HomeMy WebLinkAboutBLD-80-100 Q�,1/4\-1° , na ,sr T1
No.
Application for a Permit to Build
Fee must accompany this ap lira st on•
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Yarmouth J .. 19QLC...
TO THE BOARD OF SELECTMEN �I EV
The undersigned hereby applies for a permit to build, according to the following specifications: �
1. Name of Owner 1941.0 7a BARI3d Address 6? PitAAAb S [I
D • 'Po e7
2. Name of Architect (if any)
3. Name of Builder .C4h1E
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4. Precinct No. , Lot No. 6 S. Plan: Name or No. d /ova riot,
5. Name of Street Z I ,f t c. iif o41 or P5' I</1-
6. Purpose of Building /%v?JA/We. ,011 4/Ienn/. .5 PO entire
7. Material WO 0 D
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8. Estimated cost of building srCee Q .6°
9. Dwelling /Y
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10. Cottage Z✓1l� ~e,o
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11. Heat wiz, • fliers NIT' wain" 2 eey,r..ws £ p'
t 1
12. Basement ' i:,c..,54,"/Al F u xi)" s
13. Garage ti r 1 ss„,..5,, , „,us, *. i e
14. Store
15. Shop .
16. No.of stories
17. Is there to be a Store in the lower storey
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
1
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
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21. Distance back from line or street.I from rear lot line , side line
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Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name
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Streeet Name L• ✓ ;,it
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;,• 0 Orstlide Depth of Lot + i\ „ t
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44` _ y .1 -
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Right Side Depth of Lot :.....:ef ` a. 2
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Street.Name ..
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BUILDING RE2r.iT REVIEW
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APPLICANT: INV/0 \1A PAWRO BLDG PERMIT NO:_
LOCATION OF 'PROPERTY:_ (44/h Pp.' ty/nip DATE. FILED: �/lf
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO. CLARIFY THE PROCEDURES AN 'ZNDIVIDUAL' -
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING. --THE BUILDING -
DEPARTMENT 'WILL CHECK ON `SHE FOLLOWING: (A)WILL
DISTRICTS (BY:. HISTORICAL '. .-
DISTRICTS (C) . FLOOD PLAINS ZONING,`AND WILL BE RESPONSIBLE FOR ASSISTItG THE -
APPLICANT THROUGH THE FOLLbWING AGENCIES.
1 . RESIDENTIAL 9UILDING \..
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE •
• DISPOSAL.`:fir • . .
! /I : 1 ,f .
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BOROERSbDNrANY TYPE1W WETLANDS. ..
EXAMPLES: STREAMS, PONDS, RIVERS, -OCEAN, BAY, BOGS, MARSH,. ETC. -
C) CHECK WITH,TLANNING BOARD 'FOR LOT RELEASE: ,c -_ - = __ _ -
2_ COaMERCIAC"§�IILDING - _ - . _ _
_ A) ENGINEERING DEPARTMENT-FOR- PARKING AND DRAINAGE REQUIREMENTS, TOBOGRAPHY SITE -=i'
PLAN REVIEW. .. . •
B) CONSERVATION COMMITTEE-TF- 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). - /
•
C fi. lb tit I : 'f ... . ._. _.�,..._
REVIEWED BY: - ---- `
1.1-1/ENGINEERING DEPARTMENT: = YES 46OES NOT APPLY SIGNATURE L,_ a 11, . DATE-14 ate_
2. 1-/CONSERVATION COMMITTEE: - YES _DOES NOT_APPLY SIGNATURE �_� j "' `= DATE3fl 80 -
3. PLANNING BOARD: YES . DOES NOT APPLY!'_SIGNATURE_ -7 = DATE- -' �_
4.f BOARD OF HEALTH: YES li DOES NOT APPLY SIGNATURE- ,
$. FIRE DEPARTMENT: YES DOES NOT APPLY_SIGNATURE DATE
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OMMENTS* - i _ -
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