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No.
V� q (
il( °-rit•• ; i t Application for a Permit to Build
i��
f / w '�', c e iREELMSEIrpeeFAL�dst accompany this plication
G BOARD 31
-° ` C Yarmouth AA••'
19a/
•rW rr/�DATE , /-7/-7:22-
TO
-/ dvZ
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, ac r ' g to the following specifications: ..
1. Name of Owner e11 AV- AS ,O92:::>0?-S Address o e'...1--t i A) Go u 6-7-
.1("0#/•%./
7/%l0#ji•%1 - Ce-o.-.a c c. /ZO ,
2. Name of Architect (if any) 0.y y,J ce,.rs- CO • fr 't c/0`r7*'
3. Name of Builder Vo...,.,,q,J Go,.rsT,
4. Precinct No. �/ Lot No. 2-e, Plan: Name or No. A.M. 13 — SZCJ
5. Name of Street / `eC/7 C-- -&•e/ te— w y /C{
6. Purpose of Building .✓C..19 c c= T9/y/e w`7' O6'CJ �V "'Cr C 5DRM. r"/ ATAC�E\
)
7. Material GJd o .o ,"j 1 Ob
/
8. Estimated cost of building $S1 er 0 1•42174Zasla3- 2-• / gg.DQQ en
9.' Dwelling yeS ` ±fL o a •
3to0 u ,f i.�fUlao f M.
JV k,� 1 D110104 mad-A
10. Cottage n1 tn 10l Abet/+� (o B V" Iblow ro an,
11. Heat ck.:;l-„ — I!CCM- p y i t� �V Q re l r,
/ O (� 1,. 8tr(t5
12. Basement yeS aL
a.o 11, 1 b {� 10 (=coon .
13. Garage yeS GA&amine? I S, C a 0. -Be) Rce+tS •
14. Store wo • 33)ecleS 36, Db j aATH
15. Shop NO ' se-pr(G a•$'. 0a
0, e. g, 00
16. No. of stories l Ills
toTht .1 b p .2• 1 .0 3 c Ag GAC ACE
17. Is there to be a Store in the lower storey
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�revej side.
. Name. .el. o.. 'I3):.•••• :rIA •I.l13 tt ?la
Address.SH U 1.14 4.1..tr..i• et:.wW.A.1l, QA,4 IA).`f.Ars
Street Name
,D
p - Left Side Depth of Lot
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y 0 m
CD
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a� n 3
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^ 1 1
1 ,
1 s^
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Right Side Depth of Lot 1
Street Name
• PAfPAS •
Of";440 •
TbWN OF YARMOUTH
= 0
WATERtC
DEPARTMENT",4 'S 102 UNION STREET
.I.
,rr YARMOUTH PORT. MASS. 02675
WATER COMMISSIONERS THE BOARD OF WATER COMMISSIONERS EVERY MONDAY
AT 7 30 P.M. AT UNION STREET OFFICE
FREDERICK J. THACHER
ROGER G. EDWARDS. JR.
THOMAS E. KELLEY
Date November 18, 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) 26 & 27 , (street) Heritage Drive
as shown on Assessor' s Sheet 13 , 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: Land Court Plan 21255 D
Name David Oman
Yarmouth Water Department
Address Copley Place. South Yarmouth
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APPLICANT: �P20/3BLDG ." PERMIT NO.
G Z(o
LOCATION OF PROPERTY: //a-,2/7•41 .7.-. - GCJ net, tray' DATE FILFD:/Z Z,03
• /fs • " /fo Ay.M. 13•- S24
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN
INDIVIDUAL FUST FOLLOW IN ORDER TO OBTAIN A PE dt,1IT TO BUILD OR ALTER A
BUILDING. THE BUILDING DEPARTMENT :SILL CHECK ON THE FOLLOWING: (A) CON-
SERVAIiCY DISTRICTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING, AND
WILL BE RESPONSIBLE FOR ASSISTING THE APPICANT THROUGH THE FOLLOWING
AGENCIES. •
•
I .. RESIDEiTIAL BUILDING: - -
A) CHECK WITH THE HEALTH •DEPARTI ENT IN -REFERENCE TO SEPTIC SYSTEMS _ . ._
FOR SEA/AGE DISPOSAL. "
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE
OF ti fLANDS. EXAT&LES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, •
- MARSH, EPC. . "
2. CQEL E LAL:BUILDING:
A) ENGINEERING DEPARTI.TNT-FOR PARK'TN,G MR DRAINAGE REQUIREMENTS, i f
'TOPOGRAPHY SITE PLAN REVIE:I.
B) CONSERVATION COMMITTEE-IF LOT BORDERS LW TYP OF "WETLANDS.
C) FLAMING BOARD-TO SEE IF LOT COLLIES WITH ZONING BY-LAWS.
D) BOAIM OF HEALTH-FOR SEWAGE DISPOSAL REQUIFtr.111EliTS, HEALTH RELATE
ACTIVITIES. EKALIPLES: SAUNA BATHS, SWIMING POOLS, •RESTAURANTS,
•
• ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) . -
•
REVIE.7ED BY: •
11301a,
3IGINEMING DEPARTMENT: YES_✓DOES NOT APPLYSIGNATUR r�� �7 ATS
2. CONSERVATION COMMITTEE: . YES DOES NOT APP./An/PSI GIIA`TUR ��,�;,�DAT1411
3. PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
4. BOARD OF HEALTH: YES v DOES-NOT APPLY SIGNATUFL"i kI� DA
5 . FIRE DEPARTME1IT: YES DOES NOT APPLY SIGNATURE DATE
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