HomeMy WebLinkAboutBLD-80-377 0r C; I:: 0, K. 44.=. ,
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I u No. ...1.� 17
_\c0 Application fora Per it to Build ,
`� Fee must accompa this application ,
• Yarmouth .... .. .......19E0
TO THE BOARD OF SELECTMEN '��
The undersigned herebyebapplies
"for a permit to build, according to the following specifications:
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1. Name of Owner 74e2 //f�/� Address 39 OaeD e
2.- Name of Architect (if any) A/Ma/6–G,, ,/9.
3. Name of guilder ,V0,0/11-2,+ gelMiG "
4. Precinct No. ��[- Lot No. t 3 7 Plan: Name or No. 4 M a/ - E 3'7
5. Name of Stre'et� 7 ®Geeio ,efte. _ •
6. Purpose of Building /2,141 p < / 4 XB Sjelegi6 / 6;74/�T
7. Material /a7,1940 " I
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8. Estimated cost of building sf zeOO 'L
9. Dwelling /de, C
10. Cottage p 7 0 .
11. Heat ,('t'dt: -, • Z:, . .. I-C O
12. Basement 90 yam . ._
13. Garage / , Yir R41- O {Joh'
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/ pd V9 –
14. Store 4 .0� RIb`
Ck
15. Shop /00 :f
16. No. of stories ---- -
17. Is there to be a Store in the lower storey /JD .
18. Size of Lot. No. of feet front No. of feet rear /5°4No: of feet deep let'
19. Size of building. No. of feet front No. of feet side No. of feet rear
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_- 55..._� - zoa -T—
_.._ 20.—Distance from nearest building:---Front---- ft.;� sidel"��'-M(1, side ft.; rear
30 SS/
21. Distance back from line or street 4 , 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 ,[.R
Address //(f7t...-c
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Street Name A.!4.34.
o Left Side Depth of Lot SO.-(
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t Right Side Depth of Lot ...�
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Street Name ..
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4 -41,* BUILDING PERMIT REVIEW
•APPLICANT: PRS �L/�i�ie BLDG PERMIT NO: •
IDCATION OF /y/ ye a w 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 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).
\RE/VIEWED BY: /
IIQG�NEERING DEPARTMENT: YESD/DOES NOT APPLY SIGNATURE I DATE Gla4/90
CONSERVATION CCtAffTTEE: YESiDOES_NOT.APPLY SIGNATURE i "i / DATE
JANNING BOARD: YES IDES NOT APPLY SIGNATURE / DATE
)ARD OF HEALTH:T�--- YESES NOVAPPLY_SIGNATURE/► _ L�Li1�I At i _.DATE—741/p1
IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE '•
4.
MINTS:
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