HomeMy WebLinkAboutBLD-80-382 N
tc)• I (111 - -�Applicationf for a Permitvst. j _A-17,--) 01},\:. /
to Build Nn.
Fee must accompan .tih s application
Yarmouth 7- /0— 19..0
TO THE BOARD OF SELECTMEN
•
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner c94.1. 0/2 to Address 22 ,a<D I a
2. Name of Architect (if...*Aany)�j
3. Name of Builder ...*A.e,,
4. Precinct No. 3 Lot No.772 72 Plan: Name or No. /4// ..3.--.1 — n D---
5. Name of Street a J24,0 A44,4. id s to avyyy , i
6. Purpose of Building �,J,c . y�
(n�(
7. Material i-Oo-+-d1 /41/
8. Estimated cost of building 0.'5-00 O ,. n a /
9. Dwelling I.."'" L C
10. Cottage I /
11. Heat 1 d- W n., q13
12. Basement „FfC-5 e
13. Garage tfsn 7) g-Q
14. Store O "
15. Shop .
16. No. of stories l2cya 2.- .!
17. Is there to be a Store in the lower storey
/
18. Size of ta.200dQo. 'of feet fronq .O.yS, s No. of feet rear V D No, of feet deep
19. Size of building. No. of feet front ......? ...-f..,[ Noof feet side ) etv No. of feet rear
20. Distance from nearest building: Front .t GP ft.; side .lQo ft.; side....Z.a.a ft.; rear 4-tlr ....
21. Distance back from line or street 2.5 v from rear lot line ....../.Aa/ side line `10 /
Show by diagram the location of propsed building with relation to distance from adjoining lots, on reverse side.
Name
AddressQ2 Jig i k aty ttd-t rci
Sheet Name .7r 'uc
/9/ri s/.tfse .
G o7- ii _
. s
p • Left Side Depth of Lot /
-1 ,_ .. :
fl
r -
z �/
w W ^ �
CA et
i >` % m
o
-. . A --\1, .7. - ts
1.
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L vlco I
2
1
1 ^ � ' c
• 0
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N,
VI y
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l#: ...
.......
Right Side Depth of Lot ._.225
- r
Street Name Y tt
tS
C.
BUILDING PERMIT REVIEW
'LL-- •
APPLICANT• � BLDG PERMIT NO: _-
IO,CATION . ROPERT'Y: _ i _ ,- .� ,� " 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 BUILDINGc
,
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 WETLANIS.
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) BOARDOFHEALTH-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).
R'E.... \
ENG G DEPARTMENT: YES DOES NOT APPLY SIGNATURE dr- /J ,.i DATE /e
CONEON COMMITTEE: YES.DOES:NOTAPPLY_SIGNATURE -�/!` ,,, DATE 7
PLANNINGBOARD: YES DOES NOT APPLY SIGNATURE- .--- -- DATE"`-
BOARD OF HEALTH YES=DOES NOT APPLY SIGNATURE g. DATE 7/41/5,)
FIRE DEPARTMENT YES DOES NOT APPLY SIGNATURE DATE
COMM NTS.
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