BLD-80-091 6 �/ . . 1Y' vla,J,,, ,,
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Application for a Permit ?Build
Fee must accompany this app' ation
Yarmouth �h s /M'J` 10
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner M aAr1Grr.1 K. Sett.s Address 3o Fra.r, CLiv, G}rc.
2. Name of Architect (if any) -SA-Inn es ( oca-Q`- 3/4..
S. Name of$Hilder 50. >' Q.-41..
4. precinct No. c 4 Lot No. el 4 I o Plan: Name or No. Boot I o t , Paces 11
1.3 Sl«4 Ie U
5. Name of Street �o Fca-r..IC12.�w S lre4---i 1, 4' `. ✓r,o�.'th
6. Purpose of Building 'ifo-AJ.2t-Lt;vJ - et. in a chat-0oerr-- - ova can) l 8 ' t- y
7. Material •liJ o CAS ,` . 13 K . 1
8. Estimated IS ``itiv r D
9. Dwelling 4, p ea 1� l 1
10. Cottage {I 11
9 ij�C'V - ^ 2-.4134
10.
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11. Heat ...Ass - ice'
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12. Basement Otioua.�& Etcc, _ _,
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13. Garage - ow_ -cam)
cr -.A
14. Store sie 1 /E .r5
15. t Shop No -
m
16. No. of dories b Vs-'1- PI ail,
i w 51
• 17. Is there to be a Store in the lower storey Ino / 1 9/ .7 •
o�jf f 7
18. Size of Lot. No. of feet front No. of feet rear . No. of feet deep
13xt"1
19. Size of building. No. of feet front ) ? I" '.4 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 distances from adjoining lots, on reverse� side.
Name ZC .F�-GJr 4' s-- ....
Address 3o �. f'-ace- -5-291-0 L!'
VeSe 9a cm o tt6 ..... .07/19
/11 �Co, , d vu.e.
Jaffe' Asn,. /97n 4.>417-3-e
jr Street Name
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O +'<,. Left Side Depth of Lot...
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Right Side Depth of Lot".
Street Name
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BUILDING PERMIT REVIEW
APPLI CANT: thastcgt, yt ( K ' ' .,+_ed,' <'- • ' . • BLDG PERMIT NO:
LOCATION OF PROPERTY:! 3e, I Erwn IC/2. ' S 24 (.,). Ycur-hou i DATE. FILED:
THE FOLLOWING- CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN 'ZNDIGIDUAL'
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. ' _
_
I . 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.
0) 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). . -
•
REVI ED BY: � _
I : NGINEERING DEPARTMENT_-`_ YES-JDOES NOT APPLY • SIGNATURE ,. j = DATEsJ'
2. ONSERVATION COMMITTEE: •- YES'4OES NOT:APPLY SIGNATOR' //_MIN �'z=` DATFZ-}f-fa
y
3. PLANNING BOARD: � YES_DOES NOT APPLY_SIGNATAigmL /DATE' -' '-
4. \OARD OF HEALTH: YES DOES NOT APPLYI2SIGNAT►• ,; E, , � 7 DATEZ j
5. FIRE DEPARTMENT: - YES DOES NOT APPLY SIGNATifr - DATE
COMMENTS: • .
•
ins: # 7 Fig - 5�s F2_ 2. 3K . - _
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ORDER OF CONDITIONS
• - • 03544•
WETLANDS PROTECTION ACT . I
• G.L. C. 131, s. 40 41
'I
• w
CITY/TONN YARMOUTH PILE NUMBER SR 43_9314 4i
c• i
3: NAME Margery K. Stergis ADDRESS172 Gcott (:irele c',
I
• Dedham, Ma. i,I
iRTIFIED HAIL NUHBER 0$08012
- _1
ROJECT LOCATION: .
Address Lots 9 & 10 L Franklin Street, West Yarmouth N
Recorded at Registry of . Barnstable , Book 101 , Page 77 • *,`
y
Certificate (if registLred)
'.a
'CARDING:
Nce of Intent dated November 19, 1979 y
oti
l
. and plans titled and dated Sketch Plan of Land, Revised 1 /9/80 -,Le.
,
it
THIS .ORDER IS ISSUED ON(date) January 17, 19$0 ;j
•
Pursuant to the authority of C.L; c. 131, :x. 40; the Yarmouth Conservation ,?i:
Commicainn has reviewed your Notice of Intent and plans
dentified-abovei and -has-determined•:that the area-on which the proposed work is to be . 3”(
mak.
one is v4tnificant to one or more of the interests -listed in G.L. .c. 131, s. 40. . c
le • Commission hereby orders that the following conditions are
'tenantry to protect said interests and all Work shall be performed in strict accordance r
ith them and with the Notice of Intent and plans identified above except where such' ' __
lane are modified by said `conditions. •
' . is
ONDITIONS -
1. Failure to comply withall conditions stated herein, and with all related statutes t.
and other regulatory measures, shall be deemed cause to revoke or modify this 'order. "w:
• .y
2.• .This• order does not grant any property rights or any exclusive privileges; it does e„
not authorize any injury to private property.or invasion of .private rights. .
arA
3. This order does not relieve the pezmittee or any other person of the necessity of
complying with all other Applicable federal, state or local statutes, ordinances, -
by-laws and/or regulations. '.-;3
4
4. The work authorized hereunder shall be completed within one (1) year from the date s:N
of this order unless it is for a maintenance dredging project subject to Section
5(9). The order may be extended by the issuing authority for one or more additional .:2
one-year periodw uper application to-the said issuing authority at least thirty (30)
days prior to the expiration date of the order or its extension. - r
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