HomeMy WebLinkAboutBLD-80-421 (.2-\- :ea .pletetezr,\_,-
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No.
Application for a Permit to uild
/ Fee must accompany this 'cation
Yarmouth ...l.,l...w`ssV
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner-Z-psC ,�/�.��bJ� Address O cS2;\r e c, C°
2. Name of Architect (if any) N 0.44 2
3. Name of Builder „—(Swy`Qy"
4. Precinct No. 3 Lot No.e7 i a?� 2 3,214 Plan: Name or No. A� mar? a 9�O -a-1
5. Name of Street Wit-Q..-1/404 Nett f//Sceitit
6. Purpose of Building Fr v,„• 4C) e S S*C),.&d CTemp) 14, 114
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7. Material W e O c oar. /s Til
8. Estimated cost of building d O . 6, •
9. Dwelling — .3
1� f
10. Cottage 1 6.o O
11. Heat
12. Basement
13. Garage
14. Store yes
15. Shop .-
16. No. of stories /
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front �� No, of feet rear 20 v. / No. of feet deep /a O
r / G � 2. 'p
19. Size of building. No. of feet front ./ No. of feet side No. of feet rear
20. Distance from nearest building: Front ...4 1°- ' ft.; side.....Jot "k- ft.; side ' 3.7 ft.; rear lG o Is
21. Distance back from line or street , , from rear lot line 3c 3- , side line 5
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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Rear of Lot
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Frontage of Lot `�"'"
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Street Name ' . . _ 1. ..
PLOT PLAN
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PIICANT: r 'J -1 e �7 •/• • •''•':'-:. y BLDG PERMIT N0:
CATI0.Y OF PROPERTY: Y i . - • DATE.FILED: 7
Tlj4E FOLLOWING CHECK-OFF SHEET ISDESIGNED TO CLARIFY THE -PROCEDURES AN-INDIVIDUAL. ,t_';
ST,FOLLOW IN• ORDER TO •OBTAIN• A PERMIT TO BUILD OR ALTER .A .BUILDING. =THE BUILDING.: ' _
PARTMENT •WILL•CHECK•ON THE.-FOLLOWING:- (A); CONSERVANCY 'DISTRICTS, (B):1HISTORICAL : --.--.•,•2•1:.
STRICTS . (C);'FLOOD, PLAINS-'ZONING, AND WILL BE-RESPONSIBLE FOR ASSISTING THE=-
PCI CANT THROUGH=THE FOLLOWING AGENCIES:,c- _ _ - 'j'-•
_ '3:.. y�1•' .,f• •_ _ - _ .•Zai _ .S _
- RESIDENTIAL BUILDING: - - %.-= - _ _. _ 1 •
A) •.CHECK WITH THE HEALTH DEPARTMENY,I.N REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
▪ -••• 'DISPOSAL `�-':.. 7r1 - • • 1r .",.-7.:•- '
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• .6) CHECK WITH. CONSERVATION COMMITTEE IF THE' LOT BORDERS ON ANY TYPE. OFWETLANDS. ...
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- EXAMPLES:. STREAMS,.:PONDS, _RIVERS,:OCEAN, BAY, - BOGS, MARSH,. ETC: : : _-. _•'
C) CHECK•WITH aPLANNING BOARD'FOR•10TyELEASE _ •'J=-"-_ _ ___- •••-_..
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COHMERLIAL BUILDING: _ • - - _ _ - - _
r'd --• •yam• _ :i �^:j ::� _ -_ _ -�� i`5-� - :!-
A)_:, ENGINEERING DEPARTMENT-FOR•PARKING ANO DRAINAGE REQUIREMENTS,. TDPOGP PHY SITE:-,,..-:,, .
=t-- •.-. . _ram _ �•-
J . . PLAN REVI EIl.._ - - - (`: =__ - ~` - `.:: -_-_--- - =p. _• 0 "' - '- •-; _• _ -..
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE JOF WETLANDS. . -*:� -_:'=:... _ -
C) PLANNING BOARD iTO EE IF LOT•COMPLIES WITH ZONING BY-LAWS. - - r:
D) BOARD OF. HEA •
LTH-EA.
DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. . ' '-,
EX!\MPLES: ' SAUNA . BATHS, SWIMMING POOLS, ,RESTAURANTS, ETC. : • _ . - -• _ _
"E) ` FIRE DEPARTMENT-FOR PROPERTY' PROTECTION, PERSONAL SAFETY, (SPRINKLERS, _SMOKE •
DETECTORS) L; e 1 ••.� _
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INEERING DEPARTMENT': ` •YES • •DOES NOT APPLY- SIGNATURE: jill _,.--- =
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