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HomeMy WebLinkAboutBLD-80-448 qt)- . 1/4 a9 s � b� Application for a Permit to Bui d No. Fee must accompany this application �-6C- ID Yarmouth % Z 19..E TO'THE BOARD OF SELECTMEN '.. ; The undersigned hereby applies for a permit to build, according to the following specifications: p d oat. 1. Name of Owner 94atJ�/-77 \/ Address G y t/V �3o V 2. Name of Architect (if any) I/ (J v V 3. Name of Builder A.IM. z r - E-'2-1- 4. .z.s4. Precinct No. Lot No..Q t .i Plan: Name or No. J1 5. Name of Street 60..e aj Pel OC 6. Purpose of Building (22v VVt 7. Material WptJ. v r� 7 8. Estimated cost of building 0 9 7. U�j2 '7-7! � 9. Dwelling w O 9 S Hen. 10. Cottage 11. Heat 12. Basement 13. Garage 14. Store 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 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.. ,...144) 9 Address..4..V/� �1 tti / I, l .7 IJ`J}��cta Street Name au p Left Side Depth of Lot re IPS OMD se w es a) m O z Ov O r 0 m - o s w , 1 inm r t ..MI.. • Right Side Depth of Lot i Street Name :�i1.> BUILDING PERMIT REVIEW ♦. a _'4 APPLI6AN TGere BLDG PERMIT NO: LOCATION OF PROPERTY: /�, i�f/ r. , DATE FILED: THE FOLLOWING CIEOK4OFF SHEET IS DESIGNEDCLARIFY 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, PONES, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC. C) CHECK WITH PLANNING BOARD FOR LOT RELEASE. - COMMERCIAL BUILDING: A) ENGINEERING DEPARTMEIT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN REVIEW. B) CONSERVATION COMMITTEE-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). REVIEWED BY: )}INEERThG DEPARTMENT: YES /DOES DOES NOT APPLY SIGNATURE �� - L : , DATE'? 3/ n i CONSERVATION CCtTMITTEE: YES JDOES:NOT;APPLY SIGNATURE • _ nwEi01419 YESDOES NOT APPLY SIGNATURE DATE 06ARD OF HEALTH: YES:; DOES NOT APPLY SIGNATURE it as ,rLV DATE FIRE-nEPA-RTmrNT: YES DOES NOT APPLY SIGNATURE DATE COMMENTS: ret i'v`Q 4 Tri t 4 t c I *At le\ \\C, hvb •a • - I I i ° 867 , f © ✓ a e�= . x.56• I E5 13 f 7 B77 21 �— _ 01 f i I ' ,�. ' n I .m � - _ __ ® t , I ' \ -- EIS �` a lEL MI/� 0 4 B74 � .�1.• 52 s,. 6 vq S ]- .Zo B 73 / V5T ; 1 L2 "t ____L--- ! tJ� IA ',1 C95 14 C 99 — q ' .1I ' C92 32 hi ( `'�� E19 l I Ti, Na- l l r 'Z 11 I91 ® 20 ' ''L '' / ` 1 C •4 _ HS ,s 1 I 1 19 ; E20 • - .30 -' - e TOWN `' C90 g 1'32 ' tri si in 1 i0/ /01p2. D1p I '1 a rel _ �. II 1, 11 31IJJ - E 111—L,. .1i • D'o • t ip/41 , : l 38 - A /. 4 .TIS . — y44 . 1 / 113 Dll DUI 1 246 ' ,S 5g ,. 111/1 11 0110 1 — — _ 1 / *;t,. X 22 1 of 08 CoO a IV `fib ,/wn a�9 61 E `Q TO aW le ,J � ,zl - � ; . / O -, S1 n E25sif -- : ; 11 I®1 Q1 .22 ' J 5122 !tom. , ,-#,4 1 4)123 • �6 5120 1m1f ff 13 I i 51 m 726 -- -- � Z 22 \ — — !: s13f S13p . ..:4 Si24 ■ z iThi 0 70 217 _d, da ,, °:.d f6 • 4)128 11 - 61 ; s r •16 0 �r�} q'' ,i 720 i Sf27 Q. , 24 ;Y/ r. r T /�.�� 7 � .,a 1 T29 .\ , _4Om `U " 6 1 . 04 - __ -- t,,w ,irsys-oto rrJJ p, t h l� Si41.11 (SI4N 7 ti S/3g 513 ^�q' �J / 4 it 229 6 r )'11.3, IJ J .. 22 t fl I m - — _�tii - r, aT , , !I-3 , •22 ' •22 — , ,.,- f • Q ' Qsl '•2S� 733733 1 6