HomeMy WebLinkAboutBLD-80-297 K
('PI9° Application for Permit to Build
Fee must ac mpany this application
•r
.l ) Yarmouth 19.P
/'
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for
�apermit to build, according to the following specifications:
1. Name of Owner rirfrOo&Zb blf FO Address ZIj('� ,Sck _Set PV e,
ati
2. Name of Architect (if any) )VO AD E f 0
3. Name of Builder Est pco y043-la,
4. Precinct No. /- IA)c Plan: Name or No. 1 ir
12 WA.�tS No. .� A.M n-w8
5. Name of Street C.CtN-Sett C. -{!{llli'f•-s P4+9
61. Purpose of Building (t}CCISO'R,-( Se' 'TOM Irkl&) BU(LbI&007 /Qe'ri.10UA-noA]S
71 Material W O O b FR.v*1M.G- ISr, to r7
8. Estimated cost of building 12,e-BDO &mono S ; kbOO,U O
3€AIN moi U/,rI1ls PA+.
10. , cottage
11. Heat tot-1kt c_
12. Basement IU 0 N •
13. Garage mo oe
14. Stow-)J t:
15 Sh
16. No. of stories DADE
17. Is there to be a Store in the lower storey $3 0 .
18. Size of Lot. No. of fee front ...�.QQ No. /
yof feet rear iq No: of feet deep /.sF 3'
. 1I:
19. Size of building. No. of feet front .1 Q No. of feet side No. of feet rear t.
20. Distance from nearest building: Front 'O ft.; side ft.; side — ft.; rear
57S/ / Y-
21. Distance back from line or street • from rear lot line Q side line
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name...Sen e 4 'Stir
Address. RAP.(1cA_ ize
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GU, f4a 4tati,
Z673
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TO CO 1\1 O1P) I MiI.ZLO tint '
130 KO of di-PP s
Perm x* l6`fS—/FtL -P2.2
m, -s q o
p, S StbE Se1'p CkS
A*t&3CQ 8 9, S Peri AL pe-2>+t (7-
Q elk -16
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Rear of Lot t . 1 9 C�l
1
0):"St il fl.
EV JAW" y_
M ,(
�u ca. (3-64 row. 3tC
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a0 u/j G0
s
04 I PWS $ a 4
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h t d
d C 110
y
h - Ad
Frontage of Lot Oar •
Street Name Wet L1-1S ..PrWE
PLOT PLAN
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PLICANT: C •fOOLJ 'O. • - - •• BLDG PERMI• T••N0: •
CATION DF 'PROPERTY: 2(1- V S; S `Aoe-1 - DATE•FILED: - •
THE FOLLOWING CHECK-OFF SHEET ISDESIGNED TO N'
CLARIFY THE 'PROCEDURES AINDIVIDUAL. - ;.• -,t :
ST FOLLOW IN•.ORDER TO .OBTAIN. A PERMIT TO BUILD OR ALTER A .BUILDING. " THE BUILDING.:;:-': .ti:�
PARTMENT *WILL:CHECK ON :THE: FOLLOWING:_ (A)_ • CONSERVANCY DISTRICTS, (a):'I HISTORICAL �r ::;.=
STRICTS • (C);- FLOOD PLAINS-'ZONING, AND WILL BE RESPONSIBLE FOR-ASSISTING tHE`: =- •. •::c,
PCICANT THROUGH•THE FOLIOWIN_G•AGENCIES::: ::-t _ ••- -.lir'• ' `'_ ' '''"•'
• _J.... - '• s`._.. •_ i
Dii '.
• RESIDENTIAL BUILDING: .r • • •
RESIDE _j` . . _
A) • CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE ' •
• DISPOSA =:.- _ -:•••:•-•:;--.•-•'''•• _ - t L _ ' - - - , ../:•:-:"- - r
L :'. ' . f :� - :L:
6) CHECKWITH CONSERVATION COMMITTEE IF THE' LOT BORDERS-ON ANY TYPE. OFWETLANDS.• :=:'=
• EXAMPLES:. STREAMS, PONDS, _RIVERS,:OCEAN, BAY, BOGS, MARSH,. ETC: _- -•
▪ C) CHECK'WITHAPLANNING .
_BOARD•FD ...LOT - •_ _ _ -: r_• ▪ --
COMMERCIAL BUILDING: =-=r - = � • :a_-a`'• :;: •A-c. � - gri. ▪ _ :J
A) :• . ENGINEERING DEPARTMENT-FOR.PARKING AND DRAINAGE REQUIREMENTS,. TOPOGR:PHY SITE°=,. _..
•-
:43.::: ,-; _,.,= '-:: _ -- :7;;zz:;-.: 7.,. :,+:r •_ _ _
e) ;. CONSERVATION COMMITTEE -IF LOT BORDERS_ANY TYPE OF WETLANDS - _ • -
C) .. PLANNING BOARD=TO 'SEE IF LOT_ COMPLIES WITH ZONING BY-LAWS. • • • •.
) BOARD OF; HEALTH-FOR SEWAGE DISPOSALS
DREQUIREMENTS, HEALTH RELATED ACTIVITIES. •
EXAMPLES: ' SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC. . . - • .
-E) • FIRE DEPARTMENT-FOR'PROPERTY PROTECTION, PERSONAL SAFETY, •(SPRINKLERS, SMOKE '- _
DETECTORS). ,= •.••; • • - `.;:- -
-AN :Y DEPARTMENT :YESI DOES NOT APPLY - , IGNATURE .,._ i. h, •` --7.4:•:•::÷z DATE (rr i ;
C'6NSERVATION COMMITTEE. '.YES.• _DOES NOT APPLY'/ SIGNATORE 0J, a:-= DATErlA: •�
PLANNING BOARD: ' :•YES ! ' DOES NOT APPLY Sri GNATUR' •• •• : •ti. :'.?