BLD-80-342 (Water Damaged Plans) 103 - 1<] g taie.
\lobN.. 5VD-- •
t pplication for a ermit to Build
Fee must accomp y this application
/ �fr/jJt.• Yarmouth ...6/ 19.1r0
3'
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the ajfollowing specifications: /�
1. Name of Owner ,'n&e/2 De c o-n 6 Addref77/4$C ne z Stf1
e 20,
cf�2m°orllPert7- ill M ,
2. Name of Architect (if any) go 6e 2 /o,' / - Ring
! A -
3. Name of Builder 6/ uce H/esc,ge2S
6 — Otte AS, M A .
4: Precinct No. / Lot No. itlY Plan: Name or No. / 0
Si Name of Str` renCWe2._... $/torte /LO. -- !//ettioUTHPO1Lr1
6: Purpose of Building ,ee Si' err, ri fl-e.
7: Material Wo 0 O p2gnte
do
8. Estimated cost of Skiing.ftr�2Art0s �/S/�o Q �s�
9. Dwelling Ye Ail- got/ma °ti EX/3Thu G- /Ouse
10. Cottage — — tfMdt 4e
11. Heat ra/ t{, :.t/. Olt
/ ✓ •
12. Basement C /2 .414./L
13. Garage /I
14. Store
15. Shop
16. No. of stories sine C e S r J
17. Is there to be a Store In the lower storey n
S/6S Ac et!
18. Size of Lot. No. of feet front `•'`
4.0 0 No. of feet rear 11.�Qq..Q No of feet deep' //5—0
c0
19. Size of building. No. of feet front ..d No. of feet side pf No. of feet rear b..
20. Distance from nearest building: Front ..1.O0 '/ ft.; side 300 + ft.; side..I..QQ.Q 4ft.; rear...kW:let
21. Distance back from line or street.........j..5 , from rear lot line Jets- 0 , side line la .0
Show by diagram the location of propsed building with relation to • nce om adjoining lots( n reverse si
Name .,... .. �Y...t/. -f. .. ... . .
Address c7fiter2z View t)e..s
€ t (rat e-se1yfs, M /a ,
t � . ' J rr
\
•
5<3\\ �'ihkeat.oGLot 6 ..57 i...i.,:� ..\... \ J jt\ Lj
t\ c ,\ \Z,tst% 43J 'ap \\\ .j 0 -V—A
vC \ \ N
\.•`.vUcs\.:f\t! — .n:.\ '3.:t '.yh\\ )tS\•
\
V+ tstCi \�
vVt1\ \�.\^1j \cilli /i
•
vc;tG\ 1.tc-41.1h_eS \ l\ .--.. ....
Qt1uv :.\ - :d � • -taN
o l•
..-
•
.�it C7l t� w`1
o.
AZ m b � 1 I \
V N
41)
.yr......••.
4N3,J a VM
•
•
t 4" Z. ti . t 41\
et"rontage of Lot t.) >>
Street Wade:a ................%....Q
PLOT PLAN
-'J ) JL
va y\'4 :c;•0 .
1 1. tii-QLJ > t-;( 1/4) 5 •
BUILDING PERMIT REVIEW
APPLT��,CANT: &? U ra�kir 7��7/t tz SG g/ . 't C BLW PERMIT NO: '
LOCATION OF PRCPER:'Y!w /"IC ;-i;•, i< !Cit;-^l'r R- it . DATE FILED:
° C1fl/I (!10V"rd Nvre- (, e../ ,e1, .
THE FOLIOWING,CHECK-CFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVILIJAL 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.
El FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWEDVBY: /
1}N DEPARTMENT: YES V DOES NOT APPLY_SIGNATURE < / (�.,/ . _ DATE �i//�PL
SERVATION COMMITTEE: YES�DOES:NOT.APPLY SIGNAT I/,�/�%l�:!!/ HATE
' /_ LII
.',LANNNNING BOARD: YES DOES NOT APPLY_SIGNATURE DATE
B014 OF HEALTH: YESES NOT APPLY SIGNATURE (8. DATE G
•
IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE -
T --
COMMENTS:
Z7X7 # 2 Ste" Flee-1 S' F3 - 0,6(
rtoon O*-' 744/ VI ''(a�pe/ zn. e, if.3.
L/) S _tea=M.�X.(f[�Qy r Vj`' °�': �d_ /s 2-
• :.
1 — l
0. *Ste, #..co r`,. (C;:t:�C' .� =!,47..2ER
�� �Jiff -�; Old Kings Highway Regional Historic District Committee t`�.) `17,7,....;1:t't' l..'
ll
II; . i . in the Town of Yarmouth for a
JUN 1 3 •1you.
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: New Building El Addition Alteration
Indicate type of building: ouse ❑ Garage ❑ Commercial 0 Other
2. Exterior Painting: ❑ • ! -
3. Signs or Billboards: ❑ New sign ❑ Existing sign 0 Repainting existing sign
4. Structure: 0 Fence ❑ Wall 0 Flagpole 0 Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY �y (� DATE -2o -VQ
Q
ADDRESS OF PROPOSED` WORK 59 Tmc�£e%o �,k. t T• ASSESSORS MAP NO. /11,OWNER �2Un• '. .l lea)/ p�, / ASSESSORS LOT NO. in
HOME ADDRESS 54 Ckt eNADE¢ W. cce1A); AIMS, TEL. NO. a`5r- /957
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
—fowN CSC lAttAterk -?tt&4laemoOlinMA) L54LThC DCLT-It6MJSE�L Rte4b
A. 9.p. m es,� R>,�-r.'�lae�.-53G�riCR. a2c4z5 Z4•• y f /niss.�
F..D. c�Leq , qty-ThrcSktitg
lb y .c. 7nASs . . 2 .
AGENT OR CONTRACTOZ 40ID E- te
A , / Cku TEL. NO. .3ra - 6S3 3
ADDRESS X73 �r • AI%la .1nMdott -� IyIF► •
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including
materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed
(�Q..r-n
locations of new signs. (Attach additional sheet, if necessary). Lc 6/}'-rr C an t 1 cSi I
a___ ?....i..„
Own ntractor-Agent
Space below line for Committee use.
Received by by•/H�. ..C. _
Date "/0' The Certifica is /772-4-17/-0/11 e.to ' A
Time �/14� _- , ' 44F Ars-rivt--
OgrAl ev • Wri-9Approved ge. IMPORTANT: If Certificate is approved, approval is subject to the day appeal period
provided in the Act.
Disapproved 0 - Please return to: Yarmouth Historic District Committee
P.O. Box 124,Yarmouth Port,Mass.02675