HomeMy WebLinkAboutBLD-80-241 go -K. 3}q-t7 O1
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11.I
No.
Application for a Permit to Build
1% Fee must accomp this application
Yarmouth ..A4In...)' 7........1910.
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: n
1. Name of Owner AIR, MARK." ' CO 1.L ) A 5 Address 21 yM , D s T K EA m PR,
2. Name of Architect (if any) So...,n . c4.-S, Sc,,'Lr e r `/ ammo V Th ;
3. Name of Builder Oa_Jrcit NL BA R/V/ C.oAT.
4: Precinct No. . 3 # 7
aLot No. .�a 9, Plan: Name or No. 4,M 40 - B a p
5. Name of Street / g - n l
�/eo :n D!� ✓;'L',n Rod Rc�/.
6. . Purpose of Building, /VA' /4 Son Roam . Aac ,'T/ e ri '
7. Material .e.000,(7, • ..
'1 i /A
8. Estimated cost of building 50 0 6 —. t-- ~
St4tJ /Po+/4-(
9. Dwelling' L
ne �, Sly! SND �oF
11. PC la; J""T % -7 ���
12. j„,3aserifent
I
13. e - f
14. re 1,^ 4-- Jft [�•�
15. spoil7
-,
16. No. of stories oil „ ,
c`
11. Is there to be a Store in the lower storey 4/p
18. Size of Lot. No. of feet front No. of feet rear • No. of feet deep
19. Size of Building\ �`o oftfeet frontA _ No. of feet sideit bt kilt, No. of feet rear
20. Distance from nearest`buildinR7 'Front. xa. ' ......:j:,:icy side` 1 ft„ side ft.; rear
21. Distance back from line or street \` r i ` 'Pion reai'lot line j , side line
Show by diagram the location of propsed building with relation to jdissttaances from adjoining lots!, own reverse side. /
Name../. App...t//../.,.......(../Y..L./�.... .?.g.En...l,..S...Q.S?a./
Address a .6 C...Q...4 b A .c�•...Yc3-ro a.a .APrt
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(..\.1 i\ `a I\ 4 Ng...) >\ .9\ i\ 1 1i\ 51 1 N\
' - ` ,1`2, r t A\ cJ Cs \ j\t\ C:,-;
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' ,, !,-1. i ,\ , \•-1 l 1'Rear,of Lot ., . t "
tte q ti a.. _..
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\ Frontage of Lot
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Street Name.. . . . . .... . , '. ::' it
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LC
PLOT PLAN
: \ 1 " !`I\
• - ..'r .
• - BUILDING PERMIT REVIEW -• -
s =
•
•
` APPLICANT: fi AR g' • BLDG PERMIT NO '-.
LOCATION OF 'PROPERTY -a • 44 If> S7 RtAAA DR, DATE_FILED - •
_ -
• THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE •PROCEDURES AN 'iNDIHIDUAL
• - MUST FOLLOW. IN ORDER TO OBTAIN, A PERMIT TO BUILD OR ALTER A .BUILDING. THE BUILDING: ;r
•DEPARTMENT 'WILL CHECK ON :THE FOLLOWING:" (A)f' CONSERVANCY DISTRICTS.. (B)::tHISTORICAL:'• .-•
DISTRICTS (.C) FLOOD PLAINS_' WILL BE RESPONSIBLE FOR ASSISTING THE'ZONING, AND = -
7. APPLICANTHROUGH•THE FOLLOWING AGENCIES • "
T. ` RESIDENTIAL BUILDING: •
A) yCHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL
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•WITH-PLANNING BOARD FOR LOT RELEASE r ` . -e•—
• 2COMMERCIAL BUILDING , _ -
� A) ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGPAPHY.SITE -
•▪ `` PLAN{ REVIEW. ` �r ` F ?r _-• R _ -
} -
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). -
REVIEWED BY = a " 4
L _
T ENGINEERING DEPARTMENT: YES( • DOES NOT APPLY -- SIGNATURE is g " - DATE
CONSERVAT30N COMMITTEE: ,YES"..---..DOES NOT APPLY SIGNATURE '� r r - DATES . .:
• 3 PLANNING BOARD YES DOES NOT APPLY SIGNATURE' =, DATE -'
• BOARD OF HEALTH: YES DOES NOT APPLY t—&IGNATUR �7y� AT •
. 5. FIRE DEPARTMENT:, .; YES DOES NOT APPLY_SIGNATUR - DATE '
COMMENTS
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