPLICATION SIGN OFF
PLICANT: �� (k1ii(Fr' BUILDING PERMIT //:
C" (8+8)
DRESS: SZiOC Sue ' s\o`s¢. clue ale-,.. ,,n ryx1csTELE. NO. : at1-Conic"- DATE FILED: 12- /740
DG. SITE LOCATION: (cb S.S,troin54, S,y� nQu4 MAP/f: 6 / Lou: j, D
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
AINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
E FOLLOWING DEPARTMENTS: •
RESIDENTIAL AND/OR COMMERCIAL BUILDING
TER 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.
!MTH 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: /
VIEW WATER DEPARTMENT��&4tt{ d Q„LYt,r (- ) DATE: /a f/7/90 N/A:
HY BY:
Le. WATER
ENGINEERING DEPARTMENT: (/ DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT DATE: tiNi!7< AGO N/A:
/
/WS IAL AND/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 DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE
ISPOSAL SITE MUST BE SUBMITT TOTHE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
ERMIT. /, 1r /l N-GC/ G�R J tf/ ld/ ,,tett.r l
LM/89
/'-/-7/90
TOWN OF YARMOUTH
BUILDING DEPARTMENT
CONSTRUCTION SUPERVISOR FORM
PLEASE PRINT:
JOB LOCATION: )Ho N. Mn,J n Si-. S' h_
NUMBER STREET U VILLAGE
OWNER OF PROPERTY: Kt e4L /V A.M�\\Rr �
CONSTRUCTION SUPERVISOR: OoltA `tn) Y V\ kt 1 '1 0 LJ�iCJ�S ° S‘-y �
NO.I/ENSE
NAME 0
ADDRESS:
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 WI SEC IONS 109.1.1 OF THE STATE BUILDING CODE. I UNDERSTM
THE CONSTRUCTION SPECTION PROCEs. E JAND/' E:PECIFIC INSPECTION AS CALLED FOR BY THE BUILDING
OFFICIAL.
SIGNATURE: A2
)2g>
BUILDING OFFIC AL APPROVAL: A���yJ"'' Os�—
RCV By:XEROX TELECOPIER 7010 ; 0- 4-90 5:.7.ZFM ; 8169050469-) EL 37786563;i4
.1J 1._: — cl- C:1 I LI t it. : 1.2 ti P1 1 I.- I_ t= 1-e.
, . .. .. ...
i
• ' ' 4 • . ' , ,
, ' •
•
-Pri #'61.1-.C" ts"' '74 N
, , • •• • ,. . . , ,, ott
.. • .
;
, i . . ,I.,) • ..
. . -.. i_ ........_ i. ....
. . „
i--4 , / :i' 2 k
I \
1 .r , „etici If f; I ' fr
.,, •
0 if 12
6 e 1
a if r D
/\ oit.±..:,/ /
4 / /
Al
7 1, ......-4
'
. 14,4T • ,13,
, . 4,
if ',
s p .
, i I •-.
LI
---_,
------- e 1 S
(voo,
„....-
. •,.., ...--.4, te-:-!--
.. ,
a Mt, q !
. .. . . ..i •' t I 1.1 at% .
PLOT PLAN
FOR LOT # r Il)
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
Well ® -
-r S 14tioA to
•
(lot I o o ft. rear)
„Li
N s �-/)
Abu is`vim Abuttor's
®Name c+i . Name
Lot # j 9 `Do �3,' Lot #
I ` T II
If this is- a • -- V \,, I�� 1• D _ ` _ l -- If this is
corner lot, -� ` ....ft. \ i corner lot
�tlRAt�1
write in name l 1 t write in
of street. j - — 7 1' name of
1 — a, • other
ro " I o street. .
• ro
4
SIDE YARD SIDE YARD
U HOUSE �
FT
ftp O FT, 0 �D
�J �/ Q
•
SET BACK
I s
ii0
(lot 1 I t) ft. frontage)
IID N• rnoJn' Si 5, 6i,.rnw41\
• /
• / (NAME OF STREET)
/ Information '
/ \ I Supplied ' by (CieIA� M'(\e _
\
MARK NORTH POINT
w(DTt+ OF '-(- -DiECac?ca.2D3l'
`/
13r-ow/jig 4/XG
6
r� fj1 t 1 .
i ��� \ C..��S 7
/if
eof6 µ„
egGsIErr a r
?AV` 3LOCJc -Fear itg
S I,
STE. p `Icy tt_
•
•
•
•
• ��
t m.ww len �� S�SF - 0
I!f'Zit2..)416
13
ENC.* g e ICH S OPP°RTS
SkJer CRC0
Za o c k '--- z-ILO c-,ec
lOD c-,ac..
0447AC . T3C.ccie/We,
SopeoRTs .
1S e Har-1- S orpo y t i '7--)4- tL
. .. , : ., 1 c
t PI TrTi K;N.rre I'W '----- r.;:1
1.
(if„\ ( 1 t_______i
r.0 0 l
rill CO
Iv --1:
iffive r�
WWI j^ r 1'K i &1j I
. C17' imp
tilVII/WER • 4 4
yli aTarieW4y I .
ir
.;\ . . 1=._4_jr_jet tg-•RE MOX
yril- 11
l P +�+ vo J• ��=JE. Exit' .I
I:
1 et ;r
arOn vCrai .
°° g ; r
. I
1 74r'
0 �T 275
2Y � .7t,a�D -P1/4.1/4>C2- • P7
FICA- REJ4tOE-c e CcoLQ I !I
�C16rptP$ 1 �Gp xf��
I I 6,445g- 0,aRS . .
� � ,
r
, 4:::::a
t.
,i
r
( •0
---p -r —
\ `Po
1 II . `i
i
F. - --- -- - - : -- ---
10 77ik, _
---7 H- - - 7- - --.) -- - -
. _
• ,I 0
•
J 1