HomeMy WebLinkAboutBLD-80-383 x. Ito -AC
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1 Application for a Permit to Build
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Fee must mpany this application
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Yarmouth ..12 19.i( ?.
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TO THE BOARD OF SELECTMEN
The undersignedk hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 13 . g I,‘, 1,e,i Address C /4 tIRC 4, ST Y 4 chwo
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2. Name of Architect (if any) t-06..1f
3. Name of Builder pm .2 i id( Ili, Roc 1.1,1
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4. Precinct No. I \, Lot No. A 5 Plan: Name or No. A.P4. 110-45
5. Name of Street C-i4 ti?ICY \Sir
6. Purpose ot Building Peel.: '- Lk)A\-e:v(.. 14a A-,--E ip... slyz.4
7. Material tdo op a r
8. Estimated cost of building ....413$it 12o . o0_1-- '
9. Dwelling .
10. Cottage
4. ,.. . 1. 1
11. Heat
12. Basement
13. Garage
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14. Store
15. Shop ___
16. No. of stories t ----
--.. -17. Is there to be a Store in the lower.storey-N Cr
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— 18.-Size of Lot. No. of feet front? No. of feet rear ' No. of feet deep
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19. Size of building. No. of feet front V No. of feet side 7 No. of feet rear ...ay
20. Distance from nearest building: Front AttattE.a. ft.; side ft.; side ft.; rear
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21. Distance back from line or street...10.C?...Ya..... 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:g...5.61..eiluttt.
• . • Address etiorcCk Streit" tigorivirtiti‘ Pot 144as
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Sweet Name Court C fi ,(T
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` O Left Side Depth bt Lot t
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Right Side Depth of Loc .
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BUILDING PERMIT REVIEW
APPLICANT: 3, S Co.r'k r J r- _ -. ---- BLDG PERMIT NO:
LOCATION OF PROPERTY: C4IURGK DATE FILED: stiL /0
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
4GENCIES.
StESIDENTIAL BUILDING:
'1) CHECK WITH THE HEALTH DEPARTMENT IN.REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
:3) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY; BOGS, MARSH, ETC.
(;) CHECK WITH PLANNING BOARD FOR LOT RELEASE.
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COMMERCIAL BUILDING: - .
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW.
3) CONSERVATION C011MITTEE-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).
REVIEW BY: -
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EN DEPARTMENT: YES /DOES NOT APPLY SIGNATURE I a Z. I ._ - DATE V10/60
CONN CC3R1ITTEE: YES /SIGNATURE—DOES:NOT APPLY IGNATURE L� la., ,__., DATE 't (d 8o
PLANNING BOARD: YESDOES NOT APPLY - SIGNATURE DATE
BOARD OF HEALTH:' ' YES DOES NOT APPLY SIGNATURE DATE
FIRE DEPARTMENT: YES DOES NOT APPLYSIGNATUREDATE
COMMENTS:
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Application to ____— - - —
_.ctst_Ail Old King's Highway Regional Historic District Committee
afit t in, in the Town of Yarmouth for a
CERTIFICATION OF EXEMPTION
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves,ot Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo-
graphs accompanying this application.
TYPE OR PRINT LEGIBLY DATE / 10 (980
ADDRESS OF PROPOSED WORK etlleine.// S7' ASSESSORS MAP/NO. Iln
OWNER 'P• ow- /../1 e_.„--k. use ASSESSORS LOT� NO. A-s S4'°
HOME ADDRESS GNwets. 3, 9 - w. dL !� f
TEL. NO. snL- 3a•1-.•
AGENT OR CONTRACTOR eJ"es., .24 ..4.2-1-1.....— D. M. iti%t t
ADDRESS '7Aytart TEL TEL. NO. 777- eta(
This application is for exemption of ppropoled exterior construction on the ground that:
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al (I) it will not be visible from any way or public place.
(2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot, and, if an addition is involved, show-
ing location of existing building.
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Perim. 7b C.Ofla G-E (-Ars be v t= roils
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SIGNED 4,4 islet ""'�..�
N Owner-Contractor-Agent
Space below line for Committee use. A
Received by H.D.C. The C ificate is hereby �i flaw 0/4 O
Date - �� ewLlVA c7. / 57-�
Time Lj%s/ r ^ / r'✓ !/� _
By Date 7 l0 — V v
Approved ❑ The categories of work entitled to exemption are listed on
Disapproved 0 the back of this form.
EXTERIOR ARCHITECTURAL FEATURES
SUITABLE FOR CERTIFICATES OF EXEMPTION
FOR RESIDENTIAL USE ONLY
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FENCES: 1. Post and rail,split,half round or round;natural finish
2. Square rail;white or natural finish
3. Stockade;natural or gray stain finish;not forward of face of main building
4.'Picket;white only
(Maximum height of all fences,4 feet)
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HEDG S: I natural,not to exceed four feet in height
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DECKS: constructed of wood,on single family dwellings,built after 1900 at first floor level,at the rear only,
ft railings not to exceed 30 inches in height, notover 50%to¢e visible from a way;natural finislror color
compatible with building i volved
BREEZEWAYS: enclosuro of existing breezeways,cwisisteQttritlistyle,mayteriatan``d colo+�r of house,excluding sliding
,w..gl s�doots facingstteel,way pr,publicplaceb. \'a
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FLAGPOLES: on residential property, not over 24 feet high;not less thaq?Q.feet frgm way,constructed of wood, with
natural finish or painted white,or of aluminum,or of fiberglas or metal painted white
ARBORS AND TRELLISES:'of lightweight,wooden construction,not over nine feet high
ROOFS: natural cedar shingles,or asphalt shingles per approved color samples;not over five inches exposure to
weather
SIDING: natural cedar shingles,or wooden clapboards-natural or approved color;not over five inches exposure
to weather
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STORM SASH,STORM DOORS,WINDOW SCREENS,rSCREEN DOORS;GUTTERS AND LEADERS: permissible if
consistent with style;material and color of building
LIGHT POST: permissible if consistenpYvith styles erial and color of buildingl Cr ' t " 4
AIR CONDITIONERS: portable,window units at gide frcar ot.bu�in
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STONE WALLS: construction of field or split'stonenot exceedi9g'30 inch s in height
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NOTE
1. All prior bulletins hereby superseded.
2. Conditions contained in certificates of appropriateness shall be binding regardless of any exemptions contained herein.