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HomeMy WebLinkAboutBLD-80-174 4 \ to ' • Application for a Permit to Build ‘b �(V Fee must accompany this application armouth M J O 19 /(-i0 —F TO THE BOARD OF SELECTMEN - The undersigned hereby applies for a permit to build, according to the following specifications: 1! Name of Owner en R}Pies WILLIAM, C A ttfsi C// Address 2`' Name of Architect (if any) S re -f74- L,LUSK`/ * Ho / T/N6' ,N G//n. t , ,/274-5 S 3. Name of Builder CA, l.. S. CONST Co, D RV1 o F W A ITE/" .' 4. Precinct No. 4 2 Lot No. E- a$ Plan: Name or No. )M R P&V — E Z s-, i 5. Name of Street - lek, CR�0%riRy4. RNl Hm gI —. .. /� ---- B. Pu se of Buildin i �L e ) A ;I TT-a) Z Material WOOD -i '6" '1 8. Estimated cost of building 3 Co p 9. Dwelling 10. Cottage 11. Heat 12. Basement S in 4 o P 6A. -F r ' 13. Garage 14. Store , 15. Shop 18. No. of stories 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 distan es from adjoining lots, on reverse side. Name r ...T..f:'�l.4 Address P0 '1 ..(IQ.Y.......GT!Qle&QS / "7/FS.F e Street Name r _ L4 L) I r • 1 4 O Left Side Depth of Lot C —1 _ te.. -el OS••• • P. a e n:.. n or 0 0 o R � 1 I gt so1 .c 1 _:_., _ . _, VJ _ .t _ _ v ....r Right Side Depth of Lot ^ 0 Street Name c • ar Application to */19 - ," `AML t''`"�,t) Old Kings Highway Regional Historic District Committee . !�� in the Town of Yarmouth for a 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: 0 New Building jp Addition 0 Alteration . Indicate type of building: ❑ House ❑ Garage ❑ Commercial 0 Other 2. Exterior Painting: • 3. Signs or Billboards: ❑ New scgn ❑ Existing sign 0 Repainting existing sign 4. Structure: ❑ Fence 0 Wall 0 Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY /C-6 C R A M bekki /Art DATE ADDRESS OF PROPOSED WORK ' r - ' ASSESSORS MAP NO ' > OWNER I ' 1 ` "I' ' IL ' .! ASSESSORS LOT NO. I r r;, .i f,. r f'.I! . HOME ADDRESS TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). geleSf $mac S DP7 ,sL4 eJJ/Qcr) 0 L weS'/ivml Oa&Z flieolviitW Cutmmrek-40d /1' ntei6rc/t9 inv. Syn/nfe%'// e Saha DnrtsAgI/ /70 )i-i�/at &e l dine(c zAezievy %�/Qt etzwi vQes- 'i , .i / 'i t 3,.... AGENT OR CONTRACTOR ' C. TEL NO. ADDRESS I . ', , , : I„ DETAILED DESCRIPTION OF PROPOSED WORK:' Give all particulars of work to be done(see No. 8,other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). r \ , Signed - - Owner-Contractor-Agent Space below line for Committee use. - ' Received by H.D.C.�j v /J Date V ,�//� i/ The C tificate is hereby i1/-:0-adr -trai / Da M A / , / , Time 64../� C ` / / / , l .J 444 Cii3 By kr Approved IMPORTANT: If Certificate is approved, approval is subject to the 20<ay appeal period provided in the Act. // Disapproved 0 Please return to: Yarmouth Historic District Committee / P.O.Box 124,Yarmouth Port,Mass.02675 or • ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness js required are: (application for demolition or removal is a 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, 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 ground. 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 for any 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. 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. 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. 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 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. 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. • • 1/ �. 1 I � BUILDING PCPKIT REVIEW. APPLICANT • //I5; -( fijsr'(b, j .,1••D - 20,1i. -"• BLDG PERMIT NO: • LOCATION OF 'PROPERTY: 41:6-4 ' - • • • ' C,P/JA/L � ���(/�. DATE FILED THE FOLLOWING CHECK- -Z OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES ANNDIIIIDUAL. - -: -, _ MUST FOLLOW. IN ORDER TO 'OBI-AIN PERMIT TO BUILD OR ALTER A-.BUILDING. - THE BUILDING-.=:- -DEPARTMENT'WILL CHECK ON :THE. FOLLOWING:- (A):: CONSERVANCY DISTRICTS: (B)':•t. HISTORICAL.G• `' . DISTRICTS -(C) FLOOD PLAINS- ZONING,. AND WILL BE RESPONSIBLE FOR 'ASSISTING THE ••• APPLICANT THROUGH THE FOLLOWING AGENCIES s - 'r :s 1 . ' 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 .BORDERS ON ANY TYPE OF WETLANDS _ EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, 'BAY, BOGS, MARSH,. ETC.. • : ..:-;-.7..:'.--.:•• ' [) CHECK-WITH PLANNING BOARD •FOR JOT RELEASE , ^y 2 COMMERCIAL-BUILDING _: 1 • ^ - t "•• �4A) } ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE •-s`•_. PLAN REVIEW. r y • � _ - i i { -4 — ,s i �`' Y la _ _ i4 -_-•4::-.1,-- /= 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). - . - :::.:-:•:•---.-4..."-.- r_ o t .�- r. REVI D .Y:•::-• -_ c . •., ter.;_ :�_:` Jt • • S • 1 NEERING DEPARTMENT:." YES V DOES NOT APPLY IGNATURE" r ;i K DATE1.�}�a 2 C SERVATION COMMITTEE YES ' DOES NOT APPLY VSIGNATURE — DATET 7/frA mak •, 3 P�ANNI_NG BOARD: " ' YES ~ DOES NOT APPLY SIGNATOR .' ,' _ DATE '•' 4 • 9OARD OF HEALTH: YES,�DDES NOT APPLY • SIGNATUR�� $j -° �� DATEq - a• 5. FIRE DEPARTMENT:. - : • YES_DOES_ NOT APPLY_SIGNATU• DATE - ' COMMENTS: -•. . ` r r 4.1 r.. • =2 4:- r•s •4 C - : -y r I• t - O 4 ♦ t tom•,.:I•. r'- 4 r -':s�.: - :z ' _ ' -' ; _ I ' _ .j _