HomeMy WebLinkAboutBLD-80-280 1
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�‘ Application for ,Permit Build No.
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Fee must a mpany this application y
Yarmouth /� ••••S 196 ,
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TO THE BOARD OF SELECTMEN
A 74:e
The undersigned hereby applies for a permit to bid, according to the following specifications:
1. Name of Owner �ir1 `e? Address &7 %� Q� Zr
C//f/ /d7�TCLel/G- ��11
2. Name of Architect (if any) .
3. Name of $uilder� - ' i4 t.5-77/0
4. Precinct No. % Lot No. 2 51 Plan: Name or N• .E.a'Irrth-,0,t&
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5. Name of Street
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6. Purpose of Building. 4 /4ah2ey d' Y
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7. Material LSC/4/A./6 ,4-&; J t
G. ...4 ETED�
8. Estimated cost of building (((((///// -••••---A01
n- .fis Citi..
9. Dwelling /SGV.0-C) VI yget.Pov
io. Cottage Ej(i3T/A/6
11. Heat T�-l'7/O.t1/2 �/�C,�' o
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12. Basement �4r to 6i,C t 'o6 %-'O k a 0
13. Garage 7, cT79, /_ 8 0 -A.9t9K//'�.DOGd • Cee 7D
14. Store /tel/LA,Q 70 craDe-00ml) . .96- ic.p-
6eJ/&OcaY D.f/ 04t5/7/6 . . 74 ,J ,cE 77iis
15. Shop I earjr4-;v , .ate / 3 r3" /46-,Cis/.7>
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 distances from adjoinin:
ots,
s, • reverse side.
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Address.. 7..//fY6 -v 11(4°<
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Street Name -. .
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O Left Side Depth of Lot
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Right Side Depth of Lot t
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Street Name
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BBUILDING PEPMIT REVIEW
•
APPLIGANT' (Ti BLDG PERMIT NO
LOCATION OF PROPERTY: G /444,74-A-4246. DATE.FILED. •
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE •PROCEDURES AN "INDIVIOUAL
MUST FOLLOW IN ORDER TO OBTAIN. A PERMIT TO BUILD OR ALTER A -BUILDING. -THE BUILDING .:.-
-DEPARTMENT -WILL CHECK ON :THE:. FOLLOWING:- (A)• CONSERVANCY DISTRICTS (')::. HISTORICAL; • =
DISTRICTS (C) : FLOOD PLAINS-'ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE'
-,. APPLICANT THROUGH•THE FOLLOWING AGENCIES.
_
i . • RESIDENTIAL BUILDING: -
A) •CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR.SEWAGE
DISPOSAL
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 FDR LOTRELEASE , _
2 'COMMERCIAL BUILDING ` '
> r A) ; ENGINEERING DEPARTMENT FOR PARKING AND .DRAINAGE REQUIREMENTS, TOPO( PHY SITE
•';':•,:'%.7—.4'-;.;" PLAN REVIEW,-, ••• t • : _
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-FDR PROPERTYPROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). '
i. , •
- _ -
REVIEWED BY: - �
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i ENGINEERING DEPARTMENT. YES DOES NOT APPLY -- SIGNATURE S O' X DATE '��
2 CONSERVATION COMMITTEE: YES• -DOES NOT APPLY SIGNATURE it •` �� -•-41•'-"•-•- : DATESZ*0
3 PLANNING BOARD YES .1:10E.5 NOT APPLY_SIGB.ATURE - DATE" •
4 " BOARD OF HEALTH YES • DOES NOT APPLYc-SIGNATURE ,,,,,-0 -DATE42*
5. FIRE DEPARTMENT: YES DOES NOT APPLY_SIGNATURE • DATE
COMMENTS: -
NONE NCY O•BE USEU AS_BEDRbtM 0k.ADDfl1OMAL SLEEPING Q AAR7.FRS. . MAIM! DEPT :: -
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