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HomeMy WebLinkAboutBLD-80-372 c o' • `' r No. - 1V- s --- -- Application for -a_ Perm�t to Build 1'g-14 .-e ^.ft it Vii Y too/ 41 e must accompany this application _• },Yarmouth V �' (ii is g° 77P TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: 1. Name of Owner Inn $mrs John W -Slue nsort,A id Phecfsvni'CoveOmk Yormoulllferf Ina. 2. Name of ArcHit frnqmect (it eet any) Baroy Id A. 117liornersDeck R. *mouth Rlrffmc?, it,2475 - - --- - •- 3. Name of Builder 12 6 Proposed Thrth Actalon 4. Precinct No. 2 Lot No. F_� Plan: Name or No. 5. Name of Street 30 �• 6d-t--4 ant &A:Le A`t4-12.62 -- 6. Purpose of Building Fbrth � Addition' PreSeh4 House 7. Material Wood Fltlnne eFrhiSh `.fr yt o_te " Q.L. 8. Estimated cost of building 7 7v O,Pr /1,/..' `0 ' / 9. Dwelling esent fI0l1SE' f 10. Cottage 9 c-- 11. Heat None 1 4,/ 12. Basement D 1s. Garage 3 a- 011 14. Store /--"-- 17, 15. Shop 16. No. of stories . 17. Is there to be a Store in the lower storey -_____, -----18.-- Size of Lot: --Norot feet trait—/44;28 Nei No. of feet rear I i°IArc- No: of feet deep 120•o 1 rcA 19. Size of buildingg..A No. of feet front t 8 i O n No. of feet side 14i-0" No. of feet rear /g i 0 fa 20. Distance from nearest building: Front 160 i - ft.; side 499 - ft.; side...5Q) - ft.; rear../..Q0 arch 63.1+ 40 ' 4 231 f 21. DistanceAback from line or street , from rear lot line side line Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side. Name.ht..1 thl..106.4n.wJ.Wenl.SAil Address...a 0 Pheasarp-f'<gvg C/rcfk Yormou74 fvrf, lass, 0 z 675 • i Street Name ....A.(iV. f" f.A. ^- v p - Left Side Depth of Lot 12.0.0 —1 r"; r -- A -- Z (11 .r . tri n Pal y O z OG 0 m r 0 A O e. ' 114..... 3 is d ,r -1 - •• j N Z 1 :E,q Mt 1 .1. 1 - Im 0 t� _....,- tu# Right Side Depth of Lot ..i2O.° i Street Name ....ADO e ..�0 .M...45r. M:'r :, 1 .. - . R i- BUILDING PERMIT REVIEW APPLICANT: t'ar. eMin..kWh In/ Scvencon BLDG PERMIT NO: LOCATION OF PROPERTY:SO F Seosai t Cove Olde DATE FILED: Yormoalfi Mr-f, Ma, 02675 THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVILUAL 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 FOOLS, RESTAURANTS, ETC. E) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE DETECTORS). REV :al. ail BY: II . : 'd�' : DEPARTMENT: YES /DOES NOT APPLY SIGNATURE 1. _ _ ADATE 713I8o CO ERVATION COMMITTEE: YES_DOES_NOT:APPLY4IGNATURE- L I rc - ,r. '• DATE -7/3/13;- _ G BOARD: YES DOES NOT APPLY SIGNATURE / DATE ORRD OF HEALTH: YES-'.-DOES NOT APPLY SIGNATURE 6 iSA DATES/le FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE s -.... COMMENTS: r Application to OP epi2 __. _.____._:_ ' act-� � -Old Kings Highway Regional Historic District Committee dc3 __!l f �+ in the Town of Yarmouth for a C % ) CERTI FICATE OF APPROPRIATENESS I Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: . 1. Exterior Building Construction: 0 New Building 5ti Addition 0 Alteration Indicate type of building: 0 House 0 Garage 0 Commercial . 0 Other Porch /-added 2. Exterior Painting: ® Thn• •Colorsasonpiesen-f House, 3. Signs or Billboarc: .0 New sign• ' , ❑ Existing sign ❑ Repainting existing sign 4. Structure: 0 Fence 0 Wall 0 Flagpole ❑ Other —. ..— —(Please rear other ride for explanation and renuirements), TYPE OR PRINT LEGIBLY DATE • It/h e 4-1 l9 SO ADDRESS OF PROPOSED WORK 4r,Phe°cnn-I Covertrie5 U7n'11/ifrb ASSESSORS MAP NO. / 26 OWNER I71 t`gnirs.- John W+ Swenson ASSESSORS LOT NO. F- 44 HOME ADDRESS. OPirortrrn4CMP Crrtk Ywim 77,c I%r4l»u; TEL NO. .167-2 18'6 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 7r Frrsf ' mn. nk :,>i-a0`'e nh1tj at/, &hnus,benv/int FZ:nm'To:ccr Plir'ln,'eliihrcftann 1910 it • J J uf45 Qf-.Srdc jot-doh-Pierce {:liars tM 4,Awayy /Zenfly 623ina4 Sieg_Denr.:ciaa. 02.496 J J Lclr 27 itscroa'a'me strec—r?, o'zd75 11142/nr,Thrn'clJ• ke/eArr i.FI6rcacnwax/il:cwt/Iyng R-4h7S,Gfl&'rfar nIer 3f taesani-evPOrtk# Y, i; AGENT OR CO TRACTOR Harol d A .. Rimini P F. TEL NO. 362— 3q 89 ADDRESS 1l9 I-/omen Dock Poarl Van-noun) P,r; leo', 02675 DETAILED DESC 1IPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). __________ROM h_ Acicht on-:._Ser' Plan Ahc ched 1 Sign A. (.( /' vt':her . wner•Contractoragent Space below line for Committee use. 44-4-1-t).. G 1 . /ter —1:1,04—$..e/�-,� Received by H.D.C. -t Date er The Ce=ificate is hereby p - 4# a4 Si / er , / ! — ._ .//f� a• 2 e - U i r, TCEASURER Time • mat 72G? i� o By 1✓/� ��d g - Approved IMPORTANT: If Certificate is approved, approval is subject to the; day appeal period _ provided in the Act e JUN 2 7 19S Disapproved 0 Please return to: Yarmouth Historic District Committee, P.O. Box 124,Yarmouth Port,Mass.02675