HomeMy WebLinkAboutBLD-80-379 \ - S /v 4,, . \),b )/ 1 / wQ
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' Q (\� (� Application for a Perm' to Build _
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—- - -Fee must accompany t application
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Yarmouth �U 4 / 19
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner la 1 L P C-t tZ C EM(ME E Address // )(8/2/Z)/ c Grl
2. Name of Architect (if any) ,$/gME•
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3. • Name of Builder SI/V/4-
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4: Precinct No. cl Lot No. 2/0 Plan: Name or No. C dint 90-/-3 r
5 Name of.Street /I JE2/Z y cr
6. Purpose of Building tEck" 0/2 'pAT70 aU x/O
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7. Material WO 0_2)
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8. Estimated cost of building y00, r
9. Dwelling
10. Cottage1% ! ,
11. Heat
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12. Basement
13. Garage
1,4. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front .9.. No'61.feet rear £ No; of.feet deep-.77u ^
19. Size of building. No. of feet front „. --No:of feet side No. of feet rear
_'20.--Distance (Toninearest 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 distances from adjoining adjoining lots,� on re erse side.
Name ,11...G.L/ib`
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Address /1 ,•• .. ..c .7 Id/
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13 i0 Left Side Depth of Lot -22/
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Right Side Depth of Lot 7a 1�
Street Name /frc.C/' Cr
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f BUILDING PERMIT REVIEW
APPLICANT: --12/7/_ /=(// /' /4, G/L'1 ' r',r',/-' BLDG PERMIT NO:
LOCATION OF PROPERTY.: // ,rr n n ,/ , t., ' ,tipsDATE FILED:
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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.
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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:
NGINEERING DEPARTMENT: YES LOBS NOT APPLY SIGNATURE - , ,1,4( DATE f i
I�NSERVATION COMMITTEE: YES DOES:NOT:APPLY4/SIGNATURE` _ OA.:14.sDATE - Co',
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE �1 D DATE
4ARD OF HEALTH: YES ES NOT APPLY SIGNATURE. �� L /L� DATE 74740
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE ' DATE •
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COMMENTS: