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HomeMy WebLinkAboutBLD-80-182 / � e / bGPZ (c Ci //Q 1� i "' No. 1 Sl Application for a Permit to Build f_ _;. -Fee must accompany this,application Yarmouth ....l+.r QPR,f,t_ 19 S •</- /6-- TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build; according to the following specifications: • 1. Name of Owner4t t'et►i 0. p E1,Sutar7 � wiu Address 7 't.woe. 'lb"' —Dense moo. Y4trWo/N . /Ai. ozerCv t 2. Name of Architect (if any) 3. Name of Builder l tb t e- 4. 4. Precinct No. 2, Lot No. L Plan: Name or No. 7000C t?. I ROWE 2-14 Cattrista1 5. Name of Street? C7!:1Ua't ft ICL 'WAra, An S&.62 OR (ter t 0Co 6. Purpose of Building jCC.IriL c-cutlet Sf 7. Material friltliro t'O GcasiL410O e'te -tittle! &',ii .ft3 f ' 8. Estimated cost of building /� COO - . ' 9. Dwelling /01,11S ° Ou- EXt s nsetc iv saa Endre 10. Cottage 11. Heat 12. Basement 13. Garage 14. Store 15. Shop 16. No. of stories 17. Is there to be a Store In the lower storey ter #/AJQr ee t ' 18. Size of Lot. No. of feet front No. of feet rear No. of feet deep 19. Size of building. No. of feet front t J No. of feet side 13i 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 disttaances//fJrom-adjyorming ots 'on reverse side. Name .t ,... Address .F 57tY !''{c T../ So , KM0-100r/(1 o2GGe Street Name -a o Left Side Depth of Lot... z w w o z Oa o ¢ o , t , Y. Right Side Depth of Lot t Street Name . r \\ App taus- io �' '� '� r ' Old King's Highway Regional Historic District Committee I .s /? in the Town of Yarmouth for a • CERTIFICATE 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 IB"Addition ❑ Alteration_Ltd Indicate type of building: 0 House 0 Garage ❑ Commercial Other 50/Jite Otte-ilk/005e_ 2. Exterior Painting: 0 • . 3. Signs or Billboards: ❑ New sign 0 Existing sign 0 Repainting existing sign - 4. Structure: 0 Fence 0 Wall ❑ Flagpole 0 Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE_r3/ At1GOSr 79 STOL�Y tY/Gc �Q.-So. /gene ca teusntect k'e i rtY OF Zet ADDRESS OF PROPOSED WORK7 ASSESSOBS MAP NO. �/ n r 7140 CcOK Z 7 Z PA OWNER Ste), �'/• a A&*N,n Se � Z OF?nan) ASSESSORS LOT NO. / HOME ADDRESS 7 Siva./ >V/t Dent, - Soon Yn OK 4TEL NO. 4/7) 39#11-00 412. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). f .tlot7W - ate*CD fnuts C,wnw, 45 ST E1 f/tt 21vt Soong - /louse <vote Cousr ocnoo) eevesr linerruo, O'Lte.e (HYr¢.uv/ £4-sr - .[.OTS 4eeo ss sreur A.Ce UN rHfortb & rn 41 W°- AGENT OR CONTRACTOR Se Lr - TEL NO. ADDRESS 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). otee+tvHOuSe eu/LL A'f77YCN 7z, Soun/ Sive or hone emit axrsnOb 3 Lrntts * On) ex/sr/c.& 'Deco, ALL 77U1 eD.'tc $E 3Trewet' " 734124.) Fee r SH/voies 7b we*m&e 50/75 -TO piled EXIST/.W . 7/rtra{yiey ?it POSE /5 rrAt .5 AotniP.t/ak SO&nia /tat f. • -Far 71}/LS r SEt rbmef/teas G e/afF - Signed j; ' jtt / •wner-Centrector Al 2tlt Space below line for Committee use. C Received by H.D.C. J.� Date 177 The Certificate is hereby lir cr l Date ri L/-7 )c9 Time -1J'2 f ��' 7// �6 By U Approved b IMPORTANT: If Certificate is approved, approval is subject to the day appeal period provided in the Act. /a Disapproved 0 Please return to: Yarmouth Historic District Committee • BBUILDING PERMIT REVIEW. UZ. ' APPLICANT: -• •,4%;.4.,e9.e+rt A• .. I . BLDG PERMIT NO: LOCATION OF "PROPERTY: ' S'rfri3e'f• F77ct deo • DATE. FILED: %4' Ppp IWY A - f,• : I. -, s,(fl.cP4 o v n--j. _ ,` - s.- .r.• — _�:tet .-a •- _ • THE FOLLOWING CH _ECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN • INDIVIDUAL. - ;: MUST FOLLOW 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- DISTRICTS (C) FLOOD PLAINS-'ZONING, AND WILL BE RESPONSIBLE FOR -ASSISTING THE' • APPLICANT THROUGH THE FOLLOWING•AGENCIES • - :< -: _ - I. RESIDENTIAL BUILDING - A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE '- B) +CHECK WITH CONSERVATION COMMITTEE IF THE' LOT BORDERS ON ANY TYPE. OF WETLANDS EXAMPLES:. STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH,. ETC. __: '- I" C) CHECK WITH PLANNING BOARD FDR LOTRELEASE ' , :. - ti lt. . w ♦ tea:. J.s',, `ar r - i • cr.r ,'2. ' COMMERCIAL BUILDING _ " y ;L «._ A) ; ENGINEERING DEPARTMENT-FOR.PARKING AND DRAINAGE REQUIREMENTS, TOPOG� YHY SITE •":4-'4.41.4:_ 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. • 0) 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) . � REVIEWE BY - C: _ • j GINEERING DEPARTMENTS' YES u DOES NOT APPLY /SIGNATURE _ "- DATA, 2 SERVATION COMMITTEE: - YES "_DOES NOT APPLY y SIGNATURE < DATE4//Saar _ 3 PLANNING BOARD YES ' DOES NOT APPLY SIGNAT ��• � =:' ` , -/DATE -• 4 ADARD OF HEALTH � YES DOES NOT APPLYSIGN `iuJJ z 4i' ih�Z3C "DATE i3_ 5. FIRE DEPARTMENT:, - - YES_DOES NOT APPLY_SIGNA 'E • ' - DATE COMMENTS: r _• } " _ ' -.J 1- +e - .er'- a G• -t- b F. ' yJ y- w- ' t SY t if• J a J __ • '.j� 14f S_ �_. 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