HomeMy WebLinkAboutBLD-79-002 4 ) 1,'(IP '• tr, a, 5.; —&G
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Application for a Permit o Build
Fee must accompany this appy ation
Yarmouth / —3 19F0
— T
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following /specifications:�
1. Name of Owner *-50\n., ei-Sf Address K y Oaf? 1J'Art c / 6°51z^/
2. Name of Architect (if any) —� A/
3. Name of Builder SA�nfi,S Saw...0 1 A55CS,$ l Sieq 5. 3-4 3
4. Precinct No. Lot No.p3 Plan: Name or No.
5. Name of Street MT ✓-o seal / yAAmC- ' `
6. Purpose of Building /1tpn f=b4 e 041114e.
7. Material flft.e,p S
8. Estimated cost of building�5)600• d
9. Dwelling /1/05' ,v0 Ci(,fafe; J o` t{rfJe
10. Cottage /1/0 ' Dial e/t,f/eAS or Atf
11. Heat
12. Basement la o
13. Garage N
14. Store yt3
15. Shop ALO
16. No. of stories / •
17. Is there to be a Store in the lower storey la
18. Size of Lot. No. of feet front „ . No. of feet rear No. of feet ep
19. Size of building. No. of feet front No. of feet side No. of fee rear
20. Distance front nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street from rear lot line .. side line/
Show by diagram the location of propsed building with relatign t stances from adjoinin lots, on reverse side.
i//Name. ...
rens..jt ,rge m' S- At PW kT+1-
Street Name
a
Left Side Depth of Lot
-.i
NI S
p a
Z _
g ^
0
z ^
0
2
c i
•
•
Right Side Depth of Lot .�
Street Name
a ELILO11:G P:.?:"-T REVIEW
•
APPLICANT: 64-vra L catvg.tu -Sp"rs Sava..oT .. • BLDG PERMIT NO:
LOCATION OF PROPERTY: teT 2s- ypttnovn4 _ DATE. FILED: '
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO• CLARIFY THE PROCEDURES AN 'INDIVIDUAL •
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING. - THE BUILDING -
DEPARTMENT WILL CHECK ON THE FOLLOWING: (A) CONSERVANCY DISTRICTS (B). ' HISTORICAL'.
DISTRICTS (C) FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE -
APPLICANT THROUGH THE FOLLOWING AGENCIES.
I . RESIDENTIAL BUILDING:
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE •
DISPOSAL. .
6) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS. •
• EXAMPLES: STREAMS, PONDS, RIVERS, ' OCEAN, BAY, BOGS, MARSH, ETC. .
C) CHECK WITH PLANNING BOARD FOR LOT RELEASE:__•::_ . __
2. COMMERCIAL-BUILDING: •
A) ENGINEERING DEPARTMENT-FOR-PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE
PLAN REVIEW. •
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS,
C) PLANNING BOARD-TO 'SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. •
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC. •
"E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). -
•
REVIEWED BY: _. •. -_- - - - _: _ •=j . .
I : ✓ENGINEERING DEPARTMENT: YES DOES NOT APPLYSIGNATURE 9��'
2. ✓ONSERVATION COMMITTEE: YES _DOES NOT.APPLY_SIGNATURE . _% !�'� i' ` : DATE/ ?/Ao
3. PLANNING BOARD: • YES DOES NOT APPLY_SIGNATLIR - j DATE• '-
4._- BOARD OF HEALTH: YES „� igi _�_DOES NOT APPLY 4/SIGMA' : DATEl
5. FIRE DEPARTMENT: • YES DOES NOT APPLY SIGNAT' / • DATE
COMMENTS: • _ •
Item #1 : This building permit-is to be issued 'for restoration-;qf :
a residence with existing antique shop only. Any further:'
change of use or division into -stores -shall be submitted •
•
for site plan review to provide adequate parking.
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