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HomeMy WebLinkAboutBLD-80-309 309 IT / 0/10/° +'af r fol Q Application for a Permit to.Build No. Fee must accompany s application Yarmouth at I'l t /u 19 9° 4'-(/CZ) TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: 1. Name of Owner C4,L E. /14 I-S'o/[/ Address 9 i:::„, r-�j'r Q,t h S i- l� 2. Name of Architect (if any) Sc p , _ / 3. Name of Builder Sc L p p 4: Precinct No. 3 Lot No. 7 3 Plan: Name or No. 5 11c, TL .23 -X93 5i Name of Street g q Ev f r r p ,\ S9-, .( (ti 2 , j Po2 U(LID/ `� n,�u N fo 6. Purpose fit Building �� k� c 6 p 6 r C w o ��� Ru Al s — /Q e n t o ►� e rf�t o 7: Material }v 4.5 S A e a 4- /--D C is f'O 2 c jt /} 8. Estimated cost of building z G.t .6Q . v ooCC 9. Dwelling QCSc t40P . 10. Cottage (i n_ 6Mt'4 C; , ` d..a 11. Heat $49 5 ' L -. 6 12. Basement No I.f d�A 13. Garage �.. .•1' 14. Store 15. Shop • 16. No. of stories 17. Is there to be a Store In the lower storey ,._ . A / u �j 18: Size of Lot. No. of feet front .../9s 1.!No. of feet rear . c-r No: of feet deep CYO 1 t 19. Size of building. No, of feet front 3� No. of feet side ,.f' / No.©© of/feet rear r V 20. Distance from nearest building: Front . ?9T f) ft„f side.,Stterl ft.; side....SJ ft.; rear...3.r! 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 � ^ ,.... !'v /I .4. Address....4 t— �lpL • i C_ ' r • . . Rear of Lot e; ry 1 1 1 1 ci 0? o o 2o t o. ce74 II 0 o b z m mem ea rn .44 02 Frontage of Lot Street Name SKt., G PLOT PLAN ; '+-' t 4 t.. • f..� • BUILDING PERMIT REVIEW APPLICANT: C, zt, E. /1.14 J-150A/ BLDG PERMIT NO: LOCATION OF PROPERTY: 447.1 ,y e r 7 fze e DATE FILED: • THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIMAL 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. EXAMPLESL 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. J' B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. 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. B) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE DETECTORS). • REVIEWED BY: /• //�� 11 ENGINEERING DEPARTMENT: YES V DOES NOT APPLY /SIGNATURE Oa t)j ttlit DATE0018o CONSERVATION CCZ1MITTEE: YES ✓ _DOES:NOT.APPLY SIGNATURE0.616.4.401L.,,PgAriA DATE Gii0'8o PLANNING BOARD: , YES DOES NOT APPLY SIGNATURE DATE BOARD OF HEALTH: YES/J�OES NOT APPLY._SIGNATUREF0- DATE a o FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DUE - COMMENTS:COMMENTS: et_ btused et ah•df�'�