HomeMy WebLinkAboutbld-23-003419 ONE & TWO FAMILY ONLY- BUILDING PERMIT
Town of Yarmouth Building Department of 'r
1146 Route 28, South Yarmouth,MA 02664-4492 .
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
r
'\ This Section For Official Use Only R' E C �I y
ED
Building Permit Number: 3(.C 2 3- t I! Date Applied:
DEC 2 0-2022
Building Official(Print Name) Si ature
BUILDING DEPB1it MEN'
SECTION 1:SITE INFORMATION 2Y -- — t"
1.1 Pli rty�j.dd essF , ,ICY s ts, 12_i 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes no Map Number 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 I 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:
Public❑ Private 0 Zone: Outside Flood Zone?
— Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP' rn ,�' 0- '
/,
2.Y�w,ll�er'� rdla_ I/IL I n - Yc mouk t 'W�. , V -'(a(04
Name Print) Pi
C e y r �� ,State,ZIP 'a J n 1` I_
No.and treet Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 I Existing Building c Owner-Occupied I Repairs(s) 149 Alteration(s) ❑ I Addition 0
Demolition 0 1 Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description of rop ed Work2: j IS
pc I- (A/Pit/ 0)_,P7i
SECTION 4: ESTIMATED CONSTRUCTION COSTS.
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ ( sl 1 1. Building Permit Fee:S c O Indicate how fee is determined:
2.Electrical $ lif Standard City/Town Application Fee
0 Total Project Costa Item )x multiplier x
3.Plumbing $ 2. Other Fees: $ C\k L\ 1
4.Mechanical (HVAC) $ List: J
5.Mechanical (Fire $
Suppression) Total All Fees:$
` / A j Check No. Check Amount: _Cash Amount)/
6.Total Project Cost: $ l ) l 0 Paid in Full al Outstanding Balance Due: `\°