HomeMy WebLinkAboutBLD-90-717 b1'Y'9R
s. 5 �aPomo TOWN TOWN OF YARMOUTH
0 _ t _y
MTTA� i�[ 5
I,'At e+ �'- Application for a Permit to Build No. 7/7
UPON FINAL APPROVAL % /2---6 - MAP LOT 15-•.3
FEE MUST ACCOMPANY THIS APPLICATION. DATE /a/o 19 %v
The undersigned hereby applies for a permit to build /044
according to the following specifications
4 Name of property owner Pd .�. ( / �te t% Tel.
Address ///�_ /8/-eC 1l-r�L jI
2.Name of Architect(if any) Tel.
3. Name of builder &t.UhJ.L) Address
4. License No. Tel.
5. Name of Mason Address
6. License No. Tel. _ /�
construction address / / / `72 t v7 'aoce a. v
Flood Dict
8. Date of subdivision Approval plain zone Zo e
9. Private dwelling 0 Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 ,j70.i-e
11. Commercial ❑ Kitchen
12. Other ❑ Dining Rm.
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
2a Stove —Wood foal g7,CG-ems' 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 (� Sideline
LOT RELEASED BY Signature r/
PLANNING BOARD Address
Date