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HomeMy WebLinkAbout1069 Great Island Road Intent to DemolishTOWN OF YARMOUTH C 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext.1292 Fax (508) 398-0836 YARMOUTH HISTORICAL COMMISSION ECEIVED S C P 2 2 2020 YARMOUTH NOTICE OF INTENT TO DEMOLISH A HISTORIC BUILDING To be submitted to the YHC along with Demolition Permit Application Date of Application: i d--() Demolition: (circle one): Partial Total Building Address: Assessor's Map #,00,2— f Parcel # -- Year built: Zgj,5— APPROVED Re�asuilding is Considered Historic (check all that apply): OCT 0 2 2020 Over 75 Years Old YARMOUTH Located in the South Yarmouth/Bass River National Register Historic Di KINGS HIGHWAY Listed on National Register of Historic Places Resource for historic listings: Massachusetts Cultural Resource Information System: y0ft,mhc-macris.net Property Owner: dried , Kell-lu �Y7A- Address: CitylTown: Phone#: Email: -44 Signature: Address: Phone#: Email: State*IVJ Zip Code: 6772Z Cell# Date: State: Zip Code: Cell# 9122, Date: _ n -t- ,.2 Proposed reuse of property: ktjo., t)�-� r �., 6Y11r,41PH h)11 . Description of structure to be demolished: Svw, �, dmom LIA►, 1 1.IL1 f . r.,,01 L Please include with application: • Color photographs of all sides of the structure being proposed for demolition • Map showing location of property • History of the building/property (if known) • Assessor's Map Field Card Updated 9M17 1 ONE & TWO FAMILY ONLY- ]BUILDING PERMIT Town of Yarmouth Building Department , y 1146 Route 28, South Yarmouth, MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code, 790 CMR 5 Building Permit Application To Construct, Repair-, Renovate Or Demolish a One- ar Two -Family Dwelling This Section ,For official Use Oaly Building Permit Number: Date Applied: Building Official (Pant \ame) Signature Date SECTION 1: SITE MOR,MATION 1.1 Pro arty ddre ; G+ I G [I 1.2 Assessors Map & Parcel Numbers 1.1 a is this n accepted street? yes no Map Number Parcel Number 1.3 Zonin Information: 1.4 Pro er Dimensions: �'.: � o Zoning District Proposed Use Lot Area (sq ft) Frontage (ft) i.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 7 / I.6 -vVa ter Supply: (M,G.L c. 40, § 5i) 1.7 p'1 od 2.one In or-n tion: l.d Setivane Disposal System: Public ❑ Private Zone: Outside Flood Zone? Check i€yes❑ Municipal ❑ On site disposal system SECTION2: OPERTY OWNERS t 2.1 Owner r of or rG. 1 2 c'c{. c raj 1t' , ame(P,..t) ame (Print) City, State, ZIP No. and Street Telephone Email Addfess SECTION 3: DESCRIPTION OF PROPOSED WORK= (check all that apply) New Constructloq ❑ Existing Building ❑ Owner -Occupied ❑ L Repairs(s) ❑ J Alteration(s) ❑ Addition ❑ Demolition Accessory Bldg. © Number of Units . Other ❑ Specify: Brief De ripti n 9f Proposed Work7• lr/ / SECTION 4: ES't RATED CONSTRUCTION COSTS. Item Estimated Costs: ' OfScial Use Only Labor and Materials y 1. Building S 1. Building Permit Fee: $ Indicate how fee is determined: 2. Fiectrical $ ❑Standard City/Town Application Fee ❑ Total Project Costa (item 6) x multiplier x s. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5, Mechanical (Fire 5u ression $ Total All Fees: $ 6. Total o ect Cast: $ Check Amount; Cash Amount: APPRov Fui3 ❑ Outstanding Balance Due: V 2 2 29N OCT o 2 2020 YARMOUTH OLD KING'S HIGHWAY SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Su ervisor License (CSL) Name of CSL older &k' 7 f No. and treat i� rtTown, State, Z License umber E wonft x List CSL Type (see below) _____14— I Type I Description I j SF Solid Fuel Bumine Aooliances cmau aaoress I D Demolition 5.2 egistered o e Improvement Contractor (HIC) pan a or MC Re ' ant N I•IIC Registration Number xpi,,t ,Date et - QL� j �� ail address r'ir lr.,.,.., e...«e rro SECTION 6: WORMS, COMPENSATION INSURANCE AFFIDAVIT ¢VI.G.L. c.152. § 25C(6)) Workers Compensation 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 ........., 13 No ........... fl SECTION 7a; OWNER AUTSORIZATION TO EE COiYIPLRTED WHEN OWNER'S AGENT OR CONTRACTOR�fAPPLIES FOR BUILDING PERNM 1, as Owner of the subject property, hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owner's Flame (Electronic Signature) bate SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information conAWS i'pplicadon is and accurate to the best of my knowledge and understanding. Prinhorized Agent's Name (Electronic Signature) Date NOTES: L An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the 141C Program can be fotnnd at 2 MMw.. ass, goy/oca Information on the Construction Supervisor License can be found at www..tnas eovldns substantialwncn work is planned, provide th Total floor area (sq. ft.) Gross living area (sq. ft,) Number of fireplaces Number of bathrooms Type of heating system "Type of cooling system (including garage, finished basementlattics, decks or porch) Habitable room count Number of bedrooms Number of half/baths Number of decks/ porches Enclosed Open "Total Project Square Footage" may be substituted for "Total Project Cost" ���� D APPROVED sEP 2 2 202 0 O C T 0 2 2020 ' Y#1HMQJTH OLD KINGPvIOHUGHWAY .,LD KIN 'S HIGHWAY I TOWN OF YARMOUTH Itu4q ttmup In TAINMfI Itt HAKA([[ MMOMA4aa+t I. I. 1-Me) ft,211 t.I tM I n [bet end[ to YARMOUTH HISTOR?M COMMISSION NOTICE OF INTENT TO DEMOLISH A HISTORIC BUILDING rortltt.d n rlte YHC eleny trite 0--Wtoo vetrru, Appat;anea Da* aAppiraton'. ,r y�' pMioirtm Iac1t drrl Dutvl MAI Addis, J11 AsI a map 0 M.? f paroel J['—il` Yet 4ikLA�.L_ Rt� HeAldlrtg h Considered Hdtode (fUW4 sh that III") f� Dwr re YaArs old _ Uoc.ttd In the South Yarmout"'I RIM NaOc"Register Historic District Listed en NANonar ROViabr W Hester$¢ pW" Haroxalp twwrc rrap{tyrrApy.Ny Qrtlal R•AOU'e. 1-b-nr•yt il'H•m KwM—Ye+rrr•rrr pleeet ttGudl MM1 eppYCAIie11' ' towr atongrevna d tt aidp a Mr atuclrx. tterg Ptopoeed for dm[tettetr ' Meg tltoMq bc.Eert d IYedarh • ICY d MM htitl'nptpopty ft Iutorn) ' A"6111I 41ep Fria CWrd r 49CMN#. womxgw p�1YlONp iA7JmAYt7 PLGL a Im uco)) s Wr rtEaexwo nowrL W 'lls 4.W — M y W.Weire r;u Bn rNew+ rrtWe Off.rfrerti at, a _ syrtq AIL'—' AftI yr...a _ ...... 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