HomeMy WebLinkAboutBLD-80-019 F0-‘703Tit
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‘ No. /1
` . • Application for a Permit toff Build
' • Fee must accompany this application*/
Yarmouth 4/119 dO
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for/a permit to build, according to the following specifications: p
1. Name of Owner Mr_ 41,,Att Smat teyjt10Lo6 Address AS /die ,2.�
� a /J.o.0 fC4'r-y 'Irt 65
2. Name of Architect (if any) st/oRfC Y
3. Name of Builder orea/ . •4.5 e OG . /197p Oars. ,,6l E. crer".la/6
4. Precinct No. ?j Lot No. /93 Plan: Name or No. t04 77 J - 113
5. Name of Street /S cv.e. 1.46 W,!_L ,0847 512:9 /Abe
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6. Purpose of Building 'd 0 A. lam''O lace H. C I 5 re R r) '
7. Material sCrOD le ann .
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8. Estimated cost of building • TABOO /I'Cicf Strod Zee?"
9. Dwelling 4.0 a / T/d/t) /� (j .rL.e r2c•' 9c/'c&.
10. Cottage eV 0
11. Heat de? iK/
12. Basement G',t5t cc.'` Sgs-re 05^. 2 6Y
13. Garage it)0 "77;.11) •
14. Store k ® /
40004/611 .—
15. Shop /00
16. No. of stories I Cep 9)
17. Is there to be a Store In the lower storey Vo 1 �
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18. Size of Lot. No. of feet front 62 �''Ot �No. of feet rear .._ No. of feet deep ---
19. Size of building. No. of feet front 1-6 No. of feet side 4..1 No. of feet rear
20. Distance from nearest building: Front ft.; side --- ft.; side •••--- ft.; rear —•
`y
21. Distance back from line or street — , from rear lot line side line
Show by diagram the location of propsed building with relation to distances from adjoining lots; on reverse side. '
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Address 7° At / la 6 / z'
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Rear of Lot -
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Frontage of Lot
Street Name
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" BUILDING PERMIT REVIEW
,
•
APPLICANT: J' gy/l'C-J -2. erynuola `J,'/ - ' BLDG PERMIT NO: -
LOCATION OF PROPERTY: 'I.S eC,J,,cIs g, L1 e13 _ DATE FILED:
to .Lt9.4,E3•0•49tin/ n74S ' 2-- --,' -
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.
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,. TOPO,r,APHY 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). -
•RRFVIEWED BY: :-• _ • - .. r
•
4
'1.` - ENGINEERING DEPARTMENT: YES (DOES NOT APPLY - SIGNATUR aL r " DATE q"v
2 CONSERVATION COMMITTEE: YES_DOES NOT APPLY'✓SIGNATUR alt " ' - DAT
3. PLANNING BOARD- YES DOES NOT APPLY_SIGN• �� j- DATE~ _
V. ' BOARD OF HEALTH: YES DOES NOT APPLYL- SIGN• 'tar.er ATE/
5. FIRE DEPARTMENT: • YES DOES NOT APPLY SIGN" .-E - DATE
COMMENTS: •
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" CERTIFIED PLOT PLAN f,4:17-S.: 7-e>/e, o� .icoe,•.•o,vT-e,,%s
L O C A T 1 0 N.socirar' >•109e,r o cnt. V / /`T, .4QodC .Gor,OaivT' �A'
S C A t. E /'''t' Seo ' DATE B/3/7 L eo.�0 �.en.iT�ti•4 .C...°7-7
REFERENCE .ea-".' . Lor/9 3 .w-s- s.ro.ed✓
d✓ Lag..0 Gou.er AD.4.0.9"./ .e8 Ce 77
d73/Tz..-
DATE
I HEREBY CERTIFY THAT THE BUILDING `' REG. LAND SURVE OR
SHOWN ON THIS PLAN IS LOCATED ON
THE GROUND AS SHOWN HEREON AND
THAT IT' OOES CONFORM TO THE
ZONING BY - LAWS OF THE TOWN OF c
Ya9eis7olcJTN WHEN CONSTRUCTED.
A
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BARNSTABLE SURVEY CONSULTANTS, INC.
WEST YARMOUTH, IdASS
28 C,)