HomeMy WebLinkAboutBLD-80-127 G ' Y6
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Application for a Permit • Build
Fee must accompany this ap icatlon
• Yarmouth ............ .... 19 80
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, accords to the following specifications: ^
1. Name of Owner S011h fi 6utre Address $ C (@RSOln 4JC.
2. Name of Architect (tf any) A.11 Zit - A 23
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3. Name of Builder 5o%, C Cw,n a+' 'Sr
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4. Precinct No. 4. Lot No. 2,3 Plan: Name or No. A.M. a4--A23
5. Name of Streetl'G(ean Ace. .
6. Purpose of Building Cpt..t w,er3 icA.roO Wts if
7. Material WOO .
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8. Estimated cost of building Le 600
9. Dwelling
10. Cottage it) r 2 oc 3 d DoKrrt�
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11. Heat -. .Wo 6>.y __ gx 3 o rrciC.
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12. Basement !9��
13: Garage btu. A'�3 co
14. Store �f
15. Shop •
16. No. of stories
17. Is there to be a Store In the lower storey NO
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18. Size.of Lot. No. of feet front 7O( No: of feet rear No. of feet deep ..110
19. Size of building. No. of feet front ...G. No. of feet side ...2.L No. of feet rear ... p.-
20. Distance from nearest building: FrontZ.1.CC.GT. ft.; side. 30' ft.; side DQC „
ftrear..$C......
21. Distance back from line or street "a( , from rear lot line ' , side line 84
,
Show by diagram the location of propsed building with relation to di a ces f adjoin' g lots, on reve side.
• Name .. 2�N. nearaIlat-
Ad rens �.. ..c y. ..,... (f 2�f.F..Gr..� 01......Qc�..�. .�
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Rear of Lot k151.....70
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91 a-Gn
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Frontage of Lot 70
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Street Name Cier SCNA. q.Ce
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PLOT PLAN r \DOt'
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.. • BUILDING PERMIT REVIEW
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APPLICANT: in Q&MnOY' 'Sr. BLDG PERMIT NO:
LOCATION 0 PROPS Y: . 1 G(erSoh ayy, DATE FILED: 'I
I1E
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 WILLCHECK 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.
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).
REV WED BY , : t • ` F
T. GINEERING DEPARTMENT+ YES Y DOES NOT APPLY SIGNATURE �, • h lnm, ii�" DATES IVSD
2:` NSERVATION COMMITTEE:- YES DOES NOT APPLY 1./SIGNATURE C! ,' . - `'• DATE3p-ileo '
3. CANNING BOARD: YES DOES NOT APPLY_SIGNATURE /' -- DATE
4. ARD OF HEALTH YES DOES NOT APPLY_SIGNATURE 6n �JeaffL/ 3, 'SDATE` /A
5. FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE -
COMMENTS: •1 r