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HomeMy WebLinkAbout2001 Jul 18 - Building App Sign Off Sheet, Plans - Addition ofYA. TOWN OF YARMOUTH }. o E "' e BUILDING DEPtkRTMENT BUILDING PEMIT APPLICATION SIGN OFF (tR Applicant: ilfe- 44 I :uilding Permit No.: Address: / P 14-7-1-"- 2 4 , 1 Te o.: 444 r Date Filed:2.-_= X---- Bldg. Site Location: '7K (J1 4 Map No.: S ` Lot No.: a 3'7 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 determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department will be responsible for assisting the applicant through the following departments: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) 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,Marshland,Etc. HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations;i.e.,Requirements 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: 1/45-5%30 WATER DEPARTMENT: I:_.J DATE: 7 ' /4 - o / N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: (").4 DATE: N/A: ,ALTH DEPARTMENT: A DATE: 7—I �' N/A: INDUSTRIAL AND/ COMMERCIAL PERMITS 5. WIRING INSPECTOR: DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 7. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE All stumps and/or brush must be disposed of at an approved site. COMMENTS: r� jF 'J $uc ce:o'le' & cri 4 '3 /3 el irocAm.c --- a3 1Ne.A) s i'tC " (A-S 3 U LCT Locccko+n c =LA/4 wuK i3-(1_ Sv47Au,lJ S 4,..F7e,e- c cMc r—ei-S Ne-t4-0 1-1wse t"J-e,w...wsia..8 8/99 Applicant Signature Date ..o ri ., ONE & TWO FAMILY ONLY BUILDING PERMIT ,'� ,gyp`, APPLICATION TO CONSTRUCT,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 0 • _��,v yr Town of Yarmouth Building Department ce MATTACNEES X2' 1146 Route 28 • Yarmouth, MA 02664-4492 °"'°"""°- Tel: (508) 398-2231 x261 • Fax: (508) 398-2365 7 ai7' a<^ 9-; e -tn ,y`r.q x= � ' P ra,e' 3 - s+«± tea.. � �`�. . r4. �.� 9 I $ sem 5. ag; v .-„. €{ fi `',3 ' b<`"• L. ed.'#' .t. .'.,» . - as 'i ,.. . :, z 's�-x. ”. ..- .� „ - m s _ ' Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: -7 W e&--V i -, 4 (2.. . +Q1 r ' ' •2 t 3 Zoning District Proposed Use 1.3 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided • 1.4 Water Supply(M.G.L.c.40.S 54) IIIIIIIIIi!!TI !l.IIlIIlIIiIINIIIi . 2.1 Owne IN A)�. O 3 0(.4/AK/ T7 v" Tv �1"r`W 4 '(�� M 'lin Address Name(print) g W W. A 4 ng-6 Signature Teleph�e 2.2 Apthorized A ent: I k I C Vtkfil , T .01-� E 0 & - Na.,- •rint) Ping Address Signature Telephone - i D 0 I n V ' ' i , 3.1 Li used Const ctio, Su• rvis : L J U A 0 2001 j U(. ® 9 2001 J iftek `tom Not Applin ,/� eipt ,......-/A/ 2 4 1 B. c617,r ,,_.„,,w, , , � License N Addres4, ,11 ..... � e)t 17-S." V S---6 2 .�(52/ Expiration Date 47Signature [ Telephone // 2-23r? Company NaNot Applicable LI r' ' e 61%1 ' 4 /( ;. License Numb-r /S Add'/r�s /J4�_ �(,JetL -4�f 1" r"/ T': expiration Date Signature Telephone 2 — 2 22_ 9- 15-99 1 of OVER Workers Con'ipensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No E � New Construction ❑ No.of Bedrooms No.of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: Y a,J l• t. — koZ5-k.).342 . Item Estimated Cost(Dollars)to be Check Below completed by permit applicant 1.Building 1 ‘CZit r� ❑ Conservation-Commission Filing 2. Electrical (if applicable) 3. Plumbing/Gas 4. Mechanical(HVAC) ❑ Old Kings Highway&Historical 5. Fire Protection Commission approval 6.Total=(1 +2+3+4+5) Sf e�0 (if applicable) 7.Total Square Ft.(new houses&additions) Pl cice— r , as yner of the subject property hereby authorize fies7' AT 4 ' to act on my behalf, in all matters relative to work a horized by this building permit a lication.+ .206.7 Signature of Ow I, , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print name Signature of Owner/Agent Date 9- 15-99 2 of 2 � s BUCK • 4 , L5LAIII? -fl. i tO s OBBY LN• .% • I • Nkb v 4 'CHOLL BDA , 044 MAIN' 'SST SEE SEPTIC ON FILE AT THE B.O.H. FOR OkSEPTIC LOCATION AND SIZE (3 BEDROOM) 04 DATED NOVEMBER 24, 1995. LOBUS 41 4P NOT 70 ,SCALE GREC G1IMC © .111I. 1 8 2001 HEALTH DEPT. S4). ko 4440 �,' 86 50, 4,4 NF s..4. . -% ,,� / v3. 90\ .) Pi / 4-1. ..."4 o EXIST ATER t. A GAR. #73 —� 1 C.'. O / CONC. o LEAcHiNG o� -3 st 00 AREA �\ A la \- 0 o,� "(3•,/,‘P PROPOSED ADDITION 5 00, X 416*±16.± r N5,2�3,/ciNr 119.72' N6534'00"141 FLOOD ZONE "C" PLOT PLAN RES ZONE #1?-251' TOWN: NEST YARMOUTH SCALE.• 1"- 30' Fp q 1E 10/2%0 EXISTING( dARAGGE • CO�re. PAD KITOIDAT MOM( rr a�M L8TINriiil 5.5', BATIBIOO 1 1 1111 PROPOSED AL BAH-ROOM -, I OQ CLBEDROOM S in-1 I frn,9%,. go _ I __. o � � h A ti, 3.0' PROPOSED PROPOSED I At BEDROOM _, BEDROOM_ I U�' .-� e_i W I • ct IQ. 5.5cn 7.7' 11.8' 21.0' 73 WEST YARMOUTH ROAD FLOOR PLAN SCALE: 1 n= 10' SHEET 3 OF 4 / • . . - , • RIIIVTO DWELLIM7 • • • • • • • • • / 1 Y .� .. r.`. / 1 'j `,� Lam) I 1I 1I ir.� ,f/ PROPOSED ADD.IT7011t 73 WEST YARMOUTH ROAD ISOMETRIC VIEW SCALE 1'= 10' SHEET 2 OF