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HomeMy WebLinkAboutBLD-80-273 "id),(0msr 1\0 pplication for a Permit to Build 9 • p y application r40 Fee must accompany this appi /� Yarmouth a / 19.0 TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: z7 �o 1. Name of Owner / (S�.L 1 s /S / 1 /�o I" Address � / :le sl r T ..l h,i r eP+ 2. Name of Architect (if any) • 3: Name of Builder 4. Precinct No. 1 Lot No. J 3 Plan: Name or No. A.M. 100- b. Name of Street le 14/, sac." -• 6. Purpose of Building reside 1, ` d) 7. Material 1• a h.e 8. Estimated cost of building /J -!'s / / 4 s .. cJept 9. Dwelling / 0 ' V ��"'��" " 10. Cottage GJ 11. Heat X:/.cite.c J1 n /J7f1i 12. Basement ( e c.c / ,c5/-61, {`0', 13. Garage y/ s r 14.. Store • 15. Shop 16. No. of stories U •-S n. .+/ • til /- WS+ Floor/ 17. Is there to be a Store in the lower storey /Aw.. . , . ..._..._ 18. Size of Lot. No. of feet front O'L( Yat' No. of feet rear ant, vo cr No: of feet deep "I' YOO 19. Size of building. No. of feet front ' " X2'I! No. of feet side Y/ No. of feet rear 1' V 20. Distance from nearest building: Frontff /1l'/ ch.x..... ft.; side ''-y ft.; side r / ft.; rear Y/ • 21. Distance back from line or street st4k /j0 , from rear lot line 33-1171- , side line /B e (771- Show by diagram the location of propsed building with relation to distances rom adjoining lots,on reverse side. NameJo't f Mot- AddressC. . 9<.yl.../4 )/' ./.r I ^'r"`i r d r 17J 1 Street Name v O Left Side Depth of Lot Z yo• 13 e m o �� 0 .m' y p 07 m i r o ro r al) p,3i mfraV 1 w o LI -OP K. Ki `1 Con 1 t Sd ono --M Right Side Depth of Lot '* 9 Z• ( 7 '` r.•-•r • Street Name 0'4 is OW ,u Ertl, rt _ _• - - --.a: ): �.�j,�tr�,�• t � •,: BLDG PERMIT N0:• '• . PPLICANT� • • ' \'st •t's� /1 %i�o " . . . -•_ -. °CATION OF •PROP R • -r • �i.• 47 DATE.FILED: • .. .- - ;V.:�•i THE Fp}-LONING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN•7NDIVIDUAL.= .=;;:•;t:, ST FOLL IN• ORDER TO OBTAIN, A PERMIT TO BUILD OR ALTER A .BUILDING. -=THE BUILDING::: -ft..,./.1.::�: t.PARTMENT WILL:CHECK ON ;THE' FOLLOWING:, (A); CONSERVANCY DISTRICTS. (B):2tHISTORICAL:=- �r- STRICT: •(C) . FLOOD PLAINSZONING,- AND WILL BE RESPONSIBLE FOR ASSISTING THE :%=-=-.= .'; PLICANT THROUGH•THE FOLLLOWIN_G•_AGENCIES: _ - "-_` ___ ` %`' "c :' 1. •`' • RESIDENTIAL BUILDING: ''y - '-. .i . A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FORjSEWAGE : •., •-. • DISPOSAL:t r - _ :a - `'%a %- - _` ,.': 6) tCHECK^WITHICONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE. OF�WETLANDS.- :; EXAMPLES:, STREAMS, PONDS, _RIVERS,;OCEAN; BAY, BOGS, HARSH,: ETC:. - •; • _• C) CHECK WITH PLANNING BOARD 'FDR•lOT _RELEASE :: _ . � • MMERCIAL BUILDING: _. _ _ - _ _ - 1.4-,.2..11•7•.7•-:.17-.-2..i; _ .-,`,: _ .. ' . Ar...: eNGINEERING DEPARTMENT-FOR-PARKING AND DRAINAGE REQUIREMENTS,. TOPOi•zAPHY_ SITE ri .>.I,- _ • s' PLAN REVIEW. - • - _::= -'•.h-: - '=F: - ,.•1 - _z- -71::- _ • •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.HEALTY.-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. , •• EXAMPLES: ' SAUNA- BATHS, SWIMMING POOLS, RESTAURANTS, ETC. : _ . . - T) FIRE DEPARTMENT-FOR' PROPERTY PROTECTION, PERSONAL SAFETY, •(SPRINKLERS, SMOKE-- i •�: DETECTORS); -..; •+ : • • _y _- - .% - .v. �1�•C� -•i _ b- ,•� mss.=-�'-' -`-�r'�--...' ...,• 7.7..':-: !; •.- -•-._ -^ iC _- --,•- J..rr,--•.�, _ _. .__..`�`s.••�.. t -p_ - j Vic_. -. ENGIERIEWED ' G •DEPARTMENT:•- YES t•= DOES NOT APPLYSIGNATURE t ��7' --g--;:t • ,.. � =saElu�i----�-_ DATE , <.. !+1•',',r. _�1` _Y L-... s_ is„�":. -_ it-`2<,f::-•a''�s. a CONSE ATlON COMMITTEE: ',YES'1-.DOES NOT APPLY-SIGNATURE• 1,'. .'Y; '---:t:-: DATESjZI/S- PLANNING BOARD: YES_DOES. NOT APPLY'_SIGNATURE -''• / = DATE - ' •--t-;; t _ .• ..1107%io - BOARD 1/41F HEALTH:+ 1. 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' i.. J O1d;King's Highway Regional Historic District Committee I AVin the Town of Yarmouth for a r CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: - CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction:r.,� 0 New Building 9/Addition ❑ Alteration U Indicate type of building: House 9/Garage ❑ Commercial 0 Other 2. Exterior Painting: 0 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign — 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole 0 Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY 'T / DATE /¢/Y. 1 Yoe 1fl o /.. ADDRESS OF PROPOSED WORK 6 /N'A f///0 ,� ', 1 7L ASSESSORS MAP NO. /.0 U OWNER ../-C —/ ASSESSORS LOT NO. "4 / HOME ADDRESS / s�/?rice 1C' - ' so TEL NO. • t ' - 7' 6 4 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach / additional sheet if necessary). / ,' c /.21,-r r n. / hest /$J 6/ �.JC.a. -E.•rt.�./Se Xn �/r'rf,4fsc /'r.. QY"704. �,�rr J.. 'Q,1 15o.�/'�f 4. Jws 8.3 i]e�//r't if Y//v. a Sri o/c 7J�t Ale- " Nei L ./0/ it'll/tar' Ye / f��" ., fI 1, 4 all •• Met YI/I,/r er �J kst a.Z >3 iY/ //0w V I h t Ate/2 us/,...,, Tr Nt� /r Yn /! r„ rf. s AGENT OR CONTRACTOR ��/ 2; 1 �t(Zi/,,n[ C TEL NO. �f ADDRESS I .srs, n .P#s/-2n1 / 1 , / oh /47 i/5 /- /j 55 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8, other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). • Signed 1 '9 Owner-Contractor-Agent Space below line for Committee use. - " Received by H.D.C. .. Date V. 0 }� / f VThee Certificat is hereby r _ Date (��J Time • 1/41$,J, )077- 4 / / By /J/ 2 1Q -> --5 CA 491P, Approved If Certificate is approved, approval is subject to th . day appeal period / , provided in the Act. d Disapproved 0 Please return to: Yarmouth Historic District Committee P x 4 Yarmouth Port Mass 02 75 _. - oi•.d'.V.:aw.�•. mJir�W .. IRI Y I J , I Lor » 1 C /437,- I . /3Sq . - -- - ri.3/.8 o -.4 s9' G Vzg \ '. Ov¢T 2os f . - I EZ.3o.L \\ ELErap of Fwn.bV 4T7o. (� ' v. \ of EX/ST/.v 0 Cuitoi.sQ r ? \. -.2.07-w3 I v, - 7`678 5Q.GT;- 11. • N. I � • 1 a 1 - — i _.__ ___ I II /78, 78 NoTE'- Ete' d-ognon/3 SnsA ON A4Tuh I za47Lry 2 CERTIFIED PLOT PLAN v LOCATION .YA'efoutsui%e7 /TA SS . SCALE //C. 52/ DATE 44x .3/./978 EDWARD E. KELLEYPLAN REFERENCE .B4r/^/4 LDT Ai '3 • �3BAhAQUiD. MASS. 02637 S • ' OA/ q PLAN Foe. . . .._;• I•`"oF Li. .7710fr7AS . Q. Anio SZE-AA/0 /2, V. �� ss40 a EDW ARD �N_ 742.807- 70 as- K 'o.eDED fr E. w 1",• VMCHourN PLANNING' SaA,24112.Sv4 ' p "' O r I CERTIFY THAT THE EF/ST/!yC Bre/t-0/.vG,.. r 1.elSTEPtOp SHOWN ON THIS PLAN IS LOCATED ON THE GROUND! \"0 sot& - AS SHOWN HEREON AND.THAT IT CONFORMS TO THE • SETBACK REQUIREMENTS OF THE TOWN OF .. ..Vrte yo uTH WHEN CONSTRUCTED. 7 /745 C. TAleo T DATE fF. 3 ?d n sr2Aweaey 644-14- Y* / �fivrwe f. NER: - p ! jai . � - t , • t _ �� i�f Int. 4 i 4' • Isb 1 o• 7 d SAIF fr - • :LC' 1 1 t ' K --, -- 37 �a?' - --- ' -- —__ 1 i - 1u�• j �" skeemec�. - ova V •�* * i 4 TI . . 1 \ • I t{ • • I -C l — — —` < ff— r1 N. I • 1 - P y- i