HomeMy WebLinkAboutBLD-80-398 i•
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() :C‘ APPA lication for a P rmit to Build No.
Fee must accomp y this application �J
Yarmouth ,l - .! yf 19.7x.
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TO THE BOARD OF SELECTMEN
The undersigned hereby appliespermit for a to build, according to the following specifications:
__-1. Name of Owner-/IIT( mf55 4&'/i1One Mc kwlcAddress p gs3 f)4 .it's Dr�— f _
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2. Name of Architect (if any) y'ktrn o tri-6
3. Name of Builder
17�%,,) , i ,41.air..), coc_l
4. Precinct No. 3 Ii Lot No. 39 Plan: Name_or No. A.M.to a-c 39 '
5. Name of Street - phyLL / s `. i
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6. Purpose of Building 5 To cc._5 e • -. J_. I :
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7. Material -jDU tg_ t---co_,tin e Co /lc��Te s L Jj j-Lo c ,�. `
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8. Estimated cost of building [/, 00
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9. Dwelling /(2 S SCi
10. Cottage ®Sr.
11. Heat ! r l' . 5,6
g12. Basement o _
j 13. Garage L'0—e,9/0n . 7 N ft/ /•. A der ji.�.v $To B$ .4j S/f Re 0 i-° A6lGg
, 14. Store
15. Shop t,.
16. No. of stories Dae , , ..
17. Is there to be a Store in the lower storey /11(c) ,
18. Size of Lot. No. of feet front! .../L2.Q - - - ' -No. of feet rear •../0O /,.... No. of feet deep . ..
19. ize y.of building. No. of feet front 5-7 No. of feet side ..c .../ No. of feet rear -.57-i
20. Distance from nearest building: Front .7.C2.0 ft.; side �c 'r ft.; side....f, f.) r ft.; rear
21. Distance back from line or street.....�l.J , from rear lot line cc/ side line.,l.6D A..>--.
Show by diagram the location of propsed building with relation to distances fro adjoi in on reverse side. .7Na ..,i a.m�l. a..Q c1.../..r.. CS' Li
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BUILDING PERMIT REVIEW
APPLICANT: v ,"cJ /1,4 �{ ni i co, I BLDG PERMIT NO:
LOCATION OF PROPERTY: 573 /2 ›,() , 5 I71, 5 y ,n e 4J J] DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVILIIAL 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 REFEREIICE 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.
J
COMMERCIAL BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN •
REVIEW.
B) CONSERVATION CO*ITTEE-IF LOT BORDERS ANY TYPE] OF WETLANIE.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LAPS.
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).
REVIEF7M BY: Y)0 0 ��+ IU
n�mc+ ti �.s la
ENGINEERING DEPARTMENT: YESJ/DOES NOT APPLY SIGNATUM 17 , ATE s•—11-71P1-
CONSERVATION COMMITTEE: YES DOES:NOT"APPLYJLSIGNATURE PI ZZ DATE 7117/80
PLANNING BOARD: YES DOES NOT APPLY_SIGNATURE DATE
BOARD OF HEALTH: YES c_BOES NOT APPLY SIGNATURE OR. ( DATE 7//7)510
FIRE DEPARTMENT: . YES DOES NOT APPLY SIGNATURr- DATE
COMMENTS: 4