HomeMy WebLinkAboutBLD-80-386 C,Or
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`\\ 4��/ > pplication for ermit to Build
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kr*/ Fee must ac mpany this application `Yarmouth .7/C1% 19./6
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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-Fly t UI L•AM 9 Addressit;:— '—S4 It't -•-- 4 -e U—1<-
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--- 2. __Name of Architect (if�any) J. . . S _ , . ......
- 3. Name of Builder ^VSSf-/4 e•!� cIA / dr Sv44-SLrj 1"1"" a -RAtrt,(5j4 (. f c
4. Precinct No. 3 Lot No. '5 Plan: Name or No. A.M. 34-C13
5. Name of Str4 Boon, STReeY f� p p r
6. Purpose of Building �� /
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�A 7 SvH Y� oa go1O/ t �,o t.4
7. Material W 00 Fv,awt E VI 3 •
rX 9 4'd re grf& J' 2
8. Estimated cost of building 0o0.—O ^� d ,`
9. Dwelling - % g />
8. ` cC
a' 7q / 5-e
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Cottage ^— i ' _
11. Heat C/eC7• M,J Joi saN Room' 3 / :/ p
12. Basement ' C ✓dw - G5
13. Garage
14. Store it'll 0 I 5 , C a
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15. Shop o
16. No. of stories a k L' Yle, 95
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17. Is there to be a Store in the lower storey .. . ... ... . . >
18. Size of Lot. No. of feet front • No. of feet rear No: of feet deep '
19. Size—of building—No„of2eet front /0"-- ' No. of feet side ....fly " No. of feet rear ...L?--
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 t s from addoiining lots, on'reverse side.
Name
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Address c�O S S /v v 5 c-/ i" 4 t
D ilot.l5 1,4-1DI t IMA. O ZG 3,Gl i
'34, z-3QO 1
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i c ; ,'�" i•- 'RearofLot 0fe4,r1 Q ,`1 ,a�
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Frontage of Lot , c
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Name
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PLOT PLAN � i ,c �q
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BUILDING PERMIT REVIEW
APPLICANT: 4 //Ir - BLDG PERMIT NO: '
LOCATION OF PROPERTY( bt// S •22. 114 ST 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).
REVIEWED BY:
-14
ENGINEERING DEPARTMENT: YES DOES NOT APPLY SIGNATURE Limoi I. ' DATE 6/16160
i e 0 l 0
CONSERVATION COMMITTEE: YES " DOES:NOT:APPLY /SIGNATURE I __ u E DATE(�z3/8O
• f
BANNING BOARD: YES DOES NOT APPLY SIGNATURE may/ 9114/1 DATE
)ARD OF HEALTH: YES /DOES NOT APPLY SIGNATURE R. 22 ifisL / DATE
IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
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)MMENTS: 5ca Bow:, of APPEALS 103
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