HomeMy WebLinkAboutBLD-80-409 'oh e2-7 0,S,..-
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t Application for a Permit to Build N°' 1
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Fee must accompany this a plication
Yarmouth Fp-1"'r..1.1h.(1.J 192 ..
71)-�— p \
TO THE BOARD OF SELECTMEN
The undersigned hereby,� applies for a permit
�to build, according to the following specifications:1. Name of Owner M 4./A Yl 4?)• 7';RC y Address -58 '7 fosPr=cr nue .
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2. Name of Architect (if any) --
3. Name of Builder'
4. Precinct No.-4 Lot No.. , 7 Plan: Name or No;A �l / gi- 'Z7
5. Name of Street 34OSPECT ,le'e 4, I
6. Purpose of Building "L� G'4' 6/
7. Material W o>
8. Estimated cost of building /9--///‘ dilld
9. Dwelling •--
10. Cottage
11. Heat.-
12. Basement ''Y
13. . Garage -S'
14. Store
,
15. Shop
16. No. of stories --
17. Is there to be a Store in the lower storey .C)O
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18. Size of Lot. No.'of feet front; �Y' :V).Of feet rear 1-5-Y No. of feet deep .l..1i
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19. Size of building. No. of feet front Li No. of feet side yS/ No. of feet rear /1
20. Distance from nearest building: Front ft.; side.....anpi a:5O...ft.; side ft.; rear
house- 42' hou<e 20 hcuse- 2S
21. Distance back from line or street Q' b St ' - , from rear lot line d:.JJ' u 3 ' , side line `f.'- l' R
Show by diagram the location of propsed building with relatio 'stances from adjoinin everse side.
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Address SS oPEC,rL/m/E
A• Vcrofou TN
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Rear of Lot •••-5-7//
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Frontage of Lot .5-r
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Street Name �RoSP�CC �
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• PLOT PLAN '"
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BUILDING PERMIT REVIEW
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APPLICANT:_4(4t.1 ,,err - 0 / q,. y BLDG PERMIT NO:
LOCATION OF'PROPERTY: 55 r nr,aEc7-• yE • DATE FILED:
i PPE.5r: gikwoury
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 CODR4ITTEE 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 CO!jMITTEE-IF LOT BORDERS ANY TYPD OF WETLANDS.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
I)) WARD 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). . `
•
REVIEWED BY:
1�
1' �
E`ICGINEERING DEPARTMENT: mg ✓ DOES NOT APPLY SIGNATURE �•.ZS F Imo_. DATE '1121,1_8?)'1121,1_8?)WNSERVATION CQ•4DITTEE: YES /
DOES_NOT;APPIY /SIGNATURE 1. 6 .I._ DATE 7ZIr8o
PLANNING WARD: YES_DOFS NOT APPLY_SIGNATURE / DATE
DARD OF HEALTH YES DOES-NOT APPLY SIGNATURE DATE !/of/ a
FIRE DEPARTMENT:, YES DOES NOT APPLY_SIGNATURE DATE
COMMETS: