HomeMy WebLinkAboutBLD-80-235 ' ca.�—
d��''�. Application for a Perm to Build No.
Fee must accompa this application
Yarmouth '!f /, 19 EC
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 0-4/eS i C,(14 phial Address r hick /N 0Ne_ DR/ee
2. Name of Architect (if any)
/ ,
3. Name of Builder ,.,cfL. C rn
4. Precinct No. 2 Lot No.�7 O� Plan: Name or No.M•70 - s,RD
5. Name of Street j- /We J/✓ GAA DRIVC G
6. Purpose of Building t(.+f(l+f Skb( Jas;/5'
7. Material fn
nt
8. Estimated cost of building4f o C. i
9. Dwelling -- •
<r
c .
10. Cottage
11. Heat // —. _ _ - i
12. Basement
18. Garage
a
14. Store H •
`1
15. Shop
�...i
16. No. of stories If'--
17. Is there to be a Store in the lower storey .S /l
18. Size of Lot. No. of feet front klIsilil of feet rear No: of feet deep
Jr
19. Size of building. No. of feet front /0 l No. of feet side 3 / No. of feet rear /0
20. Distance from nearest building: From Cr 114° fk) sidieI"11 ft.; side ft.; rear
21. Distance back from line or street teal 4' , from rear lot line 30. , side line • 7,
Show by diagram the location of propsed building with relation to st%aricct from TO. ,in reverse si .
Name ... ..
Al
goplArAd ss _.1.e AsPi 4. r - e:_,
refo4Ptne, 7a7A124-01-i-C4C
•
•t
Rear of Lot
�/ '>a 1
1 1
1
m 7 15
to 10, PRoVosEC _
SHUT0
o a
a � ; o
M
.5 1 j G Ti 8N o 0 Z h • .. .,d
tie Fa
A•.1eso'
2.3' ( 5t'
Frontage of Lot , 17 5
Street Name-Ho ktes...!A..QA11E.1)RIM
;. 41001
PLOT PLAN A.M. So-5so
p1.A14 +- 48I Y
Au6. 9, 1966
1 • ,
•
• BUILDII.G PERMIT REVIEW _• -
APPL2 -' '1.7/11(3 F. ~ C;IM`PE -1 • BLDG PERMIT NO:
^ LOCATION DF PROPERTY jl�P %�✓= � 1E f72w° DATE FILED: " jJ .'
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN 'ZNDI1/IDUAL.
MUST FOLLOW. IN ODDER TO OBTAIN A PERMIT TO BUILD OR ALTER A -BUILDING. "THE BUILDING { , -
•DEPARTMENT.'WLL
I).:CHECK ON :THE FOLLOWING:" (A); CONSERVANCY DISTRICTS: (B):=t HISTORICAL S .
"
DISTRICTS (CFLOOD PLAINS' E'
• ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE:::
_ - _
APPLICANT THROUGH-THE FOLLOWING AGENCIES
1 . RESIDENTIAL BUILDING: _
A) - CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
r DISPOSAL
6) "CHECKwWITH CONSERVATION COMMITTEEIF 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 ' l `
COMMERCIAL BUILDING
A)f; ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPO PHY SITE =.
r; F 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 HEALTPrFOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES': = SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
- -E) ' FIRE DEPARTMENT—FOR. PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). : `'
REVIEWED BY:
1 ENGINEERING DEPARTMENT YES V DOES NOT APPLY /SIGNATURE
2.•-t CONSERVATION COMMITTEE,: YES :' DOES NOT APPLY Y SIGNATURE iaxca DATE y gb
3PLANNING BDARD YES DOES NOT APPLY SIGN• /DATE ' '`• ?:
14 • BOARD OF HEALTH YES• DOES NOT-APPLY t/SIGN•`���:1yr„ �? �"� DAT€
5. FIRE DEPARTMENT: - • YES DOE'S NOT APPLY SIGNA 64 DATE '
COMMENTS:
J
::y v A f, t ••
< n '