HomeMy WebLinkAboutBLD-80-329 (China Inn, 210 Route 28?).,i14 0 6 p a? ffiM`)2_ BJf(ita — ` ePp' Gtit2i
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. l� �,jf o° Application tion for a Permit to Builds No.
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9ePS �a �� Fee must accompany this applicatio
\ Yarmouth , 0 h e /6- 19 a-0
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according tothefollowing ecifications:
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L Name o[ Owner C kg( ^ �� 5 �� Address West K,r„"a�
2. Name of Architect (if any) /'
3. Name of Builder C9 1 of
At v l or eu l/iI1 t } et,rpor` 4t o.-i
4: Precinct No. ,k 41 0 Lot No. Plan: Name or No.
5': Name of Stree __--C-0-44174
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6: Purpose of Building i2 r
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7; Material Fret Wl e j A/?x/et ��`�JI�Wv
8. Estimated cost of building gift 0 0 _ L
9. Dwelling o 'o •
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10. Cottage /5-.cd Air// I
11. Heat rove-eA l)# v/a l-ev /4") C°
12. Basement 'Ta r"i t A i
13. Garage No" e
14. Store
15. Shop
16. No. of stories 6 vt e
17. Is there to be a Store in the lower storeyy , .. _.
18. Size of Lot. No. of feet front ..)..5.1..)..5.1:12". .Ya. No. of feet rear No: of feet deep
19. Size of building. No. of feet frontpp No. of feet side No. of feet rear
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26. Distance from nearest building: Front 4' 2 V ft.; side ft.; side ft.; rear
41. Distance back from line or street from rear lot line , side line
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Show by diagram the location of propsed building with relation to distances from adjoining/ /g lots, on reverse side.
Name 4 E--04d..t- / ck 140M J � r
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Address R° /SOXA. /
!9 -2 (,12 RinKi J /14J.
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Street Name•
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Left Side Depth of Lot
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Right Side Depth of Lot 3
Street Name
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BUILDING PERMIT REVIEW
•APPLICNT: CLac/< LTJ ) BLDG PERMIT NO:
LOCATION OF PROPERTY: Rile P-p DATE FILED: ("Am.t O/ /reFei
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.
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B) CONSERVATION COMMITTEE-IF IAT 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, SWDMEIING POOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY: r�-
ENGINEERING DEPARTMENT: YES ,/ DOES NOT APPLY SIGNATURE u� > ' ,,7t:: DATE CA/re
CONSERVATION COMMITTEE: YES_DOFS:NOT�APPLY�SIGNATURE L-. k we/IDATE 6/4fre
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PLANNING BOARD: YES DOES NOT APPLY_SIGNATURE (� DATE
BOARD OF HEALTH: YES -DOES NOT APPLY SIGNATURE P • BATETT_
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE •
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COMMENTS:
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