HomeMy WebLinkAboutBLD-81-785 Git!� gCa..
.0 r No. '7
plication for a Permit to tiild
Q \ ,) c' Fee must accompany this applic ' n` Jai . (1_ . 1971
\ Yarmouth I" J
/1— iz-7
•
TO THE BOARD OF SELECTMEN 1
The undersigned hereby applies for a permit to build, according to the following s/ ✓specifications: 5'171. Name of Owner Re 'eta( ��`�pe4. /,, 1v ec
Addres�� r Al C r Id,
2. Name of Architect (if any) ��77
3. Name of Builder ,/i N o v&Pt/ A / / 51
4. Precinct No. I Lot No. e Man: Name or No. /�J�' qA, 1°12.
5. Name of Street ' 1-1 ?I/e 7r , , , / 1-- Ic
6. Purpose of Building RI pp/1t/0a-, °, $. qb r
7. Material (�0 D Cl - 1 ArN i t.y 2r1,
561( .00 8. Estimated cost of building o FULL3,+ril •
9. Dwelling sea 2000( 0, X10
10. Cottage / 01/01r i/ .Q t/ /0 0
11. Heat rr7 3) / 'x a 0 ' ¢
OI / 0, 0 0
12. Basement D°
�y i/ a
0
13. Garage v�`vI, ` l� / yf / / ( '� .
14. Store p ct61 �U
15. Shop ( I .
16. No. of stories
17. Is there to be a Store in the lower storey/� re-,
2
18. Size of Lot. No. of feet front!/ No. of feet rear -, /F No. of feet deep 3 -17 G
t
19. Size of building. No. of feet front ....AL No. of feet side ...110 No. of feet rear 24.
20. Distance from nearest building: Front ft; side ft.; side ft.; rear
21. Distance back from line or street 2 7 from rear lot line / 0 , side line.....(..S)
Show by diagram the location of propsed building with relation to distant adjoinlots, on erre side_
rah
• Name. .... ear..
Address se/e . '1"S p
s,
JR.( LaAJL2dcfu
-;:'f r•-nr,
iii •
CIO ll; Ozi U.111 OT
/ • "- c • . 3: ,11, 10'1 ! 3:17
Rear of Lot
.;
et:. • )1; ' 10 .:LS
• I• E
Li Ill A.
•
• j.) 7/1
1.9
• gel)
ilk<114C
icir4 dir
0
.c wal
' JU At
a>
ZET31!I:u.GII SI
cd cu
•
a)
510.2 .H
• go,;?, at
il.)hola 10 .1,21 .ai
Iswol sit ni o3s of 9Tha3 J 51
Frontage of Lot
goal) JEi lo .0K ',con lo .o4 3tio1l 1991 to 1.../ 9,1:X8 .81.
V51 .0 Street.Nameki.0. Mud 3.5.,1 10 .oTel lo sN.E7, .2t
;.31 2.II Cane ;.I1 • inofi tORLIE.K1
,
"nil Wilt!- (inil sot -1k191n4oil , bsila lo sail wail Jam( cymealta .12
PLOT PLAN
,sbia 13.11-ife)1 110 ,6101 gp.ittioibb DrILIE.if.:, oJ r.oiiMii ,fuiw caibJiud bsaloti lo n0i16:.lot 3111 W4lib td woda
actibbA
•
APPLICANT:. F,a-,fit (�--,i
Cj )/01/1/2v0 BLDG. PERMIT NO.
LOCATION OF PROPERTY: d/ T R'/✓ t gE/— DATE FILED: YvoJ , 11., fq?'
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 DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS
FOR SEWAGE DISPOSAL.
B) CHECK WITH CONSERVATION COT1flTTEE IF THE LOT BORDERS ON ANY TYPE
OF -TETLANDS. EXAL^PLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS,
MARSH, ETC.
2. COMERCI_AI.:BUTILDING:
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—LATS .
D) BOARD OF HEALTH—FOR SEWAGE DISPOSAL REQUIREL'EZTS, HEALTH RELATE
ACTIVITIES. EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS,
ETC.
E) FIRE DEPARTMENT—FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) .
REVIEWED BY: / /Z/�
1 . ENGINEERING DEPARTMENT: YES V DOES NOT APPLY_SIGNATUREck XDATE
.727'
2. CONSERVATION COMMITTEE: YES DOES NOT APPLY /SIGNATURI DATE I,
3. PLANNING BOARD: YES DOES NOT APPLY SIGNATURE , _DATE
4 . BOARD OF HEALTH: YES !/DOES NOT APPLY SIGNATURE • L ajt DATE141A/
5 . FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
CO=TS:
47. SY(0(Qt oK Fu 3 3eaVc S—
•
c+of=,7 ON:; L?9L0 ¢.te
_ .,' . . - :ir ft.F;-r; {9 - - ,
,_ : fort:2 0 Sr$'4' . s1tiw6!-t/•.' It. I c •
' .dteo a' rJy7 ?Mcwr ,t " ; :;�� s r;ar, -44
, Ttrrr}5�' ,
/A6/-tor" :.4_,0 • :„tea /,': 7&P ',' ' '• ' •
:'SS"E GV %c u o4 r2/6'( .:'1.s-Y/Y1
-d12/..9/fPnj erfterie Or arP'l re t-7 r We?
, ' /96/ G 2 :1-0 Wo O7g/,�
0/S�/�c'�f. /f. :y/ a'��'al • .3HfL- w/ o�ldPar -(776,/,-LP(/ r Hit+
- jyv323"/Y /4.f/c'/Y, t N•'c 7i/?8' UACZ
Cote/755d) '
•
`
r. (Het 709 -00.06: . - (we & 5'•/* � ./
. \ _ i ,
• = ia,f7 ”
cr./ 'rho' cite/ 'Tcr-Q o3_70- sop 07 (z
eV,/ '7+-74f c -toc/r1 \) -9-..,,' ?7'Ada- 9% c'f/U/ Sero_.*vsrd r/ �.
7 els- / . 4v/'t/x7 ( <�'d.=7�d3� . S
1 ( 1
• ' - fN/802'0'. , -
7,w-4 'if' X9 073/! �7htL H/ .
' • -- ---t- n2cr�r k rAT
froZW7t -1 _ /.. ;,4447; ,M2r'x,' 4
.
a .Gav ;;�sy
-' 'd `
4
dT w • -
F^- F
•_ ith
.
• w
Per :297S '.o • •v/vp0fl '�'.S/1 Na d3'YYs
I est e,/-2"Pet /$'d, iS%3'Ssa-oe.n .laN
N ' 'a 'S F G'E'O /Z 1 00 Owe d +c.,,3a' _7,o .rN07c-'
: IJoz .C777dWo✓ 'M 4r0.72/P174
/V/a .S7M/7 'r'7..vJ( ?'c✓ ,t1-446 '// . •
1 S�1oiY .
/S/ 'Aft'. 90/ 'TP 'Zi" ,
9 :L07 V .
4' (p 0 . Asiiit
4
st,,,a '
•