HomeMy WebLinkAboutBLD-80-272 & 0-
I/v � d/ Application for a Permit(to Build
# (VP
Io v Fee must accompany thi application
Yarmouth ch d 19 r
TO THE BOARD OF SELECTMEN
The undersigned hereby a/pliess�for a permit to build, according to the following specifications:c -,
1. Name of Owner N t -41) L Address 1/ S d v, /JJ .. 9 4 v.
9"
2. Name of Architect^(if any) U. . / ..
3. Name of Builder. PO SS L. (p 4s Q t^
4. Precinct No. Lot No. Plan: Name or No.
5. Name of Streei4 S o 0Wt
6. Purpose of Building
7. Material //0- c-rrn-4,4,8"
8. Estimated cost of building .9000 C- .,,//pp/f CY-c'art
/ r���`
9. Dwelling .
10. Cottage C t�9 f S .'t /. 5 0
11. Heat 1-f /Deck gtadt ofaw $'
f( 2. aloatc
12. Basement '
13. Garage
Pt-S(01%1%7
y 4-v£A-S •
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14. Store t 57/0
1.5
15. Shop
16. No. of stories .
17. Is there to be a Store in the lower storey
18. Size of Lot. No: of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front No. of feet side No. of feet rear
20.. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street , from rear lot line side line
Show by diagram the location of propsed building with relation to dis from adjoining
/loJts, nnrr venae side.
Name !�" �$ tt ,11-lots,
gX 14
Address...! •�_cSvw5 L 44't E
..F.4Y(957`oI/a 14-1A,
342.- 3 °09
Street Name
-o
p Lett Side Depth of Lot
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z
•
co
m pp ti
zOG o
1 0 r
0
m n
01
r. • 1
Y
al i,
4 1
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1 — 4'I .r. `...
K yI\ ' i� •
''I i
i �. "'
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Zo Right Side Depth of Lot t� C1. i)
J ' •3t
•
Street Name
PLICANT: / T-• -•/4-4- •Cr:_• it' . I- _ '''' BLDG PERMIT NO: •
CATION OF 'PROPERTY: '-(/" ev,W 07 -a` '�I• '~'- DATE•FILED: • • • - "
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TOCLARIFY THE 'PROCEDURES AN'INDIVIDUAL.- ;_=-,t_ '
ST FOLLOW IN ODDER TOkOdTAIN. A PERMIT TO BUILD OR ALTER A .BUILDING. =THE BUILDING:.-=- :S.
PAP,TMENT"WILL:CHECK'ON ;THEtFOLLOWING: (A)' CONSERVANCY DISTRICTS• (B):tHISTORICAL..• -r=
STRICTS • (C) FLOOD PLAINS ZONING,• AND WILL BE RESPONSIBLE FOR ASSISTING. THE: _: ':;; ,• -• '
PLICAITT THROUGH•THE FOLLOWING•AGENCIES. -=' -4-_' :;•-•::-.;..--•- ••.. - ,y:_ ''i`
• RESIDENTIAL BUILDING: • z-j`-: - '
A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE ' ' ,
DISPOSAL `'` :..- _ - i
• ' -;-- - .,%i,%
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 .1-9. 1R?LOT RELEASE`:µ`,-_`"= -=_:'=-. - :^'.:-C- -::--••-•!!!-..*:;--.-
. __ `_ 'rA '.
COMMERCIAL BUILDING:-::. .a : ` - -,-Tr ' ' —: —, ....:_. .•:y .'- •. _ : • � - _ :> -
C. •••••r _.. .._; . :a, . ti : w �. i . 17
a' 7..6-.. .,,,r.,:c-:'-',.'
A) ': ENGINEERING DEPARTMENT-FOR-PARKING AND DRAINAGE REQUIREMENTS, TOPC, YHY SITE'
_ PLAN REVIEW. _ 7.--,1-•
• �ir •:.- ' - - -•. -^ :: •�.• ,
•- _ ' '.,L.;^iY -�._- .gz• ~I:-- r^r --L- - �_ -L-•:• - Wil• ••`'- - •
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•B CONSERVATION'COMMITT EE-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). - .....•••.:' .-, _ • -._ =_ - -
- - ''- _ • rr.' -•.L•,:77 -
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EKED BYs - '-1 L- - • sa =� . -•-'-'i'_="--a=•----- -
ENGINEERING DEPARTMENT:.` ITS t'- DOES NOT APPLY +=-'SIGNATURE:1 • 3tc`'D --' r. `. -: DATElipQ' 4'
CONSERVATION COMMITTEE: r.YESi1.DOES NOT APPLY SIGNATURE"• „•Mi ' •` = DATEWLIitio .
,
•
PLANNING BOARD: c•-YES k•• DOES NOT APPLY_SII GNAT •r :-. `'' '= DATE - •= ".p
BOARD OF HEALTH: Y•ES t-DOES NOT APPLY •_SIGNA • ' a�' e�� :'DATES •t
FIRE DEPARTMENT:- - ., . . - • YES DOES, NOTAPPLY_SIGNAT - • • • - ' - - DATE-?;;=
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