HomeMy WebLinkAboutBLD-80-341 fc\ , Ilk 5-i_ ry_2_ 7(r. ok. .......
r Application for a Permit to Build
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Fee must accompany this application
Yarmouth ... 24. ?ye,.02.3_19_
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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 nes Ed WAR p ( /,, G. Address /a Co rp -' `
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2. Name of Architect (if any)
3. Name of Builder £/1-/Vi ,E
4. Precinct No. S Lot No.(27� Plan: Name or No. 4, 7 — a7 G
5: Name of Streit . � /e ' . T.. D 07/
6: Purpose of Building 7'•J _ p �� "er70rp' J7 �O
7; , Material
8. Estimated cost of building *Zola �Q
9. Dwelling
10. Cottage
11. Heat
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12. Basement
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey 7��
18. Size of Lot. No. of feet front ....a..0..1...0:0 No. of feet rear /...3.4....21,.. No. of feet deep ./.0....c.;_g9
19. Size of building. No. of feet front I.S No. of feet side ../Q No. of feet rear I,
20. Distance from nearest building: Front . ..4 ft.; side .7, ft.; side ZS ft.; rear..../.07.11,
21. Distance back from line or street 7— from rear lot line /,.Z 1 side line......(/a / 0— 5�.,5—/
Show by diagram the location of propsed building with relation to dista es from adjoining logon ev .e side.
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'Street Name
A
Lett Side Depth of Lot
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d O
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Right Side Depth of Lot ,
111
Street Name
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7
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4 0
1 1�
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BUILDING PERMIT REVIEW i +*
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APPLICANT: ham, //'/./�/, , .I �/7 1 BLDG PERMIT NO:
LOCATION OF PROPERTY: /a, D P1/ k:5" ..4. ' � DATE FILED:ren,P ?. /71-
0
THE FOLLOWING CHECK-OFF SHEEnS DESIGNED TO CLARIFY,THE PROCEDURES AN INDIVIDUAL MUST
FOLLOW IN ORDER,TO.OBTAIN Al PERMIT TO BUILD OR ALTER A BUILDING. THE BUILDING DEPARTMENT
WILL CHECK ON THE FOLLOWING: (A) CONSERVANCY DISTRICTS (B) HISTORICAL DISTRICTS (C) noon
PLAINS ZONINGt AND WILL BE RESPONSIBLE-FOR ASSISTING:THE APPLICANT THROUGH THE FOLLOWING
AGENCIES.
•
RESIDENTIAL BUILDING:
A) CHECK WIT4 THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
B) CHECK WITH, CONSER RATION 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: 1
A) ENGINEERING DEPARTMENT-FOR PARKING AND•DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW..fti
' -
B) CONSERVATIO COMMITTEE-If LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING EDARD- TO SEE IF IAT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OFkEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES:" SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
E) FIRE DEPARINDIT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). \ -
GRID G•DEPARTMENT: YES V DOES NOT APPLY_! GNATURE I , ..,. DATE 00i
d61FSERVAT ON CCM? TTEEi"-YES---DOES:NOT•APPLY" SIGNATURE • 4F,/ y " _ DATE 0/4PLANNING BOARD: YES DOES NOT APPLY ' SIGNATURE I DATE
JARD OF HEALTH: YES�OES NOT APPLY SIGNATURE C- ,t...,_I'4 DATE 7. ?
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE •
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COMMENTS: