HomeMy WebLinkAboutBLD-80-417 ,1t / No. 4..11
Application for a Permit to Build
Fee must accompany this pplication ff y
J.
Yarmouth �" -I19...150
-7-.2 'tip
TO THE BOARD OF SELECTMEN O 3,C
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner NOYMAN Si SSEy f.viivt Address 3OUJ4S.1L. . ///
.n.
2. Name of Architect (if any) .vo ME \\.,
3. Name of Builder LIR gy PrIeoso.v
4. Precinct No. 4 // Lot Nil,13 3 Q Plan: Name or No. ,vo'„C.
5. Name of Street3ow'R6ten.1 A.M. $8 -A13
�, ' r
6. Purpose of Building fly 1 K TN C(051+ 1/4., '/��??
el
7. Material Wadi T-vignie1-1 `
G�J l . (n r •
roe c„ate r
8. Estimated cost of building $0 O1 ---
O D�?i o u f
9. Dwelling
10. Cottage t�1`1
11. Heat P*MS
12. Basement 3 a:` 8 40 F . JJ+Tv v tu/Fai 30.-',
13. Garage
14. Store y
15. Shop 't�r—'
16. No. of stories / CI Q,S►
17. Is there to be a Store in the lower store
18. Size of Lot.k6 No. 'of feet front 'A -^3 CNa.o[feet rear No. of feet deep
19. Size of building. No. of feet front (v No. of feet side ....... — No. of feet rear
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street from rear lot line side line
Show by diagram the location of propsed building with relation to distances from ad'oining lots, on reverse side.
Name.. de-1-7
Address /f 21 f Kt',/,' Q rar!It b Y Ga(� j.
Street Name r
f,
pr Left Side Depth Of Lot •-- _ )r
-I •
r .. IS SO
Z
keTS C. o
� �• r� -
o
/t O
o~ •
in 1 j '
N
ti X ? `
..
tr.— • r tr 5 l 1 -
rtic:1113K - „.... > ,
ti •
r • f
Z •
s et
L
0
ts
I N o N. ,
5
Right Side Depth of Lot . t /�Q-
.... l
r i C -
T"r S .
r / -
. Street Name
. ^,i
r. -
�
Tr
•
T.: _.
• - !i n 0it- -
- --- 1i I]
— 1--- (V-, _i . i [lc _. N _C.-1-
1 -.
t
I•
. _ r
\y/A.-1_ s_ Cu T- cc,-..,_Lc. A-PP Tu,s..
# 2 i.1 V'-� ',iv'”...1 n.r.+f 1 , I fi :Do-an. .ID wdis� our AI.nom.'..
I 4__ f 1 i i .
_ �► o .
�C-.... 1- • ..„..r---_,,,t;'r":`—_-:„.......,;.•=„4„,:a• pc ,ate= 7 .- _t. ,-:- :� rL ft", -a-'"c'..
I I
o 1 0 '1 ys
•
rl
•��' /
Ll � � �
'
•
H
I...i.____1
/ c
r t? pp ��`- 4bc T -
I'-
', i
CI
L- /_ , 1 1
- / , !
•
•
• 4i .
0 - — — r wa - 36 0' —
egirp,,,i, \., ,
re of B
re of BUILDER O// IA .
7 .5s Gl, r. — Lam, _.e
GJ X'
/
/ z / Bo
stk.
BUILDING PERMIT REVIEW
r .
APPLICANT: A/o;.,.nn,v '.vw�'
StSSs .�cs5 BLDG PERMIT NO:
LOCATION OF PROPERTY: ,Coj/3 3d Wf>R ALe. /ten,_ • 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 COfMITTEE-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 REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING FOOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY:
ENGINEERING DEPARTMENT: YES v6
ES NOT APPLY SIGNATURE rj _,4112!, Af.___' DATE 7/Z4/80
CONSERVATION CCHMITTEE: YES DOES_NOT:APPLY ✓SIGNATURE 1..___r E. j . DATE 7/z 4/Ro
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
BOARD OF HEALTH: YFSI�DOES NOT APPLY SIGNATURE 4 DATE °1/A
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: