HomeMy WebLinkAboutBLD-23-001347 \e-
'o�•YAR / RECEIVED
Z
Office Use Only
. 1. _H SE P1 3 LO2� Permit#
�` ��rT �r t�E-x Amount 55 vO
BUILD c•ArARIIMENT Permit expires 180 days from
By._
issue date
�D - 023 —b0 /34'7
EXPRESS SHED PERMIT APPLICATION
TOWN OF YARMOUTH (/Y1G I I I-4.
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
CONSTRUCTION ADDRESS: I O *1,\ ��, �` `,-kaa \ "1 1\1 001 p �3
OWNER: 14 141.014ul 191L. >V0"J0I .+ 41�
NAME PRESENT ADDRESS TEL. #
CONTRACTOR:
NAME MAILING ADDRESS TEL.#
Residential CICommercial Est.Cost of Construction$ 6 (ro
Home Improvement Contractor Lic.# Construction Supervisor Lic.#
Workman's Compensation Insurance: (check one)
VI am the homeowner I am the sole proprietor I have Worker's Compensation Insurance
Insurance Company Name: Worker's Comp.Policy#
SHED INFORMATION
New Size L x W x H Corner Lot: Yes No `/
Per Town of Yarmouth Zonin2 By-Law Sec 203.5 Note E:
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 front lot line
Replace existing* Size L x W 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 revocation of my license and for prosecution under M.G.L.Ch.268,Section I.
A Applicant's Signature: Date:
1)(Owners Signature(or attachment) 4"--.k( Date: (3 '
Approved By: • Date: 7—
Building Official(or design EMAIL ADDRESS:
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 72
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 It
Inditionicate
with d�a�had of gl�ag a or accessory building
Sewerage disposal (cesspool) (59
Well
I f
_ I (]rst ft. rear) I
Abutter's ( (94 fi
Name Abutter's
Name
Lot# ( Lot#
If this is a REAR YARD If this is a
corner lot,
corner lot,
write in ft. write in
name of street. )Q t name of street_
I
• .0.
SIDE YARD SIDE YARD
•
HOUSE •
•
•
•
•
SET BACK •
•
I
Gat ft. frontage)
•
0 16\1,-(TU iy\)(L-.
\ / (NAME OF STREET)
Informatirn
Supplied by
"rr