HomeMy WebLinkAboutBLD-80-358 P� Y�' �N
),� i No. 3�
Application for a- Permit to uild ,
Fee must accompany this applicat n
Yarmouth ..r, Se")C 19.. 0
7
TO THE BOARD OF SELECTMEN
i.
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner RbaEe,T 3fsUeit Address 33 i1/4..)o Mnt..) ST,/ SO, Ykryourd
• 2. Name of Architect (if any) &oa)E . — • _ _
3. Name of Builder gec.Esr F. WHITE i J
4. Precinct No. 3 Lot No. Ti.. Plan: Name or No. S#-r (3 Bel.
5. Name of Street Ivo. Mott) ST, So, Yileke urst
6: Purpose of Building zurri at\ Opricy autt.,twg -r,Ctt i GF op ow.+�C ,,,,,...
7: Material c �'
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di A A)YW-•F�;o- 1 a e
8. Estimated cost of building ?IA ' 1` �, armlets ranN ce De Q Q RASP,
9. Dwelling / 1 \ " 2E':e? p aJ BR et15.•,o,G FRo..,r )ot t.
1 --• 1Ja.I.CMnarr tP.k1 ltI GE'
10. Cottage
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11. Heat �rNe,.CH�.rCe /�trSa? S sn04.
4 No tabDlj ta..ii. '�d .gvl,.1I.,tG,
12. Basement So" e, I.,3TE'e•to,e, pga:T1f S.
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13. Garage SaoN . 1 l -t_ '
14. Store .
C.: n�/
° cfr).°.. 41r 7.3-1. /
15. Shop T
16. No. of stories
Y
17. Is there to be a Store in the lower storey -\` . ..
18. Size of Lot. No. of feet front ___— No. of feet reer'— -- 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
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Show by diagiafi51hClocation of-roe\building with relation to dist es from ad�joiniingllots,
foon reverse side.
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t. ; tell .:4: •:••t.• t. ,' u1"1'1 $earti Lot 41.:1:2 iE i411"10(.-1 •
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Frontage of Lot
Street Name
PLOT PLAN hi or 7; clicc
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'BUILDING PERMIT REVIEW
APPLICANTS K 0Sm€ -- -BLDG PERMIT NO:
LOCATION OF PROPERTY: 33 too, Mitt:a Sr: 1 So.yitCHeoTH DATE FILED:
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.
(OMMERCIAL BUILDING: t4
4) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW. o '•
3) CONSERVATION CO!MITTEE-IF.LOT BORDERS ANY TYPE) OF.WE'TIANDS.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LA 'S.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING FOOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). - '
;isVIEWED BY: / . . +,. L \
xNdGINEERING DEPARTMENT: YES /DOES NOT APPLY :SIGNATURE 5211 P'>A6tDATE 000
V
CONSERVATION CGtR•IITTEE: X)FS
YES I :NOT`APPLY SIGNATURE y4/� DATE,0011
PLANNING BOARD: YES _DOES NOT APPLY_SIGNATURE
BOARD OF HEALTH: YES L DOES NOT APPLY SIGNATURE B_
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: af17? �1 1+�t•A 4
sAln I L E 4, Nara Dw z - ,4'a S/as 1,e4w tient Vleer
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