HomeMy WebLinkAboutBLD-80-044 tAD , ,
54AP/kcNo. /4�
Application for a P, rmit to Build
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Fee must accompany his application rr,
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Yarmouth ..L....... .. . .... 19..?°
/'-. P-16
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TO THE BOARD OF SELECTMEN
The undersigned hereby
applies for)a permit to build, according to the following specifications:
1. Name of Owner '3;" A 7T1 h1 G Address i yJ Tnj E i tJ kj,. 1 2tt s5 2l UC.
2. Name of Architect (if any) .-
3. Name of Builder Fo a C- 5 r E Ott ire
4. Precinct No. 3 Lot No. f 13 Plan: Name or No: 36 - -r- 13
5. Name ofStre`eJ2dCb I✓1tar 1i.3 ST, </HsrtoCs .CHG6&qn cat s $ 6ttss Rive(`
6. Purpose of Building 4- SVnLL SUEL) (Loc f OJE2 SkiSn/WC' I5-Par (Zoo F
7. Material Wet), r"t'Awtl (Nt. a d'i$6-Trt_7'..)
8. Estimated cost of building "/ /,j b O. 5-“--: \
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9. Dwelling N c /
10. Cottage 1J o I / , /Je N —
I /
11. Heat 13 c
-ifi —Fstsfi.ter<rtoa is re, CraJSi—auc; NirtJ Wee),
12. Basement .J>` FRAmE Itcti= aQEa_ fstsriwc. R,rr 2,:.or=,
13. Garage 'Jo Tjft12F WILL at Nd 1N Ci?t=rtcr /A) FS VN�rfraa
14. Store
;� o C1& £Ott..IWG CaaF
15. Shop ? .-�
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16. No. of stories /
17. Is there to be a Store in the lower storey p,)o
18. Size of Lot. No. of feet front No`of feet rear No. of feet deep
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 dist.ancGfrom adjoining lots, on reverse
ots, onnreverse side.
Name ..i.--;11.4-42-1-, e• 1AA-1, L
Address `n1.4)24A.,. g.. . �f
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Rear of Lot
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Frontage of Lot _.
. Street Name. : i64 <Cri '
PLOT PLAN
APPLICANT: i) es.) id 65 n BLDG PERMIT NO:
L01-ATION OF PROPERTY: 3/ P ,, Sr _-(Jr}55 gni E}2_• DATE FILED:
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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):=' 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 _OT RELEASE1-,:,' '_ = -
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). -
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REVIEWED
1 . ENGINEERING DEPARTMENT: ' YES. ✓ D0ES NOT APPLY_SIGNATURE - ty
. _ i� •. DATE(I2B/Eo
2. CONSERVATION COMMITTEE: • YES' � _DOES NOTAPPLYtit t . OF-I
3. PLANNING BOARD. YES DOES NOT APPLY SICN.IT"RE %•DATE" " _
. • : „' tJ uuE3 rluT APPLY SIGNATURE - • DATE
5. :IP: DEPARTMENT: YES DOES NOT APPLY SIGNATURE ' - • DATE
COMMENTS: - -_ -- --
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