HomeMy WebLinkAboutBLD-80-011 \b 1, . p.K-2C _fir. , s e I g- Si
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No. �
.
Application for a Permit to .11 Build
Fee must accompany s application
-
Yarmouth / ') 19"
TO THE BOARD OF SELECTMEN
The undersigned herebya piles for a permit to build,according to the following specifications:
1. Name of Owner / legi eci , ),tsi • Ad ' 7dress so, sof not. tugs/fnf/'t°tt
2. Name of Architect (if any)
3. Name of Builder stn., t 1 ���777
the4. Precinct No. 1/ Lot No. Si Plan: Name or No. ASS essC/S Si tie ( i/c�
5. Name of Street SO, Sec Av0JV6UQ• ) /7/o 3G�/zc>s -,9,71?
/
6. Purpose of Building gjQee/v400—Se_ (O.rra, tic 4t¢f
7. Material • ,211
p
8. Estimated cost of building— 35-Q o /F/ R ,
9. Dwelling —At) /a-
10. Cottage -NO j di
,
11. Heat — NO/Ut lJ
12. Basement NC /
13. Garage MO -G r�
O o
14. Store NC
15. Shop Alai
16. No. of stories /
17. Is there to be a Store in the lower storey NO
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
to —i /o
19. Size of building. No. of feet front No. of feet side No. of feet rear
20. Distance from 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 relation to distarnco jfromjadjoin' g 1 ts, on reverse side.
✓Name /12///�;�/�/(.�'.AA"Y� . .M:�^ `/�/y
Address 17..9 „CSt 2ec •.� ..4cc t't -z C-
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Rear of Lo Go/±
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Frontage of Lot /Q �
Street Name....&CI' Set 4uQ.
PLOT PLAN
n�/ ��tEE� :I�,.5ir:5 ,'C i REV. I , . 4
•
APPLICANT: • ?'C��(I�l '" -"P ' .. - BLDG PERHIT NO: '
LOCATION OF 'PROPERTY: 8-9 SO, „cel u tic' WP.5,0,4/�/_'(.ett DATE. FILED: !
' - 8O
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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)Y' HISTORICAL '. -
DISTRICTS (C) . FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE • -
APPLICANT THROUGH-THE FOLLOWING AGENCIES.
1 . RESIDENTIAL BUILDING: • ' . '
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE- TO SEPTIC SYSTEMS FOR SEWAGE ' •
DISPOSAL. ., '
•
-B) 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..z :_ t. . . - .C7. -...
2. COMMERCIAL-BUILDING: . . _ . • • _ _ ..... .
A) • ENGINEERING DEPARTMENT-FDR. 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: _ (.±-_-;;;-- -:7::-.;L_
1 : J NGINEERING DEPARTMENT: -YES� -_DOES NOT APPLY IGNATURE '' - - DATE
2. CONSERVATION COMMITTEE: YES ' _DOES NOT. APPLY SIGNATOR aa�A
— , L v` �; DAT F//�T�tU
3. PLANNING BOARD: •
YES DOES NOT APPLY ' SIGNATU" - "'=--%•TATE " " '.
4. "BOARD OF HEALTH: YES DOES NOT APPLYt-SIGNA / _ '���� .C.00�ATE
5. FIRE DEPARTMENT: - YES—DOES NOT APPLY SIGNAT .7+ - DATE
COMMENTS: • - .
• - . . a _
�. _ . .