HomeMy WebLinkAboutBLD-80-141 4,0
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9‘1) Application for a Permit Build
Fee must accompany this plication
Yarmouth 19 4`-'
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner s e+�rip.Ai Address 7 Alden Rd.,W.'/arMearn
2. Name of Architect (if any)
3. Name of Builder
4. Precinct No. ^^9. Lot No. /5--p� Plan: Name or No. T y is q
5. Name of S&O
6. Purpose of Building
7; Material I 0 a.
8. Estimated cost of building J/f iti'l
9. Dwelling /4 arra- 77 e�S
10. Cottage
11. Heat
12. Basement filo C (4e VC t 1 act
13. Garage GMK S f%
Street Name
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• Right Side Depth of Lot '
Street Name -
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BUILDING PER.'✓IT REVIEW=- .., .. •.. :-.
APPLICANT: i f; . Iev(Ya'£r.) BLDG PERMIT NO
LOCATION OF 'PROPERTY: 7'•AG.tb& textki.fry iint17"T9 • DATE FILED - •
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN•1NDIVIDUAL -
MUST FOLLOW. IN ORDER TO OBTAIN. A PERMIT TO BUILD OR ALTER A .BUILDING. --THE BUILDING.-.:1-•••• .
DEPARTMENT -WILL- C_HECK.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 '
-
1. RESIDENTIAL BUILDING: ":'..:::"--"---74--••••;-:":.:
A) ' CHECK WITH TME HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL ` S:. , ;:�
▪ 6) , 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 8OARD 'FOR LOT RELEASE , `
2 COMMERCIALBUILDING T T _
▪ .A) : ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPO P PHY SITE
."-,.9-•-., • AN PLREVIEW ; .r, , a _ _ a' -
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). ; • _ =- .
•-_'
REVIEWED BY
1. . ENGINEERING DEPARTMENT ,• YES t- DOES NOT APPLY_ IGNATUR _rte - " -1S,,%,-ea," DAT ,
2,. CONSERVATION COMMITTEE:.. YES_'.DOES NOT APPLY IGNATU � _ DAT 22?
1� -•
3 PLANNING BOARD YES " DOES NOT APPLY • SIGNAT s . '=z DATE
4 80ARD OF HEALTH . YES DOES NOT APPLY//SIGNATr � s� -- DAT
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5. FIRE DEPARTMENT:. - ' YES DOES NOT APPLY SIGNAT ;
•
COMMENTS:
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