HomeMy WebLinkAboutBLD-80-418 6 ti 6;q4
• No. 1 d
Application for a Perm't to Build
Fee must accompany this a plication
Yarmouth 7/Z_ 1 19 20
TO THE BOARD OF SELECTMEN
1i V
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner , to
&Frce' T /\ 4 > Address . zS 60IL,77 Ai L/V
Cu. 1/4M2n'ocira
2. Name of Architect (if any)
3. Name of Builder 4.5-4/n.c
4. Precinct No. 4 Lot No. 50 Plan: Name or No. Q.M. 46 - FSO
5. Name of Street 1--)SuAir/,v( tearn b
6. Purpose of Building C .:05.e.' ///- ' 6LG(,aa
7. Material 4) 90
FJ •
8. Estimated cost of building /000. c c
9. Dwelling
10. Cottage
11. Heat
12. Basement
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey
18. Size of Lot. No. bf feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front 0 No. of feet side /7,--I No. of feet rear .....l...i?
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 adjoining lots, on reverse side.
Name /.Ihii...r
Address Z � rtt't _lu. M-4 7,63-K..
Street Name rt., U<£i._
r _ Left Side Depth of Lot
—t
z
z
to '*J PP
z
o o
N
'lam c
-1 �I 4
-n k 0, r
r • 4 Col
C n 0
• 5'
Right Side Depth of Lot ._
is • j '
• :1
Street Name
BUILDING PERMIT REVIEW
•
APPLICANT:/JE,f,PBS/ �(�/ C/ BLDG PERMIT NO:
2 n-a
LOCATION OF PROPERTY: . J. 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 COW1MITTEE-IF LOT BORDERS ANY TYPD 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, SWDIING POOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY:
ENGINEERING DEPARTT IT: YES 40ES NOT APPLY SIGNATURE f. _i a DATE 1/24100
CONSERVATION //CO1M TTEE: YFS_DOES:NOT:APPLY /SIGNATURE •j., F I._ DATE 7/24/So
PLANNING BO RD: YES DOES NOT APPLY SIGNATUREDATE
BOARD OF TH: YES-,DOES NOT APPLY SIGNATURE 43/1....,%-A.-.1 DATE/2141 DATE/.21
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: