HomeMy WebLinkAboutBLD-80-339 Li 1
NP
rr f No. 4
G, Application for a Permit to Build
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Tee must accompany 's application
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Yarmouth 2-3 19P
Plija6--a3-0
TO THE BOARD OF SELECTMEN
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The undersigned hereby applies for a permit to build, according to the following specifications: •
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1. Name of Owner f,ZEpfie,c.0 //4t' Address /.23 ge6 '/EL
(/ey u 4,46orsent sr. D4.014,9,24j
2. Name of Architect (if any) /Y/y3 It L •. - •
3. Name of Builder /Y/y SE LF.
4. Precinct No. 3 Lot No. a7/.f Plan: Name or No. A.M. 29- 167A
5. Name of Street / .23 g,aEa), PotrtT Re At.O
6. Purpose of Building y.4c OM:IN Na.nf, (.40Of,-.&N afO.'era". ��o.2Gfl
7. Material ea- AoNc.eerf,
8. Estimated cost of building ,4-ao.77eq 3Scu -. I
9. Dwelling ..sen vctf. / "I /
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10. Cottage 1.---"" /7(2 .
11. Heat • P GAS 1° 2
?0
12. Basement no 0 /
13. Garage /Y 0
114. Store 51 4 S
15. Shop /J U
16. No. of stories of N F•
17. Is there to be a Store in the lower storey /4/0 I .
18. Size of Lot. No. of feet front 4- 7/i ti No. of feet rear 3r No. of feet deep QS 30
19. Size of building. No. of feet front S'77 No. of feet side av No. of feet rear A.0.4
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20. Distance from nearest building: Front /wise ft.; side 42 ft.; `r
side fa ':" ft.; rear icemoi.
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21. Distance back from line or street — , from rear lot line 60.0 , side line _ .1
Show by diagram the location of propsed building with relation to distance rom a joini=, .ors, o v verse side.
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Address ...� .... ./. ... ... ...
Street Name
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O Left Side Depth of Lot
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Right Side Depth of Lot
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Street Name
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PPL I CANT: :_ "' • _ . c=. = '
• •�a:�s,ar�iG� "�'F�i'Lslr" ''.* BLDG PERMIT •NO:�
OCATION OF 'PROPERTY:-- 'fa3 B.eeazr Pts'uf— •J*so .-- DATE-FILED:
1,
.'�-'`�_ .• - _- - - •cam:.i..-.-_ �-..._ :�i _
THE FOLLOWING CHECK-OFF SHEET ISDESIGNEDTO CLARIFY THE PROCEDURES AN-?NDIVIDUAL. - •7-.,?_':
ST FOLLOW IN•.ORDER TO OBTAIN. A PERMIT TO BUILD OR ALTER A.BUILDING. THE BUILDING:--1-4 ,...-
...
PARIZIENT WILL CHECK ON THE FOLLOWING:. (A);: CONSERVANCY DISTRICTS:.. (B)}' HISTORICAL:=• 4 •:;•-•,-.
STRICTS . (C) 'FLOOD PLAINS-'ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE= _- - ,•
PLICANT THROUGH-THE FOLLOWING.AGENCIES:,r - '-`' ' •--C. '...: ::7.7....-•:•.::::::"; .:•.:-•-••••••_. -.
74:-- .:�:---- • - ^r._i^'-- - +'' _ _ - .• t.t • _
_ RESIDENTIAL BUILDING: =_ =
A) - CHECK WITH THE HEALTH DEPARTMENY' I•N REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE • •
- DISPOSAL-`:._ ar - _ _ - =:•-:-•-.- r: - -.• _ • '+::is-— -
s) , CHECK-
WITH. 'COMM.
CONSERVATION COMITTEE IF THE' LOT BORDERS jON ANY TYPE. OF WETLANDS. ..' ' :
• . EXAMPLES:.ES:_ STREAMS, PONDS, -RIVERS,_OCEAN, BAY, BOGS, MARSH,. ETC: __' _:-
-- - •_,.-C:._: - •-.-_ _ = '_ :: .•<..
C)~ CHECK WITH�PLANNING BOARD_FDR • OT•RELEAS ---':= •- -^ -_ .2-4,,,• :;::::..1-
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_ -
-:tom• r 1. 2.:_:.'=::::•---::5:7-1-3: __ [ J• ' "-- -t - _ C:...:,?: �-!�
_ A -BUILDIN .: - _ _-r'._r_`:.: i; := - - _., _^
J.
..:•-...�:.-' �-,�f.• :'..•Y_: Y�..v.r -.:-..?::::-.-..;:;---!r_ : - �' .�•--'- q• -S.is . ..r . SM
• •A) . ENGINEERING DEPARTMENT-FOR-PARKING AND •DRAINAGEREQUIREMENTS, TOPOG��PHYSSITE: ...: 4
'9- PLAN REVIEW_ _▪.-'---' i;•, ,---:-.•• : -.--.•::-:-7.;.•.:1,;-.:.--.1 - •--- .- ;e.. •. '7: -
e CONSERVATION`COMMITTEE:IF LOT BORDERS ANY TYPE JOF 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 POOLS, RESTAURANTS, ETC. : ' - ,•• - . - --.-
"E) FIRE DEPARTMENT-FOR'PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE:- ..
DETECTORS). :. :. -
- t _ _ - _ . _ - . - a.. _ - _ 4.
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IEWED BY: - . -_ : --� _ - -_—. ` _ ;-}
ENGINEERING DEPARTMENT _ YESDOES NOT APPLY SGNATURE. �•-- ;' ' - - It• DAT T, ;_,it
CONSERVATION COMMITTEE:--,YES'•- :DOES NOT APPLY'••• SIGNATURE- _,, :_ ,- t DATE /•
PLANNING BOARD YES - DOES NOT. APPLY:'SIGNATU' ,. _ .:%=• DATE ?.
BOARD I OF HEALTH:i YES -' DOES NOT APPLY it/SI GNA � ��2 Y.?. 'DAT t '-_
FIRE DEPARTMENT:, -.,•. - - •_ YES . DOES NOT APPLY_SIGNATU.- • - • - DATE-> ,
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