HomeMy WebLinkAboutBLD-80-371 Ci jtt
CF
No.
5.1,-\to Application fora Permit t' Build
Fee must accompany this app' ation
Yarmouth ... .. fd/l:/ 1920..
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner eAleh ff,CNA/es$eya_G‘Address /70 //NE 5t
2. Name of Architect (if any) ` .
3. Name of Builder x5ryi.Cc•/ /3,Cc7 620 .
4. Precinct No. 70 Lot No. d Plan: Name or No. /0 2---•
.00
5; Name of Street ;•- i.ve J�� //vax,
6: Purpose of Building a-ic ,c,„(op/- A )Oe/o/' 5 i././ S C/al,
- 7: Material wood
8. Estimated cost of building too.06— - 1" •
9. Dwelling!, • . •
10. Cottage ; -
+
11. Heat
12. Basement
13. Garage
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14. Store
15. Shop •
16. No. of stories
17. Is there to be a Store in the lower storey . NG
18. Size of Lot. No. of feet front " .:fa tNo. of feet rear /CO No of feet deep -1q--0
-----19.—Size of building:- No:of feet front-- No. of feet side No. of feet rear
20. Distance from nearest building: Front ^/R'Ys' ft.;'sine 90 ft.; side ."to^'Y ft.; rear....e.W.e..^.:C''
21. Distance back from line or street yA , from rear lot line re , side line br
Show by diagram the location of propsed building with relation to distances from ad' ining lots, on everse side.
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1 0 -. Left Side Depth of Lot e.v:Z,
i t. 70
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. Right Side Depth of Lot 4: 117 Ir • ..- - . . .
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w� ..• •t,� Application to ~ '.
- ''w IMI est ed, :000
ow::M1w .
Old Kings Highway Regional Historic District Committee _ _ _ T
AIWin the Town of Yarmouth for a
CERTIFICATION OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of a certificate of exemption und<r Section 6 and 7 of Chapter 470,
Acts and Resolvesol Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings,or photo-
graphs accompanying this application.
• TYPE OR PRINT LEGIBLY < DATE licit* 1/grC
ADDRESS OF
FF9PROPOSED WORKS IV? g's,P S yT v ,,,nri1 /9n r/. ASSESSORS MAP NO. Mal
OWNER (�fj'. IFc ��F h -ti-i s cce j. ASSESSORS LOT NO.
ii
HOME ADDRESS /71 lej-pie St" yr-, •is .Y rnr� TEL.NO. 3 A 2 /A? 71
AGENT OR CONTRACTOR ]Z- 1I r tl 9 b 4 (?
JJ
ADDRESS 7 7 T ,>F to /i 9 t., t f TEL.NO 7 7S 'bit?
This application is for exemption of proposed exterior construction on the ground that:
LJ (1) It will not be visible from any way or public place,.. __ _
❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish pian of proposed work,showing location on lot, and,if an addition is involved,show-
ing location of existing building-
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' SIGNED' ?'A '4/'-, P AL,ft1C> 1'—t,
Owner-Contractor-Agent
Space below line for Committee use.
Received by H.D.C. The Certificate is hereb d • /p •
Date t'0%1n1re / .
4s - ti . // all/'P7/ t `
Time / (i/41 2n 41.--7i1/4-
/i
By / /'// Date/407f/ 744//7_Pn
Approved b" • The categories of work entitled to exemption are listed on
Disapproved 0 the back of this form.