HomeMy WebLinkAboutBLD-81-569 � � .. �� ^
Application for a Perm' to Build No. Y
p 1\SS\
Fee must accompany this a lication
Yarmouth ,4L4 -9 Gi
TO THE BOARD OF SELECTMEN9-7:ft
The undersigned herelies for a permit to build, according to the following specifications:if �
1. Name of Owner e.g.,...)-O �' 1,) COW er '4x Address Z c2 Ctt e9A.� /t_'� -Cr
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2. Name of Architect (if any)
3. Name of Builder L /
4. Precinct No. 2- / Lot No. / / Plan: Name or No. 9 7 I
2- C
5. Name of Street Z° G ard.03/1 �..+er
6. Purpose of Building ...-e JFa/c r
7. Material Zo.0
8. Estimated cost of building .,SO REMoVE 4 DOUBLE HOW& u eal:touw&
9. Dwelling — AND 'REPLACE WITH oNE $l)9 umMacc0
10. Cottage
/0
11. Heat ---
12. Basement
13. Garage --
19.
19. Store --
15.
15. Shop ---
16.
16. No. of stories /
17. Is there to be a Store in the lower storey .I/a
18. Size of Lot. No. of feet front //67No. of feet rear /467 No. of feet deep • ��
19. Size of building. No. of feet front ...(G! No. of feet side 30 '6 No. of feet rear
1 i�
20. Distance from nearest building: Front 3 ' ' ft.; side 300' ft.; side �� ft.; rear 0°4°2
21. Distance back from line or street Yetrom rear lot line N� /� , side line /92 9 6'3
Show by diagram the location of propsed building with relation to distal)
rom,
,ems join• lotsfo/
everse si e?
Name
Address...? e-2,0 "a,v,,f'€
��4'�Gr✓
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.,
•
•
Rear of Lot
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. 1
I
.. Y
A 0
s _
o 5
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-- - -
Frontage of Lot
'Street Name
PLOT PLAN
A=P,LICANT: L r7.J BLDG . PERMIT N0.
LOCATION OF ,PROPERTY: 2. Ocd C l C' L•t/, Sy DATE FILED: OSA/
A.M.11-V1
THE FOLLOWING CHECK-OFF SHET IS DESIGNED TO CLARIFY THE PROCEDURES AN
INDIVIDUAL MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO .BUILD OR ALTER A
BUILDING. THE BUILDING DEPARTMENT WILL CHECK ON THE FOLLOWING: (A) CON-
SERVANCY DISTRICTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING, AND •
WILL BE RESPONSIBLE FOR ASSISTING THE APPICANT THROUGH THE FOLLOWING
AGENCIES. .
1. R`SIDENTIAL BUILDING:
A) CHECK WITH THE _HEALTH-DEPARTMENT -IN REFERENCE TO SEPTIC SYSTEMS -
FOR SEWAGE DISPOSAL. -------
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE
OF -WETLANDS. EXAMPLES: STREAMS, PONDS, RIVE.?S, OCEAN, BAY, BOGS,
MARSH, ETC.
2. COb7:I2GI:AL.:BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS,
'TOPOGRAPHY SITE PLAN REVIE'/.
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING 'BOARD-TO SEE IF LOT COi'PLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIMMENTS, HEALTH RELATE
ACTIVITIES. EXAMPLES: SAUNA BATHS, SWII.1"1ING POOLS, RESTAURANTS,
ETC.
B) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) .
REVIE-.:ED BY:
) . DIGI ^EING DErA? 7eENT: YES `/DOES NOT APPLYSIGNATURE I _ DATILlt4111
ff
2. CONSERVATION COMMITTEE: YES DOES NOT APPLY✓SIGNATUR-j - ; � DAT�LrBI
3. PLANNING BOARD: - YES DOES NOT APPLY --SIGNATURE =—/ DATE
4. KARD OF HEALTH: .- - YES vDOES -NOT APPLY - -SIGNATURI A4_,A i DATO*
5 . FIRE DEPARTMENT: = YES DOES NOT APPLY - SIGNATURE -- ----- -DATE
CO:::^I_S: 1l0. gDD1T1oa oR.Ex-r6105.1e4 of E$ St114G FoUNDATioS
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Application to
yY,may.JP + ,1
riart e?" V ED
.11 Old Kings Highway Regional Historic District ComAKP
in the Town of Yarmouth for a 1981 FEB 26 AH 1C 16
1131411 DF TARIOTH
• CERTIFICATION OF EXEMPTION i3h;N CLERK cc: TREASURER
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolvesol Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo-
graphs accompanying this application.
February 18, 1981
TYPE OR PRINT LEGIBLY DATE
ADDRESS OF PROPOSED WORK 2 Old Cedar Lane, So. Yarmouth : ASSESSORS MAP NO. 97
OWNER Robin W. & Gayle Wilcox ASSESSORS LOT NO. V1
HOME ADDRESS 2 Old Cedar Lane, So. Yarmouth TEL. NO. 398-0727
AGENT OR CONTRACTOR None
ADDRESS TEL. NO.
This application is for exemption of proposed exterior construction on the ground that:
❑ (1) It will not be visible from any way or public place.
(2) It is within a-category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
• PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and, if an addition is involved, show-
'• ing location of existing building. -
Installation of a 4' cedar stockade fence, installation of storm windows, the
reshingling of the exterior with white cedar shingles, the installation of
white corner boards, reshingling the roof with pastel green fleck asphalt
shingles and the installation of a roof vent, installation of shutters, the
painting of trim white, the painting of existing blue peaks to green to match
shutters, the removal of 4 windows and replacing of them with•-1 bay window to
be made of the 4 windows. /
SIGNED
•
Space below line for Committee use. _ • Owner-Contractor-Agent
Received by H.D.C. The Certificate he ( ~ /i — Zr�l
Date --.2./"L
. •� '� er
• Time `y�•,.�\tt` •t
1 w /
•
By Date
Approved • Ib • •is The trtegories of work entitled to exemption are listed on
Disapproved 0 • f 'the back of this form.