HomeMy WebLinkAboutBLD-80-230 I -6 -2e:E; Z.
0
No.
1,tiw Application for a Permit to. Bu' d
Fee must accompany this application
Yarmouth •...�:.'tte ar.. 6 19.
F
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit�� to build, according to the following specifications:
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1. Name of,Oter J' ;cI4AP 0 Y. t70 L, A/�~ �' Address /a, Sn r._r M ARst/ L �V „
WEST y,9eplc urhi) M4SS.
2. Name of Architect (if any)
3. Name of Builder C APE Coy Dec N ScWoo L _ CARPEA) 'ray DEPT
4. Precinct'No.�.l.f Lot No. �y Plan: Name or No. c1IC /34�'
5. Name of'Sfieet�SO T, M/`1RSN • L ,a AfTE A.M. 13—N2 ry
6. Purpose-6i Building T YI�f� f/, ....
7. Material ::,W 00.9,', i(1? *1"istti
Y5 tS C , X / O G
8. Estimated cost of buildinl �7,51).O 4\ __-_` r��j o o •7 ,
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9. Dwelling. * ��c t.. .5'61°49
10. Cottage ;.., p
11. Heat Si t:,'I '
12. Basement "'
• • 4(•••
13. Garage .y'
14. Store , '
15. Shop •
16. No. of stories + ''
17. Is there to be a Store in the lower storey J 0
18. Size of Lot. No. of feet front 154 7:;:...: •Ro fof feet rear 8 No: of feet deep q l-7
19. Size of building. No. of feet front g p, No. of feet side JO No. of feet rear r
20. Distance fcm•nearest-building: Front,77 "i n a-Asft.; slde.. ft.; side et' ft.; rear La
21. Distance back from line or street 3- O , from rear lot line 3o , side line l0
Show by diagram the location of propsed building with relation to distances from adjoining lots, onreverse side.
Name.7?4L4t.a ,61,424411-
Address..Pa 87.12 4.. � KJ,�',�K-c t . tas.3.
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• Street Name-sit-4-4i
ame 44l0 _ ( / t eaCt
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o Left Side Depth of Lot... ..j
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m 0 r0
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61/44 Rt
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Right Side Depth of Lot ,7..,7 leapt ?
Street Name .1 .0
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FPI/CANT: -• irrnlien -• T, • net:A#.10 • - BLDG PERMIT NO;.
OCATI ON OF -PROPERTY: 'yid •colt 71 ..pins-h' LAP . • T.--;"• DATE.FILED: -• • •' ' • •7
• . - •
• THE FOLLOWING CHECK-OFFPROCEDURES. SHEET IS DESIGNED TO CLARIFY THE • inn:U01AL. - - tr:
UST FOLLOW IN ORDER TO OBTAIN. A PERMIT TO BUILD OR ALTER A .BUILOING. --::THE BUILDING:?.--. .:-
EPARTMENT: WILL CHECK ON :THE: FOLLOWING: (A) - CONSERVANCY DISTRICTS (B)C4. HI STORI CAL.t.- •,,
I STRICTS (C): FLOOD PLAINS;JONING,• AND WILL BE RESPONSIBLE FOR ASSISTING THE.: •• ,• -
PPLICANT THROUGH.THE FOLLOWING*AGENCIES: ; . • •:. • • -;%• 7::.•1‘• • .•
• • RESIDENTIAL BUILDING: s %;- • " • • : - -
A) CHECK WITH THE HEALTH DEPARTMENt IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE , • • :-
• •.. - ,
• • DISPOSALS-L.; "•t..;.: ..•• •; F.• ' "f--•..• •••• - • • r ft.% +
6) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
EXAMPi_ES:. STREAMS, PONDS, •RIVERS, OCEAN; 'BAY, BOGS, MARSH,. ETC: - ▪ •
C:. -• 4‘. t:Zir7 : • _ • *- • y;
• C) CHECK-14I7171-1 PLANNING BOARD'FOR 40T 113ELEASE-rig2:2722 77- •
COMMERCIAL 7-BUILDING: - •
--:•---,--;;-7,2r:zie7ret-7771.-4;•-•!-7. 1:C- -1-• r!r• ' : •
A) 7 ENGINEERING DEPARTMENT-t-OR. PARKING AND DRAINAGE REQUIREMENTS,. TOPOGPAPHY... SITEt
;• •:1: PLAN REVIzt :-" - 47- '---• .7"..7
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS,7-; • _ •
C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
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co BOARD OF. HEALTH-FOR SEWAGE DISPOSAI: REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: " Salim BATHS, SWIMMING POOLS, RESTAURANTS, ETC. . . ' • - .
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-E) FIRE DEPARTMENT-OR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE '
- •-
. • - - •. ••
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/Ewa] By rt.::
- • • i
i/ENGINEERING -DEPARTMENT:.:: -YES'ite DOES▪ NOT APPLY :• SICNATURE 77f&lcit-fr,F2-rit'zt DATEWle?-r4
t• : -4. 2 ' •-77 • •
i.'CONSERVATION COMMITTEE: .YESt—.DOES▪ NOT APPLYW SIGNATURE icthriE.51.1.griwr f DATE s
PLANNING -BOARTi: C. DOES NOT APPLY_ SIGNAT' ' - • "- DATE 4-'4. • -
4OARII OF-HEALTH:: YES DOES NOT APPLY tit I GNA e - •:....2e$47DATa:
.. •
FIRE DEPARTMENT:. r • YES OOES NOT APPLY ' SIGNA • • - .•• • ' -
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MENTS: - . .
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