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�J' Application for a Permit to Build
k .,i , ct t �\ )::::.0 BY. Fee must accompany this applic on
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T +! � Ra " ' �� Yarmouth�l//7tc'7�i 19
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TO THE BOARD OF SELECTMEN ml t�/
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The undersigned hereby applies for a permit to billd`, according to the following specifications:
1. Name of Owner 4//tt/kfn- L.$7BttonL�, Address Rd./2CA 10/ ta.ewnynco yf//y/Iss
2. Name of Architect (if any) d...i_/+•. •
3. Name of Builder Ada t,m-i, L., hi /+a-on.0
4. Precinct No. 1 b Lot No. 9 9 Cb Plan: Name or No.A. N(, O 2 -R 49 4 so
5. Name of Street✓ 'nib b c C taco es is na j 4Y
6. Purpose of Building S/A..4 Lar /an."pc. S {2 t t r.)c.,,a�r
7. Material j—nmr. C.' - 3 ,9 ea t(Ct1
8. Estimated cost of building 9mO. / 91 etas /CH.
+9. L 10 le /U7
9. Dwelling t6 3 d /
10. Cottage gg/it // rfrJcy
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11. Heat (kV . to girt...0.-. y41 y /cii4'yP. 7,e a spn itis'
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12. Basement Fit t . 2 a�rt4eS
9p . Oger (f
ger aheA.ryJ
13. Garage /u M)cis , / D to.
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14. Store
15. Shop -
16. No. of stories /
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front .ci c ' No. of feet rear 3 .30 -' - No. of feet deep / Ter
19. Size of building. No. of feet front 7.2 1 No. of feet side ....C?? B No. of feet rear ..7 a.
20. Distance from nearest building: Front ./ 6side....
/42 ft.; side 7o ft.; side... " ft.; rear..,T0
21. Distance back from line or street -S Q e , from rear lot line $.3 , side line ..?..,4 °` /647
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name..../ke.i ....2&ef .
Address...*A2.12:1.4.6.4: 442..8. • b/L.f:leer
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Rear of Lot
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Frontage of Lot .
Street Name
PLOT PLAN
Of Y1111. TOWN OF YARMOUTH
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WATER DEPART MEN�Y
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MZZZZZZ I[I�'�
C5)4.4�*+r ''id 102 UNION STREET
^5w. YARMOUTH.PORT, MASS. 02675
WATER COMMISSIONERS THE BOARD OI WATER COMMISSIONERS MEETS EVERY MONDAY
AT TJO P.M. AT UNION STREET OFFICE
FREDERICK J. THACHER
ROGER G. EDWARDS. JR.
THOMAS E. KELLEY •
SUPERINTENDENT Date: September 26, 1979
PAUL WILSON
•
Name: William L. Maloney
• Address: P. 0. Box 301 West Yarmouth, MA 02673
TO WHOM IT MAY CONCERN:
Please be advised that Town water is available on Lot or Lots # 9 49, 50 & 51.
Stxw..k Ridgewood Drive , as shown on Assessors Sheet # 93
, V truly yours, 4
al-S,Cire
Paul A. Wilson
i Superintendent
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PROFILE OF
SANITARY DISPOSAL SYSTEM
. NOT- TO SCALE DESIGN DATA .
3 BEDROOMS
CONSTRUCTION OF SANITARY DISPOSAL DESIGN FLOW -:.'3B4, GAL ./DAY
S YSTEM SHALL CONFORM TO MASS . LEACH RATE '� Z MIN./INCH
E N-VIRONMENTAL CODE TITLEt PROPOSED LEACH CAPACIT Y :
• AND THE TOWN OF rA7R 0CJ7,/ -
• HEALTH . REGU• LATIONS. G .6-7C- /T/0:)-+V. :��T'rSZ) c
s � j S_S /0' GAL./DAY
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SITE PLAN SHOWING PROPOSED CONSTRUCTION
L 0 C A T I O N : Vr�%r4T€D Ir,,y °t--r ,-;/;f4_�:= w._
FOR : l- 1/7 / /61,4.9 ,44ALO,fie `7 ,--2-0.,..) w APPROVED I9
S CALE: , "- DATE: -4,•-:X!.y22J 77 BOARD. OF HEALTH
REFERENCE: ,cue//JC- .< oT.s I/9' ri .moo r? = �`'/c'.v"1 D__2 7 E " I24/1^'A ENT
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�� � " J. M. MONAHAN JR. 8 ASSOCIATES TF �°
It I ~"-"t REGIST.ERED LAND SURVEYORS & ENGINEERS +'esu � -
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1Fr _� 651 MAIN STREET DENNISPORT, MASS. 02639 �fi'►
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WILLIAM L. MALONEY
,, P.O.BOX 301
WEST YARMOUTH, MASSACHUSETTS 02673
(617)362-6451 • R c.20
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a', •do;d'" Application to
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St.t �! Old King's Highway Regional Historic District Committee
'. in the Town of Yarmouth for a A-
• CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for: •
• CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑i'New Building 0 Addition ❑ Alteration •
Indicate type of building: la House ErGara
ge Exterior Painting: ❑ Commercial. ❑ Other
2' Gy _
3. Signs or Billboards: ❑ New sign ❑ Existing sign * ❑ Repainting existing sign
4. Structure: ❑ Fence - [3'(Nail p Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE_Z1/a 7//910
ADDRESS OF PROPOSED WORK rib 4.6- 400 p,�i s yi9/! >�t ASSESSORS MAP NO. ,04-• IoG.
OWNER a//i_L/nm, 2. /77r91047Fy ASSESSORS LOT NO. 2.1519-....5%
flAlt_ t. o. Sox so/ iu• yearn try
in 4sS, 026, '7 .3
HOME ADDRESS Si o7 /aid&P"iuoo.3 nIVq TEL. NO. 3C.2 — tri 516-7
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
Kg //7. obe•s iunt/riM 1f912 / /2/,?—. y1,,ye/113frns aiewnnt) EC19/z,z p is-/2,0Be 7 22./3/..
Ye.a? ACatrlq On yan. ??.1(0 /3,S:7timahnz• ;lay /Of-ni H12,4 y rza7 PPM72, C tWme?n)o
12 3o r✓h M.tioQ - 'Dotvkirz.L, 23/nikS AL.13“—r4T 4'<tiltoP)rx• I23Q />7a)n Pvst:rct— wrmta,(116-7°1° .
12 33 M.-m, kc wwrtb n 7-0'a/g2,.
AGENT OR CONTRACTOR L(J/LL/HM 1_Mfl.cowaV TEL NO. I ?Co-2 -&Y•)-/
ADDRESS PO.c x 30 / way mar mturn /r)/r-fS_ 62623
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8, other side), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of new signs. (Attach ad itional sheet, if necessary). d"""
lu!?'14 /9n/?�%'ty� Q-r4r_, t�S,3 ' s S (/Yr Pcl of o i3 /tcrr„r. ,p X 702
(�U>~S 4S/7 e (C/3w. yU t? �• fll N/�H%7Lr ra7�
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Signed /€42-,—� dgn•<-
• rd
7"�l•n•"',, Owner•Crctoragent
Space below line for Committee use. tib.
Received by
H.D.C. R TOWN GEI V�,1�
OF YARMOU 'II-r- , y/,
Date_ t!�1� T'F}iX'L"i'fiL'dte9sTsttbg -,T //airy
pi_ a /y t/
Time i� � ��a.- /
lor
By {(/le • ora -
Approved El IMPORTANT: If Certificate is approved, approval is subject to the 20 day appeal period
provided in the Act
• Disapproved 0 Please return to: Yarmouth Historic District Committee
P.O. Box 124,Yarmouth Port.Mass.02675
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BUILDING PERMIT REVIEW
- -
APPLICANT: (A.) it L1 kyr A . /%- 141_o'o 1 . BLDG PERMIT NO:
LOCATION OF PROPERTY: 'VQ r•tto Pibteis even ebt2103DATE FILED: ...S1/4/1-0
•
yfinMe inn-nwi . _
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-ft
DISTRICTS (C) . FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE . • -
APPLICANT THROUGH THE FOLLOWING AGENCIES. •
1 . RESIDENTIAL BUILDING: _
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL.
•
B) 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_ -,. '
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).
REVIEWED BY: . _
1. ENGINEERING DEPARTMENT: YESt'DOES NOT APPLY—SIGNATURE P. R O S ' DATE 3
2. CONSERVATION COMMITTEE YES DOES NOT APPLY SIGNATURE f,; I - DATE3
3. PLANNING BOARD: • YES DOES NOT APPLY Pi
Yi - �1 ) ` BATE •
•4. BOARD OF HEALTH: YES—DOES NOT APPLY_SIGNATURE' cc-1„ e �c4Lhit G /
5. FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE . DATE • -
COMMENTS: . •
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CERTIFIED P4 t7 ; ±_ t, ,�1 /2276' Top 0,eFOo.k1 /O�v '
is iz t ASE //G�/ .
L 0 CATI 0N. _711: 1- \,'":',- "7/ 1-1-': ' ;-N. 4 'Pi .`-,-.
fe,i-0 7 /.v 208,0 .cI7004JI'/mak
FOR: , 4/1±)2 ",:4Cf: ts . . 4
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SC AL E' ../ C3i __ DA r _ /J - i.. /
REFERENCE L'C/, )G.. ,1/--r,,"7:1_,
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I HEREBY CERTIFYT ti A T
1-- Hc n U I L D I N G '` REG. LAND SUR-V E'-Y O R
SHOWN ON THIS PLAN IS LCC ATF: O �^ N
THE GROUND A5 SH CI V, N HC2EON , _ -
tfr vet 0A
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-r - 1•%u KJ:PH M :JA
.� MON�!t�nl AR ��.
u . !3460 w .:.
J . M . MONAHAN, JR . 3. ASSOCIATES ay �tirsT.N'�`�I
REGISTEPLD LAND SURVEYORS & ENGINEERS ri' ° saa >� •
G4i`;��
651 MAIN `. 7 " EET DENNISPORTI MASS. 02639.