HomeMy WebLinkAboutBLD-23-001437 $,O� Y`�R Office Use Only
�` 11-"Ci)qqyy Permit# ��
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4.0..;a.�� -� Amount 3 S.-OL0
Permit expires 180 days from
issue date
EXPRESS SHED PERMIT APPLICATION —0 _w no?
TOWN OF YARMOUTH RECEIVED
Yarmouth Building Department --- ---- ------
1146 Route 28 [-SEP 161022
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
BUILDING DEPARTMENT
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CONSTRUCTION ADDRESS: 50 304.0w $. 'Oec j ye
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OWNER:✓t) r L% fr Q , U 2 &;z r)ve iQ-e/f 4i-7- 72/. 931/
NAME - PRESS T ADDRESS / TEL. #
CONTRACTOR: /l/
NAME MAILING ADDRESS TEL.#
J-idential Commercial Est.Cost of Construction$ 4LQOQ, OD
Home Improvement Contractor Lic.# Construction Supervisor Lic.#
Workman's Compensation Insurance: (check one)
I am the homeowner I am the sole proprietor I have Worker's Compensation Insurance
Insurance Company Name: Worker's Comp.Policy#
SHED INFORMATION
/ / /j-t
New ✓ Size L 7(i x W x H /6 t Corner Lot: Yes No
Per Town of Yarmouth Zoninw 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 he located thirty(30)feet from any front lot line
Replace existing* Size L x W xyH 4-.)-
:6
*The debris will be disposed of at: , I+�y( f2S`d,, 1
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 den I or revocation of my license and for prosecution under M.G.L.Ch.268,Section I.
Applicant's Signature: /V Date: (! /rp " O Z Z
/Owners Signature(or attachment) Date: -/tp Z 2
Approved By: Date: —70P-"°2
Building 0 (or ,nee EMAIL ADDRES
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
PLOT PLA MINIMUM OF 6 FEET FROM SIDES AND
REAR LOT LINES.
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FOR LOT 0 Vv 1/)
Indicate
w of image or building
Additions
on dashed _Linea ------------
S eu ewerag del (cesspool) EH
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Abutter's 4
Name 1
Lot# J I Co, Abutter's
If this is a h 17 '-? Name
Lot#
corner:reet.
REA YAKIf this is a
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comer lot,
write in
I
( name of street.
E
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SIDE YARD
•
a-- ,..FTi. • HOME
YARD
•
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•
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SET BACK \:
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_sue s _ _
\ / (NAME OF STREET)
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