HomeMy WebLinkAboutBLD-80-259 I D S1
�`� Application for a P rmit to Build No.
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Fee must accompan this application
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. Yarmouth ...101. .S 19.20...
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TO THE BOARD OF SELECTMEN
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The undersigned hereby applies for a permit to build, according to.the following specifications:
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1. Name of Owner ( .,1 f - +\ g"Address 3 sr,
2. Name of Architect (if any) i > ' .. j, - • A.M. 43- 37.
3. Name of Builder ,'//l .. a
4. Precinct No. 3Lot No. Plan: Name or No. P4J� /7`!/Sd1e.a/
5. Name of Street3 ' . " . s I
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6. Purpose of Building , .!•
7. Material iyS/_ - �,a'�,
8. Estimated cost of building ;S� . - - i , �-i
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9. Dwelling1 t ' 7 •
/X/2
10. Cottage '._ _, UTfcTY taco
\? ‘i\I • .1,-47/.< , /J77?di4.9 Tc C,d RPfc
11. Heat
12. Basement ('
13. Garage _. s A ...%-\-:.14r ...‘1/4
14. Store . Vy
2t)Mi
15. Shop _
16. No. of stories .
17. Is there to be a Store In the lower storey .
18. Size of Lot. No. of feet front ' ` ' t,Nd,o feet rear �. deep .•/././i..?,G
'� '� l�.� .7�t.... No: of feet
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19. Size of building. No, of feet front ' • No. oP_feet side 7 No. of feet rear
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20. Distance from nearest building: Front ' t r ft. side side j....' ft.; side at rear 90
21. Distance back from line or street , from rear lot line el? , side line /0
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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Name �,. +7° ig...1&C.:Mac'fle4 Tn
Address A71-4• �/'.�1' `' O •$t3:R... ctet41:r. ':4
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Street Name ...Z221(1..../ `� i
ci tW 4 ,,L2
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Z. p Left Side Depth of Lot...... .�.r./4 rJ Y+•
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/ 'Z DI ^R IFy oZ _ ' '°'M. �F�,r t{tee.
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• 0 7r ' L• 17
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Right Side Depth of Lot ....../..L e *•6
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Street Name .....ej 'C.� '
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P •CANT:." - . . - -!;° .. "'•• - .. : BLDG • �
-PERMIT •N .
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PLI
CATION OF •PROPERTY:-' c.t. J ..' ' • •• '.' • •' - • - • DATE.FILED: ' - '
`•. -:- •.;: . .•.�- ',';tea••r•..::'c'-.__ -.. -Ji.:: :._•.�•t ':y_. .-a r:�,.:;..,K • •' '- . .
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE •PROCEDURES AN •INDIUIOUAL. - '.= -,t �`.
ST FOLLOW IN' ORDER T_ O OBTAIN, A PERMIT TO BUILD OR ALTER A -BUILDING. •=THE BUILDING.:.-'•t:ti.,
PAP,TMENT -WILL_CHECK ON -THE' FOLLOWING: (A). CONSERVANCY 'DISTRICTS (6)1'1. HISTORICAL •j :^ ;�,
STRICTS • (C) : FLOOD PLAINS-'ZONING, AND WILL BE. RESPONSIBLE FOR •ASSISTING THE:=: ::..•-. •• ,-ti:.
PLICANT THROUGH-THE FOLLOWING AGENCIES::c- - _• ' '-i ' _ - ' '•` • '`
• RESIDENTIAL BUILDING: _ • O •%...-•-1/4:17.r..._ •• - • • _
A) ' CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE '
• •DISPOSAL`•L-.:.f.'s" - - -`•:` = L }. , ,:.:;.; ; ':- •, r
• I-__. .:
a) •CHECK•WITH CONSERVATION• y COMMITTEE IF THE' LOT BORDERS JON ANY TYPE, OF-:".
WETLANDS. ': '.
- . EXAMPLES:_ STREAMS, PONDS, RIVERS,;OCEAN; -BAY, BOGS, MARSH,. ETC: -1.7.-:;-.:-'- ',:•.":-.. 1.:* -
C CHECK•WITH�PLANNING BOARD_FOR_lOT:RELEASE:="=' '=:-:`: -_ _ —• i
OMHERft. BUILDING: - _ _ _ •.�+ • • .....:2•.:-:“..-:.7-.-L:-:: ._j<,
A) • ENGINEERING DEPARTMENT-FOR-PARKING AND .DRAINAGEREQUIREMENTS,. TOPPG?..PHYSITE ,.::.N
'-�- PLAN REVIEW. _ c =r ter•::: '. ' - '' _ -- ' '! .•;.':• _ -.
1.
-El) : CONSE▪ RVATION COMMITTEE-I▪ F LOT BORDERS ANY TYPE OF WETLANDS. :`-*``'- . -• -
C) PLANNING BOARD=TO:tSEE ,•IF LOT:COMPLIES WITH ZONING BY-LAWS. • - • ••
D) BOARD OF HEALTP.-FOR SEWA_GE1DISPOSAL_REQUIREMENTS, HEALTH RELATED ACTIVITIES. _ • '•
EXAMPLES: ' SAUNA BATHS, SWIMMING -pooLs ' RESTAURANTS, ETC. . . - -_
T) • FIRE DEPARTMENT-FOR'PROPERTY PROTECTION; PERSONAL SAFETY,• (SPRINKLERS, _SMOKE '
DETECTORS). -:- f ?" 41`
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_ •t_� ti.{- --- _ r::".-. .-•.:-._.__ ••i• . =.vim i z ',-^s^ i-_ -tT - -t.
IEWED BY: '� - : - _ r_ -__ -_ 5-.,, - ::?-?. ::ra•;
: .. •":•. -:•::.' � -:`• % �..� L'. .._ : •'--:. •I _;- , '-:�'�:� , ::::=<.c _+� ;:`:"--�-'�� DATE
ENGINEERING DEPARTMENT: ' AYES VOES NOT*APPLY - SIGNATURE r:;,v� - % ",,...-Z
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CONSERVAT3ON COMM_ ITTEE: •.. NOT APP. LY'v'"SIGNATURE. S-•' Z~`i"=, „ DATE .
PLANNING BOARD: -YES `t- DOESNOT APPLY'_:SIGNATOR •,'-., : -'` .•-.•` '• DATE' •-•••71-
HOARD OF HEALTH: YES • ODES NOTAPPLY ZIGNATU /// 'DATE G
FIRE DEPARTMENT:, - ., • _ ,,•••.•, YES DOES, NOT APPLY_SIGNAT • • - - DATE:-€-<.i • -_
ENTS: _ •
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