HomeMy WebLinkAboutBLD-80-407 J Vec _
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X / 1 . Application for a ermit to Build No.
Fee must acco pany this application
,
Yarmouth ! .aa 19.0
TO THE BOARD OF SELECTMEN
,
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner #ONnel L &.n?,Pc Address S3,'E?7ft'E✓ 'p
2. Name of Architect (if any) , t ?.i;._,
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3. Name of Builder Ce°r7e a/ I � Q , I ..r
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4. Precinct No. .3 \Lot No! /2,2 3 � Plan: Name �T10� /1"M pZ 9 XI- aa3
5. Name of Stme JGtiL leF£H. -vet / g ��—
. 6. Purpose of Building SAM ye - 1roe/IX
7. Material 144Coir
8. Estimated cost of building i 61-0 /900 i_" ' 2-152-15/
9. Dwelling. .41-6ef.� +l/Q�" W o ct`I / e a C.
C 'f .Lr .cio /Ies-<e .S' fie,,
10. Cottage ate / e o
11. Heat nil!)
12. Basement --1<-0 I
13. Garage .-14O
14. Store At.p 3
15. Shop V ,
16. No. of stories i
17. Is there to be a Store in the lower storey
18. SizeofLot. No. of feet front ..../0o, No. of feet rear .ibe, No. of feet deep 7.4
. 19. Size of building. No. of feet front ....2.0 No. of feet side Jr. No. of feet rear 2E0
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 ditta�ns from adjoi lots., on reverse side.
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Address vi .�_ ,J ayyylli`��.�- 1J U04+ O ir/fS
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Street Name
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,( ,` 0 Left Side Depth of 9•725.
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Right Side Depth of Lot _. 7 p
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Street Name
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BUILDING PERMIT REVIEW !y
APPLICANT: 47.._frR�� , .<. BLDG PERMIT NO:
LOCATION OF RO EP,TK• , ,2 Co..R (r 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 DEPARSMFNT-FOR PARKING•AND DRAINAGE REQUIRE'fENTS, 'TOPOGRAPHY SITE PLAN •
REVIEW.
B) CONSERVATION CSIMITTEE-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 POOLS, RESTAURANTS, ETC. •
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
•
REVIEWED BY: .�
ENGINEERING DEPARTMEN): YES V DOES NOT APPLY SIGNATURE Ra� }1 11 Q..i: DATE 1/2.11845
CONSERVATION COMMITTEE: YES DOES:NOT`APPLY/SIGNATURE 0.111a7CA. DATE 717416es
PLANNING BOARD: YES DOES NOT APPLY_SIGNATURE - DATE •
BOARD OF HEALTH:I YESc-" NOES NOT APPLY SIGNATURE DATE?
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
•
COMMENTS: i> met To mg. USED FOR DWEI.t.tu RfRPrses