HomeMy WebLinkAboutBLD-80-262 1
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y l Application for a Permit of Build No.
Fee must accompany this application AO
Yarmouth Jf 1/41
r •••••••19 P
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: 4l/}.
1
✓1.. Name of Owner ,v ,Q/l1nAl /1 Pitregro,V "Address /¢9 tVoopg//JQE Rt, ably 1J-NP4
2. Name of Architect (if any) 5 4-4/6
3. Name of Builder S.tii.
4. Precinct No. el Lot No. Plan: Name or No.
5. Name of Street /4/ S/te'4c ereE,tf s 4NE
6. Purpose of Building snAtIda 4.to/Thy&
7. Material fieri to )�/ yl/!�
8. Estimated cost of building 11/p 0 0. CD yet % 4C /" �1
9. Dwelling Nd
10. Cottage N o
11. Heat N o
12. Basement NO
13. Garage 4DD TD /eq.0 di eA-4ol3e
14. Store ND
15. Shop f/Q
16. No. of stories /
'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
� n � v
19. Size of building. No. of feet front 4'4,q. No. of feet side 6- 8 No. of feet rear 1!
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 dist nces from adjoining lotss on
reverse side.
Name $U17GL// / 1€ �v�Q./.`•'�`-/
Alt .
• Street Name
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Left Side Depth of Lot...
Zos
S.
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0
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0
0
• Right Side Depth of Lot
Street Name
PL •
•
•
•
•
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••J Oi� i iti-• - -M • -;::• •- - BLDG PERMIT eNO: '
CATION OF PROPERTY: Spn7Pyi� "il \• ,, _ I '- ' ` D• ATE.• •FILED: 3%!�fd•'
-�•'' •ham:::: i:.\•:•.' '.; .i: ,•.�-•'r • a -..:- _• - _ ._.',..
THE FOLLOWING-CHECK-OFF SHEET IS�DESIGNED T' CLARIFY THE -PROCEDURES AN'ZNDIVIDUAL-- ,=-, :
ST FOLLOW IN' ORDER TO 'OBTAIN A PERMIT TO BUILD OR ALTER Ai BUILDING. -=THE BUILDING:.;:-1.-.2•::!.;•!.7.-,._'..
PARTHENT'WILL CK
' CHE .ON :THE: FOLLOWING:• (A); CONSERVANCY DISTRICTS, (B):'tHISTORICAL:?; =:
STRICTS - (C) FLOOD- PLAINS.'ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE:_::: ,- -1;,
PLICANT •THROUGH-THE FOLLOWING-AGENCIES. • _ - • _-'-- %_- - '�.5- • 'C-' •F.
• RESIDENTIAL BUILDING: •-•••.:•.4.:1--:72--••••.:-:::• .•:----..:c - _ • t •
A) CHECK WITH THE HEALTH DEPARTMEN`f• IN REFERENCE TO SEPTIC SYSTEMS FOR•SEWAGE •
DISPOSAL_'-t •- _ - : _ •:G-'< _ =,: ::•; :.., _ _ _ -s • .'-- .
> ••...:;a, :-' :.- _r -a:. : : : _. ...': -:- ::e_- a ". : ::_.-V.:
6) - CHECK WITH• CONSERVATION •COMMITTEE IF THE' LOT BORDERS• •ON ANY TYPE. OF�WETLANDS. : -•=;' :,
EXAMPLES:. STREAMS, PONDS .RIVERS 'OCEAN; -BAY BOGS, MARSH ETC. - _ ' •!s'
C)' CHECK WITH PLANNING BOARD_F0R_10T RELEASE _ Irr= : :i:;•._• _ :?i:.i_
.•-••..•.1.:::f;..
_I -• "3 •:•-- r'-• _ _ "T , t : ▪ -i ^.
-• 'COMMERCIAL"BUILDING: = _ � ; - : ' '`• -='. ' :07
-sr . y w1a . . -- : •
_ A), : ENGINEERING DEPARTMENT-FOR-PARKING AND DRAINAGE REQUIREMENTS,. TOPOCPAPHY SITE ._1:- ?
='-- -•••.':-=•-..t.-:.;1-_-••••:•.•- • '.1.- 4> ti • -a.s.-
if'� PLAN REVI EWj. . .=, :�: - _:::::: - -- _.• ' _. . ,.. .
-.B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.:'- - • ::_1':'
C) .. PLANNING BOARD-TO 'SEE IF• LOT_ COMPLIES WITH ZONING BY-LAWS. • • - r
a) 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). „ _ - - :