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HomeMy WebLinkAboutBuilding Permit BackfileFlc D COPY �a SO TURN YART'SOUTx BUILDING PERMIT ll DATEA11g»ct 11, 2001 PERMIT NO. P-02-141 APPLICANT'Dayid Cox ADDRESi d Box 401 S.Y. 02664 100497 (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMITTO TeP11TR (_) STORY DWELLING UNITS vPr !1F IMPPnVFMFNTI NO. (PROPOSED USE) AREA OR VOLUME. (CUBIC/SQUARE FEET) PERMIT25.00 ESTIMATED COST $ 3,000.00 FEE OWNER D"Fid 1 BUILDING•� ,� ZONING AT (LOCATION) 34 Hatch Road S Y 02664 DISTRICTH 40 (NO.) (STREET) o m m BETWEEN 1 AND (CROSS STREET) (CROSS STREET) 89/18 O LOT BLOCK SIZE 24 m SUBDIVISION Q U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O TO TYPE 5B USE GROUP R4 BASEMENT WALLS OR FOUNDATION (TYPE) O 0 LL REMARKS:re root 22 squares going over One lnypr AREA OR VOLUME. (CUBIC/SQUARE FEET) PERMIT25.00 ESTIMATED COST $ 3,000.00 FEE OWNER D"Fid 1 BUILDING•� ,� INSPECTION RECORD DATE NOTE PROGRESS - CORRECTIONS AND REMARKS INSP� TOR 5 A AUG 13 CONSTRUCTION ADDRESS: BUILDING PERMIT APPLI TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 Ext. 261 Permit# G -r Fee Permit expires 6 months fron issue date. ASSESSOR'S INFORMATION: �^ Map: rg Parcel: NAME PRESENT NAME MAILING ADDRESS TEL.# hesidential G Commercial EsL Cost of Construction S Home Improvement Contractor Lia # Construction Supervisor Lia #, Workman's Compensation Insurance: (check one) G I am the homeowner G I am the sole proprietor G I have Worker's �{ur Compensation Insance ur Insurance Company Name: :2n' ri 1!,rKz1XZ )" Worker's Comp. Policy# WORK TO BE PERFORMED ❑ Tent (Five Retardant Certificate attached) Duration O Siding: # of Squares • Replacement windows: # ❑Re -roof. #of Squares %,li z ' () Stripping old shingles* i] Replacement doors: () going overlayers ofexisting roof 'The debris will be disposed of at: Location of Facility I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belie£ 1 understand that any false answer(s) will be just cause for denial or revocatign of my license and for proxcutionider M.G.L. Ch. 269, Section 1. -4 Applicant's Signature: Alw Owners Signature (or attachment) 1 �/ ,1 1 1 •J Zoning Distric Historical District: ❑ Yes 6/ lv�o Water Resource Protection District: ❑ Yes ❑ No Flood Plain Zone: ❑ Yes ❑ No Within 1001 of Wetlands: ❑ Yes ❑ No 3rol OF rgq�1 _ TOWN OF YARMOUTH MIMCNEESE APPLICATION FOR PERMIT TO DO PLUMBING By9jL (OFFICE V Fee: $ j�•2 PERMIT NO. Date6_4+r� BuildingI'._ Owner's k& )FST AT. Location;�y /ATC4 AR1) Name Type of Occupancy H��S�r�divsl.�lt New ❑ Renovation ❑ Replacement P-� Plans Submitted Yes ❑ No ❑ (PRINT OR TYPE) Check One: Installing Company Name S& /, (�A C -o J��Corp. Ca?cS� Address 3` /Y Arl ST7P&6 ❑ Partnership &)FSi VwMe'IQUT-}f 1, m/7 073 ❑ Firm/Company Business Telephone %iS ---)-,FGd Name of Licensed Plumber �A44— «a/!2225Z INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes L?' No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy E / Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ nit re of Licensed Plumber License Number Type: Master Journeyman 0 z z D Y J N Q U Fa- z C3 (n ui d 2 O Z Fa- W N F U M (n a Cn U. Z a 3 K JUN $ „a 6` (n (n x o a w m x M o a. Z a a s 0 LL w x D = w¢ 3 3 w O x Z= a w? Y a 0 J a 4 o W o U. U. M IIr-, l� �) a a s °x n a `n z o o (n z z w a z By- y O 0 a o <c -j a a CC= CC o a O MIM J x H (n u. M O a M m SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: Installing Company Name S& /, (�A C -o J��Corp. Ca?cS� Address 3` /Y Arl ST7P&6 ❑ Partnership &)FSi VwMe'IQUT-}f 1, m/7 073 ❑ Firm/Company Business Telephone %iS ---)-,FGd Name of Licensed Plumber �A44— «a/!2225Z INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes L?' No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy E / Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ nit re of Licensed Plumber License Number Type: Master Journeyman 0 TOWN OF YARMOUTH APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By Fee: $ PERMIT NO. Date / — Building Owner's AT: Location <3y TW &D Name �ZOMA4 4 WAR. S'ocrrr-f y�.Yratn� Type of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted Yes ❑ No ❑ (PRINT OR TYPE) Check One: Installing Company Name �� eal4fy 0 Corp. c33QS� Address 3� 16� /4,ZhA✓ S-Ee7• 03673 , ❑ Partnership ❑ Firm/Company Business Telephone 775--'gka Q Name of Licensed Plumber or Gasfitter z- LW INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes ltd No ❑ If you have checked yes, please indicate th�ype of coverage by checking the appropriate box. A liability insurance policy Uf - Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check One: Owner ❑ Agent of Licensed or Gasfitter License Number TYPE LICENSE: El Plumber 0 Gasfitter ETV�aster ❑ Journeyman m y Y W Vj z cc y Lu >, MCC z =N o: JUN 0 8 I m W cc a w W z oo- Wax I,, z Q x p > wII�� 13 w F x¢gI� z a¢ LLI vi m z o Z¢ o 0 =w xY = LL M 3 0 a 0 M> o � o -j 0.. SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: Installing Company Name �� eal4fy 0 Corp. c33QS� Address 3� 16� /4,ZhA✓ S-Ee7• 03673 , ❑ Partnership ❑ Firm/Company Business Telephone 775--'gka Q Name of Licensed Plumber or Gasfitter z- LW INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes ltd No ❑ If you have checked yes, please indicate th�ype of coverage by checking the appropriate box. A liability insurance policy Uf - Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check One: Owner ❑ Agent of Licensed or Gasfitter License Number TYPE LICENSE: El Plumber 0 Gasfitter ETV�aster ❑ Journeyman TOWN OF YARMOUTH Building AT. Location�f?Te l /!I-,) APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By Fee: $ PERMIT NO. Date 13 k Owner's! 11x,,4- Type of Occupancy f7'S�r�fryTJi�C New ❑ Renovation ❑ Replacement D-� Plans Submitted Yes ❑ No ❑ (PRINTORTYPE) /, Check One: Installing Company Name S R Cdr/CO P<<orp• X36$.` Address 177WII✓ S' 7& i ❑ Partnership 00FS> 14s,lwoypl /}tf'l 0x/-73 ❑ Firm/Company Business Telephone Name of Licensed Plumber1 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes Ele No ❑ If you have checked YES, please indicate the type of coverage �/bychecking the appropriate box. A liability insurance policy tJ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ ignature of Licensed Plumber //317 -- License Number Type: Master ©Journeyman ❑ Z z z co Y FQ- > fA w Y -i Cn ¢ U Z Q N z M C7 u1 W ¢¢ W N OJ Z N Cn W W o ¢_~ U¢ w Q u7 O LL Z z Z z a 3 X 0 ¢ W m¢¢ 0= W } a n FW- to Z❑ Q to a¢ a¢ Q O LL ¢ W O ❑ W a Cncc 0 Z 2 Q W y ¢ F- J Q Z Y D Q W O LL J Y W JI a o N� N Y O. O O o a��¢ W F- a O U = Y Q>Q J m t=n 0 J 0 2 Q F W LL O M❑ Q 3¢ o a� In 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINTORTYPE) /, Check One: Installing Company Name S R Cdr/CO P<<orp• X36$.` Address 177WII✓ S' 7& i ❑ Partnership 00FS> 14s,lwoypl /}tf'l 0x/-73 ❑ Firm/Company Business Telephone Name of Licensed Plumber1 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes Ele No ❑ If you have checked YES, please indicate the type of coverage �/bychecking the appropriate box. A liability insurance policy tJ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Check on Owner ❑ Agent ❑ ignature of Licensed Plumber //317 -- License Number Type: Master ©Journeyman ❑ x APPLICATION FOR PERMIT TO DO GASFITTING TOWN OF YARMOUTH 113y Fee: (OFFICE USE ONLY) PERMIT NO. "OD' Y:J Date /—. 3� Building Owner's AT: LocationTCN POAQ Name �U1.414 LJtisT �Sov,N vpmotr l - Type of Occupancy. i�✓�i��^nJ�ifL New ❑ Renovation ❑ Replacement (Y Plans Submitted Yes ❑ No ❑ (PRINTORTYPE) 1 Check One: Installing Company Name k (13r✓fn 2 --Corp. C�9363� Address SSU '"� 1`'1A1�/ STr'-E�- ❑ Partnership ✓V? Si Leo}Q.r ta—r} . /j'1 aa�73 ❑ Firm/Company Business Telephone Name of Licensed Plumber or Gasfitter�i�� INSURANCE COVERAGE: E ; Check Once . I have a current liability insurance Policy or its substantial equivalent. Yes ltd No ❑ If you have checked yes, please ir'di cate thQ type of coverage by checking the appropriate box. A liability insurance policy\.. Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent Signature of Owner or Owner's Agent hereby certify that all of the details and information 1 have submitted Ignature'of Licensed (or entered) in above application are true and accurate to the best of Plurptrer or Gasfitter my knowledge and that all plumbing work and installations performed under Permit Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and License Number Chapter 142 of the General Laws. TYPE LICENSE: ❑ Plumber ❑ Gasfitter EYMaster ❑ Journeyman In `Cn .Y .. i_ _Ut W 2 cc N 2 w F w ¢ cc O Q U m == to z J 4= Q } z Z O F" cc W - Q m y ti W W p O a O W Q / rn w y !!! U z W a Q = x ¢ ¢ z Q ¢ w p w > w = ¢ IJ' z z z F w F W O> U. O ►- w_ to w Q W Q C } Cn m z z W O y 2 2 0 a 2 w 7 Q a J U 4= > o a H O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINTORTYPE) 1 Check One: Installing Company Name k (13r✓fn 2 --Corp. C�9363� Address SSU '"� 1`'1A1�/ STr'-E�- ❑ Partnership ✓V? Si Leo}Q.r ta—r} . /j'1 aa�73 ❑ Firm/Company Business Telephone Name of Licensed Plumber or Gasfitter�i�� INSURANCE COVERAGE: E ; Check Once . I have a current liability insurance Policy or its substantial equivalent. Yes ltd No ❑ If you have checked yes, please ir'di cate thQ type of coverage by checking the appropriate box. A liability insurance policy\.. Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent Signature of Owner or Owner's Agent hereby certify that all of the details and information 1 have submitted Ignature'of Licensed (or entered) in above application are true and accurate to the best of Plurptrer or Gasfitter my knowledge and that all plumbing work and installations performed under Permit Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and License Number Chapter 142 of the General Laws. TYPE LICENSE: ❑ Plumber ❑ Gasfitter EYMaster ❑ Journeyman