HomeMy WebLinkAboutBLD-80-413 il
l4 re.14q l 3
i'1, . aa Application fo a Permit to Build No.
i
Fee must mpany this application
Yarmouth ... 4472r 19:0
TO THE BOARD OF-SELECTMEN
•
tThe undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner UJ o/c9 e 9 fl/J,La44tV Addreetss /S i// cc;ed ..a., L/9�e
2. Name of Architect (ififany) �/ r /
3. Name of Builder t24f,00.5 3 •1 -
4. Precinct No. 4. Lot No. 2,2 ' Plan: Namesot=No: A.M. 43-Cal
5. Name of Street /j tai J oo y L/g1f/C.— ;, "/y
6. Purpose of Building 7-00L _..5)/5127d fit.0, .cia N T(J71-_s.
7. Material (A./ 00.
`< / a may/
8. Estimated cost of building ✓`s0 4'
3 ,v
10. -Cottage ./r;
11. Sea- Aid
12. Basement A/0 ,_ )�-01C/97e-
13. Garage /`/ /%4 �,C1�'Ci
14. Store N0 C9X /e f,
15. Shop /4/0 /l O
16. No. of stories /
17. Is there to be a Store in the lower storey../14
18. Size of Lot. No. of feet front ✓fes No.-of feet rear -9-49 No. of feet deep .---..�
C / /
19. Size of building. .No. of feet front f7 No: of feet side ' No. of feet rear .�
' 20. Distance from nearest building: Front `-ltd ft.; side— ft,; side...,,%') pf .;.; ...��"
rear .fer
21. Distance back from line or street .11-- 8d from rear lot line (7 % side line 'SZaT /15 st
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name.`%
Address .lit/,...`
(11/2.2... -,
-
• Street Name ...0 / .-•9-2e-Cat 0 .
/ ,
- p Leh Side Depth of Lot ���
—1
r •OP aill IMP
• Z - '
it
.a, op.
o
Z +
0
1 i , b
k,
rk ,
' 4\ ..0 ' \
CI - a \
i
I.
\ L-—-—"H‘ \::. jj—..„...... C:1/4 il\ ,
t, cts' .
Right Side Depth of Lot . /./: . }
.7'
Street Name--"
ame yam .. .wj,.
j
<..;
BUILDING PERMIT REVIEW
APPLICANT: efisc, �,9acfJeO6 9. 1 BLDG PERMIT NO:
LOCATION GF: PROPERc-Yy`� DATE FILED: 7' 4/ til
Arirnat
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) FIAOD
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 WTEAMS.
•
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 COM+AMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
1) 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 POOLS,RESTAURANTS, ETC.
E) FIRE DEPARTMENT FOR PROPERTY PROTECTION„PERSONAL SAFETY, (SPRINKLERS, SMOKE
LF;TECTORS). .+
4. G
REVIEWED BY: •
ENGINEERING DEPARTMENT: YES ✓ DOES NOT APPLY SIGNATURE to E S DATE 7/Z418a
CONSERVATION CCPNI TEE: YES DOES:NOT:APPIXZSIGNATURE I_ _;� E r. .. DATE 7`24/9.2
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE / DATE `
BOARD OF HEALTH: YES ` thES NOT APPLY SIGNATURE ' Valk" DATE 4F
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: