HomeMy WebLinkAboutBLD-81-638 ice, 3 �
No.
/ Application for a Permit to Build 6 if
6 Fee must accompany this applicati
Yarmouth ..,./421-
Zwl m& ..19 9/
9—zs-27
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 15 Address 33 c?L-R• GREEN ST
QM A_ts /NA-Ids
2. Name of Architect (if any) •
.NICK BALOQI MAS X029---z31
3. Name of Builder /�
4. Precinct No. 3 Lot No. /v/- 0 3 / 14an: Name or No.fi L^,
o29 -- AO/ .23/
5. Name of Street 33 £ V 5R GG RE£nt 57-:o
6. Purpose Building n D rr 0 tA) -- .Be rzoo u-1 f 4 j(y ,
r
7. Material a/CO D r Op
Cr{
8. Estimated cost of building
$• COO fPp oeonaoree (a n
9. Dwelling , del be / t— xI- er 2g
10. Cottage POS7
pc
Y
11. Heat N 0 •
'/ >k____.!
12. Basement r0 9TqGd � / (:5- 7, 6: 0) jf
13. Garage N d ,q•
14. Store ti o litc
15. Shop N 0
16. No. of stories I
W
17. Is there to be a Store In the lower storey p✓0
18. Size of Lot. No. of feet front 10 9----i i O No. of feet rear _a/02.7w •No. of feet deep •.n I
19. Size of building. No. of feet front ...4.$.,r LI No. of feet side e.&..r O No. of feet rear litre'
20. Distance from nearest building: Front .�f.O...5tU.l.D.fat.; side d, c
. ..ro ft.; side (p.! -
• d ft.; rear 70--19
/ O// / O/� / 0//
.t
21. Distance back from line or street .� , front .rear lot line p.n- , side line �,7.....r
Show by diagram the location of propsed building with relation to distances(' from adjoining lots, on
reverse side. ,
Name -A•Ll.C) ,, p ern,j ''//�n'n� C^
. , Address As Bats rain.....i.U�. W.T.9J tY )S
o '.rye J i
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10
fl
• 1f
t Os
I .> '
.,
C. i'
rt 4
t i p
• ``
1
I it
Rear of Lot ! 0 ..;
_ . - .
Cr O It i •
1
h� st) �, .. it
I I ) • ) 1 ' 1
VI 1 - t, s
1
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z b -4IV_ , . , S,t. u
to
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Vi aen dor
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Frontage of Lot i+9..2,,.— .0
StreetName....e VE g G.R E.Et ST.
PLOT PLAN 1 - '
,
. . • l
JJ A=PsICANT: S1 1 � 91��'� AKis BLDG „ PERMIT NO.
LOCATION OF PROPERTY: •'VER C- ESM.. 33 DATE FILED:
THE FOLLO:7ING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN
INDIVIDUAL LUST 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 '
:`TILL BE RESPONSIBLE FOR ASSISTING THE APPICANT THROUGH THE FOLLOWING
AGErCIES.
1. RESIDEiTIAL BUILDING:
A) CHECK WITH THE _HEALTH DEPARTMENT -IN -REFERENCE TO SEPTIC SYSTEMS -
FOR SEWAGE DISPOSAL. . - - - -
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORD'2S ON ANY TYPE
OF "WETLANDS. EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS,
WARSH, ETC. • -
2. COIfML GIAL.:BUILDING:
A) ''ENGINEERING DEPARTMENT-FOR PARKING AND DRSINAGE. R?QUIREM'?EM'S,
• '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 .
p) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIR7ME NTS, HEALTH RELATE
ACTIVITIES. EXAMPLES: SAUNA BATHS, SWILI.IING POOLS, RESTAURANTS,
ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) .
•
REVIEWED
EEVIE 2 BY:
IC/ENGINEERING DEPARTMENT:NT: YES "DOES NOT APPLY SIGNATU"4O L, fli DATJ'i
2 CONSERVATION COMMITTEE: YES_DOES NOT APPI,Yn .SIGNATOR S DAT Z�
3. PLANNING BOARD: YES DOES NOT APPLY = SIGNATURE -- -DATE F,
4 . ARD OF HEALTH: -_ - -YES(/DOES ;NOT APPLY - SIGNATURE bS41- War
5 . FIRE DEPARTMENT:. _•7 :f YES DOES NOT APPLY SIGNATURE --/, ' ' _DATE
co:CrirTs: - 7_-7-7---•-•-• .
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