HomeMy WebLinkAboutBLD-80-374 -se1
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_: _ 1 - — Application for -a Permit to Build!_. No.
Fee must accompany this applic tion 2' 7-12)
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Yarmouth 19
wJ77--PJ
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for permit to build, according to the following specifications:
1. Name of Owner Ftp . EK 8O&CE1 ( Address /(--710/(7 ha(? ZONE A - 1✓
2. Name of Architect (if any) /� •
3. Name of Builder Q Lic(Y E meL C c C &Y 1
4. Fred' . `3 Lot No. 4C A
Plan: Name or No. .M.Z.N -R.
5. Nene; YStreg ftu L_ l E.__
6. Purpose of Building -,-Al."-Itz4-71 t-1r.. /0')( "'144/
7. Material wova( "f- ° J
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8. Estimated cost of building t9 /yCq i� ' 2/
9. Dwelling / 0
10. Cottage;
11. Heat .os"
12. Ba 5
13. �/
1 /4
:ones .
to be a Store in the lower storey
of Lot. No.of feet front No. of feet rear No: of feet deep
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
Show by diagram the location of propsed building with relation to di ances from adjoining lots, on reverse side.
Name..4.
Address.... tl— !•• f / /
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Street Name floLLy LAME
oLeft Side Depth of
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. Right Side Depth of Lot
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BUILDING PERMIT REVIEW
APPLICANT: 6k V EN I/Y / ( cCIFF?C 7 BLDG PERMIT NO: --- - -_
LOCATION OF, PJtOP,ERTY: ► Ho/ ( Y 1-44AYL 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.
COMMERCIAL BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW.
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPD 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).
SJG EERING BY:DEPARTMENT: Y! V'DOES NOT APPLY SIGNATURE y . t. DATE 6/30 90
i
FE
-COMMITTEE YES,VDOES_NOT.APPLY SIGNATURE _ ? _ /_,'_ DATE '/ PL
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
JeARD OF HEALTH: YESc/DOES NOT APPLY SIGNATURE 13 DATF� 2
'T84
FIRE DEPARTMENT: YES ]DOES NOT APPLY SIGNATURE �+! DATE
COMMENTS: , Near 1b 86 066D Foe 5t.6EPIN4
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