HomeMy WebLinkAboutBLD-23-001609 `' Y C � �� )z-7I 7L
t O Office Use Only
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p/�dj) Permit expires 180 days from
(� issue date
EXPRESS SHED PERMIT APPLICATI It'E —6��lDDg
TOWN OF YARMOUTH E G E o V E D
Yarmouth Building Department 5EP 26
1146 Route 282021
South Yarmouth, MA 02664 BUILDING DEP
(508) 398-2231 Ext. 1261 By: /�RTMENT
CONSTRUCTION ADDRESS: l L O1149 Wilms ed, / Vt r v ni A c&-
f f)
7OWNER:kW11%0Ykr6
C6, L (✓NAME
PRESENT ADDRESS TEL. #
CONTRACTOR:
NAME MAILING ADDRESS TEL.#
residential o Commercial Est.Cost of Construction S ¢=
Home Improvement Contractor Lic.# Construction Supervisor Lic.#
Workm es Compensation Insurance: (check one)
If I am the homeowner • I am the sole proprietor I have Worker's Compensation Insurance
Insurance Company Name: Worker's Comp.Policy#
SHED INFORMATION OZ O FE
New Size L x W x H Corner Lot: Yes No e I60 '{
Per Town of Yarmouth Zonink By-Law Sec 203.5 Note E: f*4,S
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 any fro4-1 nt
ylot line f�
Replace existing* Size L x W x H Q ""F'p' �'
*The debris will be disposed of at: p-er��a �' 7/
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 revocation of my license and for pro cution under M.G.L. .268,Section I.
plicant's Signature: Date:
V Owners Signature(or attachment) Date: a (�
Approved By: Date: ,-7 --
Building Official(or desi e) EMAIL A RESS:
Zoning District:
Historical District: Yes No Flood Plain Zone: Yes No
Water Resource Protection District: Within 100 ft.of Wetlands:***
Yes • No Yes No
***Note:Conservation review required if within 100 ft.of Wetlands
3/22
•
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 locating of garage or accesscxry building
Additions with dashed lines
Sewerage disposal (cesspool) ®Well to
I
I
I Gat ft, rear)
I
Abutter's I
Name V Abutter's
ame
Lot# I rJ �� Not#
If this is a REAR YARD `� 1j
corner lot, �, �--� If this is a
write in ft q, comer lot,
name of street. . write in
name of street.
I • . .0. ,o 8
la
I
•
SIDE YARD •
HOUSESIDE YARD •
q----�.ET-s. C a-----Err)
••
SET BAcX •
•
1 ft
1
a
(lot ft. frontage) ,
•
` / c0/0/ 49/0m//, gY_
/
/ (NAME OF STREET)
Infoccmation 6,3,00aj e
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Supplied by rl i(G,
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