HomeMy WebLinkAboutBLD-80-400 kfa -e- �0 � 6l ,�
.A . vv.". .• (I_ Vott-67° ()
Application for a Permit t uild
Fee must accompany this appli tion
Yarmouth ..rig'. r 19 a-C
TO THE BOARD OF SELECTMEN
The undersigned hereby plies for a permit to build, according to the following specifications:
..�.4. �, .7Y!/'uti• Address 3q/4Ke I , ea
1. Name of Owner
2. Name of Architect any)
3. Name of Builder /
4. Precinct No. 4 O �t Noir 20 g Plan: Name or No.A '4 442• &'102.
5. Name of Street 3 99 / lea %
6. Purpose of Building / ^ /7 1/
7. Material V�S�o1�}d •�/� d ,(f/(,j� ,�y� � .
8. Estimated cost of buildidg p b t' ��� �KJ��Z
P°'LeiL.,
9. Dwelling 112-'- •
-- .
10. Cottage l�
11. Heat /QS". az••••- •
12. Basement YA'L
13. Garage /Kg;
14. Store /170
i
15. Shoff '1..4; i
16. No. of stories G'-72'¢ . a
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. of feet front .. '- , 3 /r No. of feet side Q No. of feet rear 1a /
20. Distance from nearest building: Front •itre4`. ft.; side sV--C- ft.; side d ft.; rear
21. Distance back from line or street 349, from rear lot line , side line
Show by diagram the location of propsed building with relation to d• ces from adjoiningnglots, on reverse side.
Name 4 ✓`i , /�}'_1�i �j' Q� �^
Addre *7 t: ( v"e_ 2/(2. (... Ft.'.c 2,44.4oa—
?n Street Name v
7 r- L
�v
r Left Side Depth of Ld'..'-.; L.t Y i
O
—1.
= r ar \ 0 !` if " :to
. z frev,.
/1k
.
t, �o ,
� •
� It � a
r "
t /\\NI .i
:Right Side Depth of Lot. _ t
- - - , 4
jr
-�T
Street Name -^'::—..----
BUILDING PERMIT REVIEW
APPLICANT: Jiro/es C /l/Ce BLDG PERMIT NO:
LOCATION OF PROPERTY: 39 fl/(P .pd. L'i As/ DATE FILED: ?A (l)
•
•
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIThJAL 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.
J •
COMMERCIAL BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW. •
B) CONSERVATION COiMIITTEE-IF LOT BORDERS ANY TYPPT 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 FOOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
ELV6 G DEPARTMENT: YES DOES NOT APPLY SIGNATURE I 1,_- Is ;. L DATE 111/180
Sp
SERVATION COMMITTEE: YES_DOES:NOT:APPISJAIGNATURE i , 1.10 O. DATE 7�1$1EO
0 BGARD:
YES DOES NOT APPLY SIGNATURE DATE !!!
O::::INF HEALTH YES✓DOES NOT AFPLY_SIGNATURE DATE?//0
FIST: YES DOES NOT APPLY _-SIGNATURE DATE
COMMENTS: %
�l
/1-- 0-
DoT zo7) Q .
7.0 - ,
..Z a -7- A 4 I 7 4.1
aO8 �,oP ;/: 0 �1
y '� (Y9J kk
l _x-_ 40, 7 0
• , f0, -•wk, . .
- /.3 o ' t- y :: ' 1
\.... .
.CNO.
(�orao9) .
•
-woe: A I E Bozoae's
CERTIFIED PLOT PLAN �oTE: -7-.04....0,= •cov.".404QTro�
L 0 C A T I O N:JY&5 YA.e/P1O are/ ,.%14 S • 1 i.. J;4 4.�BGYJE j-
SCALE: / ": eO' DATE: SEPT. /4, /,`977 .t ' . .. -
REFERENCE : QS/^/G „e_.:::,% e,:::43 .QS .5.6,820%✓ "i'` • .S 1i
o -' °G.q.✓ .eaco.eOE 0 Ar-
SCE9�...1/7
' 's -,c gGE .EEG /slay 0,c QE Fpr7
v-c/ .ZLA✓ .6.00,c e �-cGS /< , DATE
I HEREBY CERTIFY THAT THE BUILDING REG. LAND SUR VE R
SHOWN ON THIS PLAN IS LOCATED ON
THE GROUND AS SHOWN HEREON AND
THAT IT GOES CONFORM TO THE ,r?q,' '`•4.1,
ZONING SETBACK REQUIREMENTS OF ±fi'
THE T 0 W N O F >- led noclr/1 r- .2)
WHEN CONSTRUCTED . Sv
C M S ASSOCIATES INC . � y 73ae. '�
, r o
REGISTERED ENGINEERS d LAND� SURVEYORS x.11 e't�'�T`-� c,SI
MID -CAPE OFFICE BUILDING - 1265 ROUTE 26 �'yi�D 'l"'+``
Tl-/-'SL SOUTH YARMO UTH, MASS. 02664 �h"' �Y�