HomeMy WebLinkAboutBLD-80-316 6p 0"01A43 70-ru I ON r.. Yie-
` 1 c0 0 ! Application for a Permit to Build
'Fe must accompany this application /�
X31Yarmouth Gf. . 19..S?Q
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TO THE BOARD OF_SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner PAv//) / I 44-ARS SL
ARS Address / "/.Z /v' /V/. s 7
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2. Name of Architect (if any) - ,
3. I Name of Builder //-4MAyAt ft/it-Pte." i-I e /{'MA/F sr W. /J FA/if//f -7,i-^'M/
4: Precinct No. 3 Lot No. 74 sect`L Al Plan: Name or No. H 2. —�
Til A.M. IO-T{t
5'; Name of Street /9 AK a,4/4/ S' 7 ' CO /A g/v01/'7-/1
6! Purpose of Building ADD / r/a ti fi t 4, I is,/ 4/6/ r ('A C F
7; Material (Ai 000 rgAMr-
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8. Estimated cost of building .24 no oc
9. Dwelling fl.Dn / T/0 a „3411 Tic”)
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10. Cottage / A . al S a.-az-0 / Li Jr•✓< 4.04,
11. Heat fr2 17/ANT /54 pc. rR/C / of ft/
12. Basement 3 7 00 6 a 12 °dtbrewT
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey _:
18. Size of Lot. No. of feet front ia0 No. of feet rear //0 No: of feet deep /S .l
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19. Size of building. No. of feet front ° No. of feet side <' No. of feet rear /8
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
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21. Distance back from line or street :T�I from rear lot line lc"- , side line if
Show by diagram the location of propsed building with relation to distances from adjoinin lots, on
everse side.
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BUILDING PERMIT REVIEW
APPLICANT: D4K/77 f Set tAt f BLDG PERMIT NO:
LOCATION OF"PROPERTY: )q2 A/. 4fR/d/ S% Sc )44/ ,ocand 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.
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:
ENGINEERING DEPARTMENT: YES V DOES NOT APPLY SIGNATURE fe„u+ E ,. DATE f9180
CONSERVATION COMMITTEE: TES_DOES=NOT. APPLY //SIGNATURE ►1e1Qwt) E.,Attia, DATE GI9180
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE i DATE
BOARD OF HEALTH: TESL:DOES NOT APPLY SIGNATURE • /1K .! �. / DATE G_, i
FIRE DEPARTMENT: YES TOES NOT APPLY SIGNATURE DATE
ic
COMMENTS: in2) NA K:RHEN 1t To 86 ADDED IU THIS ADDlTtioA.
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