HomeMy WebLinkAboutBLD-80-012 ItCli IV .R(Rf: alci
Application for a Permit to Build
Fee must accomp y this application
c el144) ii, 1t°
Yarmouth
TO THE BOARD OF SELECTMEN .'v
The undersigned hereby applies for a permit to build, according to the following specifications: RD
of4 /4121/1/24" 2....S- ,F<mtc- •
1. Name of Owner Address fir0OUT11, t'l
W
2. Name of Architect (if any) /1/04/E
3. Name of Builder ,Zeh'f RD .QBRBMSOA' .
4. Precinct No. if Lot No. C 9 Plan: Name or No. A. MAP lam} c-44
5. Name of Street,-5-22EF8f/f.la pa ki.y'9'PMOUT'
6. Purpose of Building a/- , 00/4 TTrhl y R/17
7. Material F 9dbM.E .
8. Estimated cost of building y/m COO 1
9. Dwelling 3 G q. I y 22- g c gV/4G+(/eib i
10. Cottage r S
11. Heat aRs . , /f C^
12. Basement /11,04/51 ,4� ' e f ,
19. Garage NONE . 1
14. Store
15. Shop
16. No. of stories /
1
17. Is there to be a Store in the lower storey ,'yo.,
18. Size of Lot. No: of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front Yl No. of feet side 2•279.
No. of feet rear V
20. Distance from nearest building: Front ...kl ft.; side 3.4 . ft.;. side .300 ft.; rear../..Q?
21. Distance back from line or street 3(, i1 , from rear lot line ...?C°• , side line c;1
• Show by diagram the location of propsed building with relation to distances from aaddjoinni lots, on reverse side.
Name....cr0 HAI y�kW.11&.220- r]p A
. - Address I.�...PE .D LQ RD, c4 igetCQC)I%nq .
Street Name
N
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SSLeh Side Depth of Lot......
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SI iri j
a
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4 p. c
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Right Side Depth of Lot Sri
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— Street Name .
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BUILDING PERMIT REVIEW 1---- '
APPLICANT: ‘1049,41 4/4.276 BLDG PERMIT NO:
LOCATIONOF PROPERTY: 37' M rirtrio ` 1 TN7)'1n r 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-3.:- :,"''
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 -,: `_.
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
1 . ENGINEERING DEPARTMENT: YES 14OES NOT APPLY_SIGNATURE 1E .1 . DATE {j8/sa
2. ONSERVATION •COMMITTEE: YES ✓bOES NOT APPLY_SIGNATURE r• -y Al . . -7: ' - DATE lisist)'
3. JLANNING BOARD: YES DOES NOT APPLY_SIGNAT. •E . •BATE
4. BOARD OF HEALTH: YES DOES NOT APPLY v SIGNAT.,�• 4/Jr-
eidire y DATE/AM-425. FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATw•E DATE
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• COMMENTS:
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