HomeMy WebLinkAboutBLD-80-178 (VP
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Application for a Permit to Build No.
Fee must accompany this application I
Yarmouth ./4.44:A.
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19
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TO THE BOARD OF SELECTMEN .
The undersigned hereby applies for a permit to build, rding to the following specifications:'
1. Name of Owner 7)/(t4 U0n21 e' 7 GtZ Address 4 Eee de"r9 '"(��� `�ta
2: Name of Architect (it any) •
3, Name of Builder
4. Precinct No. Lot No. ir)'1„ 3r/
/ Plan: Name or No. Pletti ' I
5. Name of Street ‘ Lf�GrtGa4 �2�"z'
9J * 124' ,
6. Purpose of Building
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7: Material ._MOW
C
en
8. Estimated cost of building / CS DO o IC ( attear
9. Dwelling k
10. Cottage (5 04 , et-4-0 QUI
11. Heat /A/' frei r-s'2.
12. Basement
13. Garage '
14. Store
15. Shop
16. 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 distances from adjoining lots, on reverse side.
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Address..6.7...//ai�?:t. fes:L9.. -�Jd-t ..LF'
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Street Name I T 1, ' .-
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%" . o "}Leh Side.Depth o3 Lot' `' �l :'
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Right Side Depth of Lot
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Street Name •t
BUILDING PERMIT REVIEW -.
APPLICANT 1�'fineti iclr L 'I t cc . ' BLDG PERMIT NO
LOCATION OF 'PROPERTY: -.44 Lv 0 AiUQ- ' XLml. DATE.FILED: •
• • ThE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE 'PROCEDURES AN-TNDIUIDUAL -,t•
MUST FOLLOW IN ORDER TO OBTAIN. A. PERMIT TO BUILD OR ALTERA -BUILDING. '4THE 'BUILDING:!?
4.
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•DEPARTMENT-WILL CHECK ON =THE; FOLLOWING:- (A): CONSERVANCY DISTRICTS: (B):'; HISTORICAL.`:•.
DISTRICTS (C)rFLODD 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 -_ - -
B) +CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS,ON ANY TYPE OF WETLANDS.
• ' EXAMPLES:. STREAMS, PONDS, _RIVERS,:OCEAN, BAY, BOGS , MARSH,. ETC: •-`.` ; _ • ''t`
C) CHECK•WITH PLANNING BOARD'FOR :LOT RELEASE
2 COMMERCIAL BUILDING _ ^r, , , • { +-;-
.A) ; ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOfPPHY SITE
••A',?at PLAN REVIEW:-:. r; : - = t ..
B) CONSERVATION^COMMITTEE -IF LOT BORDERSANY 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. •
T) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE •`
DETECTORS)
tREVIEWEDBY ;
. . �." -=^3�„_'
i ENGINEERING DEPARTMENT = YES I DOES NOT APPLY I SIGNATURE i d, DATE 8'a
2 CONSERVATION COMMITTEE YES -DOES NOT APPLY Y SIGNATURE • 1, tr.f'DATEit at?
3 PLANNING BOARD ' YES DOES NOT APPLY • SIGNAT _ DATE
4 BOARD OF HEALTH YES DOES NOT APPLY!/SIGNA "12-c - .tom DAT
5. FIRE DEPARTMENT: _ YES DOES. NOT APPLY_SIGN E DAT
COMMENTS: -,
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