HomeMy WebLinkAboutBLD-93-787 .Yq . On?( ud n/,S/ft
ao TOWN OF YARMOUTH °Krth'' `o/'5143
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,Mk..v..79EY '.' Application for a Permit to Build No. '717
UPON FINAL APPROVAL Did /0 _J s -MAP —IL° '11 LOT M-1
FEE MUST ACCOMPANY THIS APPLICATION. DATE /0/&> 19 93
The undersigned hereby applies for a permit to build /d//M3
according to the following specifications qq
1. Name of property owned e£a CitaQ k- - Tt' s-k- CO• Tel. I WO
Address ` -"On - f\W So \a►rYm esucON erVA--
o (Dtd-E
2.Name of Architect(if any) Tel.
a Name of builders nfAieAA/ 7a;v7)(ZW3G? Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel.
7. Construction address JE 0.�OY1Ave- c.s a 11 °` s(s cou`1'
Floo. District
a Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost a,�y0 DO NOT WRITE IN THIS SPACE
10. Multi family ❑ - o — ��fyam ,aX 5�0 Type of room No.
_ 1041- °� !//93 t, rPo'Va,
11. Commercial ( i ' / s Kitchen
/ ' /i�'y�
IDiningRm.
12. Other ❑
Living Rm.
13. No. of stories Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 ' Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
Family Rm.
17. Garage — 1 0 2 ❑ Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front No. of feet rear No. of feet deep
22. Size of building. No. of feet front No. of feet side No. of feet rear
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
25. H.I.C.R. No. ,
LOT RELEASED BY Signature ` LC\ ;� 1AaQ0 CSI C k
PLANNING BOARD AddressAC&abl_. L� ..
Date Cr✓yin- x'k V- vac��-1
r PLOT PLAN
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FOR LOT i¢ •
Indicate location of garage or accessory building
Additions with dashed lines .
Sewerage disposal (cesspool)
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Well ag
(lot ft. rear)
Abuttor's I Abul
Name I Name
Lot # Lot It
REA YARD
If this is a • 74 If t
corner lot, ft. corn
write in name4 Li s • writ
of street. n I name
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SIDE YARD SIDE YARD •
HOUSE
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• SET BACK
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(lot ft. frontage) ••
\ USS arvair . Ate_ actin - t, • ,(no.__ •
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\ / (NAME OF STREET) .
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APPLICANT: "'S BUILDING PERMIT if:
ADDRESS: �AS Y cad,ba y � ,Qormcs `N t ' k
v TELE. NO. : 3a`-i -�� DATE FILED: IO Wjl
BLDG. SITE LOCATION: O.o at o "t MAPA: I � -�� LOTH: Mel
THE FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD,
ALTER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER-
MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD
PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
THE FOLLOWING DEPARTMENTS:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. •
ENGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE.
CONSERVATION COMMISSION: DETERMINES COMPLIANCE TO WETLANDS ACTS, I.E. : IF LOT(S) BORDER ANY
TYPE OF WETLANDS, STREAMS, PONDS, RIVERS, OCEANS, BOGS, BAYS, MARSH
LAND, ETC.
HEALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E. : REQUIRE-
MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES.
FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL
SAFETY, PROPERTY PROTECTION, I.E. , SMOKE DETECTORS, SPRINKLER SYSTEMS,
ETC.
THE FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
ISSUING THE REQUIRED BUILDING PERMIT:
REVIEWED BY:
1. WATER DEPARTMENT DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
• 3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT DATE: N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
ALL STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE
DISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
PERMIT. .
COMMENTS:
3LM/89