HomeMy WebLinkAboutBLD-90-528 of qR (3):1-1V /
*` "x : TOWN 0 - ' ARMOUTH% ° KFaw 19°
£ 4 H
• MATTACMC S et!L—n GO,,, Application for a Permit to Build No. 5a 8
UPON FINAL APPROVAL g'a9 9 MAP LOT - W i—y3-
FEE MUST ACCOMPANY THIS APPLICATION. DATE . ��S 19 0
The undersigned hereby applies for a permit to build r i i• 9D
according to the following specifics ons //,,id G/le/C�d __1. Name of property owner aoAl W, flag Tel.Tel. 7 S 2/M,
Address ? f 7 V A-/t R/E
2.Name of Architect(if any) — Tel.
3. Name of builder / icenI AS WEIRS Address / RoWC� titi-
4. License No. 0 0? 5116 Tel, 7 7 2-45 6
5. Name of Mason Address
6. License No. Tel.
7. Construction address o& / I d L- (c
Flood District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 / alio.
11. Commercial 0 Kitchen
12. Other 0 Dining Rm.
13. No. of stories Living Rm.
çcr,14. Foundation — Full ❑ Half ❑ Crawl ❑ Slab ❑ Bed Rm.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 1-5( 12- Shed z(X i'- /
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 rea of line Side line
LOT RELEASED BY Signature 04`` tee-V
PLANNING BOARD Address
Date
BUILDING PERMIT APPLICATION SIGN OFF
APPLICANT A O\�NI0IiLSOP BUILDING PERMIT I:cr
ADDRESS: Lt V L/$04 1
TELE. NO. : 7C D�100 DATE FILED: / D
BLDG. SITE LOCATION: MAPA: (o LOTH:
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 / •.i DATE: ';/A/9� N/A:
/
IND,8TR 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:
BLM/89
•
( , ,,4 PLOT PLAN
FOR LOT # Lic
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool) ED
Well 0
. I I
I (lot ft. rear) -
Abuttor's I Abuttor'
Name IName
Lot # ILot #
REAR YARD
If this is a • If this
corner lot, I ft. corner
write in name write :
of street. I name o:
I �Let w other
0 S r G o street.
v
ro -
41 t p P tt-
•
SIDE YARD , /� SIDE YARD
0 FT.. J' /� �1 FT 117>
�J kac1,pl •
•
• r:y N are. ••
. 4 Nsi
1
. i
. 1
SET BACK ,*�41,
• ft. .
' I
I
• (lot ft. frontage)
\ /
\ /
\ / (NAME OF STREET)
•
/ information j
/ \ Supplied by fradtaii>d
---MARK-NORTH- POINT— - . .