HomeMy WebLinkAboutBLD-80-109 0\1/4`) U
I _ Application for. a Permit( to Build No.
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/i Fee must'accompany this application
y Yarmouth 14`<eli-fd j9et
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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 Edliar Hale Address 303 Main St
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2. Name of Architect (if any)
3. Name of guilder ISM, 2S ' R S
4. Precinct No. 4 Lot No. ij- Plan: Name or No. Z5"
5. Name of Street 303 Main St. W./. 07. Z4'
6. Purpose of Building du plex ff e d-lo D c(G
7. Material wood 4/4 2/8/ 2/12 f1/✓G , �° "Le V
8. Estimated cost of building x400.0'1 (rear egress)
9. . Dwelling
10. Cottage 0, Men".
11. Heat t ( - / 6e (6
12. Basement MDCtervCC/J
13. Garage O an for i»JAIQ
14. Store "fir
15. Shop
18. No. of stories 2
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
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.
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Address....7°1
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Right Side Depth of Lot:
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- Street Name
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BUILDING PERMIT REVIEW
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APPLICANT ,tVtoe J/4LIr n BLDG PERMIT NO:
/ LOCATION OF PROPERTY: .303 Jy,4t,O J tc. DATE FILED:
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THE F3LLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES. AN INDIVIDUAL •
MUST FOLFOW 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_'t s. •;
DISTRICTS (C) FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE , ' • -
APPLICANT THROUGH THE FOLLOWING AGENCIES.
1. RESIDENTIAL BUILDING:
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL.-,. 1 ': ,t'
B) CHECK WITH CONSERVATION COMMITTEE IF..THE LOT BORDERS ON ANY TYPE OF WETLANDS.
EXAMPLES: STREAMS, PONDS, RIVERS., OCEAN, BAY, BOGS, MARSH, ETC. _
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C) CHECK WITH PLANNING' hOARD"FOR LOT RELEASE _,: '_
• 2. COMMERCIAL'bUILDING:
A) ENGINEERING •DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE -
PLAN REVIEW._
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B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. .
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C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-FORISEWAGE 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 /DOES NOT APPLY 'SIGNATURE
2. CONSERVATION COMMITTEE: YES DOES NOT APPLY i/ SIGNATURE Mart - DATE3/Io/Po
3. PLANNING BOARD: YES DOES NOT APPLYSIGN.ATU' 'j BATE
4. BOARD OF HEALTH: YES DOES NOT APPLY.✓SIGNA •i_4f ' /f. DATES 0
5. FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATU T DATE
COMMENTS: - •
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