HomeMy WebLinkAboutBLD-80-289 bt& tr girl-Anti 4 A
Vie / ' No. 0-
\b Application for a Permit to Build
` 'Fee must acco any this application
• /
Yarmouth ..✓..K.l.rw. . ..1c/ 19.16
6-9-60
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of OwneruJ ' `
L e/ ' a Address
i(�(/, 711,7e in � /bG �.ne sT. yA✓.no�r�,air
2. Name of Architect (if any) Swrn e O_.. l3Q: LIe., _
3. Name of Builder atilt,/44, ,-t-e7 i C t)LT
4. Precinct No. I Lot No. 3--..2 3 • Plan: Name or No. go,"SAet / /01.Z
5. Name of Street / 0(D f. el C Y.
n ICa-82.3
ST / GCe7OJ%AA/-
6. Purpose of Building S or, go n „in
7: Material ( k.k.)O '
,
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8. Estimated cost of building 5-0,5-0,0 1 cf -f
9. Dwelling y
10. Cottage \ �/Y/ ` U o f t
'/ — b n elc St94
11. Heat /�G O i'j s° ,_"' 3 t
12. Basement None ti f c \ gV er
• 0 •
13. Garage b la14. Store
,,V-7 fir \'..:`,7:
'
15. Shop
16. No. of stories on e F. 7
17. Is there to be a Store in the lower storey _ -. C .
, , ,
Jr." feet
18. Size of Lot. No. of of feet front ` No.'of feet rear No: of feet deep
tt
19. Size of building. No. of feet front No. of feet side No.of feet rear
_ti
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 adjoining lots, on reverse side.
' _ ''' ( Y.S ' ' Name.. a....J..c. . 4d.6.5o,..C.l..,l.R.l.Q.Aa7
. Address.:76 6ab '• xR-At-e 1.o.cT11.i l! 1
tN '''••-•!..) •%
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. Rear of Lot TC) I ✓
1'
0. e , ,,e;3_
A 1 ° z
11 V YOD
� 72
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P a Cd
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'.Frontage of:Lot
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• Street Name Y '!l e ..1 c
PLOT PLAN
• BUILDING PERMIT REVIEW
N
APPLI
fro cAiL
LOCATION OF PROPERTY:/o , /�1�(� ,-Ietlnsr Yom/. & DATE NO:
FIL :PERMIT
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIDUAL 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 (B) HISTORICAL DISTRICTS (C) FLOOD
PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTINGG:THE APPLICANT THROUGH THE FOLLOWING
AGENCIES.
RESIDENTIAL BUILDING:
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
B) 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, TOPOGRAPHY SITE PLAN
REVIEW.
B) CONSERVATION COMMITTEE-IF LAT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
•
_.__ .,
D) BOARD OF HEALTH FOR SEWAGE-DISP6SAL' REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC+
E) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY,' (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY:
(ENGINEERING DEPARTMENT: YES V'DOES NOT APPLY SIGNATURE f kZ4 ¶. a,,4:A, DATE 5/3o/80
CONSERVATION CCMMITTEE: YES_DOES:NOT:APPLY ✓SIGNATURE (Ust e. ewe DATES/30/8o
13
PLANNING BOARD: YESLOES NOT APPLY SIGNATURE DATE
BOARD OF HEALTH: YESt-1OES NOT APPLY SIGNATURE ALre4/A/ DATE SA/0
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
i
COMMENTS: /
i_ to .- eY6t�(4.slab- M rtul' ( n / M— Pa 64..gat -
'"'qrs Application to • fj/q
"' _11 Old King's Highway Regional Historic District.Committee_ -
in the Town of Yarmouth for a
CERTIFICATE OF APPROPRIATENESS-
APR 2 4 lbc._
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: ❑ New Building )"Addition 0 Alteration
Indicate type of building: 0 House 0 Garage 0 Commercial ❑ Other
2. Exterior Painting: ❑ •
3. Signs or Billboards: 0 New sign 0 Existing sign 0 Repainting existing sign
4. Structure: ❑ Fence 0 Wall 0 Flagpole 0 Other
(Please reed other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE I/- I —7-(5
ADDRESS OF PROPOSED WORK /O (- Yr n `e Sr ASSESSORS MAP NO. /G Z •
1'1
OWNER AA . rAA(S A/- 7fl 1--rt«1 e c. ASSESSORS LOT NOF2/()(::" - t
HOME ADDRESS � ( � f / t2 -6) T k f1n o7 .147 TEL NO. �l 2 —t(74/Q
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
r' Ail()cc r / / 2 t e s 77 Yr. r. ms
t 1 a . S •R .P ►n/ 7-
AGENT OR CONTRACTOR /�n / r �I rn(^ , �1�' , r/7 / C (1 e----r-TEL
r TEL NO. 7 (^ 7 -6 2W
ADDRESS / /n C el) /7� A. I1 P . r(,_ /.-.0-7 t 1 Th lc:✓?
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).
12icll A c('; To/1 , Cain ex,% SL�b %c�vn' Alic�n tdhrTe C7c 71 )c'
p�
A oo F 3}iettc J: lv✓rl ;rrurn wi7G��cclS
U/ /elj roc- Signed ...��� ��7�2f.('_-5%r-
Ownai-Contrattor-Agent
Space Slow line for Committee use.
Received by H.D.C. ,Q
Date______ /Thhee�C�eerrttificatei eby q/}�j)j7/�ra * � Da e / - - /Aye
Time - ,yam//_ /V/v/ 0
By ,J/( ' G/, it, r/. t> �>. I.. J.- cA c
Approved IMPORTANT: If Certificate is approved, approval is subject to the/ day appeal period
provided in the Act
Disapproved 0 Please return to: Yarmouth Historic District Committee
P.O.Box 124,Yarmouth Port,Mass.02675