HomeMy WebLinkAboutBLD-80-250�o � �► a/Kt? ,`0/ `A1 fec.acv e►-0-ti �
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_ r Application for a Permit to Build
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F."r \1\Alt .j Fee mustlaccomany this application
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TO THE BOARD OF SELECTMEN
The undersigned hereby/eapplies for a permit to"build,
�according to the following specifications:
1.
1. Name of Owner Vif any) tests. cQQ14Aa.L.t f Address 3ga1ccQ
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2. Name of Architect Of nany) n0 Y 1 0.4-414 ,
3. Name of Builder �a � ,
4. Precinct No. 3 Lot No. / g I /Pr Plan:/ �N�ame or No.
5. Name of Street fo,t,,wait AM.to Pis
6. Purpose of Building
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7. Material W r1-eMb2 .
8. Estimated cost of building
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9. Dwelling ,,,j/,� • 7 6 3 ' 11; Te-IypiIVtrTte",
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10. Cottage L gel r env OQt t
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11. Heat FQ„„ . S e, r c7
12. Basement o ter 74 rV`tem13. Garage
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14. Store k0
15. Shop ‘(\,tl
16. No. of stories 0-c,,,t,
17. Is there to be a Store in the lower storey l,�//r
18. Size of Lot. No. of feet front 5..0 No. of feet rear S°
No. of feet deep ^ ..
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19. Size of building. No. of feet front 9�.. No. of feet side ..2.. No. of feet rear ....�y..�^ .
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20. Distance from nearest building: Front 1 A.Q ft.; side 1...� ft side 1. c. Gift.; rear ► e0
21. Distance back from line or street , from rear lot line ... side line J
Show by diagram the location of propsed building with relation to disOances from adjoipin: 1. n reverse ` d,.
Name j{J► . e III
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Right Side Depth of Lot I° d
Street Name
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TOWN OF YARMOUTH
+ �F. •- ... ~• 102 C':IO.0 a RZET
YhnMUH
OTPORT. MACS. 02675
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.�A'.. e...•IS E :N[NS TIC ':AFD Of MF.ETS CVCNY MONDAY
AT T 30 P.M. AY UNION STREET OFFICE
i N:.':E=.!•,K J. Tt!AO•.SR
ROC-R C. EDWARDS. JR.
THOMAS E. KELLEY •
SUPERINTENDENT Date: May 6, 1980
PAUL WILSON •
Na>oe: Mr. Vernon D. Whynott
Address; P.O.Box 238, Yarmouth Port, MAssachusetts 02675
TO WHOM IT MAY CONCERN;
Please be advised that Town water is, available on Lot or. Lots # 16 17 18, 19 & 20•
(Street) Blisscott Avenue as shown on Assessor's Sheet 28
Also, Barnstable County registry of Deeds in Plans Book 56 Page B5.
yery y yr
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aul A. Wilson ✓L`�
Superintendent
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. , _ . BUILD1I:G PERMIT REVIEW
•
• APPLICART 1 -CIS-- 'C012 -- ,...,0--•--: ' - BLDG PERMIT NO
LOCATION DF PROPERTY 1 d' ` rt R 0/44 DATE FILED - •
• THE FOLLOWING CHECK-OFF SHEET ISDESIGNSTO CLARIFY THE PROCEDURES AN '2NDIVIDUAL. - -,-
'- MUST FOLLOW. IN ORDER TO OBTAIN, A. PERMIT TO BUILD OR ALTER A .BUILDING_ _ THE BUILDING -', , -
•DEPARTMENT 'WILL CHECK.ON .THE; FOLLOWING: (A); CONSERVANCY DISTRICTS: (B)':•t HISTORICAL:: • - - .-,
• DISTRICTS -(C) FLOOD PLAINS-'.ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE -
APPLICANT THROUGH-THE FOLLOWING AGENCIES
1 . ' RESIDENTIAL BUI(DING: -
A) -' CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
. DISPOSAL
a j —.6)*;: 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 litELEASE ' lir y'•. • _
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2 COMMERCIAL BUILDING -F t ` i S f.ti `: ,.
• A) ' ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPO PHY SITE —
"'�:' PLAN REVIEW. -' ,: , , 7.-::
• ' e) . CONSERVATION COMMITTEE—IF LOT BORDERS ANY TYPE OF WETLANDS. * -
C) PLANNING BOARD TO SEE IF LOT COMPLIES WITH ZONING BY—LAWS. •-
ti. -
D) BOARD OF HEALTH-FOR 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 BYrt: f -:_ _•_13 - rC^ ' �
•-1. ENGINEERING DEPARTMENT:. YES •DOES NOT APPLY SIGNATUREptif=,� ,E ;- - DATE ea-
- .. .��.-S :.-� �_Ti • , • a i
2 CONSERVATION COMMITTEE: YES. DOES NOT APPLY SIGNATURE J i "cFA irtia. TErriS
DA `
3 PLANNING BOARD YES _`,DOES NOT APPLY SIGNATU DATE •
4. BOARD OF HEALTH YES -!/DOES NOT APPLY SIGNAT O •• i . „ /' DAT E.3-%&.
. 5. FIRE DEPARTMENT: ;.- • YES DOES. NOT APPLY_SIGNAT • ' - - DATE •
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