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Application for a Permit to Build N0.4011f''
Lof RELEASED 97/ ,
PLANNING BOARD Fee must accompany this :cation
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ii 02 0,24,4 et TO THE BOARD OF SELECTMEN Y
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner goaAKT G. G,AmPE Address 7 ritAQow pAKK s wt • SO -
2. Name of Architect (if any) WON& S /A/nf0RO, co/VA) • O(-,9d<
3. Name of Builder S]reug. JRi Trot)
4. Precinct No. Lot No. 36 Plan: Name or No. /,Q/o
5. Name of Street] bud lfPoORwILL L`A'NE, yfigpe bv-01 (JOKY
6. Purpose of Building SINGLE- f At7 h Ai RE S f R)ENG -
7. Material wooD FRA Pk')E
A a a .t t evzstnnS
8. Estimated cost of buildingp ri,
9. —Dwelling—"_ /Sf' rL .. K .i C •
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11. Heat raw bA5 p Ki?c/.4 ce-A)
12. Basement fVL•LI V
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13. Garage ot—CA'` n�WC� ) 2. dir-<C (13144-4 e�
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14. ,Store— /f D ..
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15. -Shop—
16. No. of stories 'f-t.uQ � ,
17. Is there to be a Store in the lower storey N0 1 u
18, Size of Lot. No. of feet front ,,.i 3Q• P 7 No. of feet rear /3,a .19 No. of feet deep +.1.1.72.:...1.1
3 No. of feet rear 1 �-7
19. Size of building. No. of feet front 7.� No. of feet side ! f•
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20. Distance from nearest building: Front ft.; side Cd d ft.; side ���� ft.; rear;/,-01—
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21. Distance back from line or street 6 3 , from rear lot line 7) , �siddeeliine f�
Show by diagram the location of propsed building with relation to distan e f adjo g lot ° reverse side.
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,t //15P-?Wi TOWN OF YARMOUTH
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e^E� �J$ 102 UNION STREET
, '' YARMOUTH PORT, MASS. 02675
WATER CCMNIE SIONLRS THE ROAPO or WATER COMMISSIONERS MEETS EVERY MONDAY .
AT 7:90 P.M. AT UNION STREET OFFICE .
FREDERICK J. THACHER
. ROGER G. EDWARDS. JR.
THOMAS E. KELLEY • •
- Date: December 13, 1979
SUPERINTENDENT
PAUL' WILSON
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Name; Robert C. Lampe
Address; 9 Meadow Park Ave. So.
Stamford, Conn. 06905
TO WHAM IT MAY CONCERN;
Please be advised that Town water is. available on Lot or Lots k^_ 36_--_,
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(Street) q jpporwil7 jlnne 1 as shown on Assessor's Sheet 732_ .
Very truly yours,
�. 'W) \\.. --- -..1.4,1
Paul A. Wilson '
/ac Superintendent
ERMANLN1 LY : INS
WINDOWS TO BE USED .• %t • .70 iA.., 1 ..1. • ;�TOTAL; R= i,
GROSS WALL AREA = �30`�`"� r l r
AREA = 17 S oZso� -••
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DOOR AREA = • f1eERCL•aa • '
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_EI'IEW
APPLICANT: /ZoBacr c . LAmec - BLDG PERMIT NO:
LOCATION OF i'ROPLRI 4(DT 341 LAJebeey'4W/LL94 DATE FILED: %f
)(ACM a v774 Po KT ��' ,
THE FOLLO'dING 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'::. ; 7 ,'•,:,
DISTRICTS (C) FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE ' *'E
AFPLICANT 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. LOT RELEASE.
2. COMMERCIAL -BUILDING:
•
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE ' . ':.:'
PLAN REVIEW. y : ,:;•
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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. ' . ti
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE {'
DETECTORS).
REVIEWED BYs „
1. ENGINEERING DEPARTMENT: YES DOES NOT APPLY SIGNATUREI6,.' ; :".:14, ___ DATE ,� • ,
2. CONSERVATION COMMITTEE: YES .DOES NOT APPLY V/SIGNATUR• �� // '- DAT
E/
3. PLANNING BOARD: YES DOE NOT APPLY_SIGNATUR '' 4 DAT f.
4. BOARD OF HEALTH: YES OES NOT APPLY SIGNATURE AilP AO DATE -
5. FIRE DEPARTMENT: YES DOES NOT APPLY_SIGNATURE DATE
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COMMENTS:
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#:), Application to
M' OB EV('POP jP�' t ./JJ1/�''/�
c` vE� -c Old Kings Highway Regional Historic District Committee
��i in the Town of Yarmouth for a
0 CERTI FICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
•; accompanying this'application for:
: CHECK CATEGORIES THAT APPLY:
' 1. Exterior Building Construction: (4 New Building ❑ Addition ❑ Alteration
Indicate type of building: 64 House gi Garage ❑ Commercial 0 Other
2. Exterior Painting:,
3. Signs or Billboards: ❑ New sign 0 Existing sign 0 Repainting existing sign
4. Structure: Q Fence ❑ Wall 0 Flagpole ❑ Other
' •
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY `` DATE /OA tI p9
y�t�mo vrit f'okT
ADDRESS OFPROPOSEDWORK /0/ 4/0� 42/i,G/00e/'h.h 40k. ASSESSORS MAP NO. 494
OWNER /21Y1&ii(T t • 0(nmPL t1 ASSESSORS LOT NO. fee.
7
HOME ADDRESS' 9 Anw P4 .So. TEL. NO.o203— Zags ay 7'7
S7flI to .4171aoL't • 06 9DC '
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
hn bib " A +?1R/veY a IW}iP®A?w/1-1- i nibt y� /7/90091 ti/2"7"-
Kfrrbroelt} F. ROLPH a sHt2L )IR/nE , yiMMinDo9� Aoki
EAR of )) k.›. -7-01v kg Pfifi(' ,(/WN± ,BOX 369 1vs M -6a63 /
AGENT OR CONTRACTOR 57k/7.E.. SBR/ TTD1U '1J TEL. NO. <2602— 91)69
ADDRESS 66 &ft 07 Rb.) ytc moa A00c%•
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side),including
i materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existingLsigns and proposed
locations of new signs. (Attach additional sheet, if necessary). V
10oo). FPr2IE sit/u624. Filrn;A y igeS ; e vc.4 A,7
1 0-7rftcltt 02-W G a/ZAGa 6-66 ev9/1" ) / t
! • Signed •41 W • 0/Jt
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Owner-Contractor-Agent
iSpace below line for Committee use.
I Received by H.D.C.
i Date `/1���� The Certificate iys/h/erleby1 Date2-.—
•
Time y'"{O . 7 �10 '� C
By ill/ 441.0/ /' ✓/
Approved IMPORTANT: If Certificate is approved, approval is subject to the dayFappeal period
provided in the Act. /n
Disapproved' ❑ • Please return to: Yarmouth Historic District Committee v
P.O. Box 124,Yarmouth Port,Mass.02675
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ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION
FOR A CERTIFICATE OF APPROPRIATENESS
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The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a i
separate form).
1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, 1
way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show
existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or
alterations are to be made. No plot plan is required for addition or alteration which does not touch the grqund.
1
2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is
visible from a public street, way or public place. Color samples must be attached to-these applications. An'application is not
required when repainting existing colors, changing to white,or using colors approved by the Town Historic District Committee. �{{
. .
3. SIGNS OR BILLBOARDS: An application-is required forany sign or billboard to be erected within the District, with the
following exceptions: '
a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate
of Appropriateness. • . ,
b. Temporary signs for use in connection with any official celebration or parade or any,charitable drive as long as they are
removed within three days of the event Certain other temporary signs that the Committee feels does not detract from
the Act may be allowed with the prior permission of the Committee. t
c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are
erected or displayed. i
d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the
premises on which they are erected or displayed in a residential zone. t.; •
`� . -- • \i10 ;t •.'. :\1_1�rv. li\ . .
4. STRUCTURE: An application is required,to build or alter any structure within the District which is defined by the Act as a
• combination of materials other than a building, sign or billboard, but including stone walls, flagpoles,hedges, gates;fences, etc.
GENERAL REQUIREMENTS ' ,
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5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town
Clerk by the Committee. Approval is subject to the 20 day appeal period provided in the Act.
6. No changes shall be made from the original approved specifications without advance approval of the Commission on an
amended application filed with the Committee.
7. A separate application must be filed with each project requiring a Certificate of Appropriateness.- .
8. Under heading of "Detailed Description of Proposed Work".give detailed data on such architectural features as:‘foundation,
chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters—leaders, roofing and paint color.
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9. Unless application is complete and legible and all material required is supplied,application will not be accepted or acted upon.
Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall.
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