HomeMy WebLinkAbout1999 Aug 09 - Building Permit App - New House TOWN OF YARMOUTH
',, " Z 6q;/ Application for a Permit to Build Na
UPON FINAL APPROVAL MAP 3 g LOT 6 6
FEE MUST ACCOMPANY THIS APPLICATION. DATE 4- j 19 7 aj
The undersigned hereby applies for a permit to build
according to the following specifications
1. Name of property owner /k?/GQPei) 3 d DeGoTei9u Te1.775=6 960�O
Address 9 GAG i c o Jeo R y✓. YAR soar1-�
2.Name of Architect(if any) MAC aA�C.f/L/iV Tel.
3. Name of builder Address02.57 9AAPV WAL Xp.At l/4/%S
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4. License No. 01A.3s ieiciTel. ,77J 2 815 CC
5. Name of Mason Address
6. License No. Tel.
7. Construction ad 'w 9 CRL/G.o1)
Flood District
8. Date of subdi z Approval plain zone Zone
9. Private dwelling g Estimated Cost DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family 0 goevo . od
11. Commercial 0 Kitchen
12. Other 0 Dining Rm.
Living Rm.
13. No. of stories / sake W9e Bed Rm.
14. Foundation — Full 0 Half 0 Crawl ❑ -Sleb Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck
16. Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
Family Rm.
17. Garage — 1 0 2 ❑
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal 0 Alterations
21. Size of lot: No. of feet front /,,'t_C- No. of feet rear Lia No. of feet deep 1 .7 0
22. Size of building. No. of feet front No. of feet side /19 No. of feet rear /7`
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line 3 O Side line ,--(9
25. H.I.C.R. No.
LOT RELEASED BY Signature 4ee".
PLANNING BOARD Address .7.5"--
Date
7s'Date /44 't21
, PLOT PLAN •
FOR LOT #
Indicate location of garage or accessory building
Additions with dashed lines
Sewerage disposal (cesspool)
well
I I
I (lot / Q ft. rear) I
buttor's I Abuttor'
ame I Name
ot # I Lot #
REAR YARD
this is a • If this
Drner lot,
ft. corner 1
1 write it
rite in name RQe,tozarel _ „+
E street. 4)1/ p s-t C y, 11 d Alau/ name of
� a other
• ` 10 .p. ilagReest/
Pow ai street. .
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4
: SIDE YARD GAR SIDE YARD •
• HOUSE •
. so— FT 40_ FT 0, •
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SET BACK •
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. Ye.ft
4343
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(lot it2ft. frontage)
/ q CR /Cn /e69Q
/ (NAME OF STREET)
.
/ \ Information
/ \ \ Supplied by
/
MARK NORTH POINT
r
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 9 Calico Road. West Yarmouth. MA
Owner: Christine Pratt. Trustee-Barr Realty Trust
Date of Inspection: April 12. 1999
Map: 38
Parcel: 66
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
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