HomeMy WebLinkAboutBLD-80-293 - ...., ac,3
V '.�: No.
Application for a Permiit� Build
CJ Fee must accompany s application
i
Yarmouth 2 19
YZE"ere)
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to bund, according to the following specifications:
1. Name of Owner % 4 uird, Address )/ N01T0/j + F D td7Q is D Sr.
2. Name of Architect (if any) J - . . ,
3. Name of Builder hj .Cprnk/e Co
4. Precinct No. 4- `! Lot No. 3`( Plan: Name or No. A.M. 33 -K31
6. Name of StreeI/q/b,a70r� �,
1 i
6. Purpose of Building ruN ern, /,t �a t 7
7. Material LtS 000/ .10Myti G •
8. Estimated cost of building S1co0. —
9. Dwelling
10. Cottage ,-----/ �1
11. Heat ^/p 4 e / 4
12. Basement C/ttWL L2 v1
13. Garage C-1( O^
14. Store
16. Shop 4/3 C d
16. No. of stories 04 C.
17. Is there to be a Store in the lower storey_
18. Size of Lot. No. of feet front ,....1. 28. No. of feet rear -13 -2 r-g No, of feet deep Ara
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 propaed building with relation to distances from adjoining lots, on reverse side.
Namelee4rfJ iiu. a..R.. r.gen"t
Addressf At3 &tealdCd .. /
ta
Street Name -- - -.
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a
0 Left Side Depth of Lot `� a
V
.gyp MP�
2 a
0
ere g 7:1
0 $ C
1. C
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o ' r
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r Onvewaet
y i O
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1 WtI NA C
-- o y Ce >l� -,
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H / � 1
i.l n y . 01
0
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P Right Side Depth of Lot / 657O
Street•
Name CQwA21)
BUILDING PERMIT REVIEW • ''�• •�
APPLICANT: M BLDG PERMIT NO:
• LOCATION OF PROPERTY: CA F ortnA w/'/AAmovr{t DATE FILED:
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 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:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW.
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WI'TH'ZONING BY-LAWS.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING FOOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS):��
REVIEWED BY:
ENGINEERING DEPARTMENT: YES/DOES NOT APPLY SIGNATURE , ., \ , ,_ DATE 4A/80
CONSERVATION COMMITTEE: YES_DOES:NOT.APPLY✓ SIGNATURE dre DATE(544
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
BOARD OF HEALTH: YESC_DOES NOT APPLY SIGNATURE 0 / DATE Cad
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE •
T N
COMMENTS: •
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