HomeMy WebLinkAboutBLD-90-673 lir
". \ i� � ata Sitre 11/416: ria i/4 311 D
;:YA t.;/
',*-6- "T o TOWN OF YARMOUTH 6KSE96
0 wik(—H' ItI
MTA
V�AT >• , Application for a Permit to Build No. 6 73
& ii-i6-q
UPON FINAL APPROVAL MAP £2?! LOT L-/3
FEE MUST ACCOMPANY THIS APPLICATION. DATE ///b 19 90
The undersigned hereby applies for a permit to build V/W9a
according to the following specifications .
1. Name of property owner '22AiG d/ZoB/A) 23/2/ c`9/ Tel. `
Address 36 (qL//p„A/72uf- Fuc-n Frr Mg. O7/YS
2.Name of Architect(if any) Tel.
3. Name of builder Cf/%/zc�S /12/7c-it/Fa _Address /GGS'Ein/22/dE c,,h'6224/a6
4. License No. /9 5/� 43`x/ Tel. 11S •a 91,76
5. Name of Mason _Address
6. License No. Tel.
7. Construction address 3g 09/40/v62 /q,'E �, V9zt-n o o>/w
8. Date of subdivision Approval / - VC. plan zone fR-S EL ID Zone ct 2 .5.-
9.
S9. Private dwelling$1 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 41 5Zoo °” --MsUE Coinae o
11. Commercial 0 FRoo; aF LIT 1- 13 Kitchen
12. Other ❑� ater — go00 fl%.to Be Dining Rm.
No�� IA LivingRm.
13. No. of stories n.,,eTteg Lot W He'w
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 PrR""T I s 117 lD, Bed Rm.
F Bath
15. Materials — Wood 0 Cement 0 Other ❑ Deck
� Closed porch
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 015,).43-',
17. Garage — 1 0 2 ❑ Family Rm.
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
LOT RELEASED BY Signature o.�G� ,/2 �
PLANNING BOARD Address, /0 -410-e*�L •
Date eL&A -g_e
IlF" _ BUILDING PERMIT APPLICATION SIGN OFF
PLICANT: �/•7//92L /7/7?//S1!L BUILDING PERMIT 41: •
DRESS: /6 s/,}(7.4c/y7 D,l/Oxe6v62/j/ TELE. NO. : ? 7S�'�� ATE FILED: l0 '30 *90/ ti 6
LDG. SITE LOCATION: 30c�/c/Z,D/N�, 74,9416 MAP#: oi? / LOT#: /7.
E FOLLOWING INFORMATION OUTLINES THE PROCEDURAL STEPS REQUIRED TO OBTAIN A PERMIT TO BUILD,
TER, OR ADD TO A STRUCTURE WITHIN THE TOWN OF YARMOUTH. THE BUILDING DEPARTMENT WILL DETER-
INE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD
LAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH
HE FOLLOWING DEPARTMENTS:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
ATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY.
NGINEERING DEPARTMENT: DETERMINES COMPLIANCE FOR PARKING AND DRAINAGE.
ONSERVATION 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.
ALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE-
MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES.
IRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIREMENTS FOR PERSONAL
SAFETY, PROPERTY PROTECTION, I.E., SMOKE DETECTORS, SPRINKLER SYSTEMS,
ETC.
E FOLLOWING DEPARTMENTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR
SSUING THE REQUIRED BUILDI G PERMIT:
VIEWED BY:
1. WATER DEPARTMENT etzti a ,r_ 2^') DATE: /p -�gO-C�0 N/A:
2. ENGINEERING DEPARTMENT: 0 DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT # ,A DATE: /C)1 //c?o N/A:
41: 54-t:a,.St ...-_ / •ttz - --✓ o '3/ 6
I 'USTRIAL AND/OR?j� COMMERCIAL P TS
S. WIRING INSPECTOR: fi t:::"' /" DATE: //'�/19G N/A:
6. PLUMBING INSPECTOR C, �,� A TE: /f/ //9 U N/A:
7. FIRE DEPARTMENT: : t. DATE: (0/3190 N/A:
•
PLEASE NOTE
L STUMPS AND/OR BRUSH MUST BE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE
ISPOSAL SITE MUST BE SUBMITTED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING
ERMIT.
OMMENTS:
,brei .-1n- rt.,77-,- F,I/ (4.-s .ri/S 'i
•
LM/89