HomeMy WebLinkAboutBLD-80-445 I
v 70- 5x77 A
66 LI 11-(
44 1, y ` lApplication for a Permit to Build "No
Fee must pang this application
-
Yarmouth 4 LAG-- 2 19. t
TO THE BOARD OF SELECTMEN
The undersigned hereby applies fora permit to build, according to the following specifications:
1. Name of Owner Mg. 4 MRS €14-430.42r+4 gEA.D Address Zg- rA4N^ a SN A1sTTer l t)t- &' �C
2. Name of Architect (if any)
3. Name of BuilderTAVEUparer T3t.'DC.N Co 20 N. U AM \ Sr. So.VArt.
4. Precinct No. $ Lot No. rrt Plan: Name or No. A.M. 70 - J I77
5. Name of StreePiravvis O S ttAast—C_ "U A
6. Purpose of Building E ii C L k €1) 1>0201,--fr t
7. Material a z Ca. . 3ETT1Z / 4 / PIE
8. Estimated cost of building 40Z30°cm. I
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9. Dwelling Lifi5 / 7i ,
10. Cottage (�0 //—
11. Heat o .3— & •
12. Basement �a I
1. 7
, f
13. Garage a yg p'
14. Store itd (J IJ
15. Shop MO v D
16. No. of stories 01LI�
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 No. of feet side No. of feet rear
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 distances from adjoining lots, on reverse side.
Name n1—.'" c(3.4 �- �.? . �si...4
Address...20...13,.....SI.M"1t+.earw .... 4...
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Street Name
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0Right Side Depth of Lot. s', .y
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Street Name /
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BUILDING PERMIT REVIEW
APPLICANT: M(-4+ Uah S 34/. .5€4.0)72411-1 , 1 9.s-t BLDG PERMIT NO:
IOCATION OF PROPERTY:23 sr-Am , ye.4.gfl et tuts Y ' DATE FILED: fierce '7 (fire
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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
BILL 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.
•
tESIDENTIAL BUILDING:
4) CHECK WITH THE HEALTH DEPARTMEIT IN REFEREIICE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
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) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYFE OF WETLANDS.
EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC.
-) CHECK WITH PLANNING BOARD FOR LOT RELEASE. •
-�
)MI+ERCIAL BUILDING: '!
) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN'
REVIEW.
) CONSERVATION Ca MITTEE-IF LOT BORDERS ANY TYP➢ OF WETLANDS.
) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAS, SAFETY, (SPRINKLERS, SMOKE
DETECTORS). .
FVIEWEN BY:
/
,I /INEERING DEPARTMENT: YES V DOES NOT APPLY SIGNATURE . 1 �. I , _'. DATE 8/8'80
R7SERVAATION CCHMITTEE: YESDOES:NOT:APPLY "SIGNATURE f__ _ . , € I , . . _ DATE 8/8188
ANNNTNG BOARD: YES DOES NOT APPLY SIGNATURE DATE
HARD OF HEALTH: YES t DES NOT APPLY_SIGNATURE , DATE___
'IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE �J
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OHM-ITS: '
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