HomeMy WebLinkAboutBLD-80-361 as -E- yer3
OP �0 36 !
\All / Application for a Permit to Build
No.
Fee st accompany th application
Yarmouth ...... it( 3° 19 4d
(o-30 - Sa
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 4 u•r I•y fin,t riAl ); Address tt 0 at/dere it, if;•
sole.
2. Name of Architect (if any)
set
3. Name of Builder .S ,
4. Precinct No. Lot No. C'f8 A Plan: Name off•Nd.: cHeEr Z 2-
I' I 1 c—
5. Name of Street 96 0 c-' DIL K .
6. Purpose of Building an te/ fp, SHri (leeT
E Material • H /0
8. Estimated cost of building r y e C � }'" (C a 0.D (frit (Ty SI/7'4D
9. Dwelling '1
10. Cottage tr.. I :.,\ en(we (1 d Ti . oPE
11. Heat ' ,
12. Basement 'to . 1 '
13. Garage
14. Store --1.../
15. Shop •tito
16. No. of stories
17. Is there to be a Store in the lower storey ' ,
18. Size of Lot. No; of feet front • " } `n. No. of feet rear 6o No of feet deep - l0 0 - -`-'
19. Size of building. No. of feet front-- — i ------ No. of feet side ...t'v No. of feet rear ...
r
•
20. Distance from nearest building: Front rt.; side a� 3d' ft.; side -3 ft.; rear 2B
21. Distance back from line or street X , from rear lot line , side line
el '
Show by diagram the location of propsed building with relation to distances from adj ' lots, on reverse side.
Name i Zal ...ta-te •-sr
Address-24 a leeilL" ay.
est;
1
• U iC.si
.4\ '4,-,k4\\A 1.1 •
•
A \.,1 -1% Rear ot..Lot G c
.X. irpsiee 0.01.
--6�i °<r0 f tk
.� ` 0.
1
I 1 I 0
II
L s \• 4
411;
IQ
• 4b
IGel
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10
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a) m r;
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Frontage of Lot v cit v cr
Street Name" PI VI 4,7111 4
•1, •
PLOT PLAN --T
BUILDING PERMIT REVIEW
APPLICANT: Be-1'y MAg_7' Al BLDG PERMIT NO: ..
"LOCATION OF PROPERTY: 94 !L LJ,tc•A/ Ab - '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: • o
(.4
A) CHECK WITH THE HEALTH DEPARTMENT IN REFEREfCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANYJTYPE OF WETLANDS.
EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH,-ETC. .
C) CHECK WITH PLANNING BOARD FOR LOT RELEASE.
J
r:ONIMERCIAL BUILDING:
.':) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN •
REVIEW. 0 _
B) CONSERVATION COPIMIThE-IF LOT BORDERS ANY PI) 0F 'WETLANLS.
+
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING\ BY-LAWS.
i
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: YES ✓ DOES NOT APPLY SIGNATURE 1'ILAbltt DATE 4/30/So
CONSERVATION COMMITTEE: YES_DOESLNOT;APPLY/SIGNATURE 1 .ZA, DATE a/iojso
PLANNING.BOARD: - ,_ -YES_-- DOES NOT-APPLY'. SIGNATURE --'---- .-._.---__: - --. DATE--------
BOARD OF HEALTH: _ YES‘'--DOES NOT APPLY SIGNATURE /14.,/2. DATEC�/yge
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: