HomeMy WebLinkAboutBLD-80-227 if 3_ a,ruki
s OD-1' S 6I Applicatio for a Permit to Build
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Te must accompany this application
Yarmouth .. /.�..}� ' 19.8.Q.
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TO THE BOARD OF SELECTMEN
The undersigned herebyhe� applies for a permit to build, according to the following specifications:
1. Name of Ownerjree.oLC/Ctt G '74eA gy=p Address // &PPe,c ?e oc nD
2. Name of Architect (if any)
3. Name of Builder 'T�OAM S . CY eat.)
4. Precinct No. Lot No. ,2,15J Plan: Name or No. .$oS /- f3
5. Name of Street f/do ff/' --deco A.M. 43-E 2aj
6. Purpose of Budding —TOOL. n4O55
7. Material Wo o O
8. Estimated cost of building 1/42:3 d �% CJ 64 f 7y J r v 9
9. Dwelling 4 f
10. Cottage $4 OdOCID,
11. Heat Ho
12. Basement /to
13. Garage Ado
14. Store IV C
15. Shop A b
16. No. of stories
17. Is there to be a Store in the lower storey /1/0
18. Size of Lot. No. of feet front ../..P..Li No. of feet rear /Cs5 Nd; of feet deep if?........
19. Size of building. No. of feet front ,a2 No. of feet side I No. of feet rear /4
20. Distance from nearest building: Front '14 / ft.; side /..1r,' ft.; side .lt ft.; rear
21. Distance back from line or street !o'u from rear lot line '/ / , side line 4
Show by diagram the location of propsed building with relation to distances from adjoining lots, on,reven side.
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Name :/4�/LCIL�Glde.rK�/�C/. ."'wiz � �.r�
Address..ld C..'s4.,{1 G..4l.6:f.L.i& 2 (ke4ltl..
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Rear of Lot 9A 'p
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Frontage of Lot , / C
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Street Name.aA/.'1.;.k.. /E'0QLC.TA
PLOT PLAN
s . aL,r BUILDING PER?IT REVIEW •-
_
' APPLICANT. -fit -i p7?/C/t 0. gie-7rnR; `' BLDG PERMIT N0:
LOCATION OF PROPERTY iiii `oopAi:; /)Rao;/G " eD • - -.- DATE FILED - •
a 'i �^t- ` ♦v . ..r -.' r �' ..� � •.�- .:..... : om'../.--.� •• � -r.
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE •PROCEDURES AN 'INDIVIDUAL.
MUST FOLLOW. IN. ORDER TO OBTAIN PERMIT TO BUILD OR ALTER A .BUILDING. " THE BUILDING :.-.--'. :.
-DEPARTMENT 'WILL CHECK_ ON _THE. FOLLOWING:• (A)=. CONSERVANCY DISTRICTS (B)'-'t:HISTORICAL .
DISTRICTS (C); F.L00D PLAINS-'ZONING,. ANO WILL 6E RESPONSIBLE FOR ASSISTING THE' -• -
▪ APPLICANT,._THROUGH-THE FOLLOWING *AGENCIES .
i RESIDENTIAL BUILDING
A) " CHECK WITH _THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE ' .
�
6) : CHECK WITHACONSERVATION 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 , '- i _.-
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2 ;COMMERCIAL BUILDING , c _ ; L K '� �: fa
A) ; ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE▪ REQUIREMENTS, TOPO1• PHY SITE
4-3'Ft4,'s:"PLAN REVIEW: ` :"--c-•:?.- "-•::,- 7.-
-7-.4-‘4.-L,-- 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 PROPERTYPROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE -
DETECTORS)
REVI ED BY - �- _ • • .,. ' "--
I L INEERING DEPARTMENT YES'1/ DOES NOT APPLY -- SIGNATURE..�•. �D .41,2":_., - S Sp
DATE -
y
2 CONSERVATION COMMITTEE YES DOES NOT APPLY /SIGNATURE - i ,Z.. 11 , - y DATE V 51 -
-.3. PLANNING BOARD: YES DOES NOT APPLY SIGN• 'RE- - �/r�: DATE:* •
�� � i��li�/ DATF�' ' •
4 BOARD OF HEALTH: YES • DOES NOT APPLYvSIGN•TUR • i�
. 5. FIRE *DEPARTMENT:. - • YES DOES, NOT APPLY_SIGN•r - •• • - - DATE •
COMMENTS -
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