HomeMy WebLinkAboutbld-20-003727 <•,....12/09. , ' //ate
1.,
ONE &TWO FAMILY ONLY-BUILDING PERMIT
Town of Yarmouth Building Department
1146 Route 28,South Yarmouth,MA 02664-4492 AAA
508-398-2231 ext. 1261 Fax 508-398-0836
Massachusetts State Building Code,780 CMR
Building Permit Application To Construct,Repair,Renovate Or Demolish
a One-or Two-Family Dwelling
• This Section For Official Use Only
•
Building PermitNumberi541P - - .Date Applied:
1 J iV\ 9.11 r-5 I j,../ - • f' ./- 2-w Ao , .•
-4, BUilding Official(Print Name) WialiFP.• : • --.77,-PF-771:1 V F (:„ r,
SECTION 1:SITE INFORMATION -
r----7--
1.1 Property Address: 1.2 Assessors l*p&Parcel Num1s4 i f
/0 Cm-p7. 13146 6 1? 6- , - r• 'ID 4'. ', '''
1.1a Is this an accepted street?yes no Map Number9 y
Parcel Number ..
1-3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public 0 Private 0 Check if yesEl Mum'cipal 0 On site disposal system El
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SECTION 2 iitOPOitigiAiNEliSiffe. / :Ggt---/i Ay DR_
2.1_Ownerl of'aesps-91: /
r-t. ' ge4.1/ ki#1'. .14 A./04-7/7t 64.4-r---70A1
Name(Print) City,State,ZIP o/SIC
,---,
/0 afeti,9 3'477 ,lefC 573 VO'.7.7 5fweci-zot't4-",
No.and et Telephone Email Address
.. ,
SECTION 5:DESCRIPTION OF gitopOsitiwokie 0:4*.kat eat giipt.)
New Construction 0 Existing Bullring Li Owner-Occupied t.i i it..--c-=...,-.;-; '-..,;• i :z.-.:,...-......„...', - 1 ,....----‘.....
Demolition 0 Accessory Bldg.till Number of Units Other El Specify:
tittesb- ..- _te /60 __/#6,X RECEIVED
r
: -' - 1
_ • . . .• . : .,, .r. B 0 4 2020
....._._ _
. -- - -- -
Item • .. . . ,,:(Labor and Materials) Official Use Only -, ,. BUILONG D8PARTMENT
*: : . -:.1 -: .' • ... ` 'by.
3 r3..,::1..i.i., $ 1 '1411TICHirkg 1:ifakilitrf. S...,)°.1. inriii-AtP 1-inw fp-A,ie tiftiffpl" —"------''.
.
- - _ •: _ 4._
,
2.Electrical $ 'C TOt-al P*rojCtem.• 6)x M ultipier .-.•...--- x
3 Plumbng 2 Other Fees $ 0 _04g- ,
- (4C7r
5.Mechanical (Fire Suppression) $ Total All Fes i$. ..:' . r' . •-• ' . ' . — :
,.--- (.1,..1,.*lei,'_ . 0..,,r1.,.• A'rtit.:: .?:!.74! A
2 00 0 1 .,..:, ,: ., . --
--1 ' - " ''-' - : '• - - -7 ---""7:
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YARMOUTH WATER DIVISION
99 BUCK ISLAND ROAD
WEST YARMOUTH, MA 02673
PH:: 508.771.7921
FAX: 508-771-7998
BUILDING PERMIT APPLICATION
DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET
Gips
i Bldg. Site Location/( C" 6-.f� )7Map #: Lot #:
-S----
Proposed Improvement: 444,, /E x/e,` ek (,,,d, jcoSe
Applicant: . L' 7 z.:f`/C�
,Address/Oa `a, Fr,2 go Tel #: 41/0s2 Date Filed: OA
RESIDENTIAL AND / OR COMMERCIAL BUILDING
Water Department: Determines Compliance of Water Availability and or Existing Location
Engineering Department: Determines Compliance for Parking and Drainage
Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of
Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc...
Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements
for Septage Disposal and other Public Health Activities
Fire Department: Deter ines Compliance to State and Town Requirements for Personal,
f , Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc...
Sig re of app cant P /7.
Da
PLEASE NOTE:
COMMENTS:
/1"-4•‘
7. 4A
2-4/7, '
Reviewed by: V W er Division D
13
;,- {,;CEIVED I
202019 I t.uz yg3 J / I
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HEALTH DEFT 13 qt '.7 4
L•
ai- i-t 4 1
40, I 1S1(sa'S 5.F .
.� •• �-r 11L.•
.kattp.,„Pa.$44.SILO .
ra.r.c ' 34.63 a° '` N
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{��} 5,%11417 I.
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t. �� IN v� �E t
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u.P 1954/L ---... j�><� pit? 1`1d�tr �-�"'� •
WORK MUST CONFORM TO ALL
TOWN BY & REGULATI t NS
is.=u-r 4"O.. 0,a ez. ed•.cr.. YA UTH WATER DEPT t AT'
'-Ti.G.- c c-r 1•1 Z..3 am 110
t'�"sr-0.P, F.1-3 F' ••. --- w ci 7.a"T`i e p.i = 15.0
d.c..--r iA,'- Ei a-v o rt o•S -T.w 0' ri E-- ?-471.,s74 --rt....t /N•8
•My--T ro Qr. `--144V.- 4rreo y•,1;0,Ct"ea► IS I.S crr �• a3/4,%3Qv E..
..ri:tom. /41CastjAeS.C- ...R %.aT IN. --r-[a weLve po.a A Sww..l . 1
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•
ON THE BASIS OF MY KNOWLEDGE AND INFORMATION,I CERTIFY TO ��of
1 A (--CE-S?- boa kc -.% ;HAT AS A RESULT OF A SURVEY 4, \ 4, �y
G di
AT'll e\ - -
MADE ON THE GROUND TO THE NORMAL STANDARD OF CAREOFREG. of STANLEY. �,.•)
LAND SURVEYORS PRACTICING IN MASSACHUSETTS,1 FIND THAT i R. ?4 S•(MONO �,
THE LOCATION OF THE �ay.sba-T- to.-� ,AS SHOWN HEREON, S S -1 ,j = .y }l ET
- IS IN COMPLIANCE WITH THE CURRENT ZONING BYLAW OF THE \ .1 • •' ,o '9 4124k4 —
TOWN OF `/c+etvt� AS TO SETBACK REOUIREMENTS b`� ��/ 9��SSION�
AT THE TIME OF CERTIFICATION.uQ}}•----�� ,, n Q�u�,"' ~� serf.�
DATE*9/�'83 RLS �Cl f �'�
,.±it,a r% 'OFFICE FILE: %iE, I.pi SKETCH PLAN IDE