HomeMy WebLinkAboutBLD-80-343 C114-
No.
Application for a Permit to Build
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" 'Fee must accompany this ap ' ation
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Yarmouth u.�.C..,i 1 19..R 0
6 -023
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit
to build, according to the following specifications:
• 1. Name of Owner Sousa 0 i Ce., Address 21 Fl Mint.*CI? sr. DANUER54 Ha.
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2. Name of Architect (if any) KOLL Kg ASS.OAT ES,' . . •
3. Name of Builder J .2, S o u.sg t Sou s, /MG
4. Precinct No. Lot No. .37•• / Plan: Name or No. /4/y 5/ S1— /
5. Name of Street ,Z$,Z /yn%u Sr. Cu . yA?Mo urn t_.,' F— . t j n,,
6. Purpose of Building SELF-SE20ocg o,STar 5,J .
7: Material • Steel_ •
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8. Estimated cost of building /SO O O . u C'C
9. Dwelling •
10. Cottage
11. Heat • El-Scrag C.
12. Basement /JO
13. Garage
14. Store
15. Shop
16. No. of stories obit 7) •/
17. Is there to be a Store in the lower storey /V o
18. Size of Lot. No. of feet front ...,/JC? No. of feet rear ...L/l.,.l.. ...... No. of feet deep ..1././. cG
19. Size of building. No. of feet front 30• No. of feet side 491/ No. of feet rear •30 •
20. Distance from nearest building: Front ft.; side ft.; side ,/'ft.; rear
21. Distance back from line or street 7.,3•5 • , from rear lot line ....c /# , side line 4'7/•
Show by diagram the location of propsed building with relation to distances from adjoining l��otss, on reverse side. VFj _ r••
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Address....2!QNateteel asrNezesr istana?3
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r Rear of Lot •
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Frontage of Lot •
Street Name
PLOT PLAN
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BUILDING PERMIT REVIEW
APPLICANT: Snit U SA at- eln, Juc BLDG PERMIT NO: •A '• ;
LOCATION OF; PROPERTY: 2naiNT.SIRi£2PF•Ce2silul Tilawor DATE FILED:
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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 •
4REVIEW.
B) CONSERVATION COMNIITTEE-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.
SE) . FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
;REVIEWED BY:
14INEERING DEPARTMENT: YES DOES NOT APPLY S GNATURE ' — 44 .,of. DATE i 3
CONSERVATION CQAMITTEE: YES—IX)ES_NOT.APPLY SIGNATURE ',
. ,,_ DATE e ��
(PL`ANNNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
BOARD OF HEALTH: YESES NOT APPLY SIGNATURE DATE
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`FIRE DEPARTMENT: YES DOES NOT APPLYSIGNATURE DATE -•
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COMMENTS:
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