HomeMy WebLinkAboutBLD-80-206 20 L
No.
0_, Ato Application for a Permit to Build
'ft' Fee must accompany this application
Yarmouth i ?r 1902...
' uzz--
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:�
1. Name of Owner ✓ Gera Yd Ag--DariCf 6 Address 07,1✓e4Ca'ft
m
2. Name of Architect (if any) . ' ..
m
3. Name of Builder
4. Precinct No. '3 Lot No.A—5 2 Plan: Name or No. A,.M.6 o- A-B 2
5. Name of Street "5 Deaco,4 Ski t
6, Purpose of Building g KED /• / '` ` A
7. Material W bat, U I
8. Estimated cost of building 5 t7*at) 0 I SF, e
. Ia
9. Dwelling N 0
10. Cottage P
11. Heat NO
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 distance m adjoining lots, verse side.
Named .... ,A�//1�y.1,..,�.y../.Ju`0f,..,g,
Address`/ C2OO dlelea•%t/..
1 a
•
1
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Rear of Lot lit 7
a. _- •
'1 ,
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% it 01 1 kit
c PecPosE.o r a
_ -�Y' /a'--);,0E---76 . ,',;.;, i 0 + d(4•
SHED
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It/ a
a l fi c •:74
e.
a 1y f.CI 1 ea et kii Din M . I< �0� 1 Q
vca
et ✓ vi Z
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Frontage of Lot � ��
Street Name • -17e4con Sic
&upOo/ t r Ovel%kt'
PLOT PLAN
BBUILDING PERMIT REVIEW .-. . ,•
A L ANT: - • BLDG PERMIT NO
LOGON OF 'PROPERTY: • 4 6-
ANT:
: '' DATE. FILED:
yr
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO- CLARIFY THE "PROCEDURES AN•TNDI1/IDUAL. - ' -
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:'• :'F
DISTRICTS (C)•:I FLOOD PLAINS-'ZONING,' AND WILL BE RESPONSIBLE FOR ASSISTING THE-. -
APPLICANT THROUGH-THE FOLLOWING AGENCIES. • .
1. RESIDENTIAL BUILDING:• .- r
A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL r '
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 --•-_ --Ti;
_
2. COMMERCIAL-BUILDING • • -
_ - i - r--.-:----
4A) ENGINEERING DEPARTMENT-FOR. PARKING AND DRAINAGE -REQUIREMENTS,• TOPO( APHY SITE': ."
4. `" PLAN REVIEW_?: _
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). • • • -
REVI ED BY -'_; r - =uta`::
r{ - } . 1 • i. . tom- --=r a-•.
1:- N INEERING DEPARTMENT:.'i •YES ✓ DOES NOT APPLY_SIGNATURE -p -ed r----'71-..Ct DATE
2 NSERVAT3ON COMMITTEE: YES• "_DOES NOT APPLY', SIGNATURE I, f' y, •
3. PLANNING BOARD: YES ' DOES NOT APPLY • SIGNATU DATE--'
4. •\OARD OF HEALTH: YES DOES NOTAPPLYe..:----SI GNAT‘ 7 p"d.I I '�� DATEa
5. FIRE DEPARTMENT: , - ' YES DOES. NOT APPLY_SIGNAT.E - DATE _
•COMMENTS: • _
1, __ .; .r %'Ic. -_ ,• -
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