HomeMy WebLinkAboutBLD-80-328 .
No.
I°1f� Application for a P emit to Build
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l1/47 Fee must accompa this application
Yarmouth i(a 19 Y6
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to th ollowing specifications: (W
1. Name of Owner 7wa OF >Aehbi int( i�'IQk ° ress /d41�1 Hm4L, (Zr. , sdxrQHd✓711
2. Name of Architect (if any) •------ -. _ _ .
3. Name of Builder �pgt.QEST ., W-ttn-E .
4. Precinct No. o� Lot No. Plan: Name or No.
5. Name of Street So H evl E2 Si
6. Purpose of BuildingTh. REvmIR J' mnAGE JDa.ic gr( gal /0 /0 ILE i S
7I Material f-r- CWwaS ciao). No Ctte oa€ lb g-xtsritl.es,
8. Estimated cost of buildingil •ra
F500) frTtoo. 6Stftoo LEgeoF — IJEw TRIH
9. Dwelling - IJew a ILS c Rept-excel Same PeAH 'lac .
10. Cottage
11. Heat
12. Basement
Vo Cn�&c
13. Garage ��/
14. Store
15. Shop
16. No. of stories '
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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 No. of feet rear
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 distasigy ro i adjoining lots, on reverse verse side.
Name ... . / n,
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Address 4/ ? (. ) . " �"-"
5412.6,-tOUTM .1 . MA.
Street Name
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Left Side Depth of Lot
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Right Side Depth of Lot
Street Name
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��4 . _� BUILDING PERMIT REVIEW
APPLICANT: I D 22 ES r LE. L)tc n c BLDG PERMIT NO: •
LOCATION OF PROPERTY: So M M E w ST >4R2M o o-nt ern-t,,. DATE FILED:
�( DemoL5 ?ass),
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIEUAL 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).
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REVIEWED BY:
ENGINEERING DEPARTMENT: YES DOES NOT APPLY/SIGNATURE ilM l e% i • DATE 4/I61BO
CONSERVATION CCIMITTEE: YES DOES_NOT APPLY /SIGNATURE E. 1 suib. DATE 4/16/80
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE M DATE
-OARD OF HEALTH: YES�ES NOT APPLY SIGNATURE +?p• // DATE 6/4/9c0
IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE•
T --I
OMMENTS:
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