HomeMy WebLinkAboutBLD-80-181 No.
Application for a Permit to Build
Fee must accompan is application
Yarmouth4.l.:Lf..:..� ,.............19.1Q..
TO THE BOARD OF SELECTMEN •
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner/yW /-74'Ne/S/OOa,./&RS' Address 9804-449/'0Jf•
10. rixemouM,./27.95S. 42673
2 Name of Architect (if any),ioNS
3. Name of Builder 0,9ac Adams
4. Precinct No. 4 Lot No. K4 / Plan: Name or No. 4. M. 3$- K41
5, Name of Street 9Eo/tuor// S1 0,7 ,A3voc//f' , Z'7dS.r, Oa 7.9 / L
e. Purpose of Building C/ore. /h e./S7Ei/J /OX/DA 1441e
7• Material
g. Estimated cost of building 0/500- 00
/0
g• Dwelling
10. Cottage / co
11. Heat �7 j• ,b
12. Basement •
13. Garage
14. Store
15. Shop •
16. No. of stories
17. Is there to be a Store in the lower storey
16. Size of Lot. No. of feet front No. of feet rear No: of feet deep
19. Size of building. No. of feet front /.0 No. of feet side /0 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.
NameOO a P ' pp
Address A tf..R.1.Qat6 Ae.s.J..�6 &G..4r/ S �L..•••
•
Street Name
v
Left Side Depth of Lot
r .-
s
z
o m `
0
m
o
0 1
— 1
i
Right Side Depth of Lot
Street Name
-• a
•
•
I 1 t . .;\` ,.- O.•7 Nzs' P /dj.,.� f. Oh MaS'�./�IbO Off. sr: w
• 1� ' 9 PO+a Sr o3n-S'/,rvij- ! • r , r +.(�J\ te
1 .•� '30.ba'�'��N c'//Y/.� y� rr J. ar � •w +w 4K1,••••••:..:,
A • C7/\Y�.dl��f �.: . {'•; .
it .^-/Nl./r7. c _Z.-7/ o,4 `r '�//o.7 ,3 �a7Oflr^r6Gl� '3 h •r t- "E �% .'+
•� f' ' "''t •sr wY ytr i. Jw ( eE rP 41*1ty• 9 \ yi a�• af^.. �rrft
•a ,. .` par , ' a i vl � I7 ta
t 1 + -c �
•
q
I at' ..- . y ' ` LT!/�•,'•' } 4.,,:-:,-„„y„;,,,,,',,,-;
''"^. t ri'•', r5 t.' �v�� ct JY�� a \' \ '.
•• A.,
y , .• t i C:=1„>-.
/ A � ^ ♦r „r �'j t k��"y 1--:. �w'
I.
_ _ F • o r f.
�(i{�/� �] Q N
• f • ✓ Y '- , � , i"!....'",.:4
:rig.
\ •i '\ o�141. t, ft > 1 !1� r',' \� 1y� � 1t � ttyy 1.• .,/ ,, to . :.. \a, • ( : \ r r.,,�i� tf / W �
•
`Y �. � :
it . ( -- i
IY . \1 to s v (: S �� 0`20%. R1Xt7: 1ro6.
'\ , It y,[c�7[./4 -: , 7 +.,�`• .,l •�r.. • . e.I/{• t• r `Orrbrs'
- •l. rroTiV��n`00I - w"� 1'. at ':' ^ N' 1
tz,
) -
`; V •;... C
fft ; 09�Y ` �':
r
"+ly ' V
• I r ..N l' ,•_%Th1 J \\ ''4 / .. 'lt .' SOI :-L.
r
p.--1/4---r- .%sem: \ .o •s
I... `,..2... U ..r c Sd' ' •, -; •'-'''.^. K ...%.• ;` .. 'j r 07.:7
05A
v ` I,-. + Ir�F y z Y"•:. `'�` ave 1 t{, «y
'r`Iy.. 'w.D _ a-..._r ....-.....,_ .'. . ..,♦.,., _.. .. .. ...� .a...r..•.e...w'...+'•,* \I �....+w:.. 'a...'.�.}•.w_'a�sr*w..:.�z .l w.w.. ••: "iy� �:::�•aYs.-ae—..1.f:a.
„wkaGr ►,;, //,' e? •• LLOAl S'.: ywyE/i.: /,war D/ST ✓vE.e . :,, /./s-it icy') :.• . {
. I�..; ,, SEPT/G?AA/K -i0lj�,b g.�. l<' gPee CLU- sNF 0:.5Ira W/ i
` 5 v r - /4/74-Er ••i g 2', • f)GG .46o U^'0 ,
il/.. Tel- -,G 6'G1W;r-{t, g..,
' rtiSAtif/Tiq,Ey` Oo S,0.sigz, SySTEAif .� rOeo.�o a
. ti 1 ) ^_
4' 46SIG, AJ FG02•0 .tZ 0 G.c4/O4y
ssio c sySTE/z1G'o. ./.s"t`•.2UCT/On/ .•2 ,gCN RATE; < Z.• a7/N�74/C. 7• ",'
.-5'NelG4 iv
COFae4i7.°/yIA,SS , X"0,20/0034.0 .4 CAC,/ C4Al BS/
:, N`/Epn//YJs, -rnL. COOS'TirzE r
40 TOW”' -OF. .,�'AM?r:"'41 7-0‘49iYJr /,‘„,c, car i�D ,., AS Aeo r
", mf1.CAL.7`1{ GG%4..AT/on/5 • • 2.4,, EyP/-4F"t' t P,r. i/-' l?�Us j
ti r 3 , . , A ..• _-^r TAT 4 --ENGG E:/!,'-rio
S it T.E,-it.P,L :A - SHOW•ING • PROPOSED CONSTRUCTION :.
4`, 1L O C A.T 1.-.6.1%i•:•,- 1ra5T•>49 e-1:1let) 7 j 1i•1 ttit5 .
*F' O R QAA//E,[... S4 :p.2Ve
� Co 'I--. APPROVED - '.. _ . t977
,'SCAL,E •+ C -,,3d D'ATE. ,QGT 3) ./97J, ' " BOARD OF HEALTH
-R E FE'R E N:C E2'QE"VVG, . or y/ !9Mwt1�.
DATE AGENT
-j..; •
1/Y r r . / 97S= 4R �.' -^9
S ._,Si c'EG ✓=ate
`r`Swr�' 7'fIF_ �SfJ.t'=,C(/13/q.:rANa Cc �?T/F/CM7Vo-.i -0 = l`w�!l,�,e. •
(...Th
.� Cn•✓:=7-,..2✓CYI0�.�' /A. 'T,'/CT �'irC: 7 0„,/a./Cc 'LA' � „. ,,t.nst. , gi!l AV .t.IJM,r A/ ekl l .'ACI[/t.`'G) Ati,/ ,rn4' e`1/:,/:.J :a": K �+,\u ,C Iv9 :S . ,ASSOCIATES, ; INC ; eyC -, .TN, c4E AI ,,y.a MO,.ANAN,a S. iceII. 13600:a �� ' REGISTERED ENGINEl: RSt 'LAND, SURVEYORS r,rs� ten'+�� Mt O. GAVE rrflC £. OUILDING - 12. 65 5 ROUTE 28 ' ::: ticiSTEaE�".:44. f,
; r) uTf4 YARMOUTH, MASS, 0266.4 p .,�'fa�,__
s`\ I' ' --PIC 0 7---:. z�
�Bj � Z
I
•
(u
r � o � W
;:id
v% of k �/ /mss'' N
,.._.
Y • v , } CO
No
V •
� I )
zS
seg) I
"-PC3a. 3
07 8
. .,=-0.e. /
LORA.//.EL .B. .p e/S C OL z__
CERTIFIED PLOT PLAN /S/o7- -: re"4) o .cov.vo.9rioN
L O C A T I O N= fJ-E'ST y,.9,e`0.jpv-T/ /5 8 fT. t.4,45.04,,s- Go w
SCALEi• / e'=3°f DATE: "Ce/C-7. 3., /977 /0.0.••••17- /..•-• ,e'.0,0
R E F E R E N C E : .,SE/ 1--,G GOT 4,//
..-€9.5 .....5)1-90 t.J A-, to .v
1-� 7 O C
CC .e7- . Z"7 -' 28/978 83/77
DATE
I HEREBY- CERTIFY THAT THE BUILDING RE LAND SURVE 'OR
SHOWN .0t4 THIS 'PLAN IS LOCATED ON
THE GROUND AS SHOWN HEREON A N D
THAT IT 40005 CONFORM TO THEo►u�<
ZONING SETBACK REQUIREMENTS. OF J.�N WSS'c\
THE TOWN O F _ )/iq.e d-ne,0 Tip-/ ` �r� JOSEPHM.
WHEN CONSTRUCTED.
a MONAHAN, St w
13660
C MS ASSOCIATESI INC . 1._ .40
REGISTERED ENGINEERS d LAND SURVEYORS 4yasu
MID -CAPE OFFICE BUILDING - 1265 ROUTE 28nt
-"> To SOUTH YARMOUTH, MASS. 02664
• - ooUILDIKG PERMIT REVIEW:• _. ,-. -
P LICANT: " • BLDG PERMIT NO: -
�I v'' Fyii�l� S' �n:.:e� f
L CATION OF PROPERTY: 7 isci; .; Z • 'S$4 rG'V ar• DATE FILED •
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN -INDIVIDUAL. --.• .F.
MUST FOLLOW. IN ORDER TO OBTAIN. A PERMIT TO BUILD OR ALTER A .BUILDING. tzTHE'BUILDING :7-t-_-, ..__
•DEPARTMENT'WILE CHECK ON :THE: FOLLOWING:* (A). • CONSERVANCY DISTRICTS. (B):•t HISTORICAL?... = '`
DISTRICTS * (C)• JFLOOD PLAINSZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE-:=_;'..... -
APPLICANT THROUGH•THE FOLLOWING AGENCIES
1 - RESIDENTIAL BUILDING: ' - -
A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE •
DISPOSAL ` ter
-1 B) . 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 BOARD_FOR LOT RELEASE , —t _
2 COMMERCIAL BUILDING +--
• A) ; ENGINEERING DEPARTMENT FOR PARKING AND *DRAINAGE REQUIREMENTS; TOPOC� PHY SITE
-: PLAN REVIEW - ' • .r_
.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) ;
< r
? r7_
REVI ED BY _
'
1 ENGINEERING DEPARTMENT .t.YES V DOES NOT APPLY_-- SIGNATURE iii -a .0,,,-111.: DATE BII-
2. w- ONSERVATION COMMITTEE: • YES_' DOES NOT APPLY/SIGNATURE . j,. 1-4- DATE/I4&
3 . P KING BOARD YES ` DOESNOT APPLY • SIGNATUR/ : DATE `
4 OARD OF HEALTH: YES DOES NOT APPLY✓SIGNATII �i fi ��DAT
• — vs E �
5. FIRE DEPARTMENT:. - . YES DOES. NOT APPLY_SIGNA . RE - DATE
COMMENTS: •
L c . S
h ,' J .7.-:7•2..:-:
_
,-.17.%,...• + • t r r - e - -
Y 'Z. r ,f, a =t. a..a. ly .qFf f-y 1. S ;:21‘7.-c--:_:::_,-- _