HomeMy WebLinkAboutBLD-80-311 ce ��b C -,it ci;:.. /
/ \" No. . l
�% be; Application for a Per it to Build
RFee must accompany t s application
Yarmouth ,I'(�n-
.7:Le1..0 110
(a
TO THE BOARD OF SELECTMEN '
The undersigned hereby applies for a permit to build, according to the following specifications:
E tree) Address 30 ease 7g/ M i/f/70
1. Name of Owner �j'/P/ii'N / e
2. Name of Architect (if any) Wi/]/E .. . . - ..
3. Name of Builder - '//°✓✓f
4. Precinct No. ¢ Lot No.& a q "3S Plan: Name or No. 4a 31
5 4''. Name of Street 30 simmy ,(9476 31 -G 3 4
6: Purpose of Building /°; /
7, Material /47.9457% C hh
8. Estimated cost of buildik ) U°.(�l
9. Dwelling \ 1
10. Cottage
11. Heat
12. Basement /J /GI C 1t f1k pool
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey •
18. Size of Lott.�� No. of feet front 12$ No. of feet rear .1 2-7 No. of feet deep 15ZG ?4)
19. Size offuildfag. No. of feet front 441 bIAs No. of feet side No. of feet rear
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street G 81 from rear lot line 5$ , side line 4G
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Show by diagram the location of propsed building with relation to distances from adjoining lot , on reverse side.
Name /
/S27/7/91-4461,1"�/' .
1,7
Address.:
Street Name
-o
o Left Side Depth of Lot
—I
es
0
a
z
8 m
m
z
m r
m
r
o
� t
-r
ems
i4
R
y .
Right Side Depth of Lot
Street Name
s
a' }
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BUILDING PERMIT REVIEW r...
APPLICAit: ,e)/ri/,'n/ /7/po sf ,--.* BLEU PERMIT NO:
LOCATION OF PROPERTY: ,s, /(o Ei✓/,4�'y G(i dA/,/cDTW DATE FILED:j,.„ e i;. P17
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:
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.
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.
E) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY:
p� /
ENGINEERING DEPARTMENT: YES I DOES NOT APPLY SIGNATURE 1._, • j ;
I
. . DATE 6/6/8a
NSERVATION COMMITTEE: YES_DOES:NOT:APPLY SIGNATURE I DATE /o
PLANNING BOARD: YES /DOES NOT APTLY SIGNATURE DATE
LARD OF HEALTH: YES�A)ES NOT APPLY SIGNATURE1Sp • DATE Mo
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS:
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