HomeMy WebLinkAboutBLD-23-001601 ',
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Office Use Only
o( `'�-�� RECEIVE [ `i1Z _
'(b_l I $/ Permit#�r
SEf ZOZL Amount �'
Permit expires 180 days from
BUIL-DIN ' DE- NT issue date
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BY -- Bit-Z✓-oo r�0a1
• EXP ' ' D PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext.� 1261
CONSTRUCTION ADDRESS: 213 Oi Mum SI&IL
moldh
OWNER: ' V Su1W 2- ( 3 Old W tit Sf 5 - 3it-iii41
AM 6116
PRESENDRESS TEL # �I
CONTRACTOR: NLolViEl A C��� O !L qt1 ING ADDRESS ` C.0 Il E ct,Aopt
914.cliq-O L
TEL.#
( sidential O Commercial LSI•�1/►�
W/ Est.Cost of Construction$ —I, F� f�QQ
Home Improvement Contractor Lic.# ( 5 - 101(d4 Construction Supervisor Lic.#
Workman's Compensation Insurance: (check one)
1 am the homeowner I am the sole proprietor 1 have Worker's Compensation Insurance
Insurance Company Name: Worker's Comp.Policy#
• SHED INFORMATION
u(It 4 New Size L V
I v x W x H Corner Lot: Yes No
Per Town of Yarmouth Zoning By-Law Sec 203.5 Note L:
Side and rear yard setbacks for accessory buildings containing one hundred fifty(150) square feet or less and single story,
shall be six (6)feet in all districts, but in no case shall said accessory buildings be built closer than twelve (12)feet to any
other building on an adjacent parcel. All sheds are required to be located thirty(30)feet from anyfront lot line
Replace existing* ," Size L x W x H
*The debris will be disposed of at:
Location of Facility
I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief I understand that any false answer(s)
will be just cause for denial or re tion of my lic n and fir prosecution under M.CG,.L.Ch.268,Section I.
applicant's Signature: / P Date: Oq 1,931a-z__
Owners Signature(or attachment) e
/,/ Q 7(a� 13 z
Date:
Approved By: Date: 7_z?-22
Building Official . design
•- EMAIL ADDRES •
Zoning District: l/(//f/ m ,n Ms
��
Historical District: Yes No Flood Plain Zone: Yes No on
Water Resource Protection District: Within 100 ft.of Wetlands:***
Yes No Yes No
***Note:Conservation review required if within 100 ft.of Wetlands
;/22
SHEDS LESS THAN 150 SQ. FT. SHALL.
RE PLACED A MINIMUM OF 30 FEET
FROM THE FRONT LOT LINE AND A
MINIMUM OF 6 FEET FROM SIDES AND
PLOT PLAN REAR LOT LINES.
FOR LOT
Indicate location of garage or accessory building
Addition. with dashed lines
Sewerage deposal (cesspool) 69
weal co
I
_._ _ I (1at................ft. rear) I
I
Abutter's
Name I Abutter's
Lot# ' Name
Lot#
REAR YARD
If this is a
corner lot, If this is a
write in corner lot,
name of street. ft. write in
I'
_ name of street_
I - a
8
13
I
•
SIDE YARD
•
�_� HOUSE _ SIDE YARD •
•
•
•
•
•• •
SET BACK •
•
I tt •
I
1
a
(lot crrt
ft. fruitage)
, , ✓'' IIk
(NAME OF STREET)
-----4 <——
/ Informed
• Supplied by