HomeMy WebLinkAboutBLD-80-354 /.\-rtt K
6"b -/� Application fora Perms • o Build No.
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Fee must accompany this .plication
Yarmouth liktile. Lr 19.sa.
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to .iii ., according to the following specifications:
1. Name of Owner Jobb H. tAvene L Stet bit I Address if Rive ewe QR'• Weedfreewl*
2. Name of Architect (if any)
3. Name of Builder
4. Precinct No. 44 Lot No. 3-3 Plan: Name or
No. A.1419 - P3-3
5 Name of Street 40 Pteg
, GAN. yJ t . (Ai s sl- 7t1.1Cvwnc$v/
6: Purpose of Building
7. Material T/4 -
8. Estimated cost of building
9. Dwelling 11e Q i / ^ ) e d FX)/
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10. Cottage Q
11. Heat Ai/0 J Jh
12. Basement A.6
13. Garage SLG
14. Store NO
15. Shop /1/2/
16. No. of stories y
17. Is there to be a Store in the lower storey N O ,____�_
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18. Size of Lot. No. of feet front No. of feet rear No: of feet deep
J / l
19. Size of building. No. of feet frontit- No. of feet side 1/ No. of feet rear .......I
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
53.; from221± 4 51 EACH SIDE
21. Distance back from line or street rear lot line , side line
Show by diagram the location of propsed building with relation\di; es in adjt o revers de.
Name ^l
Addres-4 V W\'K tc . Y1.001/E.Y42
Street Name
Left Side Depth of Lot...
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Right Side Depth of Lot
Street Name _
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BUILDING PERMIT REVIEW
APPLICAUTttYf �Y �G�1te,st BLDG PERMIT NO:
LOCATION OF PROPERTY: 40 (41! LAW Uv • DATE FILED: er;a44:'�
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIIUAL 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 WETLAND6.
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).
REVIEWED BY:
ENGINEERING DEPARTMENT: I- OES NOT APPLY SIGNATURE �., E A
YES ✓D . DATE GIZS'8o
/ I
CONSERVATION CCIMITTEE: DOES:NOT.APPLY 4IGNATURE 4 _ DATE ` Z S So
PLARD: _a YES DOES NOT APPLY SIGNATURE DATE
BOARD OF HEALTH: /YES 'DOES NOT APPLY SIGNATURE B DATE 4 /1
FIMPEPlA�ENT: YES DOES NOT APPLY SIGNATURE DATE •
COMMENTS:
•
•