HomeMy WebLinkAboutBLD-80-308 A* rtei . ..,1. K (910 a., /1/4: /
a ,r No. ...60 e
QIb Application for a Permtd7Build bb\ - - '
` Fee must accompany this a lication
Yarmouth ....J....U.N. .2 0 19
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a pet to build, according to the following specifications:
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1. Name of Owner 1 Address (do ►+ �' 1
2. Name of Architect (if any)"" � �^� �)-' ._...,_. ., ._.._... ..
3. Name of Builder eekitt.,,,A ;Was
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4. Precinct No. LL 9 - Lot No. Plan: Name or No. L3
5. Name of StreeE t akta thii.tn..1- _
6. Purpose of Building 60140-41, Wo/a.�•
7i, Material W O•►,1►• i' •t o} n c e it e A /rt'off ,
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8. Estimated cost
of buill-diingg4 `) r
9. Dwelling 11-°ttti. t c T—
ar tit
10. Cottagei
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11. Heat ii I DD
12. Basement 1_ �_ 4.-- �t �^
13. Garage rib" I
14. Store \ i . t
15. Shop
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16. No. of stories , I
17. Is there to be a Store in the lower storey 1 Li.:, t �.
18. Size of Lot. No. of feet front ......../L.A No. of feet rear /6 2 No. of feet deep l KcJ
19. Size of building. No. of feet front If r No. of feet side /'2. No. of feet rear , r
20. Distance from nearest building: Front ".....7.•440 r - rt}; Ade ° odld. P
T' t� ft.; side ,�...� ft.; rear....11.�.d......
21. Distance back from line or street ,Dr from rear lot line gsr)r side line 2.--C
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Show by diagram the location of propsed building with relation to dis a ces from adjoining lots, on reverse side.
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Name r_rr. Ate..
Address (AL... . .. . ... ... . . .....A,WI24l° Q(tAch."""l'L
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Rear of Lot /13 di11-1-4 'b L4 P-)
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Frontage of Lot , //C k \\
Street Name.fa4 .Q.UEG DQ r a
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PLOT PLAN fAy
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BUILDING PERMIT REVIEW
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APPLICANT: O Gi r F y c n i< BLDG PERMIT NO:
LOCATION OF PROPERTY: / A v/4.i. 77 rd r! DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVILUAL 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.
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B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD- TO SEE IF LOT.COMPLIES WITH ZONING BY-LAWS.
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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
DETECTORS). s (SPRINKLERS, SMOKE
REVIEWED BY:
ENGINEERING DEPARTMENT: YES ✓ DOES NOT APPLY_SIGNATURE 1441% DATE 6/618o
CONSERVATION COMMITTEE: YESDOES:NOT.APPLY/SIGNATURE Its--E. akcla DATE C46)8o
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
� . (i' � c I Coy
BOARD OF HEALTH: YES �ESNOT •11PPLY_SIGNATURE' DATE CHg
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE / DATE •
77
COMMENTS: n tl