HomeMy WebLinkAboutBLD-80-387 1. , �x\0 36_ � - ten/
�� o� Application for a Permit to Build ECc.
A. Fee must accompany this application
Yarmouth Jul i i 19..E-D
TO THE BOARD OF SELECTMEN -
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----The undersigned hereby applies for a permit to build, according to the following specifications: ------
1. Name of Owner Vi R7 j 4 ids /It 4 At..0 Address 33 8 Fo,c -f-- ?
2. Name of Architect (if any)
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3. Name of Builder c'e I r
4. Precinct No. 3 Lot No. F l Plan: Name or No.4/9 3 C - 1
5! Name of Street33EFO R cS4 Rel ;
6: Purpose at Buildin
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7; Material wood
8; Estimated cost of building 1.„5—,:; 0. as Q
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9. Dwelling 4 r o r/ '
10. Cottage /C . 1 . . 9 _
11. Heat Gci.t'
12. Basement / (
13. Garage No
144. Store HQ
15. Shop /1
16. No. of stories / , ,, //
17. Is there to be a Store in the lower storey . !VQ , •
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18. Size of Lot. No. of feet front ?E.2...I f' No. of feet rear `h / .0 No. of feet deep .1.2/
19. Size of building. No. of feet front YQ t, No. of feet side ! 1 f No, of feet rear 8
20. Distance from nearest building: Front RAS ft.; side etS ft.; side r?s ft.; rear (00
/ f
21. Distance back from line or street-47P 1 , from rear lot line tt S , side line.....,.c..Q /
Show by diagram the location of propsed building with relation to distal: es from adjo'nin lots, on re erse side.
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Name I.A.J. .r a..a4.4..“—c-
Address 3 3 a ,-4 ' i
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Street Name r G.-E.C.S f .R. It . - ..
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Le ft Side Depth of Lot � ✓
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r . � 4111 OM_
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W 'i] t Pam
a a 'I Ri
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2 m r
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Right Side Depth of Lot Cl `I /
Street Name >o r OS RE,
BUILDING PERMIT REVIEW
APPLICANT: Lr I et 1/ ' !( t R AIS BLDG PERMIT NO:
LOCATION OF PROPERTY( 3 3 Ii fir\tte a -f Teri. 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, POND, 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:
GJNEERING DEPARTMENT: YES:/ DOES NOT APPLY SIGNATURE ft -ice /, , _ DATE-f 14/80
CONSERVATION COMMITTEE: YES_DOES:NOT:APPLY /SIGNATURE ILA t_ a. DATE 711480
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
BARD OF HEALTH: YESL .-DOES NOT APPLY SIGNATURE f' �D�h "�`J DATE z/kFY.
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE (( DATE
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COMMENTS:
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