HomeMy WebLinkAboutBLD-80-237 r 36, - r73
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No. oc
Application for a Permit to Bui d�
• Fee must accompany this applicatio
Yarmouth .t, . Y 7 7 19.c0..
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:7on ,
1. Name of Owner ,4 /) N Ai Pe IR N// Address V 9 / %A /� /
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2. Name of Architect (if any)
3. Name of Builder C,OR A i•' j S%/T t2 S Z4C }�
4. Precinct No. 3 Lot No. fy I`7, /t/ 57; Plan: Name or No. frIAM 3`l c/[DRCST/1 J)
5. Name of Street Ct61l/)� / R� PAW
6.
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6. Purpose of Building `''�I )0 X a 'PG e/7". o A/ Le Cr si De D/' ITD !�S c •
7. Material wool) . y 6- erg
8. Estimated cost of building 9 q ea ' � •
9. Dwelling
gee,•Ws-•-� U/ee fE
10. Cottage
11. Heat
12. Basement
13. Garage — •
14. Store
15. Shop .
16. No. of stories
17. Is there to be a Store in the lower storey —�
ss1918. Size of Lot. No. of feet front .... No. of feet rear ...,( !`f No. of feet deep 26T5-
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 distances from adjoining lots, on reverse side. f
Street'Name .MR'/ N 45:72f..F7"--'
p Leh Side Depth of Lot.....4 Q.....aTIN,...'!6
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Right Side Depth of Lot 4S I
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Street Name . . . . . ' r,0:80.57 ?D.
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'• • UILDING PERMIT REVIEW-A
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• •-•-
' APPLICAIrs ; . f p owy p. BLDG PERMIT NO;
•
LOCATION OF 'PROPERTY- If 1-17 67: ei yARA-mfri • DATE % t;:FILEr0.
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. --7•11HE'BUILDING
-DEPARTMENT WILL CHECK ON :THE FOLLOWING: (A) CONSERVANCY 'DISTRICTS: (B)•.-st. HISTORICAL T., - •
DISTRICTS (C) ; FlOOD PLAINS:ZONING,. AND WILL SE RESPONSIBLE FOR ASSISTING TUE -/V .%
7.7 APPLICANT THROUGH.THE FOLLOWINGAGENCIES. . • -.•.• .••
. ' RESIDENTIAL BUILDING: :• :- - _ • .
- ' CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE •
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 wnH PLANNING BOARD•Fthi _LOT ,RELEASE";;T:21-•.:: :z.:7:-2-,-.;:c;,-;-:•:_
• -•.1••••:- e t • -C.:42; t •
•
COMMERCIAL BUILDING: - :-
;171i;:66INEiRING DEPARTMENT-FOR.PARKING AND DRAINAGE REQUIREMENTS,. TOPOGPAPHY.SITE-;
aut; PLAN
---....,..-•r•al: EimskRitAricni Comm- 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. - - - :
• . ,
FIRE DEPARTMET-h)R PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE ' -
, . • . - •- -
REVIEWED
GINEERING ID-E.-PA—RTMEN- :14.-DOES--N-Ot.A:PPL:y1 zt• DATEser•
2CON
' SERVATION COMMITTEE: G,YES• - -DOES NOT APPLY SIO •
NAT REA •:115ATI97.01-:
PLANNING BOARD: • : 60ES NOT APPLY • SIGNATa• - - , • DATE - • •:.
' BOARD OF HEALTH: • YES__DOES NOT APPLY it/SIGN Ar...riordinVe- ATE.sh"
. ,
5. FIRE DEPARTMENT:. YES_DOES NOT APPLY SEGNA •• • . • - • DATE
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