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HomeMy WebLinkAboutBLD-18-5946•r ONE & TWO FAMILY ONLY- BUILDING PERMIT / � /"� Town of Yarmouth Building Department •. '4.-.r ' 1146 Route 28,South Yarmouth,MA 02664-4492 .41 ,1%-i- . • 508-398-2231 ext 1261 Fax 508-398-083 « _ Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number. B 2A)- / 9-03 64796 Date App • • it- Si Ars . •. 4_g I S BUlding Official(Print Name) Signature_ • • Date • • SECTION 1: silt INFORMATION 1.1 Property Address: 1.2 Assessors Map &Parcel Numbers .2 / /colt ieKJew WIly 101 13 $- • 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: V 0 ee!idedieW. S.( 12/ 632. a' Zoning District Proposed Use Lot Area.(sq ft) Frontage(ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yazd Required Provided Required Provided Required Provided 1.6 Water Supply: (MG.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public G✓ Private❑ Zone:_ Outside Flood Zu Check if yes onyMunicipal❑ Onsite disposal system Pi SECITOI 2: PROPERTY OWNERSHIP' • 2.1 Owner'of Record: CAA'of 74 AA//YG He GU/ire NAslleet 84 626 Joe . Name(Print) City,State,ZIP • Y' MONo,ysy No. flf ay4 - riot EDI e flC 'i ee //yea,e. /oy - No.and Street Telephone Email Address . SECTION 3:DESCRIPTION OF PROPOSED WORK'.(eheckall that apply) .. New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units_ Other 0 Specify Brief Description of Proposed Work'': .2-t' Artes. ob sou Revel at strive ?%t .—Pecs ' li'X/o'DEck. W 3 'X6 ' taco/Ni R b L. STs, E D / 51 4Uo,iff Ar ?EAr (K5f4f4/ I � 6Sin) 1_ • p172018 _ • - • JLboCrTanId* 4at::EriSa]1sI) 1..t.ItD NS AUt)iiOO POSmS.. '. • .;•:•:.. i: • • .. Estimated Costs: ' - - . - .. ..B ct-ni t'' ", ?"-PI[Item •� " - . ` teqti9 4Ody'- `6y.cam.: • . - .. - ;..:-• f , .. ._.. . 1. Building $ //, 000 .00 :3. BtnldmgPermitPee>-$(6'S.:•. Indicat1k.3.7# eisdetermin: ed: Z36tandaM CityCZ,dn? P 'aionree:`. '..__ :_:_•.. .;, : ;. o. Eectrical $ / 0.Tota 3.Plumbing $ / lProjectCostgt pu 4;tmnlhph¢�, ;_ : •_z - 2::OtlierPeesi $...:4,-<,. . , . ...,...„ _ 4.Merhanical (HVAC) $ p Litt ' ... - . . :•:::.:•;.:17.7......4::',;:4,-.,;.1":1•!:-.,_:-t.i4..'; r S=' .._ 'in.t>. -`'5.Mechanical re Suppression) .Tot 4.1apees:$''.-C . . : -' 6.Total Project Cost $ // C�� I' Gbeck NO::.- • •= Clean Amount . i"achAmolmt ' OPaid731E41 �9clnstandiagBalaare.Due:.I3�- . SECTION 5: CONSTRUCTION SERVICES _ e ' 5.1 Const yction Supervisor License(CSL) O %/- fr/7 ` /'PPP�j f ohw 7. 3-y (0T d ' . `� vuly.sk/• License Number Expiration Date . Name of CSL Holder Li 7 • It R/OB/id List CSL Type(see below) No.and Street _ Type Description Bo f?,//t{/f 84 #4 ea 3'3 Y • U Unrestricted(Buildings up m 35,000 at ft) City/Town StateZIP Y / R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering Pt 9211- 9S/� q WS Window and Siding p. 9gyq %Ace. G C4 SF Insulation dFrn Burning Appliances Ser d y ! �;t7,�I/�JY• !oy I I nsulation Telephone Frail address D D olition . 5.2 Registered Home Improvement Contractor(HIC) I QciYo 06/23fk6 4/1 zia/}him zowI ieirms/sou Jtvu4'Jk' RIC Registration Number Expiration Date /t/�ru�p/Vel�/'IoWK R!l tName c J, a CA a cop.iver No. and Street fellai ?SW- �' • ibrU/A// 44 0203r satVI qty., Email address City/Town,Slate, ZIP Telephone P ¢nH%rG nit in; %O.y( • ,/41 SECTION 6:WOREERS' COMPENSATION INSURANCE AfiFIJAVTT(M.G.L.c. 152.g 25C(®) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the$ssuance of the building permit Signed Affidavit Attached? Yes V ❑ No ❑ • SECTION 7a: OWNER AU 1'HORIZATION TO BE COMPLETED WVRN • • OWNER'S AGENT ORCONTRACTORAPPLIES FOR BUILDING PERMIT _ I as Owner of the subject property,hereby authorize CA p in/ yoye, ism)9revegem. s to act on my behalf in all matters relative to work authorized by this building permit applicatidn. See. 4TTAcheel Print Owner's Name(Electronic Signature) Date SECTION Ib: OWNER'.-OR IHORIZED AGENT DECLARATION . By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information Stained in this application is true and accurate to the best of my lmowledge and understanding. 641It Pote 1Mp✓oveMeAR- 70hArT Stvu,st? Print Owner's or Authorized Agent's Name(Electronic Signature) Oi 1 /1 I J Ik Date NOTES: 7 / 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contactor (not registered in the Home Improvement Contractor(HIC)Program),wall not have access to the arbitration program or guaranty fund under M.G.L. c. 142k Other important information on the RIC Program can be found at www.mass.govIota Information on the Construction Supervisor License can be found at www.mass.wv/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft) (mcbnr ing 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 ofhalf/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" . �la The Commonwealth of Massachusetts . • ,., DepartmentofIndustrialAccidents t.-" >itl _k Office of Investigations ='-in 600 Washington Street _Vrc,; Boston,MA 02111 `' e. www.mass gov/dia •' , Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Aunlicant Information - Please Print Legibly Name(Business/Organization/Individual): Capful Home Improvement.Inc. Address: 1845 Newtown Road . City/State/Zip: Cotuit,MA 02835 Phone#: 508-425-4613 • ;, Are you an employer?Check the appropriate bon. Type of project(required): 1.✓ I am a employer with 40 4. I am a general contractor and I 6 Jew construction employees(Rill and/or pal Mime).' have hired the sub-contractors • 2. I am a sole proprietor or partner- listed on the attached sheet 7. Remodeling • ship and have no employees These mom have 3. Demolition working forme in any capacity. employees and have workers' 9. Building addition No workers'comp.insurance comp.insurance? 10. Electrical repairs or additions required.] S. We are a corporation and its 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions right of exemption per MOL myself ere[No aied.]workers'comp. c.152,¢1(4),and we have no 13.✓Other Vatic-insurance required.] employees.No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy Information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. kbnhrscron that check this box must attached an additional sheet showing the name of the and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. • I am an employer that is providing workers'compensation Insurance formy employees. Below it the policy and Job site information. Insurance Company Name: AMGUARD INSURANCE COMPANY/NAIC#42390 Policy#or Self-ins.Lie.#: R2WC775326 Expiration Date: 12/25/2018 N Job Site Address: 42/ &W C KtfOly Jai/ City/State/Zip: y4 MOW) d 14 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c.152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of i Investigations of i.- : .• insurance coverage verification. Ho hereby ere under Cher. and pen, ,4 es ofperJury that the information provided above is true and correct Siznature: Date: Q v ii,1�/ Zo// !hoe#: 508-42: :518 - • .,1 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 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#: w Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT (Myo/ He 6v/2e.2 I/WE, el) Plc in-e" , OWN THE PROPERTY LOCATED AT 2 I erbi cKm✓ N .J VAILPnO411 , ,MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO • LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING C DE. SIGNATURE OF OWNER: OWNER'S OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: t RESPONSIBLE OFFICER TELEPHONE: tio A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/0D"YYY) 12/27/2017 • THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME: T Rogers and Gray Processing ROGERS&GRAY INSURANCE AGENCY INC PHONE rvo Fx I (508)398-7980 (A/ C.No): E-MAIL mail@r�ro ers ra ADDRESS: V 9 9 Y•com 434 ROUTE 134 INSURER(S)AFFORDING COVERAGE NAIC SOUTH DENNIS MA 02660 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER 0: 1645 NEWTOWN ROAD INSURERE: COTUIT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: 225553 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR OF INSURANCE WYE) MI ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INCD VNPOLICY NUMBER (MDD/YY Y) (MM/DDFrn'YI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E DAMAGE TO RENTED CLAIMS-MADE nOCCUR PREMISES(Ea occurrence) $ _ MED EXP(Any one person) $ N/A PERSONAL ILADV INJURY $ _ OWL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE E POLICY I I JECT I I LOC PRODUCTS-COMP/OP AGG $ OTHER S AUTOMOBILELIABIUTY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — AOWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS N/A PROPERTY DAMAGE S — HIRED AUTOS _ AUTOS (Per accident) _ $ UMBREUAUAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE S DED RETENTIONS �/ $ WORKERS COMPENSATION PEREATUE 0RH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? I NIA WA R2WC863728 12/25/2017 1225/2018 — - (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.descnbe under I DESCRIPTION OF OPERATIONS belowI E L.DISEASE•POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization Is given to pay claims for benefits to employees in states other than Massachusetts If the Insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was Issued(unless the expiration date on the above policy precedes the issue date of this certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govnwd/workers-compensationlnvestigalions/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Main Street Route 28 AUTHORIZED REPRESENTATIVE �� South Yarmouth MA 02664-0000 Daniel M.Cr y,CPCU,Vice President–Residual Market–WCRIBMA ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1?br DIo,,um/N eyOrien i Massachusetts Department of Public Safety • • ofConsamtrAffairs&BudnessRegnlasor • board of Building Regulations and Standards OME IMPROVEMENT CONTRACTOR License:CS-0548i7 ,-,+ Registration Construction Supervisor 4 Iration: 100740 TVP yP 0!23/2018 Supplemen JOHN TSTRUMSIO ..y CAPISZI NOME IMPROVEMENT.MC. 18 ALDEN AVE ✓✓✓111°6°-������ BUZZARDS BAY MA 02532 JOHN STRUMSKI • 1646 Newton Rd. Cotuit• ,MA 02638 Dadersecretaiy M CA.:, Expiration: •. Commissioner • oe118I2018• i; • ted-Bui binge ofan'use group which • Ise than 35,000 outdo fbet(991m3)of • space. c • isses$I turcantedition of the Massachusetts • gCada I/MOM Alt l ticnofthisncenss. . • big TMennationvisit www.MesWOY/DP3 • • • • Lleense or regtvtrttionvslld for individual use only before gm expiration date. Iffound return to: Office of ConeamerASairs and Business Regulation 10 PerkPlaza:Snits 3170 • . Boston,MA.02116 • • • • Not valid'damn elgnatare • • • • •• • • • YARMOUTH WATER DIVISION • • 99 BUCK ISLAND ROAD • WEST YARMOUTH, MA 02673 PH.: 508.771.7921 FAX: 508-771-7998 • BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location :2` E,t/Ctt/o, Map #: / C / Lot #: / 3 )e.— • Proposed Improvement: Po re-- A/icu y.Pctc /y //opip nl- o !U .$ us,COGN Applicant: CAV Zit /fcNre ray/nee es✓r =iv o Address /6 yr i(/tul 71-13 wel. #: L YL 424 I Date Filed: /24 C U iA✓/? 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... Signature of applicant Date PLEASE NOTE: COMMENTS: J//13/Y Reviewed by: Wate ision Date P - ONE or TWO FAMILY —BUILDING PERMIT APPLICATION REGULATORY APPROVALS NOTICE Address of Proposed Work: .2 1 EM c KJoit/ WA 1 Scope of Proposed Work: f3 u;ld. A L 'X lo ' D tat w/lµ LQNv/Ng rr fool/10We i/ s/D terve k/enq J To free IA .ex //rug pe- e (-t/4T Deukw7/ War tie cA.4Nped. Date: 0 yAVj8' Based on the scope of work described above,the applicant is required to obtain approval sign-offs from the following departments as checked-off below: INITIALS Health Dept. — 508-398-2231 ext. 1241 Conservation Comm.— 508-398-2231 ext. 1288 /Water Dept.— 99 Buck Island Rd. phone no. 508-771-7921 iC 41 l 9 Old Kings Hug,. Hist Comm.—508-398-2231 est 1292 Engineering Dept.—508-398-2231 ext. 1250 Fire Dept—Kevin Huck/James Armstrong, 96 Old Main St. SY • Note: Please call Fire Department for an appointment. 508-398-2212 Other Appropriate plans and/or application shall be provided to each of the departments checked-off above. Each of these regulatory authorities has their own requirements outside the jurisdiction of the Building Department All applicable approvals shall be obtained prior to submitting a building permit application to the Building Dept Thank you for cooperation. Recei.t Aciowledgement: „L�,�� y//i//t splicant's Signature P Date Rev. Dec. 2015 °cf<titr TOWN OF YARMOUTH pgit ,°� HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: a / C/}`/ c /POO"1 14j47 Proposed Improvement: Pat 4 Deco 1- 1A,UDiNi i tt) Ma o>< a/D Jm-ee ecl / o -t/f Cc f OVed2". CSP/ 22/ 75:4"Applicant: ��/ $/& t nprOUGIH Tel.No.: Cod- Y2e 7 Address: /&4 Neultwii ?/1 C"to /f Hi 0260 Date Filed: Y//3//e ••lfyou would like e-mail notification of sign off please provide e-mail address: Owner Name: ED q L 6 umes. Owner Address: a/ f/i c/CJ an why Owner Tel.No.: Sat r773-ii/ 77$f// El_ y� vknwm-f OM 0z66Y 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: &Xiiti t l DATE: -aterg) PLEASE NOTE COMMENTS/CONDITIONS: ACCESS COVERS MUST 8E WITHIN INSPECTION 9' MINIMUM. 6' OF FINISH GRAD PORT J' MAXIMUM COVER FIRST ?' TO - BE LEVEL 2'•OF PEASTONE Oil �' DWI PIPE - 3/4' - I I/2' DIA. �? t `_ : : : 0 T/0' f 'MIN DOUBLE WASHED STONE IA!• . 87.7 i3 OUTLET 5 HIGH CAPACITY INFILTRATOR EXISTING D BOX CHAMBERS W/3.5'± STONE AROUND 1000 GAL 10'x x J8 '1 x /0'd SEPTIC TANK 6- CRUSHED STONE OR • COMPACTED BASE PROFILE : wor TO SCALE • CATCH BASIN ,---1 -- 1 A _ .. vii/ CB/DH Q Ny0 ir10 I Q60 VY 1 CS N I ' R ^. LOT 47 .125. 12. 7943 S. F. ; ! I 1 I .. I I . . I \ I I f \ I / ! \ I I N / \ / I -1- -; I • a t/ , of o --- �'- - CEoppoU 1 I m iti I I ' 0146 $0" I III .',_`► . ' \\\\\\\\\A BE0ROOW • 1 1 BNp1 •!.7 / / J 1 / EN / I / /^ pIB1� 0 , SM CORNER BU f(HEA# �,/ ..• raES 101`."- \ E1-911.68 J 917.fE- // 11 N. Y gtRl .R, + 414.411.F / , ' / e p - �� EXf9i/NQ /00(y0 / / / m v' N+ .....- Z� S£IT/C/TA100010 1 / / / S !LEACH Ply / �'' .1 Gulf li / / 09 0 7-C ..• .41 / / y �' 1y -_-' 10. \ .. ... % •. DC.6 `p` �' ., ... ' SON. REMOVALN - I -}- p- SEF NOT£ 0. \--,101111---6-- _ \ _ 1 PO.3 S H/O4 CAPACITY' ly ROUTl'�,� �'� IWILTRATOR OWNERS K` \._� �1.- � �' W/5.5• STONE ARO(.1C —1------ 4(--k `if, `----c- L Et �'—. ? ■CB 0. ar ��mess-� �� WORK MUST O F RM TO ALL 0 4'�t TOWN ByjAWSS & REGULATIONS ! -G • G ,3 l Yarmouth Health Department • —oNw— 1 - YARMOUTH WATER DEPT D� Ih��VED i�- —E 614 soK SDNp 4' N�ime Date —COY— \ +40.4 �- - _ - --40-- Los,. J LOCUS MAP 0 10 20 40 • • ACCESS COVERS MUST BE WITHIN INSPECTION 9" MINIMUM. 6" OF F!NISH GRAD PORT 3' MAXIMUM COVER I IIIL FIRST 2' TO — • BE LEVEL �M/N 2' OF PEASTONE �I Irl 4' NAM PIPE �_� �` U 1 3/4" - I I/2" DIA. R } ` I'1 • 10. '�TDOUBLE WASHED STONE r -•:1.7. . :• ' ' • I 3 OUTLET 5 HIGH CAPACITY INFILTRATOR EXISTING 0-BOX CHAMBERS W/3.5•± STONE AROUND 1000 GAL 10• ' x 38'1 x 10'd . SEPTIC TANK 6' CRUSHED STONE OR COMPACTED BASE . PROFILE : NOT TO SCALE • CATCH BASIN �•`� WCB/DH O MW 110 1p60 Np11,00EN1 _ \ K � 0 I EpGE l i \\ i I \ ER Lor 47 \ 125 12. 794f S.F. . \ I 1 I 1 1 M I ; 1 1 / \ I \ I I 0 1.3 s l ! 4 :Pbof I • 1 R I , 1 1 1 IW 1 K • 1 �,VI atN , of I / �i II it 00 N �N on' •r.7 i/ / / pl ANO `� SM CORNER B(R7(HEA( • • Kj1C}IEN \ EL•Yf.6B 'N 67 ft 11 91 s s + I ' MA/'- / ! ) e p £KISTINQ loot 1 1 / m -+ ' 11\i° ---"' B£PTICITANK/And / / / %. Yf J /I�,\I'NAPLE / Tf•1 / i, . Y••. / 1 1 / FE� 4_91.3 ,..� // ) / /PA -'- .LEACH PIP / / L ' / • 5� / ) 189 0 ► I : , \ �.in IIg 10• � .w"" . .O.B ;fl ,,•. • SOIL REMOVAL - ' CL •0' BEE NOT£ 9. / \-• UTE O !_'� ! Yo.3 S HION CAPACITY / ` 11001_0_____________, D�.�� ') INFILTRATOR CILIAIBERS >, i q- 14/3.1" STONE AROUND ik. L`� � ` L Et ■CB Th fir 1 63 41Ne Z R $ Yarmouth Health Department PPR D -G- -OHw-- .�Name _ ,J In BsK 9 \` Date —E L -CTV— ` � •}40.4 \ \ j L1 ' 7–_ _ _ _ ��40—� ' LOCUS MAP 0 10 20 40 . , : i : • • , . , . . , i • i I itr--t- t . 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