HomeMy WebLinkAboutBLD-80-269 S' 6
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16,o. 1i f # No.
Application for Permit Build
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Fee must accompany this applic ion /� oN
Yarmouth ././/. .............19.SU
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build,, ing to the following specifications:L
1. Name of Owner V D 5 Q VPI 1' of 4 i't II Address S7 ke th hum
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2. Name of Architect (if any)
3. Name of Builder Cb$Eb L, C()1 a {i a cls
4. Precinct No. 11 L f (,v,y{�`rgptc)%Lot No. 9 2493 Plan: Name or No. AM. )G-G92493
5. Name of Street -•7-8: V e Qj h 0 h '3
6. Purpose of Building Q(V.2 list/ 9
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7. Material LV o o c` j
8. Estimated cost of building CO.`' 5-O 01)
9. Dwelling puu LA t// st ti 0,P �
10. Cottage f I . `�
11. Heat re ft"o L !-f6 f Wu&-eft Rea-Fib h c1 —
12. Basement I)� si-c,c,`, bcuein,4 ahc (ex,NCJ
G lUh
13. Garage -
14. Store Nc .
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey h 6
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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 side No. of feet rear
20. Distance from nearest building: Frontft.; side ft„ side ft.; ear
21. Distance back from line or street , from rear lot line , side line
Show by diagram the location of propsed building with relation to/ ances from adjoining lots,,n reverse side.
Address
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406101".. hn8P - hS s 8- 3/ 69y
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Street Name
p Left Side Depth of Lot
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Right Side Depth of Lot ..
Street Name
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• OFFICE: PHONE 5BB-0250 MAST R PLUMBER'S LICENSE
RESIDENCE: PHONE 583-1894 NO. 5517
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LUMBING at HEATING
57 K ITH AVENUE BR]CKTON, MASS. 02401
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ALL INVOICES ARE DUE AND PAYABLE ON OR BEFORE THE LOTH PROX. INVOICES REMAINING UNPAID FOR 30 DAYS
AFTER DUE DATE A SERVICE CHARGE 13F1H; PER MONTH (113% PER ANNUM) WILL BE LEVIED ON THE UNPAID BALANCE
BUILDING PERMIT REVIEW .
-
11 �1
APPLICANT: - 'Joy:f'H ANT)MAb •p. • BLDG PERMIT NO: -
LOCATION"OF PROPERTY TES VER.MoniST; A14-1e=G9`L .':z
“_ DATE.FILED
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN- •ZNDINIDUAL. ”:
• MUST FOLLOW. IN ODDER TO OBTAIN PERMIT TO BUILD OR ALTER..A .BUILDING. - THE BUILDING ..i'- -<_
^ •DEPARTMENT-WILL'_CHECK ON :THE:- FOLLOWING:. (A): CONSERVANCY DISTRICTS (B)':-' HISTORICAL.'..• .`• .
▪ D• ISTRICTS (C) _= FLOOD PLAINS-'ZONING,• AND WILL BE RESPONSIBLE FOR ASSISTING THE'. • _: _.: - -
A• PPLICANT THROUGH-THE FOLLOWING AGENCIES • -.
I . RESIDENTIAL BUILDING. - • • •
A) _ CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL
- B) • CHECK WITHCONSERVATION 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 , •ly y • :_---- : _ . =
' - -r=:
• 2 COMMERCIAL-BUILDING i `.� = _ .-
e - _
•' - ..A)- ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPC s PHY SITE -�
`'�- PLAN REVIEW. _-
7..--,... A-yB) , CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS - _
C) PLANNING BOARD TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
0) 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 BY - r. '_}• :
I ENGINEERING DEPARTMENT YES DOES NOT APPLY SIGNATURE - — 4,..:--- -. :!: DATE ;ME::
2 CONSERVATION COMMITTEE: YES .DOES NOT APPLY SIGNATURE pAte trhtCa DATES ga
fi{
•
3 ' PLANNING BOARD: YES ` DOES NOT APPLY • SIGNATU ` -'.'j= DATE•-'
4 BOARD OF HEALTH YES DOES NOT APPLY Sas. SIGNUR j 411°, /• DATE('
S. ,, FIRE DEPARTMENT _ - • YES_DOES NOT APPLY_SIGNAT - • ' - DATE -
COMMENTS
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