HomeMy WebLinkAboutBLD-80-440 9 LI 9.{ 7Cea
No._i... , Yl
a� Application for a Permit to Build
Fee must accompany this applica
Yarmouth r — 19....
82)
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permitertoo buuild
_, according to the following specifications:ci �7 �/
1. Name of Owner j t/?w/Ilieri �d'!'/ u/ Address d0 T/"e ntfoi/ / /Hr.4vs '
2. Name of Architect (if any)Paha
3. Name of Builder PGr7Aa1d (7)41/50a/ i.. '::
4. Precinct No. 2 Lot No. 17 Plan: Name or No. A t4. t.Oz^z r (too SCAL£)
5. Name of Street 30 Jh2Pirna-14
0
N
J
6. Purpose of Building/ Qtrp`ge cy/9✓/ e W D T�e(T CEY7k//d ry
7. Material Wee I/_
42---
8. Estimated cost of building f�Id D 1____J
9. Dwelling 7tel'A .
10. Cottage
fj� _
11. Heat s S
12. Basement
13. Garage
14. Store
15. Shop
16. No. of stories 2-
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
/
19. Size of building. No. of feet front ./.0 No. of feet side i l No. of feet rear ..l.Q!
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 relatio ces/:. a lots, on reverse side.
N:
a..y // 18
-
Addre • .fr'/9.1.` r.4t-da..A.a,,e.
� .- •
a 1 1. d` ''� '. �/rr
t�
P.
•
Rear of Lot
3yrat
v' S
a.ao`'; . .�-. < "1"‘/1 kix\Vsl - 4.g1/4‘ `� X21
`\ 7 spLmec 1rW.N3
•
4,4 e% 3
IS
c t�` Eyi6TiW4 f�d�BC
I �v� ♦ t g
g
i Q , z
z
" iii 63dft
Ea u
h
P
Frontage of Lot
Street Name -`-- '+\
_+ O
' PLOT PLAN .
BUILDINGlPERMIT REVIEW
APPLICANT: �f�M/ d' r rhe p/� l;yWyt✓ BLDG PERMIT NO:
LOCATION OF PROP: �kji/R . Lntlir* • DATE FILED: •g—Vivo
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
'ILL 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
4GENCIES.
IESIDENTIA.L BUILDING:
4) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
-) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC.
) CHECK WITH PLANNING BOARD FOR LOT RELEASE.
)ANERCIAL BUILDING:
) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE.REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW. •
) CONSERVATION COP•4MITTEE-IF LOT BORDERS Alit TY PD OF WETLANDS.
•
) PLANNING BOARD- TO SEE IF LOT COMPLIES ,WITH'ZONING BY-LAWS.
) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMIENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING'POOLS, RESTAURANTS, ETC.
r
) FIRE DEPARTMENT-FOR PROPERTY PROTECTION; PERSONAL SAFETY; (SPRINKLERS, SMOKE
DETECTORS).
EVIEWED BY:
,/INEERRING DEPARTMENT: YES 1D0ES NOT APPLY SIGNATURE • E. Sa1.a +. DATE 8!6/80
�
'NERVATION COMMITTEE: YES DOES_NOT-APPLY ✓SIGNATURE _• I DATE 0486
80
ANNN h BOARD: YES DOES NOT APPLY SIGNATURE o ' DATE
\AF OF HEALTH: ES NOT APPLY_SIGNATURE ' ���Z1��C�N LJ DATE IrA/IP.
IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE ( DATE
MMENTS: . - - •