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\ ,�Si S b g X'' Application for a Permit to Build No.
a
t'a/RELEASED BY Fee must accom an his application
PLAN NG BOARD. y� �y
DATE IS-/ plor \ Yarmouth ..C4?W'.�JlC� lsl d
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
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1. Name of Owner A..r �Cr Address er n ice r 6'1//c ' 'z, 011JL
2. Name of Architect (if any) -- y
3. \ Nam 'e of Builder „E. Ater EcYrs/gyne/'c"n 6 y' 0.720 '
4. Precinct No. 4. Lot No. -7Z Plan: Name or No. Ste,` Tti"2-
5. Name of Street/,2N/Cerb5 AYE,
6. Purpose of Building S,>nc +.-/%Vice pp
7. Material 1.40W-i/ E.z'Bt/e /54r 2 aeV "\art.-C
8. Estimated cost of building 945 ere I VVV es- / G.I r foe ter
c.
9. Dwellingla4 / y r!�C�� �K
10. Cottage f H'xr'/Cate C e O I t�! 'r@1t Cry
(,�, ? -relive /.S.o0
11. Heat co r•<r1/4-1 644.10, 27 at' q / /�
12. Basement F.+/��Erte .✓ ctnereYe P. /� 1 NL 7 fS4
13. Garage /4n fee -:n 47feri,sn� �'L�C/ et' V �ek
/ Cll.( CA4e3C/ Clf10(C
14. Store —
15. Shop
16. No. of stories I n<-
17. Is there to be a Store in the lower storey 7 d
18. Size of Lot. No. of feet front al No. of feet rear J,Y,/ No. of feet deep s' -/8V
19. Size of building. No. of feet front yt/ No. of feet side -e6 "21 No. of feet rear .. X
('20. Distance from nearest building: Front ft.; side dr, ft.; side....../fS >` ft.; reare
21. Distance back from line or street Yee from rear lot line '2 side line "1-1 — '7
Show by diagram the location of propsed building with relation to distan es rom adjoinin 1 , on reverse side.
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it f\ ! TOWN OF YARMOUTH
r t`' VIA iI !C R, PA R MIEN
0,
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102 UNION STREET
YARMOUTH PORT, MASS. 02675
WA-ER CCIA: I. PS THE BOARD OF WATER COMMaSSIDNCPS MEETS EVERY MONDAY
AT 73C P,M. AT UNION STREET OFFICE
FRFCERCK J..THA^_HER
_ ROGER G. EOWAR DS, JR.
THOMAS E. KELLEY •
Date: December 14, 1979
SUPERINTENDENT
PAUL WILSON
Name; R. E. Baker
Address; 818 South Main St
Centerville MA 02632
td\
TO WHOM IT MAY CONCERN;
Please be advised that Town water is available on Lot or Lots # 32
(Street) Nicole Ave as shown on Assessorts Sheet 57_T,\
Very truly yours,
P Q CV
Paul A. Wilson
E,
r Superintendent
BUILDING HER^:ir REVIEW
rr -- -
AP('LICANT: e2 PLA &/`ti' -. % - . . BLDG PERMIT .NO: --
LOCATION OF PROPERTY Ay ,P2_ /f- 12'c' S/%•kc :. DATE. FILED:
THE FOLLOWING- CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN •INDIVIDUAL -
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING. --=THE BUILDING -
DEPARTMENT WILL CHECK ON THE FOLLOWING: (A) ' CONSERVANCY DISTRICTS (B)'.` HISTORICAL
DISTRICTS (C) - FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE
APPLICANT THROUGH THE FOLLOWING AGENCIES.
I . RESIDENTIAL BUILDING: •.. :
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERRENCE. TO SEPTIC SYSTEMS FOR SEWAGE " •
• DISPOSAL.
'6) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
• EXAMPLES: . STREAMS, PONDS, RIVERS, ' OCEAN, BAY, BOGS, MARSH,. ETC. •
C) CHECK WITH PLANNING BOARD 'FOR LOT RELEASE _ c:_ ... . -. _ - -:
2. COMMERCIAL-BUILDING: _ - . _ - - _ • - -
•
A) ENGINEERING DEPARTMENT-FOR. PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE -_.
PLAN REVIEW. - : • -
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. . .
C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. •
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC. •
'E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
•
. - _
I. �ENGINEERING DEPARTMENT: - YES ✓DOES NOT APPLYS
IGNATURE --r s_ A s
'6DATE { b
_ :
2. CONSERVATION COMMITTEE: • YES 'y%DOES NOT.APPLY4 • SIGNATURE C-:,_. ,i . I. -r•-, DATE Ilialso
3. PLANNING BOARD: YES ,DOES NOT APPLY_SIGN � - -- de •
DATE .
4. ABOARD OF -HEALTH: YES OES NOT APPLY SIGN•• `>_ -!t £. ' • DATEra
5. FIRE DEPARTMENT: - YES_DOES NOT APPLY SIGNATURE • • DATE
COMMENTS: •
•
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I I CEfTTJE1ED PLOT PLAN
1 oc vnos . t"ie rr Y q'ioin MAss.
r^ Z.E i „_ "'.
DATE At-.23:1.97 ..
• rill'I Rr;rl?r'"C£ Ce-inT'
ic . Ld 'e32
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I :`RTifY THAT THE .. .
' 9r•"'4'N ON Ti+IS PLAN IS LOC47E1047:thY GROUND
A" "4C W N H$°f1rr9,APer,TWAt PT CIVIPORNIS TO THE
' SETE•t ITA ,it/4xvtcttl ! town OF
l ',t?,7 / 6 . I'M,".../ i`�;.:=^ . . . *HEM CONSTRUCTED.
•.)/? .a,_nd ..tn,., -77_y , DATE . . . . . . . .
PETITIONER: Ce7✓rex.v,<Gt- ,"' =•
REGISTERED LAND SURVEYOR
Nsry.5
SNEtr 2 of 2 S/Wens
_. — EL.1 /C.zo
TOP OF FOUNDATION
1;' CONCRETE COVERS
.I nnri Vr/n1/n/lJmim1i ir/fi e, •Mien -
: 4"CAST(IRON 12"MAX. . .. - - _
, , PIPE (OR4e\ 1 4"O RANGEBURG(OREQUIV.)
, EQUIV.1)-MIN. =ice• PIPE-MIN. 12 'MIN.
I:, St.1-4-
,-
PITCH I/4"PER.FT. PITCH I/4"PER.FT. '_` I, LEACHING FIELD ( REQUIRED)
s----!.. 8����� I/B" I/2 WASHED STONE r.- c'
>''. `-INVERT �� • WASHED STONE
:•^ EL. 4.80 SEPTIC TANK INVERT DIST INVERT , IV2 �.� - , ,t ,
e•: EL G.4/ BOX EL.4. .---'-"- -"..s....-----„...2._3/4. - --'
,.• INVERT /000 /
!e, EL L•a . GAL. INEL VERT INVERT t•S✓r2TJ -
•sar ,,,r___ j• H G"• r
°'• I - —
.10,
PROFILE 0C R� -�,
r,�.;i, --- GROUND wATER TABLE
SOIL LOG SEWAGE DISPOSAL SYSTEM �TtT TICAL CR c '' ".''' -" n
NQ 4 A'_E LEACHING ('''FIE''-LD
DATE D.S4.4 /479 TIME "=") — rr-.... Z '( ; •• r• r t' r^,• P:^ SCALE
TEST HOLE I TEST HOLE 2 1.,--L. (-- J'•.- `"'--L" L
01_r " DATA :
ELEV /0.00 ELEV. V8 - IJ2
12-MIN. wA✓ E 1 7:
r *UM;,-R OF B:CRD3MS '�' . . . I 1cS ...+,,s 1
7n771
Srf TOTAL EST,VATED FLOW 22o GALLONS/DAY l. .... z •-
,' •
j + �rIL —1-
BJT.TCM LEAJNI`:3 AREA ^" * . SO FT./ FIELD 'LA"TIC PIrE J IV'
i
GARBAGE DISPOSAL N '�
OE (50% AREA INCREASE) WASHED
.7-400
STONE
TOTAL LEACHING AREA . .? ... . . SO.FT. 4' 4 I:' be" a'
PERCOLATION RATE L;.'i?'t TmenM/PER.INCH -4---• • t ,
� LEACHING AREA PER PERCOLATION RATE 24o So.FT.
THOMAS E K GROUND WATER TABLE
— u — — _ _ APPROVE BOARD OF H STH ELLEYCO:
' - -r - 44 : e $
/�.•WATER [S:^C'1hT4RE7" GT . . .. . SORAeo ..iki- A4))6..
WITNESSED BY : oz664 • ct TMtor, r \•
. .leLE. . ez C,5.. . BOARD OF HEALTH 4Tt'1 &c r AVGu.E" / - tS. 1,
/ P,�CxT E. l3Af1A= I� ' f�l�,ll� F =+:ee rn
.7f Ti►S !C ICCLL� Re. ENGINEER 1 \ F f��
S «( 't . l`r. , RI'S. E'L' :7,04.» ! HA7N S7kCtT 7 t'.t'� o�FSS ONALE��'\a�
I .• ' 1 PETITIONER : ._'ZA/12.tVatr" yn..• �. 1 • 7/
•
Ir
C-- `'r HEALTH DEPARTMENT
Y' ctfr :t .T 40- o.,,
. •N�sz,-,! sh. • TOWN OF YARMOUTH
MATfrcn 5
4...:.,16Cd
SOUTH YARMOUTH MASSACHUSETTS 02664
VARIANCE FROM PROVISIONS OF ENVIRONMENTAL CODE :
ROBERT-E. BAKER JANUARY 10, 1980
818 SO. MAIN ST.
CENTERVILLE, MA. 02632 RE: LOT 32—NICOLE AVE, W.Y.
Dear MR. BAKER •
The Town of Yarmouth, Board of Health has received your application •
for variance from the provisions of Regulation N/A Title V,
of the Environmental Code and/or Regulation 3. 7 of the Town of
Yarmouth Regulation for Sub-surface Disposal,of Sewage.
Having determined . that strict enforcement of the above Regulations
in this instance would do manifest injustice and further, that your
requested variance does not conflict with the spirit of the Environ-
mental Code or the Regulations of the Town of Yarmouth. Board of Health,
the variance is granted on this date , JANUARY 10, 1980 as follows :
.
TO ALLOW TOP OF FOUNDATION ELEVATION TO BE 1.5' BELOW HIGH POINT IN
ROAD AFFRONTING LOT.
MUST SUBSTITUTE REVERSE SLOPE GRADING SURROUNDING FOUNDATION.
.
You are hereby advised that the variance granted herein will expire
ninety (90) days from date of issue unless all work authorized by
said variance has been completed prior to the date of expiration. - .
Very truly yours ,
•
JAMES MC DONALD
NXXMXNXXKRRXXX, HEALTH OFFICER
TOWN OF YARMOUTH
•
DDK/av `
cc: Robert C. Lawton, Jr.
Executive Secretary
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I CERTIFIED PLOT PLAN
LOCATION . WESr yAZHou�.MA3S.,
1tt,.E SCALE / x._30' DATE •. �!9$� .
;ut• � •C:U Dk.
. r.j S. 32 1> PLAN REFERENCE /.fit/NG G T y3Z.. .
..,.a.,,.. ShbW& . ,,A..,,A.. A. Pl e j op. . ,Wr. . . .
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-;r ' I CERTIFY THAT THE 4!''7"!G.. . ^'a vrso.!.
�4' ' ':` ;. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
;T_ r..E„'Tr' AS SHOWN HEREON AND THAT IT CONFORMS TO THE
• SETBACK REQUIREMENTS OF THE TOWN OF
,a5aer E. 5Ale .' . .Ygx!t94,-TH WHEN .CONSTRUCTED.
9/B Sor.7t/ ' c'? V T STzaaDATE FCB.j,91O. .. . .,4 A� ,�._,
PETITIONER: Cenre eVit/E /`1'OS S . REGISTERED LAND SURVEYQf)
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