HomeMy WebLinkAboutBLD-80-364 Qq �a� ' C 141
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le \ Application fora Permit to Build
kFee must accompany this ap
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permitgqto build,(according to the following specifications:44-1-4•4221
1. Name of Owner /(- p �N° _ -- " 4 Address Alt�"^-2 �,/ L
147
2_ Name of Architect (if any)
3. Name of Builder 0-44-el"
4. Precinct No. 14. Lot No. / Plan: Name or No. .b - z-I-
5. Name of Street �ry q� .. ew
6. Purpose of Building
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7. Material 77-14.472, ° -� t'n' ifl"" 41/'"A'3" tA/ et-t 7
8. Estimated cost of building 0-Or,
9. Uw lllwge 4ro-sa
10. Cottage
11. Heat
12. Basement
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey itj
18. Size of Lot. No. of feet front ...?& t A No. of feet rear 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/('O GEE ft.; side P '.....::ft.; sideAc?JZ1 ft.; rear/cll/.d.C.
21. Distance back from line or street... C , from rear lot line 3`'v side line 2-re,
Show by diagram the location of propsed building with relation to distances from�/a-djoining/lots, on reverse side?, �,
Name �I'E`'J��4�(�+xw G '/ �l�._r,,G�,.'IiAWA €It ' ~
Address /� ... ///! '-
Street Name
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Left Side Depth of Lot
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e ct-- Right Side Depth of Lot J
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Street Name
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BUILDING PERMIT REVIEW
N ' 4 Y �0
APPLICANTS_ P<c� P ' a /�'�. � of BLDG PERMIT N0:
LOCATION .OF PERTY: A/,cG/n r 0/Piird .oir- l"ci -DATE FILED:
Goma y �Jo
THE FOLLOWING CHECK-07 SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIDNAL 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.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY:
ENGINEERING DEPARTMENT: YES V DOES NOT APPLY SIGNATURE ¶ ' 'l ?j f DATE ?%/F
CONSERVATION CaI IITTEE: YE5_DOESLNOT.APPLY%SIGNATURE � ��, DATE 7 /po
PLANNING BOARD:---�--------YES FOES NOT APPLY IGNATURE DATE
BOARD OF HEALTH: YES DOES NOT APPLYSIGNATURES / "' DATE 7 / of ---_
FIRE DEPARTMENT: YES VES NOT APPLY SIGNATURE $41 -- DATEAll
COMMENTS: