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X, r � Application for a Permit * Build
NNING BOARD 'Fee must accompany this applic; ion 1
Dtt.clEEg/ (0,5 //(� r .k....t 19.� ...
' Yarmouth 1°. p.t.
• 4/i v .7-02,5--dra
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
' 1. Name of Owner 144„.. .1-Aat S4bLovae Address
1 2. Name of Architect (if any)
3. Name of Builder Q N 410 C®10 eft. et ,
4. Precinct No. if Lot1No. a 3 A Plan: Name or No. 13 - Q 03 4
5. Name of Stree4��Fbw e 11. t�J. to!. W.am oaf li ►•, ,
II i 19',frfait�
6. Purpose of Building S' 1 a�{�a FA rni I.y 'dei i 1 sr,eC , n Mm
7. Material Lmo d Ft ae n3 6 p`' f f° I �`"1 t) Roo�1�
8. Estimated cost of building �SSi OV V�� ( / / NM�. Flack
;11 N 1143
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9. Dwelling y¢S Q30u, U{3 �aOu45
10. Cottage I0* f J o. e e 3
11. Heat Eja r.4-134ta Geld 9- 8itS
12. Basement erSpAt>r 13,E
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a,ao i U
13. Garage t) °
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14. Store NO
Po.007j
15. Shop N O er.
16. No. of stories a—
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17. Is there to be a Store in the lower storey N O ' ^ alial
18. Size of Lot. No. of feet front No. of feet rear/ No. of feet deep �,(�
19. Size of building. No. of feet front Pic No. of feet side 3 v No. of feet rear "v
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
. fromadjoining lots, on reverse side.
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Street Name
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?t k TOWN OF YARMOUTH
41.15X14 y WATER DEPARTMENT
Mc. ^a,sc�• 102 UNION STREET
• YARMOUTH PORT, MASS. 02675
WATER GOMNISSIONERt • THE ROAM"OF WATER COMMISSIONERS EVERY MONDAY
AT TLSO P.M. AT UNION STREET OFFICE
FREDERICK J. THACHER
ROGER G. EDWARDS. JR. •
THOMAS E KELLEY
Date; ' April 3, 1980
SUPERINTENDENT
PAUL WILSON •
A
•
•
•
•
Name; Rico Sablome
Address; 12 Copley Place
S Yarmouth MA 02664
TO WHOM IT MAY CONCERN; •
•
Please be advised that Town water is available on Lot or Lots
(Street) Crowell Road 1 as shown on Assessor's Sheet 13 • •
ye truly yours+
aed
Paul A. Wilson n1
Superintendent .
. x �
%SI 9 % (s2)(SID -o ) 4 ( LnI ) (iPLO.0 ) on
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BUILDING PERMIT REVIEW
' APPLICANT: Ie..-tS CA.6 ' ome ' tilt a4QJ 'NOii' ST' -• BLDG PERMIT NO
LOCATION OF PROPERTY: 'ken- Z-f' ir +weiic OA.'' kdoiyl4yr.-.., ". , . DATE aFILED: • -
- THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE 'PROCEDURES AN •ZNDIUIDUAL
MUST FOLLOW. IN ORDER TO 'OBTAIN. A. PERMIT TO BUILD OR ALTER A' BUILDING. • THE BUILDING:.-:-.7. .ti =
-DEPARTMENT•WILL CHECK ON :THE- FOLLOWING: (A)'.- CONSERVANCY DISTRICTS_ (B):•( HISTORICAL 'u F
- DISTRICTS ' (C), FLOOD PLAINS-'.ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE -
' APPLICANT THROUGH-THE FOLLOWING AGENCIES ;.J. -
T. - RESIDENTIAL BUILDING '" r �=
A) - CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE ' . .
DISPOSAL `' -_ , :
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERSONANY TYPE OF WETLANDS. : -:-.- •::
. •
EXAMPLES:, STREAMS,. PONDS, .RIVERS,_OCEAN, BAY, BOGS, MARSH,. ETC • -
• C) CHECK WITH PLANNING BOARD'FOR _OT RELEASE ' ,
: ,s .T
`2. " COMMERCIAL-BUILDING _ ~ , 1 .i
.-.1.-7-,--._,77-,.;..: , r . t_•
..A) . ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOWzPHY SITE -
`-( •.. PLAN REVIEW:` a : s t, s .".7:.A ;,-
' :B) - CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS
C) PLANNING BOARD TO 'SEE IF LOT_ COMPLIES WITH ZONING BY-LANS • •- •
•
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 -- ` _ . rte ':
:. r .. t ffa, r,-,-- -
1 ENGINEERING DEPARTMENT -1YES 'V DOES NOT APPLY SIGNATURE "7 - -)-0,/: DATf'% "
:•2. CONSERVATION COMMITTEE: .YES."VDOES NOT APPLY'•' SIGNATUR `qj :in-:::-
• : '-1 DATE;.f ;s,
3. PLANNING BOARD YES DOES NOT APPLY • SIGNATURES • • .-----;'-e DATE
4 BOARD OF HEALTH YES t-DbES NOT APPLY SIGNATU/R moi: ,fle DATES> •
5. FIRE DEPARTMENT:. _ YES DOES. NOT APPLY SIGNATUR DATE_
COMMENTS: - -
•
• .. 1 )' tirt�G S Y -{. Jam-
' • •'� - >• -
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• COMMONWEALTH OF MASSACHUSETTS
WETLANDS PROTECTION ACT
G.L. C.131 s. . 40
CERTIFICATE OF COMPLIANCE
PROJECT LOCATION Lot #23-A, (Trowell Road, West Yar. DATE December 4, 198
FILE N0. SE 83 — 202
MDIItis hereby certified that the work regulated by an4OrderED of Conditions
dated February 21, 1980 by•the Department of Environmental Ouality
Engineering [ ] Conservation Commission ()O] has been satisfactorily completed.
• This Certificate shall be recorded in the Registry of Deeds for the
district in which the land is located. The Order was originally recorded
on March 5, 774$ in Transaction #05104
(Date) (Book) (Page)
/L�f l • -(44-:.
•
1 )-11 . 14. . it.
•
• Signature of Issuing Authority .'
On this 28th day of ___November 1950
before me personally
appeared The Above , •.
to me known to be. the person described in and who executed the foregoing
instrument and acknowledged that he executed the same as his free act and deed.
•
•
ea/
�). 71k. Ae.c. py'Comrnission{.o&res Nov. 71 1936
kotary'Public M
• y commission expires