HomeMy WebLinkAboutBLD-80-246 1
No.
1(‘7\�l �, Application for a Permit to Build
ri o gy lg
e, Fee must accompa this application
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a'e, / Yarmouth 2 ay A� 19J D
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
Az-lid ur, );57/2.77 Oa 2/57
1. Name of Owner Toss a f X,51„0 Address I? / m RD
2. Name of Architect (if any) . . ---- -----— -------.._ r
3. Name of Builder TO e 13
4. Precinct No. / - Lot No. 53 Plan: Name or No. AM ac R$3
5. Name of Street f 4rnd ap. ✓
, ',nit?
6. Purpose of Building 4/4tllCO /. tt esus �aoo�r1 Aro— SP4Ce
7. Material -027«/- a?'P a'rnactCo(.tai- "" " $tre F_��f.
8. Estimated cost of building 4,00 t -
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��•,{��,�,.� �p-l.�!� Fes/
9. Dwelling -. \\\� ) i/C-a " U / f/h.11f-
10. Cottage �`\\\�N,I(; I /I x//
11. Heat ••-,21,w)--4-1-' �]a __ nq// ` _ _ i /��� I \`N\\��%Il\t ` P
12. Basement— CelL . t� it Po a(fMJC C
13. Garage✓ ' t. /0 P,eassein
j r.s 4 Al O 4-rn 1✓'
14. Store ✓ t l
15. Shop ✓ a ^�
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16. No. of stories 4
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17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front No. of feet sider No. of feet rear
20. Distance,from neaiest 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 d/.tances from adjoinigg�lots, on reverse side.
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14
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�`1-% 4---``Rear of Lot . .
10
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• Frontage of Lot
Street Name.,�y� •�\ - r ���� \\"\s —r\QC
PLOT PLAN C , C
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• 'BUILDING PEPrilT REVIEW -
• APPLICANT I r_tt • ' BLDG PERMIT NO
LOCATION 0� IIPERTY • '
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j�jQ,reni DATE.FILED
THE OLLOWING CHECK—OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN•?NDIVIDUAL
' MUST FOLLOW. IN ORDER TO 'OBTAIN. A PERMIT TO BUILD OR ALTER A .BUILDING. " THE BUILDING .:.;--' -:j'
DEPARTAENT.*WILL CHECK ON :THE. FOLLOWING:* (A); L. CONSERVANCY DISTRICTS (B):=. HISTORICAL
DISTRICTS 4(C) ; FLOOD PLAINS.-'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
DISPOSAL r-
` 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
1t
• 2 COMMERCIAL BUILDING • , ; ' : _ -:•.--
'
A) •: ENGINEERING DEPARTMENT FOR_ PARKING AND DRAINAGE_ REQUIREMENTS, TOPO PHY SITE
• r`.t wPLAN REVIEW_` r i i _ s `- • t'
'B),,,`CONSERVATION COMMITTEE—II LOT BORDERS ANY TYPE OF WETLANDS .
C)„ PLANNING BOARD TO SEE IF LOT. COMPLIES WITH ZONING BY-+LAWS..
D) 1BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS;; iIEALTH RELATED ACTIVITIES.
„EXAMPLES: " SAUNA - BATHS, SWIMMING POOLS, RESTAURANTS, •,
• .
T) ' FIRE DEPARTMENTFOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
)IdETECTORS). -
REVIFEW t BY - , , = _ >
▪ fN NEERING DEPARTMENT: ` YES 1t HOES NOT APPLY=SIGNATURE. v-,4 : ;4 - DAT :4641.4
.i i 14`: :_ J : ..,.: . :;^_,' • .• ••.•_ _• // c.:� s DATE
2. . • ONSERVAT3ON COMMITTEE YES'.' DOES NOT 'APPLY'J_SIGNAtURE - .e _ . r -
3 - PLA NI'WG BOARD - `YES DOES NOT APPLY SIGNATUR i = DATE•-'
4. • ARO OF HEALTH: • YES • DOES NOT APPLYv'SIGNATU• ,. .„,,c,,,,„1 „„.," 'DATE$/.tlf,; •
.,
5. FIRE DEPARTMENT:. :- YES DOES• NOT APPLY_SIGNAT T ' / • ' - DATE ��''��!!``��''.
COM!-TENTS: f "
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Date 5114,80 Assessors Pcl. # 20-R53
" eWA-0S8 6XIs'IIWG
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• Residential Permits Only Motto
my
✓ Residential permit
Permit complete
Setbacks (circle date) RA..)11-4t4115 21/50
Prior tAggplasAfter 3/13/73
Front 30' or 30% 30' or 30% (section 2430)
Side 6' ( 12' *) 15' (21 ' * )
Rear(principal) 20' 20'
Rear(accessory) 6' ( 12' *)
* Distance from other building
Ks.b. 2' elevation above street
Septic location
YZone (conforming use) RD-3
stoi 54° Flood plain zone B
/ 100' from wetland, ditch, bank near wetland, etc.
wo Easements (public or private)
U•A. Historic district approval (north of Midcape)
MR. No multi—family dwellings north of Midcape
No Conservancy district
t
14k. Contours (Title 5 —page 10—Art. 2.5 )
W.A. Stamp and signature of Land Surveyor and Engineer or Sanitarian
/ Title 5 - amendment
s, Over 5, 000 sq. ft. lot ( for addition only )
♦ ♦ _ ♦ ♦ .