HomeMy WebLinkAboutBLD-80-291 (73 Sea Gull Road) i.l
b0 r_�-s Application for a Permit to Build No.
Fee must accompany this applicat' n/
Yarmouth ] �'r�' 19?v
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: I
1. Name of Owner I INAlnnfts�eThocOekS Address 'I t. SEA Go IA cicCW.
2. Name of Architect (if any)
3. Name of builder orkn okkE
4: Precinct No. ll Lot No. 2/...„..3 Ply: Name or No. Asge..VAS s/(e d '1/d
l� ,1%5. Name of Stre23S eAC till' .6 4 QXCL
J . A.M. 1O-2,13
6. Purpose of Building Rack Ik-t0 (1 '
/; j
7 Material k),) oo c 7rY}v16 r
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8. Estimated cost of building 'Z1 -V 12')19-6
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9. Dwelling J� �Y" -�y , .
10. Cottage ✓
11. Heat [��
12. Basement Q rn o I S p r'c,E ate
13. Garage NO
14. store N6 Qat
15. Shop 0 —'/1a
c
16. No. of stories 1 'eU
17. Is there to be a Store in the lower storey 'to C�, _id _
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 ' n reverse side.
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Name/ 1zhietc, �C(...
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L.•
ddress
/V0 Akt Oronal -iat/eoo and 2—• n,9
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4/1Iii tit/4 441 elm
Street Name __.
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O Left Side Depth of Lot......1..1/el 1
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a
ryy 4
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7-.3 .i -4 m
X N. O
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o �°r -
. 4' yj/�i—
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Right Side Depth of Lot ( 7( -t
7 .
Street Name '
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•
BUILDING PERMIT-REVIEW
APPLICANT: t" '1 1t�UVB PrS %C.) &RS BLDG PERMIT NO:
LOCATION OF PROPERTY: r.1 3' efr Go (ic DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIWAL MUST
FOLLOWIN 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 ASSISTING: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 r'• - `•
.
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW.e'C .
B) CONSERVATION COMMITTEE-IF I,OT(TOHDERS ANY TYPE OF: WETLANDS.
C) PLANNING BOARD- TO SEE IFCLOTTCOMPLIES:WITH ZONING BY-LAWS.
I ' A I.
D) WARD OF HEALTH-FOR SEWAGE DISPOSAL:REQUIREMENTS, 'HEALTH RELATED ACTIVITIES.
EXAMPLES: ISAUNA'BATHS, SWIMMING POOLS,.:RESTAURANTS, ETC.
L.'.a
E) FIRE.DF•PARTMENT FOR PROPERTY..PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). f+•
ilk
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44". LC •
REVIEWED BY: n D
JEGGDJEERING' DEPARTMENT: /ES/DOES NOT APPLY SIGNATURE I' AS El //k r;. DATE 6/z/8o
WNSERVATION COMMITTEE: YES/DOFS:NOT. APPLYSIGNATURE t6E:/hetua DATE 4rt180
c-
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
RD OF HEALTH: YES
HOALDOES NOT APPLY SIGNATUR n DATE C f Al�
_i •- sIA�?2A/1/�_
FIRE DEPARTMENT: YES 'DOES NOT APPLY SIGNATURE DATE •
1
COMMENTS:
1/) Nom w4 "2 Raet Pee- " `, 27 : a G,,n - ' . wAIn w tri ci