HomeMy WebLinkAboutB-81-719 r • No. /
Application for a Permit to Build
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Fee must accompany this application
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TO THE BOARD OF SELECTMEN Ve,
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of OwnerteSt$.c '4 Q„ __--, /. �1�� ddress 37pecnouct, .e
2. Name of Architect (if any) P uiw[ ♦ /f�O
3. Name of Builder M• ¢, �o7o -„ Co Q.M. 24 -At-20
4. Precinct No. ///���-4 Lot No. ;0 Plan: Name or No. Pl.re 5-r/ 47J
5. Name of Streetipatil0-1-t Ai/-c . . Ali (�0 '1.N.t oe4tfl
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6. Purpose of Building/ SN, n aJ'j. e .w } 1
7. Material W 0 0 0( p 110 ''a"c
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8: Estimated cost of building ��jl i g o 0 42. Gt •
9. Dwelling r 1
•yo rgrtwc./ A (PX70
10. Cottage �y
11. Heat1. 3 /%G�4t,(eclt . 10ix 8
12. Basement Csiaaa' So. L4 '.atce i R.ur I
( ts Cie✓I. ed'(
13. Garage
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14. Store
15. Shop SC/� ` 0 0 /i/rec. !0 �/����
16. No. of stories i /9' c?-/ //' `249 ,
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front 70 No. of feet rear ...z0 No. of feet deep .Ma
19. Size of building. No. of feet front 4/ No. of feet side St& No. of feet rear .....1.7 '
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear '
21. Distance back from line or street...r s 3 , from rear lot line .../f side line../J R l. .. .
Show by diagram the location of propsed building with relation to distances from ad' inipg lots, on reverse side.
NameL/
Address.%) $744112#2.40;41." t F rpt get .
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Street Name
0 Left Side Depth of Lo
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Right Side Depth of Lot/o.th-
Street Name
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'!4PPLICANT,L p,'ij `•l?CC-4..&4440- JASV BLDG. PERMIT NO. 1
LOCATION OF PROPERTY: ?? y-a2Inc Qc/� DATE FILED:
A.M. 24-A1-20
THE FOLLOWING CHECK—OFF SHEET 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 . RESIDENTIAL BUILDING: •
A) CHECK WITH THE HEALTH DEPARTMMIT 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 .
2. COI,7"RQLAI TUILDING:
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 COP?.PLIES WITH ZONING BY—LAWS .
D) BOARD OF HEALTH—FOR SEWAGE DISPOSAL REQUIREMD TS, HEALTH RELATE
ACTIVITIES . EXAMPLES: SAUNA BATHS, S'AITZING POOLS, RESTAURANTS,
ETC. i
E) FIRE DEPARTMENT—FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) .
REVIT"JJ BY:
# . ,11NEERING DEPARTMENT: YES ES NOT APPLY SIGNATUREC ,_ _A 1, . _ ,ATIWILIgg
2. CONSERVATION COMMITTEE: YES DOES NOT APPLY 7SIGNATUR-f _ A,, OAT p/ __
3. PL�IVMING BOARD: YES DOES NOT APPLY SIGNATURE DATE
4. ,`�O/ARD OF HEALTH: YESJZDOES NOT APPLY SIGNATURE; jr, DATFroJaa J
5 . FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
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