HomeMy WebLinkAboutBLD-80-330 to Iib L44- OH
Application for a Permitrto Build
No. 330
Fee must accompany thi application
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Yarmouth .51A-444t P " .�•ser19... .
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: C
1. Name of Owner 1,.12.4%.4•4-6 II//' ',.,-
' c • nt ( Address 9 5L �j�1 s�
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2. Name of Architect (if any) S Y� - -
3. Name of BuilderS4
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4. Precinct No. 3 Lot No. b/-/ Plan: Name or No. 4/8 1*
5. Name of Street JJ IrtaAk. ,
6, Purpose of Building .S G. 1
7; Material CeAm-e-A-± � G-X LI 4"`'4 a X to A#A-41 JEG�
8. Estimated cost of building S 3_0
9. Dwelling _4/b /— .
10. Cottage ,,vim /' �r
11. Heat Nyle-c-
12. Basement Ntst -0- cri;-'61 .
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13. Garage .N'-ti'k-R-.
14. Store 1A/c'-
15. Shop p
16. No. of stories
17. Is there to be a Store in the lower storey A,ll. ._ „ , .. /... . . • /.
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18. Size of Lot. No. of feet front .....! i No. of feet rear ..x..3.1 No: of feet deep / a/
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19. Size of building. No. of feet front ' No. of feet side ......p0./ No. of feet rear i
e. �/20. Distance from nearest building: Front .. & ft.; side j..? r ft.; side..O.Q ft.; rear
21. Distance back from line or street / � , from rear lot line * , .side line fa
Show by diagram the location of propsed building with relation to distan sfromadjoining lots, on reverse side.
Name. ,.l. 0..1.4.a,..4 /7 -e-,
Address..`J-..F::.kifr7. �...d,.5.d. - Ka/Q.41441.74
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Street Name -—
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001 Left Side Depth of Lot.../
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Street Name�...J (. ..�Q `
No.
Application for a Permit to Build
Fee must accompany this application
Yarmouth 19
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner Address
2. Name of Architect (if any) •
3. Name of Builder
4. Precinct No. Lot No. Plan: Name or No.
5. Name of Street
6. Purpose of Building
7. Material
8. Estimated cost of building
9. Dwelling
10. Cottage
11. Heat
12. Basement
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 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 distances from adjoining lots, on reverse side.
Name
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Address
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Street Name
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o 0 Leh Side Depth of Lot
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S. to Right Side Depth of Lot
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t. '•% • Street Name /20 u yEz�'
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•
,.' BUILDING PERMIT REVIEW
•
•
APPLICANT: /LO4/.�i {j? �,� ems 7 BLDG PERMIT NO:
LOCATION‘CF PERTY: i4s r �e., 9.144,,rtend/n DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIWAL 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, BCGS, 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).
I )1 BY: çC tcte. :'l
. G :/ z • I . DEPARTMENT: YES /DOES NOT APPLY SIGNATURE _ DATE
►• ERVATION CCX MITTEE: YES_DOESS:NOT:APPLY SIGNATURE t'�.o`a44)O'—^ DATE 6/16/80
HLNING BOARD: YES DOES NOT APPLY SIGNATURE - DATE
OF HEALTH: YES�DOES NOT APPLY SIGNATURE /��• 9? DATE e IA .
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: , l!1 fltu4HwA3 CoMMtP_UAt. z.ell% A Zt' slbtUtte f$ Q44V1REO.
• A. cac!ltft Ler HAS Mb RtAk'. WA, for z stat blstd MEET !N REAR
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