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HomeMy WebLinkAboutBLD-90-734 04',Ygk -tee ©k tail / zfrilfid T o TOWN OF • ' RMOUTH eif` rGti) oil* MAMTTAC •[ 5 ` , � t% Application for a Permit to Build No. 'J3T/ —Pool /a -/ E-TO UPON FINAL APPROVAL MAP 64' LOT r 7- FEEMUST ACCOMPANY THIS APPLICATION. DATE Arty 1 7e The undersigned hereby applies for a permit to build /al-Pr* according to the following specifications �. Name of property owner c�C/Z /t✓2No i-i) Tel.P/rms L Address .e 1/OC<i.vG27bQ1) A-A/ 2.Name ofArchitect(if any) Tel. 3. Name of builder_{Th wt ' 4>/W734C2i7ee' Address ,A40//4 S1ffTr 7-/rrc/1 4. License No. /116 09 Tel. Ste- 9-./ 4 5. Name of Mason Address 6. License No. Tel. 7. Construction address Hed//id& /7/ ' -46/ Alt FR. FlooDistrict 8. Date of subdivision Approval plain zone Zone 9. Private dwelling ❑ Estimated Cost DO NOT WRITE IN THIS SPACE 10. Multi family 0 pPoTee' Ss/57i"- Type of room Na 11. Commercial 0 n Kitchen 12. Other N' Y� Dining Rm. Living Rm. 13. No. of stories _/ur.a Bed Rm. • 14. Foundation — Full ❑ Half 0 Crawl 0 Slab 0 Bath 15. Materials — Wood 0 Cement 0 Other ❑ Deck ,S!leg' / 16.Type of heat— Oil 0 Gas 0 Electric 0 Other 0 Closed porch 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: Na 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 - _b i.►—.%s:�nti. i PLANNING BOARD � Address 24 /tjrno �st rs fl/tae D. Date //14. h34AK6 WA _s-7 02474 BUILDING PERMIT APPLICATION SIGN OFF PLICANT: :7724r /4JZ J✓U L 6 BUILDING PERMIT it: DRESS: ,c?_Ira G///z4 / ' f?5 i-/Y TELE. NO. : /QyP/S-- DATE FILED: //,/,9O IDG. SITE LOCATION: MAP#: 6 6 LOT#: /- 74.2 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 E FOLLOWING DEPARTMENTS: • • RESIDENTIAL AND/OR COMMERCIAL BUILDING • ATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. GINEERING 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 BUILDING PERMIT: VIEWED 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 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: LM/89 PLOT PLAN .-- FOR LOT # Indicate location of garage or accessory building Additions with dashed lines Sewerage disposal (cesspool) Well I I • (lot ft. rear) I Abuttor's I Abuttor's Name Name Lot # Lot # REAR YARD If this is a If this is corner lot, ft. corner loi write in name • r/dui 5,/b/A"`' write in of street. �s on �s name of ,, --might o/ i°1 a • other �' ••t 0 ) street. . • 4 SIDE YARD SIDE YARD HOUSE FT. 0 FT�/ Q• • • SET BACK ft. -410 (lot ft. frontage) / JG /Yeeee‘ /e13 24/ / (NAME OF STREET) • • Information / \ I Supplied by "nr7,-7 MARK NORTH POINT