HomeMy WebLinkAboutBLD-80-405 506 61—S 21
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�� No LjO<
S.. f tl: Application for a Permit to Build
Fee must accomp y this application ff�� 1
7
Yarmouth . SIL.It fi...19...gt )
, t- �o
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications::/ //
1. Name of Owner Recker(Gk F / . a-rb ii Address '/1 ' JQOGk £t
at, yarlu6c_ttt,
2. Name of Architect (if any) N//f //
3. Name of Builder ROCtp Firtkirtp `! , Ifico74 for/2[t72-e 7k
4. Precinct No. 3 ?J A 71 Plan: Name or No. 411• A9 Wo27,
5. Name of Street /// &r a4-L-o c.4
6. Purpose of Building /0e X!DI Pott lc e nsi
7. Material Cet-tt,eY(t -f/DOr — lUele —Pnc/vafir Cel‘
eeNS figs (zehT
8. Estimated cost of building sC,6 Q C7
9. Dwelling /"/04-.
10. Cottage Me
11. Heat
*rig. Mo
12. Basement NO
13. Garage 1(10 ,
14. Store Ak
15. Shop
16. No. of stories Dire- ^,
17. Is there to be a Store in the lower storey �'Vc)
18. Size of Lot. No. 'of feet front /OD ' No:of fee`iAear 100 No. of feet deep LaO
19. Size of building. No. of feet front id No, of feet side he No. of feet rear ...�!.Ii
20. Distance from nearest building: Front
L�l/.....�:Q.Q * ft.; side 9.S* ft.; side.A.7.T.t4tit.CAft.; rear ROI
21. Distance back from line or street....<.f....7.. from rear lot line 3.: t , side line a:.�f..................
Show by diagram the location of propsed building with relation to distances from adjoinin lots, on reverse side.
Name ''nn(n� -- y
Address d 3 L tf,.6
f-cad./f-�, it1as.s
01 1-6 7
-1
ti/
Street Name d
U
oLett Side Depth of Lot /;�
r
Z
NA
P
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r ®�
Q I P %-t-N.--4S
vit
^
Right Side Depth of Lot ._....�OV'
•
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Street Name
e
SI
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ci
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i� Yemsa�M fS 1t vh '
BUILDING PERMIT REVIEW
APPLICANT: e o P14 BLDG PERMIT NO:
LOCATION OF PtAOPERTY: Lf / 8 v .*. Abort-4 S t • 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
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: J " nf�
A) ENGINEERING DSPARTMENT-FOR PARKING AND DRAINAGE D�
REQUIREMENTS, TOPOGRAPHY SITE. PLAN '
REVIEW.
B) CONSERVATION CdIMITTEE-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, SWIMMING POOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). ' .
p. G DEPARTMENT: YES/' )ES NOT APPLY_SIGNATURE f .. 1 E .4. • - DATE 7/144E50
CO ERVATION COMMITTEE: YES_/DOES:NOT-APPLY SIGNATURE • � - DATE 7 1'/fl
PLANNBOARD: YES DOES NOT APPLY_SIGNATURE DATE
BO OF HEALTH YES-DOES NOT APPLY SIGNATURE 63•e1 DATE 7
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS:
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