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HomeMy WebLinkAboutBLD-80-302 I �, FS 1" Qc,q4 of f39ve � l s�. \ � e, No. Sda- 'ut Application for a Permit to Build Fee must accompany this application Yarmouth l0 i//G� 19 P " `6.` W TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: 1. Name of Owner atvii f Luis;*dmeet Address 1y /nanch's�'i.�y e • - 2. Name of Architect (if any) • 3. Name of Builder Q VItlfr 4. Precinct No. 'L, jay ) Lot No. C, Plan: Name or No. A.M. 120—Cfp 5; Name of Stre$t a 2!,_jjr RI 6: Purpose of Building k nal•sed p•-� 7i.. Material 1.4).• 1( 8. Estimated cost of building •/ ,t0• 41.0b LI if Cog n- ems 9. Dwelling p 44.41/11P 0 • ) 51-X16 10. Cottage L 11. Heat .. Lon4 dfiw Cf 12. Basement 6`C 13. Garage 14. Store yam 15. Shop r 16. No. of stories 17. Is there to be a Store in the lower storey -.. . 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 /6 No. of feet rear /V 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. Name...) Lica... da:`.:tie4 /A' Address /i- rn2n el t nif4. icacl Street Name _. .__ • V • �� o Left Side Depth of Lot... ' r GPM -^ Xiiz z P. Kl m o 00 Z A On E3 Q 0 O O1 • •• 1 1 . 4 a v 3 . - a. • fa eA ... 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Air • I,' •1• •.• ‘s ' ql••."..k . . ...,„I : 'Cr:'....:al-7. .t!"..• ir...1.1.74. •_v.. --.0- ____ _____________ - - ,. ..... __ BUILDING PERMIT REVIEW APPLICANT: t)amj J I-I W I1'.44 erne re_ BLDG PERMIT NO: LOCATION OF PROPERTY: 14 YY1a ncAesf'z— CS 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 PLAINSIZONING,,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 WETLANE6. EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC. C) CHECK WITH PLANNING BOARD FOR LOT RELEASE. COMMERCIAL BUILDING: .A) ENGINEERING DEPA TMFIT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN REVIEW. B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLAND6. 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: 1 ENGINEERING DEPARTMENT: YES ✓ DOES NOT APPLY SIGNATURE RSA 1 & E , ea DATE Co/s/80 CONSERVATION COMMITTEE: YFS_DOES:NOT:APPLY /✓SIGNATURE ItLb E a,,,t,;a DATE 4/4 80 PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE BOARD OF HEALTH: YES`-�DOES NOT APPLY SIGNATURE TIC '- / DATE 6//4SO FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE COMMENTS: 3) 6..0 N.a&t, - AA" At u5-•<1 CAI cc bad