HomeMy WebLinkAboutBLD-80-294 SPt' s 1 3
A\;b $ Application .for a Permit to Build
'Fee must acco pany this application
Yarmouth �ax.wL.•••3.._19
TO THE BOARD OF SELECTMEN '
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 'pf3AP...D P1,JT0 Address ( I VJO LF'SQ0.)
2. Name of Architect (if any)
3. Name of Builder ROGER- L.FoTO
4. Precinct No. 3 Lot No. S 2.2_ Plan: Name or No. 7 ( O-- (
5. Name of Street it VJOL4So/J I O4D�5y A.M.89-522
6. Purpose of Building i['0 Ex-C-m ND GAZA Com' E
7. Material 9Joa•1:2 FRAME
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8. Estimated cost of building rivc. Hoopes, DQcu{ »Ct. ? X '7-.2;
9. Dwelling
10. Cottage sec
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11. Heat /6O
12. Basement g 0 0O
13. .Garage
14. .Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey r
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
19. ' Size of building. No. of feet front .?-,0 ' No. of feet side S J No. of feet rear
20. Distance from neared 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 propseibuilding with relation to distances from adjoining lots, on reverse side.
Name RO&EZ.....L h.j`.K..Te
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• Address 1 -).0.t...FO�
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Street Name - - -
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O Left Side Depth of Lot / So . � j
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Right Side Depth of Lot �.. Y
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Street Name
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BUILDING PERMIT REVIEW
APPLICANT: +C C o urut h 1 `N to BLDG PERMIT NO:
LOCATION OF PROPERTY.: J/ t.dnaf.:toN >n 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:
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A) CHECK WITH THE HEALTH DEPARTMENT'IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
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B) CHECK WITH CONSERVATION COS%IITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
EXAMPLES: STREAMS,ElPONDS,4RIVERS, OCEAN, BAY, BOGS, MARSH, ETC.
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C) CHECK WITH PLANNING BOARD FOR LOT RELEASE.' o �'• . .
COMMERCIAL BUILDING: ,�• "',;.<+
A) ENGINEERING DEPARTMENT=FOR.PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW.
B) CONSERVATION COMMITTEE-IF.LOT BORDERS ANY TYPE OF WETLANDS.
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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 FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY: / l
ENGINEERING DEPARTMENT I YES/DOES NOT APPLY SIGNATURE attAb E q, DATE 4/3/80
CONSERVATION CGl MITTEE✓ YES_DOES:NOT.APPLY SIGNATURE I t.d)E. Ti ct DATE 413/80
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE (� ,I, /J DATE
BOARD OF HEALTH:: YESES NOT APPLY SIGNATURE RAA -i�/lA -Lgini DATE G/3/90
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE / DATE
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COMMENTS:
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