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3 Application for a Perm to Build
LOT RELEASED BY. Fee must accompany thi a lication
PLANNING BOARD. LGA`
DATE f/ 2`/ / '7 q / ,2z7::2; Yarmouth 1 19
4/.Jif._ in*
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: ]t, 'U
1. Name of Owner fr- F A 1'' Y&14.1. Address J—r ee old/7/w f
y/}nad 07,712d7P7: /774-
2.
YID2. Name of Architect (If any)
3. Name of Builder fW F 17 p G V C-19 V
4. Precinct No. 4 0 Lot No. -zie n,/ Plan: Name or No: j 6 9 f/9 G
5. Name of strewfl/E tot)S CX0l' e//�n pec( a• • 32-KIo
6. Purpose of Building &f$/9/e Fitly (give/1/4n
vt e///n q /�"
7. Material W D b CJ l' h 13 at e J 3 6 `f'1 r'T,/ j f�:��� 1
8. Estimated cost of building 1
1/ 3. () {� f�. VsB c/�
9. Dwelling G7. J oCi- 1,
�//Ld t
10. Cottage • a
as — HOT w�-TtTi df, ice t
Il. Heat -- �
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12. Basement 'g`- S
if
13. Garage C r C� (' �° /� `
14. Store / /A 4 . a , /!
15. Shop ✓ /o Cl/ /S�
16. No. of stories l
17. Is there to be a Store in the lower storey �j
18. Size of Lot. No. of feet front £2. 6.., No. of feet rear a 0-
O No. of feet deep / ,
19. Size of building. No. of feet front 6...7 !) No. of feet side 9 67 No. of feet rear c,l:...Y
20. Distance from nearest building: Fronts �y...4J&.L! ft.; side ft.; side 1.0 ft.; rear
21. Distance back from line or street .7 S / from rear lot line 6 7 / side line t' if
Show by diagram the location of propsed building with relation to distances f adjoining lot�re )
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Address Q.4G atfr S..4L..
Street Name
: -Left Side Depth of Lot
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Right Side Depth of Lot
Street Name
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FRED .DEVEAU,BUILDER
#ID
•ct .
ENERGY CODE
WALLS
OUTSIDE AIR' -
.17
z"PLYWOODSHEATHING .62 -
1"WOOD SHINGLES f .87
31", INSULATION R-11' 11:004'
,
'z" GYPSUM WALLBOARD -.45 t .
INSIDE AIR ' .68; ,
1
R= 13.79 =U=.072
CEILING 13.79
STILL INSIDE AIR . .61
s" SHEETROCK .45
6" INSULATION R19.00
INSIDE AIR .68 .
1
R= 20.74 20.74 =U=.048
FOUNDATION
OUTSIDE AIR .17
10" CONCRETE .80
R-7 7.00
INSIDE AIR .68
1
R= 8.65 8.65 =U=.115
FENESTRATION
DOORS&WINDOW 245
12 0 = •19
ALL DOORS & WINDOWS TO HAVE .
PERMANENT STORM DOORS & WINDOWS . =.65
V nir x I .. II r i, , ^1.,_:� 4 , SSS'Csr
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r it. k 41 CERTIFIED PLOT PLAN � 4» y• .
.. 40• , LOCATION •taies ..Y1 Cf,Y.It' •414.1.5..7...... ' "
j i SCALE a :'rt' !'• • (SATE '51', • 1yt0 ,
F.
EDWARD E KELLEY PLAN REFERENCE .QE7.- r L17- ''/v t
N1JMAQUID, MASS. OT637 i. SNow.v 'o..4/ LAW. ." I"
'error '
rw s
/� 3 .. • I,. I renl.FY THAT THE ere y `
Ari s . '�Q I ,I ' SHOWN ON Tats ON THE GROUND ,,GAµ ,i.
(.4' t As SHOws HEREE 1AAT IT CONFORMS TO Ile } I
yti's`rt fl.%11 ' SETuAC% EWTS OF THE TOWN OF t�`i'
•4.SU ' i `� ‘1:01` . WHDM CONSTRUCTf Ili
l n nr
F1Ze!n ,/-'.N A� I I DATE 4, J . v 4 r' ar��41i,n 4,
Oun'a ,err •
r i , i s t t I" ", „ j)Pr#
Ell: Y'4i2H I at , u4 kk i
II • REGISTERED tA$O 4URVETOR ; �r,,.
;RevtIre PCra'ti „Id ,
�. if :, ;1,;,....h:,.:- .r�,lrWn ! t y!1 ,9,+.q.1:7 Lift ,
_.. .. . ,`33l61►T'?L oF' L SMszn'd� ;,)1 ',i •11-,
4 a t;
, a 3.2•4015 . • dr I
,VP OF FOUNDATION •• • CONCRETE COVER
• y#,
CONCRETE COVERS $"'•'•'
4"CAST IRON i2"MAX. r • # 12"MAX. � ' '1•
PIPIPE'IV.)(OR MU -�._. _ - - AsORANGEBURG(OR EOUIV1 -'-��• • '.1,;:•<::,•;.• ` ry' "
�r PIPE- MIN. . : LEACH 1;4.4` , u'•j
..11 I/44PEA. •! i PITCH I/4 PER.FT. PIT '" COR , , •+
:• •INVERT Wtrr
w 2 h1 4
R..ZG.4� INVERT v •:e V r- ' C 1:: P EOUIY.lt ',
• SEPTIC TANK EL.0 e7 DIST EL.,. . .. >x K.•: IV: .,
INVERT ! L„ • INVERT 80X INVERT a� <•� „, n + f:
EL. :.' poo.... GA ELS 0- w 3/4 TO I VE,�y�`4
:. u n K wASHED
'�' Y� STON ° i
l=. I.
Ate :: 7. ' fi
_ ja 7 !z':.�"'t•`_&DIA. – 4 1 7t , '. 1 ,'/1
( ' ,'r.
PROFILE OF • GROUND wATER TABLE, ' x, 4.
1 Sawa ow rear .+r•us 4: t7
SEWAGE DISPOSAL SYSTEM ' A ..ft-4.44 6 tiaus •
NO Stkl.E
' ,1 PRELIMINARY . . 'tt4;',
•
SOIL LOG 1. ' WITNES •ED SY:
( av; L3 /979_ TIME z:30.O,/!. •. . to BOARD.,OP HEALTH ,• , ,1. � _ '�t
.COLE 3 TEST HOLE`' •}s E!: !�2 esy Pt•. ENGINEER .
I t8•AO ELEV. . ,'. r sp
1t4.'r'..
'Tl4"� arivA '�.07 .YS ZGS- d
Y
w.• �•, DES GN DATA.: ,4' •,
3e'� : NUMBER OF BEDROOMS . .. . . . . . . . . . . - ; '
TOTAL ESTIMATD FLOW . 330 , . GALLONS/DAY r ,-
h.•nn.., `` ►orroM:LEACHII 3 AREA 78 io . sG.Fr /PIT ;,i+ y '
SA+JD . SIDE ACHING :AREA .../.444.8.4 , SO.ET./PIT , i. ..,r..
GAR ; DISPOSAL ,N.4N...(S3 % AREA INCAEASE) ;'
TOIL -EACHING AREA . u9
7. e Gan ,,,I j
,r PERCO-AT1ON RATE la?3 !*!
.7: ' .fl#O. MIN/INCH i, ,a l`, ,,
—� — --- _.,. LEACHING AREA PER PERCOI ATI IN RATE ..s. .. SO.PT. . .1 '''t:';'
/410 RATE/ ENCOUNTERED rJ 1 °'
, � . NUMf ER OP LEACHING PITS ,3 e„,-7.,. )v/7,1iTJV mho �M` " ,4.
APPROVED BOARD OP HEALTH' rF .S7Dn(4-4i.N 44 SIRES r /4'4. '7Ns j•o1c • '
ry
i` /ls C r •
^�^.9".!cR AY. •i . . . . ,Kc,
DATE. - /.
2 :.
�ttk';4? ..,THOMAS L KELLEY Ca . C'/till.• ,.`�u4,?
• ✓' AGENT, OR_• INSPECTOR GINEERS=SURVEYO "Xi ,t,
c. 346 EONII POND DR ,. , �._, , } ' r yt'
, •*Dui YARMOUTH. • •.q�10TN r `1 }'
, p ` Mil: 02664 tea? , x111 .41
j I
4Q]-ill/C !4, i...' 1 .n ",{ IMi'1,
lit44!A!S y-�LG�r.'. .40 ' / is. 'lla1,• ..ac' a , , ,.
ETJ DEVNJ9tJr• , .3 ,•• ,xC ;; • �'\'PPFsiST�'� , , �4jrr
. ., . . i','," r` roicsF4o/i °SIONAL ' � •
PETITIONER : ,y �; •4,Lo sUt >, I 10-i1';�1.':
�}/.9+QHof�7'7�!!�ry' :fR3. _ i 2�./!• �C 317t .,j,,.
1
tit
• - . . BUILDING PERMIT REVIEW
` h
APPLICANT: / FD 0 F I/1 /51(.2 BLDG PERMIT N0:
LOCATION OF PROPERTY: i r (, i (h, S CIQJI (I) P L��C� , .. 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
DEPARTMENT WILL CHECK" ON 'THE FOLLOWING:• (A) CONSERVANCY DISTRICTS„ (B) ;, HISTORICAL t ',
• (C) . sPLAINS:ZONING,-AND WILL BE RESPONSIBLE FOR ASSISTING THE
DISTRICTS FLOOD .
APPLICANT THROUGH THE FOLLOWING AGENCIES . `
1. RESIDENTIAL BUILDINGe
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. -
.LES STREAMS PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC
EXAMP
rC) CHECK WITH PLANNING BOARD FOR LOT RELEASE1' :,: •„... -
2. COMMERCIAL-BUILDING.
A) ENGINEERING 'DEPARTMENT—FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE
PLAN REVIEW
B) _CONSERVATION COMMITTEE-IF LDT BORDERS ANY TYPE OF WETLANDS. '-
C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING 8Y—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 } c f ,
1'. ENGINEERING DEPARTMENT YES y DOES NOT _
APPLYSIGNATURE .'� DATE3fi7 Eo,
2 CONSERVATIONCOMMITTEE YES '/DOES NOT APPLY_SIGNATURE DATES I7 So'
3. PLANNING BOARD YES DOES NOT APPLY SIGNATURE . DATE
4. BOARD OF HEALTH YES. t-16OES NOT APPLY SIGNATC.199), ��DATE�j
5. FIRE DEPARTMENT: • YES . DOES NOT APPLY SIGNATURE DATE
COMMENTS: ' Ceti GoM.' A¢toVRL t `3583”— 247 _
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j CERTIFIED PLOT PLAN
a LOCATION w4"J r y'9TLncea74 fl'.. .
cs
SCALE /'Yr4 DATE/ 9R.3; !/Cu ,
j•i\t. I. ,;='". AT o-i , -=E( `; • - y PLAN REFERENCE .45.47.0.‘,C ear /o
2:, ._. C'237 S.4<o wN 0 A/ L/-}neo . . . .
,,,,,.22,4....„
`- C• n�..er /0�.," 30949
,,,
/�[D`;.-PD'\-
j -� I CERTIFY THAT THE CR'SnA.G �,vDA.nq,y
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
. ..,Y .-1oL.7-7, WHEN CONSTRUCTED.
/can) Devralta DATE h4C,,V /VGen _ /1
PETITIONER: >/,y2,-90 fllt:bacAim ss.
REGISTERED LAND
SURVE R