HomeMy WebLinkAboutBLD-80-404 C012-0-
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No. ( 6 1
11 Application for . Permit to Build
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Fee must 4, ompany this application ��/
Yarmouth �/�f-17—AP' �° 19.5 .9
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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 4 wil Or pA. tccti'±� h p� Address /0P- RitiIOdJ s( Gal ee byd
2. Name of Architect (if any) (u/ute/t
3. Name of Builder
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4. Precinct No. .Z Lot No. • Plan: Name or No. )44
5. Name of Street /02— I.A.A.a 04-/ 7 n I
6. Purpose of Building /27//..V)_k/ S 'b44y-C,
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7. Material c . J
8. Estimated cost of building
9. Dwelling NC' -
10. Cottage NCS
11. Heat A,Q -
12. Basement /l/Q
13. Garage ,VQ
14. Store Ad C-'
15. Shop )Q.f 7co///_n,
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16. No. of stories / `I""
17. Is there to be a Store in the lower storey NU
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
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19. Size of building. No. of feet front /L No. of feet side ....,d° No. of feet rear ' rJ
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street from rear lot lin , side line..
Show by diagram the location of propsed building with relation to d' 'aces from adjoining� nlots, on reverse side.
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Name.... ""e�£f....x.4tl... x--f^-- cgcrl eeinicc
//Address / G � . . 4 S 4 7 ..yn'
Street Name
Left Side Depth of Let
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Right Side Depth of Lot
Street Name
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ofro-•'" I BUILDING PERMIT REVIEW
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APPLICANT: -` own/ or••r-' f 4R/2(n IA BLDG PERMIT NO: -..
LOCATION OF PROPERTY: /o.;._ CtNlc�,. ✓t fp�ciEC(pJd'• DATE FILED: i) 7/Q40
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVILUAL 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 WETLANTS.
EXAMPLES: STREAMS, FONDS, 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 COP fITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LAhS.
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).
REV BY:
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G DEPARTMENT: YES DOES NOT APPLY SIGNATURE 1 l.lw4 E ,CJew.& DATE 7 fI t4SQ
NSERVATION COMMITTEE: YES_DOES:NOT:APPLY/SIGNATURE Rissi , ejia..LeLls DATE -411)80
YES DOES NOT APPLY SIGNATURE DATE
ARD OF HEALTH YESDOES NOT APPLY SIGNATURE YJHATE tti e`r el
FBRIT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: 5
� Application to
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ati:o
• ° i,. Old Kings Highway Regional Historic District Commits .4,,„,-..
an„ ' " .,c0C�
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in the Town of Yarmouth for a .02,\;‘"" 07.3
CERTIFICATION OF EXEMPTION 2%
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Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6tand 7 of Chapter 470,
Acts and Resolves,ot Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo.
graphs accompanying this application.
TYPE OR PRINT LEGIBLY • DATE lime 10, 1980
ADDRESS OF PROPOSED WORK 102 Union Street ASSESSORS MAP NO. 103
OWNER Town of Yarmouth Water Department ASSESSORS LOT NO.
HOME ADDRESS n/a TEL. NO. 362-3531
AGENT OR CONTRACTOR Yarmouth Water Department
ADDRESS 107 Tlninn St-rppt Ynrmnuth Port MA 02675 TEL. NO. 362-3531
-.i This application is for exemption of proposed exterior construction on the ground that: '
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® (1) It will not be visible from any way or public place.
❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
* PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and, if an addition is involved, show-
,I ing location of existing building.
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14' X 28' storage shed to be added to existing meter shop. Exterior siding
and roofing to be same. Existing colors will be the same.
6"" •
SIGNED ' / l/l.//c , /%,: /2c Chairmn
a
Space below line for Committee use. - _ Owner-, ntractor-Agent V
Board of Water Commissioners
Received by H.D.C. The Cer if' to is hereby <as �- - . .,/
77 �
Date Sv4/791_ �' '" 1 /�j/'j�jl/ �•
Time � / lCC . .
By ^� Date �.0d
Approved MI •
The categories of work entitled to exemption are listed on
Disapproved 0 the back of this form.