HomeMy WebLinkAboutBLD-80-402 •
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i�� • . . Application for a Permit to Build No.
1 j Fee must accompany this application
Yarmouth �/8 19D
TO THE BOARD OF SELECTMEN
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The undersigned hereby applies for a permit to buillId, accordin o the following specifications:/
1. Name of Owner ltjilVc tj "TO&WetI l4 Address / f hc. is I /Gcf
2. Name of Architect (if any) ""—
3. Name of Builder
4. Precinct No. 3 Lot No. 28 Plan: Name or No. 7$- SZ$
5. Name of Streef( `i LQi-L L 'cJ . / p
6. Purpose of Building S L F(,/ / a •
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7. Material o o c� oc �'� ���� -`__
8. Estimated cost of building — /A.7 Q d•uJ
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9. Dwelling
10. Cottage
11. Heat 1
12. Basement
13. Garage 5 4ec\ • .
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14. Store
15. Shop ,
16. No. of stories
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 .1 t No. of feet side ..„...)4” No. of feet rear a /
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street ' l , from rear lot line ,!�jr/ side line
Show by diagram the location of propsed building with relation to distances from adjoin' lots, everse side.
Name L.1 1.... . C
Address /.�..........i.Y - 4.C..t... I Acc .
Street Name
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. y 14
0 Left Side Depth of Lot �7•
13
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CD " . - sr . % 2
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in —CS
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Right Side Depth of Lot .
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kStreet Name ..................... _�"
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BUILDING PERMIT REVIEW
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APPLICANT: ' w to e ViP/ 1 `. BLDG PERMIT NO:
LOCATION OF PROPERTY: 9J J�c� rt, Rd 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 COIMITTEE-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 REQUIRaENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
•
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
R4EERING
VIEWED BY: /
DEPARTMENT: YES✓DOES NOT APPLY SIGNATURE 0jjelts.0,4 DATE
SNSERVATION COMMITTEE: YES DOES:NOT;APPLY ✓SIGNATURE illskaAV DATE 7ft8f80 .
• • G BOARD: YES DOES NOT APPLY SIGNATURE DATE
:o • . OF HEALTH: YES ‘' ..--
DOES NOT APPLY SIGNATURE B• DATE 7/ rAO
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: