HomeMy WebLinkAboutBLD-80-062 .P-
10/ No.
Application for a P rmit to Build
1'a- `\� U'
re/\ Fee must accompany his application
• Yarmouth 19./T `�
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies fora permit to build,.according to the-following specifications:
.a.(lilt, ! -t ,#1 .'IAddress /. art; Doc � T'//
1. ' Name of Owner i
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Cc I 1.,, ,, E \(Hree>toctt1, /9219 .
2. Name of Architect (if any)
3. Name of Builder v `
4. Precinct No. Lot No. ! Plan: Name or No.
5. Name of Street S ;'ti'q i vt',.0 h. g �.
t &ctoS'Gsu hRcyd
6. Purpose of Building i c' l c_ i ,
7. Material r s L . ^. ;) 'L�i C;>S /13
8. Estimated cost of building S , 0,;11 _ Z Sig
9. Dwelling 2-63
10. Cottage �,,.. �'�
11. Heat t
12. Basement At _ c
13. Garage , .
14. Store , a• �, . .. _ _
15. Shop . .. 'u c
16. No. of stories c ,:
17. Is there to be a Store in the lower storey n O
/
18. Size of Lot. No. of feet front o ‘ 1 I51/o. of feet rear SU No. of feet deep / Cs ACP
19. Size of building. No. of feet front A941/ 6 r. No. of feet side ....moi . f i No. of feet rear ..J 51' 6 '
ter! Qr.
20. Distance from nearest buildingFront . ft.; side .?.,/ ft.; side...4 . • 07-ft.; rear -37 Fr
: •••• .. O for Line
21. Distance back from line or street _'3 , from rear lot line J..1 , side line
Show by diagram the location of propsed building with relation t ances from adjoining lot on reverse side.
Name. �....Cy`/.... ISJ //..
Add s... / 1•lfl lr.kf.h 4/..
to R7-0, ..; 1ss
Street Name eq h ._(Pa/2.-Q �—
J$y
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p. Left Side Depth of Lot_ 41,.e/..r_ ..
r . •• Man '
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Right Side Depth of Lot . _ ._:
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Street Name • . r_
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BUILDING PERMIT REVIEW
APPL?1CANT: �osepI, ' 0A7An \-m e O ,��r % 1 e' BLDG PERMIT NO: ~
LOCATION OF PROPERTY: i.i ape; D Da c k S-4Th DATE FILED:
•
THE FOLLOWING- CHECK-OFF SHEET"ISS DESIGNED TOS CLARIFY THE PROCEDURES AN INDIVIDUAL -
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING.`.' THE BUILDING,DEPARTMENT WILL CHECK ONTHE ,F,OLLO0INGr'(!O` CONSERVANCY DISTRICTS (B) HISTORICAL_`x .: '
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. -.ter, _ .
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 "-
r PLAN REVIEW.
B)"CONSERVATION COMMITTEE-IF ,LOT BORDERS ANY TYPE OF WETLANDS.
C)- PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
11)„ BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
. "4 EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
E)' FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVD ED BY: '-. , • ' _ ..
1 . GINEERING DEPARTMENT YES DOES NOT APPLYIGNATURE , i ' DATE"3t )-
2. ONSERVATIONCOMMITTEE: ' YES_DOES NOT APPLY SIGNATURE/dWg : DAT ' 'if
3. ANNING BOARD: YES 4OES NOT APPLY_SIGNATUR DATE ' -
4. ARD OF HEALTH: YESE/DDOES NOT APPLY ' SIGNATURE ATE
5. IRE DEPARTMENT: YES_DOES NOT-APPLY_SIGNATURE DATE
COMMENTS:
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