HomeMy WebLinkAboutBLD-81-796 No.
Application for a Permit to Build
Fee must accompany this applicat' n
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TO THE BOARD OF SELECTMEN "
The undersigned hereby applies for a permit to build, according to the following specifications: L p / /�
1. Name of Owner I-knee e;ANK etq Address/v5$C/LJ/ANE C/S/) £ASS SLt,piyyl
2. Name of Architect (if any) / /� •
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3. Name of Builder j/.}y/t/oWA' b' / 5T4/VO /3 D,4,vAi%1‘ u/$4-mewl
4. Precinct No. 4- Lot No. 4. Paan: Name or No. A.M. 4.9- D 4.
5. Name of Street /a/S-5,616 hive
6. Purpose of Building 'Co? C.9? 6Azf,>�P
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7. Material 4.1001/ •
8. Estimated cost of building /Remo 10
9. Dwelling CAA- o erefICE °NU./
10. Cottage
11. Heat //
12. Basement 4//if•
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13.
13. Garage — o? G°i4 P
14. Store
15. Shop .
16. No. of stories 2-
17.
17. Is there to be a Store in the lower storeyey/ 2'
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18. Size of Lot. No. of feet front 700 No. of feet rear ..5 O No. of feet deep ,r?S O
19. Size of building. No. of feet front sd.aZ Noof feet side ...40092 No, of feet rear ...........,
20. Distance from nearest building: Front ft.; side 49 ft.; side ft.; rear -
21. Distance back from line or street //3 , from rear lot line .../1(.S O , side line
Show by diagram the location of propsed building with relation to distances from adjo'�Ing lots, o reve side.
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i ��Address.. /13 o�4.. .../r 4 ! i/ uv7it
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Rear of Lot
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ct 19
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Frontage of Lot !f DD tsro,a i..voi _n; !:1 ,n,,. C 9d i, _;,+da .;t
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, )'. ! C''':- ... ....•Street Name l'' USS .6.,. A.Np... ir..1 I3'1 ` , .o^ ;;c,irfvd 10 :,:,i;,1 Mr,/
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y ,'1tPLICAIIT: ,/fACP < /OZA/30/11 BLDG . PERMIT NO.
LOCATION OF PROPERTY: MjSSF, //'i ANC DATE FILED: I1/3/V/.
A. M. 49-b4-
'I:? FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN
INDIVIDUAL MUST FOLLOW IN ORDER TO OBTAIN A PEE.RMIT TO BUILD OR ALTER A
L'JILDING. THE BUILDING DEPARTMENT WILL CHECK ON THE FOLLOWING: (A) CON-
SERVANCY DISTRICTS (B) HISTORICAL DISTRICTS ( C) FLOOD PLAINS ZONING, AND
'::ILL BE RESPONSIBLE FOR ASSISTING THE APPICANT THROUGH THE FOLLOWING
AGENCIES.
1 . R.ESIDnTTIAL BUILDIN.G.:
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERLTNCE TO SEPTIC SYSTU S .
FOR SEWAGE DISPOSAL.
B) CHECK WITH CONSERVATION CO"CITTEE IF THE LOT BORDERS ON ANY TYPE
OF ".712TLANDS. EXAITLES: STRE TTS, PONDS, RIVERS, OCEAN, BAY, BOGS,
MARSH, ETC .
2. COI.T.T^RCIAI,.RUILDING:
A) M GINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS,
TOPOGRAPHY SITE PLAN RWIEW.
B) CONSERVATION CO:.7ITTE1_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 REQUIR=:MTS, HEALTH RELATE
ACTIVITIES. EXAMPLES: SAUNA BATHS, S:",I_T.'MING POOLS, RESTAURANTS, •
ETC.
T) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) .
I:II BY: / /
ENGINEERING DEPARTnENT: YES ,/DOES NOT APPLY SIGNATUR .1 ', . ,, -_, DATE/ 81
✓': . CONSERVATION COMT,:ITTEE: YES DOES NOT APPLYYSIGNATURFR, % _ 1ATI/z/8(
Z .. PLANNING BOARD: YES DOES NOT APPLY SIGNATURE r DATE
A. BOARD OF HEALTH: YES DOES NOT APPLY SIGNATURE____gDATEI ii,(1
5 . F-IR.: DEPARTI=T: YES DOES NOT APPLY SIGNATTJRE DATE
Co:""TITS:
9 APP2oX. kart FROM 'SWEETS Lor p.,,,n) 40D RVoor, awe_ C