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HomeMy WebLinkAboutBLD-19-624 • . emair e A8- vD , (SNE & TWO FAMILY ONLY-BUILDING PERMIT - Town of Yarmouth Building Department of 1146 Route 28, South Yarmouth,MA 02664 4 492 t� 508-398-2231 ext. 1261 Fax 508-398-0836 :IVO Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Pt For Official Use Only Building PermitNum -/9�P ber: At,0 :• ,Date Applied- • . r'1 St2AC j .. ` . - - '� .. Building Official(Print Name) • gnature', —Date— lzD . • SECTION 1:SiltINFORMATION • '` � I il 1 Property Addre .2 Assessors ap&Parcel Numbers l Z1>�:ftra*' k /�;%� >is AUG )3 2018 1.12.Is this an accepted street?yes_ no Map Number Parcel Number CI64Q 7< I 1.3 Zoning Information: 1.4 Property Dimensions: Bwu i .� �tw.krn- dr Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) • 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard , Required Provided Required Provided Required Proyided 1.6 Nater Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private El Zane: _ Outside Flood Zone? Municipal O On site disposal system C] • Check if yes0 ' . ' SECTION 21 PROPERTY OWNERSHIP': 2.1 Owner'of Record: • Keutier4M. Y-anntte.EtI L. Lt7crS Yccnoun+ ?oar M4 ozs/C • . Name(Print) City,State,ZIP 9 pat-mace wf+'c 1113 3,4-rno2- vett ocas41 o)yucn.cen No.and Street Telephone Email Address SECTION 3:DESCRIPTIQN OF FRQPOSED WORK=(cheekall that apply) New Construction❑ I Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 1 Alteration(s) 0 Addition LSF Demolition 0 I Accessory Bldg.0 Number of Units Other ❑ Spec fir, -,_.____. • Brief Description of Proposed Work'-: 14 yt t t. 'ottae o rF Tik.c_er:1-' otss C- V L: L' i ' JUL 30 201(5 1 Ii . . . • SECTION 4i ESTIIi IATED CONSTRUL't'10N co$7S, J, �, Tt f + _ . . Item Estimated Costs: I (Labor and Materials) _ OfficiallTse„co ` 1.Building $ Soo0 .1.•Bwldin?Permit Fee:$ 11l . Indicate how fee,is determined: 2.Electrical $ - •IS,Standowa ard City/TApplicationFee ';`, :, ❑.Total ProjectCost3• (Itemxmultipfler. . � • •x• 3.Plumbing $ - 2: bther.Fees: S • 21/4 .. . .. 4.Nlec}trn;cal (HVAC) $ -- , 5.Mechanical (Fre - Suppression) $ Total All Fees:$ Check Na:.• . Check Amount Cash Amount• - ' 6.Total Project Cost: S '✓DU n ❑Paid m Full . . ' NI Outstanding Balance Dte: )7 SECTION 5:.CONSTRUCTION SERVICES . 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description • U Unrestricted(Buildings up to 35,000 cu.R) City/Town,State,ZIP R Restricted lea Family Dwelling M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date BIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AP'NIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attached? Yes ❑ No ❑ • SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN • OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUDDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application. • Print Owner's Name(Electronic Sigaatze) Date • • SECTION 7b:OWNER'ORA1J'EHORJZ.ED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information con •• ed'. this application is true and accurate to the best of my knowledge and understanding. "+�S Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: • 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbi[sation program or guaranty fond under M.GZ.c. 142A.Other important information on the EC Program can be found at www.mass.aovlora Information on the Construction Supervisor License can be found at www.mass.eov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches ► Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • _ i -- DepartmentoflndustrialAccidents ` g msaetr 5 1 Congress Street,Suite 100 • • e`s_ !f_I Boston, MA 02119-2017 www.mass.;ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): k4rYj c C& , L. [_t.rc.F Address: 9 ,DA-c rm o o.¢_ w,tiv City/State/Zip: Y.c2s ta,.n# POCr Phone #: cCw3 ,3954,/1/ 7 Are you an employer?Cheek the appropriate box: Type of project(required): I.❑I am a employer with employees(MI and/or part-time).* 7. 0 New construction 2.9 I am a sole proprietor or partnership and have no employees working for me in 8. 9 Remodeling any capacity.[No workers'comp.insurance required.] ✓3.0ram a homeowner doingall workm self. 9. ❑Demolition Y [No workers'comp.insurance required.]r 4.9 I am a homeowner and will be hiring contractors to conduct all work on property. 1 will 10 ❑ Build ng addition ensure that all contactors either have workers'compensation insurance or are sol p 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.9 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance) 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees. [No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy informanan. Homeowners who submit this affidavit indicating they are doing a➢work and then hire outside contactors must submit a new affidavit indicating suck :Contractors that check this box must arsrhed an additional sheet showing the name df the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'camp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.4: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: - 4 - 7/a-Sh8, Date: Phone#: Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License 4- • Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4, Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone n: .0-fcY'9R ce_ BUILDING DEPARTMENT rte a •��'Z• 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 • HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: • • DATE: JOB LOCATION: \. .V CAS 3 )ACtMog2 wick--f NAME STREET ADDRESS SEC:110N OF TOWN "HOMEOWNER" 4(3 374-1902, NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS `J 1)'¢anco2, W A-f YActnloVTN ?off1 fr' en2faIre , CITY OR TOWN STATE ZIP CODE The current exemption for'Homeowner' was extended to include owner-occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Pers on(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. Aperson who constructs more than one home in a two-year period shall not be considered a homeowner,such"homeowner"shall submit to the building official,on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit.(Section 110 R.5.1.3.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE I (.1-,—c-a APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a curre'.ility insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. No If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy ✓ Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Ic-tiCheck one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp • Information and Instructions ' . Massachusetts Deneral Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuapt to this statute,an employee is defined as"...every person in the service of another under any contact of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152., §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are tot required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial • Accidents for confirmation of insurance coverage. Also he sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accident. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any then year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. g 617-727-4900 ext. 7406 or l-377-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia • TOWN OF YARMOUTH �� ,• �__ �o BUILDING DEPARTMENT F � 1146 Route 28,South Yarmouth,MA 02664 • q ?5s a 508-398-2231 ext. 1261 Fax 508-398-0836 • BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40,Section 54 and 780 CMR, Chapter 1, Section 1113, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 3 bAQT eorz WAY Yge.r -Yr*t Peer AAA 02.675 Work Address Is to be disposed of at the following location: ltO'N t'OOAP Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. . 16. 1g Signature of Application Date Permit No. ot_Ygh TOWN OF YARMOUTH _ • r 4154 HEALTH DEPARTMENT JUL .t 81018 • VS HEALTH DEPT. �•% PERMIT APPLICATION SIGN OFF TRANSMITTA HEET ‘iirTo be completed by Applicant: Building Site Location: 5 VACCCAAoc,c. G-tw-4 Y. R 67-c01 S Proposed Improvement: 1'-4 x I t. DGC.c Applicant: N N C--r« µ . Lut..S Tel.No.: 4 (3 .37tf-l702. Address: 3 'bAtri n a3 Z. w“\-c Y?• 02,,15 Date Filed: "lfyou would like e-mail notification of sign off please provide e-mail address: Vv IOC.A-S 41 03 vIA SYN. cow. Owner Name: 4%.,*t C-Tl-i* M. ' k/kT Leta L. Ls .4($. Owner Address: `9 'DA2IMco2wr-t Owner Tel.No.: 4)3374^ 1902. Y. V . oz1.0ic RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note:Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: AA.70_/ AA/ DATE: 7—#2-61fr(a PLEASE NOTE COM7NTTS I)I / 'f / eli/eal� %GSC — ff *Sim 7s-act • • l /7. ARCO YARMOUTH WATER DIVISION • 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location 9 3ttTMGot.L,.20‘,? - Proposed Improvement: l,-1 >< i (, c Applicant: ' \ZE._ rJ&f'I-i ilk L,'Jc.AS Address 2' bAivrMc'kc2Wor-f Tel. #: 413 314-1902, Date Filed: 07. /4. le • RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location • Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc • l /t .� [�.t� acv. O`7 1 t,. . t 'E.) Signature of ap cant Date PLEASE NOTE: COMMENTS: • • Rev�by: Wa r DI on Dte rte D to • i ti:14,\-j R • D: �, TOWN OF YARMOUTH ECE�VED • o-, c 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 t�L.�+ ��'�DTelephone(508)398-2231 Ext. 1292-Fax(508)398-0836 JUN 1 8 2018 LD KING'S HIGHWAY HISTORIC DISTRICT COMMITT E YARMOUTH JUL 10 al- 2018 OLD KING'S HIGHWgy APPLICATION FOR TOWN CLERK CERTIFICATE OF APPROPRIATENESS SOUTH YARMOUTH, MA • Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as amended,for proposed work as described below&on plans,drawings,photographs, &other supplemental info accompanying this application. PLEASE SUBMIT 6 COPIES OF SPEC SHEET(S), ELEVATIONS,PHOTOS,&SUPPLEMENTAL INFORMATION. Check All Categories That Apply: Indicate type of Building: Commercial Residential 1) Exterior Building Construction: _New Building _Addition _Alterations _Reroof_Garage _Shed _Solar Panels _Other: pc..../e_ 2)Exterior Painting: _Siding _Shutters _boors _Trim Other: 3)Signs/Billboards: _New Sign _Change to Existing Sign 4) Miscellaneous Structures: _Fence Wail Flagpole _Pool _Other. Please type or print legibly: Address of proposed work: 9 l)42-7-ACCltf/2 WAY Map/Lot# PP/ . 3k Owner(s): /'-EA-JJtrN Ab¢get- gAn-fLien;,1J 1--0c4c Phone#: h/3 37*• /1/ 7 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 1 t)-4/2rmo0,Z G(2/1-Se Year builtO/6" Email: /CIO Pit.S 2./O ( c (� I1 e O , C en-ii Preferred notification method: Phone ‘"----Email Agent/contractor / Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work: hp' )c / - ,4 Za..bGc f d r, E/1GL Pc174, cits O I'' • Signed(Owner or agent): Date: G / / S/1 > Owner/contractor/agent is aware that a pent it is required from the Building Department.(Check other departments,also.) > If application is approved,approval is subject to a 10-day appeal period required by the Act. > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. > All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections. For Committee use only: Y Approved _Approved with_Modifications _Denied Rcvd Date: (0-18-#1 g Reason for Denial; Amount lb APPROVED Cas CK a A i IRcvd by: 6 Signed: _ 's ' s-,,./ - I I• 8-a'1 YARMOUTI I E' '��� /'f�/ 45 Days: P OLD KING'S HIGHWAY _ yr Date Signed: 717118- (, ,�t_,,/' ('i 1/2016' 1 APPLICATION#: `d>47)COS Yarmouth Health D artment LAPP �V D 1 �,�` * � Ame an, ,.� 7- �Td` tor si f ^ Date 24OOao f St: JUN 1 R 201�p �t7 • Otp�41G• prN ti� T • Pt ": - .-44- a JUL 0 9 zc.9 S y z- YARMOUTH , OLD KING'S HIGHWAY F ��4. Jr/ & RECEIVED ROBIN WILLIAM cox mused ed >lntsox �� dU 10 201E8 • - VYox No.31341 No_31341 ..a� . �c 9 'TOWN CLEF?K • `;4�ars7g�o? arses S SOUTH YARM0UIH MA !nuc uaq =' . _; TOP OF FOUNDATION IS ELEVATION 27.33 (SITE PLAN DATUM). TO THE BEST OF MY INFORMATION, • • "AH—BUILTn PLOT PLAN KNOWLEDGE, AND BELIEF .THE YARMOUTH, MASS. • FOUNDATION SHOWN ON THIS PLAN - . • LOT 53, PL MC 214 PG. 117 - • HAS BEEN LOCATED ON THE GROUND ' DATE 3/8/2077 SCALE 1' = 30' AS INDICATED. ` 7720-00 T ADAAICZYK 3/$/2017 . JN 1 x. ENGIl1 E RING DATE PROFESSIONAL LAND SURVEYOR Po > 02660 do aa-.,es-eaoo a:. G 1AWRoWmrv-an1dr„inav-cPP.ors a 2017 KIIIFFP:ro . ; 13— IN I'' • ., • Yarmouth Health partment APPR 0 ED ��., LOT: Cittec. Name 9z Date 240000±SE - JUN La/ 1R ?018 ..: • • N. N y NNy �` r p n s rt � • rol • • • t�• QC / • _ f JUL 09 21:8 `�o ' / YARMOUTH • ,fT ' / '�. •• • / OLD KING'S HIGHWAY I 414 ,,' 4- %4 RECEwro AC1..- af�p� ZSr. L 4,� S, w . / ROBIN tF F WILLIAM S. • • ' dUi WtU aro lNnsox m ,. f ..0 f?f WiL�C No.31341 a:. �`' :cosi 9 TOWN CLERK' No.31341 ':,c3 s �:' "raisin _ SOUTH YARMOU T .!, MA tt MP OF FOUNDATION IS ELEVATION 27.33 (SITE PLAN DATUM). TO THE BEST OF MY INFORMATION, • • "AS-BUILT" PLOT PLAN • KNOWLEDGE, AND BELIEF .THE YARMOUTH, MASS. - FOUNDATION SHOWN ON THIS PLAN - . - 1.01-33, PL BK 214 PG. 117- HAS BEEN LOCATED ON THE GROUND DATE 3/8/2017 SCALE 1" = 30' AS INDICATED. 7720-00 • WENT ADAMCZYK • 3/$/2017 �'/ Sws&i tt ENGINEERING • DATE PROFESSIONAL LAND SURVEYORP0 a MS mom ea � ona S c WA1770-anlere1mv-CIRDOC Wen s-as t u narrows Pe Ifr ' C ' JUN '8 4.18 LOT Si C:1041RMOUT Y 24 010 ± SE NGS N <. N�GH�'AY • . '%. . ` . - cod • N N - 14."y` J N. PRwE� N ., l JUL 0 9 2018 S a "• / + YARMOUTH • OLD KING'S HIGHWAY e :-_.� . ECEIVED . ` MUST CONFP • 'd ALL 641.� WILLIAM `Wm. LCOX I. � B' . 'WS & " ATI N JUL 102018 No.31341 't ..• 9 TOWN CLERK • v `t'' eat TSWrt:3 UTH WAT' J ''T DATE SOUTH YARMOUTH MA . 1S1S1,l aISTE¢ t'., O,—' J TOP OF FOUNDATION IS ELEVATION • 27.33 (SITE PLAN DATUM). TO THE BEST OF MY INFORMATION, ' a "AS-BUILT" PLOT PLAN KNOWLEDGE, AND BELIEF .THE - YARMOUTH, MASS. • FOUNDATION SHOWN ON THIS PLAN - LOT 53, PL BK. 214 PG. 117 ' HAS BEEN LOCATED ON THE GROUND DATE 3/8/2017 SCALE 1' = 30' AS INDICATED. 7720-00 • - CLIENT ADAMCZYK 3/8/2017 ' 0 S w ISr tt ENGINEERING DATE PROFESSIONAL LAND SURVEYOR• 2Os SISTIICEET goon PO Barg 713 SOU1S Dffiit7IS, YA arteeo at soe-�xs-esoo tmc aoe-aes-easy OIS6I J17720-001d'.o17720-CPP.Diea9m7 sinreco cinarrosin 18 - ' 068 Ake-1W0 o 2• 'IP" `fXt1Q 1 604- • 1bEIVEb,. JUN 1 8 2018 OLD KINyARMOG S HIGHWAY TH• Li r : �III ` Ik ; € t�S ` c 13 ui o _-•__.._..._,_._.._.. ._...L. ._._._ . __.�...__ _.. .. --...-.:. :rte.- =C c co 2 S o G SO c` 741 • A0 n o r- 0 171 Sir7131o 2A m 17'1 P E4 RCtEVATlotbi Ile-'1'Q DAoraoe.... rim( ftp Dc_cre— ReceveD APPROVED JUN 181 018 JUL 0 9 202 OLOKINGSOUTH YARMOUTH MGHWgy /\ OLD KING'S riIGHWAY RECEIVED JUL 10 2018 ! TOWN CLERK SOUTH YARMOUTH, MA t •• • • .e 141 1 • w a. • l {f i s It • waw ri.�.� 1 ..� �.._...__�.....,..... ..... .__....�, ..... .,..-......�. ».o _...._._ .-........._ . ...-.-._.....,,_....... _.r�.......... • 18 - A068 I tflc I le p6GLL IN JUL 0 9 2018 ED YARMOUTH __ - OLD KING'S HIGHWAY C$IIE /) JuN182018 DCDk�NGSfDGN ll Y // 14/4 ' \ RECEIVED 7 �� jut, 1020 \\ I 18 \ � SOU H M1/41N RK UTH, MA .. [ -4 I r .Y.- i s� F y • - rillIPI tiiiii; l1c . 1 _ ______ _ _ A/' 1,--- 18 - A068 to 0 Iraq Liu cc, ��l "ALO tst o l APPROVED JUL 0 9 2018 RECEIVED YARMOUTH JUL 10 2018 OLD KING'S HIGHWAY TOWN CLERK SOUTH YARMOUTH, MA IMO i 0 (( � f 4, t . 07 1 36 4 as �r- Most"tn./C% 0..A/J1 ,. PAUSE` SoutrttRt/ ViaL Ic ©C, r '1 r -- .r -., -.__- .r.._.-. -1 nr . . r_..,__.__,- r 9 r 1 r ler i 1 t 9 r ilL I • ZK 12 V Ito. Pr Lep a&t.. zaA2z TO‘JIN C" YLflMGUTH y2" Dram 5°4.21eM REVIEWED F, R BU!LD'N, AND ZONING:ODE COMPL I A STA,ACE'uUG C 2.R ANCE. ERRC"S OR MI SIONSDONCYTRELIEVE TFE tt" O . 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