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���Fc7g (oApplication, %pany
a Permit to. uild
L07 . ' L'► SED BY Fee{must this application
PLANNING BOARD . t
j9�� a zS3C a Yarmouth .�..i. . '-'tOa..
PATE .. $-li ? i I - r
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit ttobuild, according to the following specifications:
1. Name of Owner 7,4VG11,'/?Oif ge54Cy uSVAddress 20 A) . /RAM 5T. St,. '14-Q•
2. Name of Architect (if any) ,
3. Name of Builder—D/EVGN'Porch %l.DC5- Co . to N. MAIN "r . SO
4 At_�! `
4. Precinct No. C Lot No. Cast It I As Plan: Name or No. ga Ai` 1 yS
5. Name of Street/g1gcot) S.F.
6. Purpose of Building S I NG L6 'EMAIL-4 O w G L L ti
7. Material e-SfrZ. OrL IS CI aR.
8. Estimated cost of building 4I 35 popes
X84 zck Fr
9. Dwelling C(16 Z Q6b ocMS
10. Cottage NO S'8g e- I Bell II-F Roortn,a
11. Heat Liesn- KITGI4EN
18,if 0 bilViAkr 02f—Nc5v.A
12. Basement 465 /oa+f Ci't*a' /p to c
13. Garage gES
Sctvo?"i ct S'"-0 Ali/N& '<po rn .
N� 6 tig g,e o ONE es 12_ Gm" 49&
14. Store KC) ' `�
r r
15. Shop NO (3 .I K i �7 0
16. No. of stories 0 N E cQ Sr
1T. Is there to be a Store in the lower storey NO r L/ o
18. Size of Lot: No. of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front No: of feet side No. of feet rear
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street , from rear lot line side line
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name.....D..f..1bg.I.1(. .a? die-.,Qco, �/
Address . . a....11'1. . .... IN 4?.17....SS• -Atia.f l�UN(
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Street Name
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Leh Side Depth of Lot
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• Right Side Depth of Lot
Street Name
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011'Y94TOWN OF YARMOUTH
0 1tioi c WATER DEPARTMENT
102 UNION STREET
YARMOUTH PORT, MASS. 02675
WATER COMMISSIONERS THE BOARD OF WATER COMMISSIONERS MEETS EVERY MONDAY
AT 7:30 P.M. AT UNION STREET OFFICE
FREDERICK J. THACHER
ROGER G. EDWARDS. JR.
THOMAS E. KELLEY
Date August 17, 1981
SUPERINTENDENT
PAUL WILSON
WATER AVAILABILITY
MASSACHUSETTS GENERAL LAWS CHAPTER 40, SECTION 54
Town of Yarmouth Building Inspector, Health Officer
Please be advised that the public water supply of the Town of Yarmouth
is available to service Lot(s) 145 , (street) Beacon Street
as shown on Assessor's Sheet 88 , with the following provisions:
(1) Review and acceptance of the proposed water service location by the
Yarmouth Water Department, in reference to Health Office approved plot plan(s)
as shown above.
(2) The Town of Yarmouth Water Department through its Board of Water
Commissioners, has the exclusive right as to the location of any and all
water services, fire service lines, or any other attachment to the distribu-
tion system.
(3) Further, until such location is approved by the Water Commissioners
and/or the Water Superintendent or his designee, the public water supply
shall be considered not available to any lot, building or other structure
requiring this letter to obtain a building permit in the Town of Yarmouth.
(4) Field changes made to any structures or additions to the approved
plot plan(s) , especially sewage disposal systems, without express, written
permission from the Water Department, shall automatically make this letter of
availability null and void. The Water Department will assume no liability
for the expense of relocating the structures, or the water service, if a
conflict in location arises.
(5) The Department will require 48 hours, exclusive of Saturdays,
Sundays, or.holidays, from the initial request for a letter of availability
until its issuance.
(6) This letter of availability will be valid only for one year from
the date of issuance.
Reference:
Name Davenport Building Co. /�
Yarm:uth Wa - : partment
Address 20 North Main Street, South Y. rmouth
r _ 44 BUILDING PERMIT REVIEW
APPLICANT: OAVF/(IPai T (�uj( D1N)Cs ®CO • BLDG PERMIT NO:
LOCATION OF PROPERTY: ( hT '$ j45 tsAdck) 3-f. DATE FILED:
A.M. 88- N 145 _ •
F !?i b t
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIDUA •
MUST FOLLOW IN ORDER .TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING." ' THE BUILDING. _ -
DEPARTMENT WILL CHECK OWTHE FOLLOWING: (A) CONSERVANCY DISTRICTS (B) HISTORICAL_t
DISTRICTS (C) . FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE . -
•
APPLICANT THROUGH THE FOLLOWING AGENCIES. - -
1. RESIDENTIAL 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, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC. •
C) CHECK WITH PLANNING BOARD FOR LOT RELEASES -,: ' _
2. COMMERCIAL'BUILDING:°..
A) ENGINEERING .DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE
PLAN REVIEW. "
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. .
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
• - E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). -
REVIEWED BY: •.
1. ENGINEERING DEPARTMENT: :. YES DOES NOT APPLYSIGNATUREI -i h;=_ • ''.DATE
didf
2. CONSERVATION COMMITTEE: YES DOES NOT APPLY,/SIGNATUR Y L , _ - _ DATES 4S
3. PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
4. BOARD OF HEALTH: YES DOES NOT APPLY_SIGNATURE?)/mOr DATED///J
5. FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE ' DATE
COMMENTS: • - -
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