HomeMy WebLinkAboutBLD-80-228 :! . a-asr
b No.
Application for a Permi to Build
t.‘(.0
Tee must-accompiny Phis plication
Yarmouth .77119.. 5'x.
7
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according� / to the following specifications:
1. Name of Owner Alice L. Ow l iv 'V Address ! /spt--) 01 ;/ 1a Y '/L a h&,
2. Name of Architect (if any) -f-
tie e ST l yCt e f�o Ct rk
3. Name of guilder TQ. eS f I e'--
4. Precinct No. Lot No. . 4 . Plan: Name or No. ,Ole c e•( i a
5- Name of Street tCr\ 1-1 0 1 ; dy L 1 N
6. Purpose of Building L N I Q ie ?, e s e -T Rel Rc k .S/i N
7. Material W oDa) lc_'S Cal-nal-Cr- -
8. Estimated cost of buildingCBO-�
APP
9. Dwelling t • Y J
10. Cottage
11. Heat 'n¢-
12. Basement p -
IIeitefr fe le&ad/ Sga c e_
13. Garage N D
14. Store W0
15.. Shop ' NO
16. No. of stories I
17. Is there to be a Store in the lower storey ND //*
18. Size of Lot. No. of feet front ! •0 FCC.' No. of feet rear 3S- eT !No. of feet deep /*t'eeT
...
19. Size of building. No. of feet front ......!j��...�....�.. No. of feet sideg� a// f y //No. of feet rear .fQ.
20. Distance from nearest building: Front / ft.; side ..tj j..ft.; side...L ft.; rear �07 T
`� /
21., Distance back from line or street gar Ft , from rear lot line (p..r side line 3 /
Show by diagram the location of propsed building with relation to distances�es//J from adjoining lots, on reverse side.
Name //T'q-`'o--1 e o.....i�G /'/ �/
Address ! / ✓Ye:Cr.4.: ..... f..W .,llG1!2-24--
" Street Name -
v
o Left Side Depth of Lot... x,:.
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16 4-
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Right Side Depth of Lot A
Street Name
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• • - BUILDING PERMIT REVIEW ; • -
• APPLICANT: - jeer, —L-/QC( 1' M-4/1.):-• BLDG PERMIT NO:
LOCATION OF `PROPERTY 19/h 7 a /n�Gt •�//e^ //� .c • DATE FILED a /&/r'0
. . . r•, ♦ ♦. • WYaj �•!rl- sV'�-♦ !C14. 4�.. a '•:r - - `•r
THE FOLLOWING CHECK-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 :THEcFOLLOWING:• (A)' :. CONSERVANCY 'DISTRICTS, (B)':'+, HISTORICAL •
DISTRICTS (C) : FLOOD PLAINS'.ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE -
APPLICANT _THROUGH•THE FOLLOWING AGENCIES '
i. ' RESIDENTIAL BUILDING• . • - ' •
A) JCHECK- WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL t
B) �CHEC-K WITH CONSERVATION COMMITTEE IF THE LOT _BORDERSONANY TYPE OF WETLANDS.
z:•, EXAMPLES STREAMS, PONDS, RIVERS, OCEAN; 'BAY, BOGS, MARSH,. ETC
C) CHECK•WITH PLANNING BOARD FOR LOT RELEASE ' r r _ •,
J a - i _ - _ • + -P - r :_tom t + -
2 'COMMERCIAL BUILDING � ` >
•
t• M) 'r y EN. .
`A
ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGPAPHY SITE -
F s PLAN REVIEW-. 4 'r'
PLAN __ _ v Y a.: -.t.- '#.• - _ ^+ __
'B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS -
C) PLANNING BOARD TO SEE IF LOTCOMPLIESWITH 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).
7 VENGINEERING DEPARTMENT AYES tr DOES NOT APPLY=SIGNATURE DATE• E7 Etc
••2:- NSERVAT3ON COMMITTEE: .YES -'-DOES NOT APPLY ✓ SIGNATURE : y 'y, • DATES /c;'
• 3 .` PLANNING BOARD: YES `~ DOES NOT APPLY SIGNATUR DATE'.-
LIj/BOARD OF HEALTH: YES G
DOES NOT APPLY /SIGNAT - / . x /_ ATEc�4Sa
5. FIRE DEPARTMENT:_ _ YES DOES. NOT APPLY SIGNATT" DATE
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COMMENTS:
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