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Application� for a Permit to Build No.
tot RELEASED
B fee must accompany this application
PLANNING .
N
tDATE :' �BGAR� yam 7-77 , Yarmouth fitflit Jg' 19.2
4/li _ 3- .3/ Ero
-
TO THE BOARD OF SELECTMEN inaP4(5
The undersigned hereby applies for a permit to build, accor g to the following specifications:
1. Name of Owner (FED 'DEV k -" Address 19 hi-Pee/Rig/PP AA)
2. Name of Architect (if any) /ppmo a74 fan?7276.
3. Name of Builder ppi."0 4 .-^EHU
4. Precinct No. 4,n. I Lot No. rC? Flan: Name or No. i 0 9 (...--•
5. Name of Street)(% / 66lNS CRocu et/ RD , A.M.32-K9
6. Purpose of Building S(NH / P'?n i 14 Owei/in c, /i .
7. Materiel LVD 0 CJ h j�ryl se // (J� / ��/� ` '
8. Estimated cost of building / /e/ P-
.1.
a
9. Dwelling '2
10. corsage 136 3' o4im-< n-'
//a � �
11. Heat & 0-S - ii61to ATE $
lite'
�C, o7�v/L
� � / GGsr rater,
12 Basement r.----- 4°oc4e� �o
Petr a•
13. Garage ( C nit Det--4 f C11-NC /% /
14. Store
16. Shop
16. No. of stories / ) ����
17. Is there to be a Store In the lower storey / / • 1 v p
18. Size of Lot. No. of feet front ....175 No. of feet rear ..L...d 6 No. of feet deep ./Q v
19. Size of building. No. of feet front ....4..6,................ No. of feet side e2.4 f Noof feet rear ...4z..? /
f
20. Distance from nearest building: Front ....L..0.0 ft.; side ----- 6 ft.; side — ft.; rear
I
21. Distance back from line or street <4./ from rear lot line 7t/ /
, side line.......)....
Show by diagram the location of propsed building with relation to distances from adjoining J
lots, on reverse side.
Name .. t.r� X..t!.c! .<.t..-2.1
Address f a../.zeinS:Sr/ C.A. .1 £'t,.
Rear of Lot
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Frontage of Lot
Street Name
PLOT PLAN
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,..iq (? FRED DEVEAU,• BUILDER •
j, g ENERGY CODE
WAOTSIDE AIR .17 •
I" PLYWOOD SHEATHING .62
" ,WOOD SHINGLES .87 • -
31" INSULATION R-11 11.00
11 GYPSUM WALLBOARD , .45
• INSIDE AIR .68 •
1
R=13.7913.79 U=.072
CEILING ' •
:'Ti ILL Ii•1SIDE AIR .61
SIIEETItOCK .45 •
6" INSULATION I;19.00
INSIDE AIR. .63
1
•
R 20.74 20.74 .=U=.048.
I'CUNDATION
UJ'.•IDE AIR .17 •
10" rCONCRU7`I. •
.80
It-7 7.00
IN' ILI' \IR . 68 . 1 •
• -U=.115
R= • 8. 05
•
iAT I Oid
i OORSu INI:0.,0 2415
12—n- = .19 •
ALL DOORS & WINDO'NS 'TO HAVE
PERMANENT STORM DOORS & WINDOWS =.65
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• CERTIFIED PLOT PLAN
•
LOCATION .1^/nr ,$9Zfotaw),..!?.-tss.
• SCALE /as 40. . DATE Fes•.,.(980 .
®WARD E'KELLEY PLAN REFERENCE .ee .Lo......'.'Y....
NMMAQUID,�MA ^9417 . ,s-Now.' o L**JD c.u�T',
n 30949c
1,../.--.A.,- ';�' • i�/ !'..gi d• •r /���� . .•.
i +SH Of ta.. ....
'J� "S .c` No2'o100 I CERTIFY THAT THE n->_.0 I
`f. ;C i SHOWN ON THIS PLe t1S;tOCATED ON THE GROUND
,e c�... a(V ,e AS SHOWN HEREOPS AND'THAT IT CONFORMS TO THE •
'�../t4SUe• � SETBACK REQUIREMENTS OF THE TOWN OF
nvyy�,la4' V:9s WHEN CONSTRUCTED.
aEV47 La • DATE . . .• •
•
•
PETInoNER: y,q-c ,oua7 1Fa,e.r.N.9ss.
REGISTERED LAND SURVEYOR
1Ev,r6D Pc
• swear Z OF Z .s.•/4-z-Ts
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• Z8.eo ••
• P OF FOUNDATION
CONCRETE COVER
:.• CONCRETE COVERS
•.• ,.., ,n.,nm+ ..,f 4,,../ 'l'n'pF .
f'. 4"CAST IRON •
•• PIPE (OR 12 MA7f. • IYMAX. .
4.ORANGEBURG(OR EOM) ��__
movie MIN. w : ��
•• PITCH VCPER. . PIPE- MIN. - . LEACH
t PITCH 1/&R.FT s PIT - PRECAST
•. ■ j
• �� y�r a •• ' LEACHING
•
••• EL.7�i` C. sonic TANK INVMT NVERT O r•: PIT OR
W •.,
4.i INVERT EL.. ...?.. BOX EL?.,4 • • >s q- I•: EQUIV....
i-I-
•; ELTiJ4 .. /eeo GAL. IEL �.ER INVERT
�So+•• IvuWc :« 3/WASHED2
•
!,: •
i \~ I "* •:7 STONE
• /o� 7 ^'
,•• /o• DIA.---►1
L • PROFILE OF G IOUN5 WATER TABLE -
Sant oar rtrsr Mates
SEWAGE DISPOSAL SYSTEM /Joann of Locus
NO SCALE
PRELIMINARY • b.
SOIL LOG WITNESSED BY:
DATE Ixr'.2%;079 TIME 2:501914 .Th's/fl.v.3./ 4•• . BOARD OF HEALTH
TEST HOLE Z TEST HOLE 3 .77:43rrA1 E„LE% 'f. ENGINEER
ELEV...AntI a •ELEV..Z1..59...
�. ED /RQa E. R4•.S,
e.3J✓ae•°�'y DESIGN DATA
3o•' i jew NUMBER OF BEDROOMS 3
TOTAL ESTIMATED FLOW . • 330 . . . GALLONS/DAY•
•7e 1
hL�UVh H�✓y BOTTOM LEACHING AREA . . SO.FT./PIT
3.4,10 'Shoat SIDE LEACHING AREA . . X88 Su . . SO.FT./PIT
GARBAGE DISPOSAL .NP94''.(•.SO%a AREA INCREASE)
TOTAL LEACHING AREA . . u74.?. . SO.FT
/��,• /�~ PERCOLATION RATEtC53s
77 " 'o MIN/INCH
LEACHING AREA PER PERCOLATION RATE 43. -2?.4,. SG.FT
No..WATER ENCOUNTERED NUMBER OF LEACHING PITS £eerwnw 7241,3 ,tj p
APPROVED C...I1. . • •. . BOARD OF HEA ' �OwAa'S,tf a /S.G 7Dns t•o4c
�� �i • •
DATE� . .7 �.i..� . � �'' zxoMAs E.KELLEY co. � C'ivic. cavfc<:.
AG �OR INSPECTOR ENGINEERS—SURVEYORS
346 LONG POND DRIVE _
•urn nEmoUTH.MA9S, �0-AOFAf.4
`N Q j I 02664 �3
Lor def r ��," = TM� 0
off. ED • 1 ` •se, ., � `�.
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.D�VE.4y • , 2:133 �1. I 90� sT£a��e
PETITIONER : yA�r>o�T!> floss • rot stec% oNAL
c.• • 0
•
• BUILDING PERMIT REVIEW •
•
APPLICANT:• RR r J .EVRV BLDG PERMIT N0:
LOCATION OF PROPERTY45N('O• INS CRO to Ply ntl� DATE FILED
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES. AN INDIVIDUAL
MUST FOLLOW IN ORDER TO OBTAIN APERMIT TO BUILD OR ALTER A BUILDING:' THE BUILDINGr
DEPARTMENT WILL CHECK-ON'THE FOLLOWING•• (A) CONSERVANCY DISTRICTS (B) fHISTORICAt t
DISTRICTS (CL. FLOOD 'PLAINS ZONING AND WILL- BE'RESPONSIBLE•FOR ASSISTING THE
APPLICANT THROUGH THE FOLLOWING AGENCIES `4•
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 YES /DOES NOT APPLY SIGNATURE aWJ " DATEgC/ir �.
2. " CONSERVATION COMMITTEE YES /DOES NOT APPLY SIGNATURE f . i e` _a: s oATE3initto
3. PLANNING BOARD: YES DOES NOT APPLY_SIGNATDATE •
•
4. BOARD OF HEALTH • ✓
YESGOES NOT APPLY SIGNAea�,DATI<j
5. FIRE DEPARTMENT: YES . DOES NOT APPLY SI GNAT 'E • DATE
COMMENTS: CC1.t. CeM. APPtoVALL SE83-Z46 'r "
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• CERTIFIED PLOT PLAN
LOCATION WeSr McHo&ni.. .!`/AS$,.
SCALE /i• 4o' . DATE fl- t•3� ? ?9
C + EDWARD E. KELLEY . ,� I, _ ; , PLAN REFERENCE .Se'G Ger "9
02637 • , 7,/,{064..N ow... 4•4101....0 cp,,ar. . . .
lP � 3=4 ,4/C
rcew:RD �.
I CERTIFY THAT THE .e„o..
"4" r"' z"" V ,t, SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
?i:^ AS SHOWN HEREON AND THAT IT CONFORMS TO THE
' —f '%+ SETBACK REQUIREMENTS OF THE TOWN OF
;;
•
•
COMMONWEALTH OF MASSACHUSETTS
WETLANDS PROTECTION ACT
G.L. C.131 s. 40
CERTIFICATE OF COMPLIANCE
PROJECT LOCATION .,, - DATE December 9, 19$0
FILE NO. SR Ft3 — 246 • •
Itis hereby certified that the work regulated by an Order of Conditions
dated march 11, 1980 by•the Department of Environmental Ouality
Engineering t 3 Conservation Commission [X] has been satisfactorily completed.
- This Certificate shall be recorded in the Registry of Deeds for. the
district in which the land is located. The Order was originally recorded
•
on March 1L4 $0 in Transaction #263822
(Da e) (Book) (Page)
— THIS CERTIFICATE OF COMPLIANCE ISSUED ON THE FI AL REVISED PLAN
RECEIVED ON DECEMBER 1, 1980.
•
•
•e
• • Signature of Issuing Authority .' .
On this '11th day of December 1980 , before me personally
appeared The Above •
to me known to be. the person described in and who executed the foregoing
instrument and acknowledged that he executed the same as his free act and deed.
p
��^ lay commission Expire,Nov.21,1986
•
Notary Public My cormission expires