HomeMy WebLinkAboutBLD-80-267 �A C K•
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111i „ .2611431* Application for a Permit to Build No.
/
Fee must acco pany this application � -�
Yarmouth !ry'�'Y 420/ 19•
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner Address
EX tri n0Ail ELL /o9 ,3Lur 1coc,r /gontO
2. Name of Architect (if any) •
NaNE
3. Name of builder bre.i,,�cnt y,,,o S,fn9 3c.'.c oil.S
4. Precinct No. 3 Lot No. M/ Plan: Name or No./9/'j
— 14141
5. Name of Street AM.8,-M (4
Street oza- iCGcK moo.
107
6. Purpose of Building lA4A«
7. Material IA/000 F/1AM^f et,MC4 r SA c3
8. Estimated cost of building 'G'SDo. (� CQ /Clod q/ ��
9. Dwelling 1� '
10. Cottage Y+ • v ` fd f(/� j/x
I
11. Heat NO
12. Basement
13. Garagery3 a v •
14. Store
15. Shop aG':1!
16. No. of stories •
17. .Is there to be a Store in the lower storey ' NO _ .
18. Size of Lot. No. of feet front /30 No. of feet rear 9Z No of feet deep/ —
19. Size of building. No. of feet front No. of feet side No. of feet rear
•
20. Distance from nearest building: Front /WA" ft.; side NO r[L- ft.; side ✓04-7 ft.; rear /,SO
21. Distance back from line or street 3/— 3 11 from rear lot line " -g , side line " ` s
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name v',cc 5154 9-
Address /70 /1/49"•Di7V Gi•C , /0-$NN•S e•s3
Street Name "'
,
r Left Side Depth of Lot t O"
rdein ,Mit.M,
z re eI
I F.yc.
O
z g
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ER ti - - 0
•7�
i� 0
� 1 1
Q `^
13
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o 1 ,11
n . a, I 1
i t
Z C.* t -4 /
"j w t
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Right Side Depth of Lot �eV
Street Marne
•
• - DUILDING PERMIT REVIEW . .
' APPLICANT: 3rMWce2• /ai;c2 • T1/6-49 �wiOe tS':` BLDG PERMIT NO
LOCATION OF PROPERTY: '/a7 '•44406 ' /Coot, ilo DATE.FILED J17/52y /' /Ito-
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN •1NDIQIDUAL
• MUST FOLLOW. IN ORDER TO OBTAIN• A PERMIT TO BUILD OR ALTER A .BUILDING. --THE BUILDING {i •
•DEPARTMENT. 'WILL CHECK ON :THE*._ FOLLOWING: (A)• CONSERVANCY DISTRICTS, (B):=*. HISTORICAL: •
'
DISTRICTS (C) :' FLOOD PLAINS- ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE'. ' .
APPLICAtTT THROUGH•THE FOLLOWING AGENCIES. • • -
I. • RESIDENTIAL BUILDING: - . ••
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
;•- DISPOSAL
5) '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 '
•
"COMMERCIAL-BUILDING ;`
-; • A) ;ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPO( PHY SITE _
-.-Jit,-4;;;;.: PLAN REVIEW: '+ _ -
- _.
B) CONSERVATION COMMITTEE IF LOT BORDERS ANY TYPE OF WETLANDS. . . .
C) PLANNING BOARD TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
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). '
REVIEW BY
I NG NEERING DEPARTMENT:' YES I/ DOES NOT APPLY - SIGNATURE s DATE -
•y„ ONSERVATION COMMITTEE: :YES:•�•_DOES NOT -APPLY'v/SIGNATURE ,. 42- j;' DATES' 98o-
3 ��/
P,,LANNING BOARD YES DOES NOT APPLY SIGNATURE = DATE'-` '
4_ • [BOARD OF HEALTH: YES • DOES NOT APPLY tSIGNATUe "• 4 frarepl DATE
5. FIRE DEPARTMENT: ' .: - • YES DOES. NOT APPLY_SIGNATUR - DATE a
COMMENTS: '
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