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N/ �°/ `�1/ . 0C�\e C No. `3
��- \p Application , or a Permit to Build
v
I rr• �4, ,..:._EASED BY. Fee must accompany this application
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tl:A NI G BO ' 'O2�Jn / p�AT� '!; a Yarmouth ./.13 19d
/ 7G �SNP / G �
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:Y /� C -y/ /�
1: Name of Owner �� qjr alk . Zee. Address 6 nI pal c- �/ vim, ✓V / 1' ,,,
2. Name of Architect (if any) _
3. Name of Builder ,i mA—
c-,
-
4: Precinct No. J Lot No. f Plan: Name or No. 1-3
5. Name of Street(0.6f arirT ! — XI
6. Purpose of Building ,ws//I / v�r
7. Material hnvd 1. •
8. Estimated cost of building 3 5 JUv 5%19 I Pit )
9. Dwelling J'L a r lA) l G)
10. Cottage r tARGA. 7• 'o // g s
�y f (. d e^^
11. Heat /Air Me, 571•40f• r�
n Z. . gAa.
12. Basement y a• a �. (07 ?-O / OP I`
13. Garage rn / Cm?•
14. Store A ' "
,
15. Shop /)/D
16. No. of stories I .
17. Is there to be a Store in the lower storey .01-47
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front No. of feet side No. of feet rear
1 )20. ; Distance from nearest building: " Front ft; side - ft,; side ft.; rear
21. Distance back from line or street , from rear lot line side line
Show by diagram the location of propsed building with relation to distances from adjoining lots, reverse
Name`�.Z' y4 �,1� s(�/"/,,L.' ��+,{/ /�{�/r
Address ',l.fr4EM..l4.r.. C ...r,!•` old 'tl !P� m4.Af is
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Street Name
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J
illy./.4:
Left Side Depth of Lot P-
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re C` .nr 1.
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Opt CD
c m4 7
.fir - R �/
de E r ✓
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r r
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r 7.1.: ; �,
r gal
Right Side Depth of Lot a'
_ r• /
Street Name
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}pf YqR TOWN OF YARMOUTH
' A
y WATER DEPARTMENT ' -
o � c I J
�Ae.nR✓�s� ' ' - 102 UNION STREET '
-wYARMOUTH PORT. MASS. 0267E .
WATER COMMISSIONERS 4 THE' SOAPED OF WATER COMMISSIONERS MEETS EVERT MONDAY' 'p
AT TE0 R.M. AT UNION STREET OFFICE -
FREDERICK J. THACMER •
eF
ROGER O,_ EDWARDS JR. A '" -
THOMAS E. IZELLEY .',.h N A •' tl
Date; '.. May 12,1980 •
^•^ SUPERINTENDENT , n
PAUL WILSON d- A
A 3 A
f4
Name;' Thomas Grew Incorp A ' r`. i
Address; 6 Atlantic Ave., South Yarmouth, Ma, 02664 r
TO .WHOM IT MAY CONCERN;
Please be advised that Town water,is available on Lot or Lots Il X1.2-
(Street)' Forrest Road as shown on Assessor's Sheet 43 d
very, truly yours+
�:' Pau1 .A. Wilson' t
Superintendent
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--0----DISTANCE AS CERTIFIED �
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einy re
,ndeT
I HEREBY
SHOWN ON THIS PLAN CERTIFY
IS LOCATED ON THETHAT THE ING La f /-2/3. 198, ?9./ 7 SITE PLAN
GROUND AS SHOWN HEREON&THAT IT (04fter /97o ratan LOCUS: L'aT 't - FDPI RQaD
CONFORM TO THE ZONING BY LAWS OF THE eoetc/au
k9n7) SO7-1 v#QeMOurF/r MASC.
' WHEN CONSTRUCTED. DATE
I REF: P/an Boot /9e, P9. It?
down cape engineering -MVO 444-5. 6€SW, /vc.
PREPARED FOR:
CIVIL ENGINEERS
LAND SURVEYORS
REG.LAND SURVEYOR
/"c,.30 I .3/3/8O
Yarmouth&Orleans,MA SCALEff
DATE BO^O/O
. .�. • .... 1 . 4.1..
•
ECTION - SEWAGE 5&—ar Z oP a
ti
-SEPTIC TANK - - "D"BOX - - LEACHING T2EIJGN
TOP OF FDN
Z4.001MSLIw 1..
"2"OF VeT04x"
NOTE: WASHED STONE
t REMOVE ANY UNSUITABLE MATERIAL FOR A DISTANCE
I_ OF 10 FT.AROUND ENTIRE LEACH)NG T2GNcI
1l'/l� 0 AND REPLACE WITH CLEAN COARSE SAND. /-
(0,0210
co. so)`moo_ %/FT. p'kh —X(o/FT. pl+c h
our• __ — 2o.oC
-/ / OUT
�t (f IN• Oj_UTA IN. _
ZL00 �1 1000 G L_�
ZO, 11 SEPTIC \20.46
ELEV. TANK 1 f \ ZO.ISFINIffilip 2
ELEV. ELEV. / \
ELEV. ` ' I
/ 2LEV. ZELEV 20' _�I
ELEV. ELEV.
EL.:. 13.4 c. 4.65't 19.05
NOTE: 1
BRING ALL COVERS TO WITHIN _13o"M-o_m T,H #� Z ` OF Y4"•14x"
1 FT.OF FINISH GRADE. NOTE : 57414 ONG. Wx TE12 IN WASHED STONE
(below pipe)
1-IE2211.1Cr 3Coo14 WkS
TEST HOLE LOG MEAsueao e EL.= 4.514.5.LP
John Jai mkt -Por James t.4CDono_ld-rap.
TESTBY IbwnCape Enc(c Y2rrnou+h 13d. of Heal+k
TEST DATE 2/26/IoJ80 WITNESS 2 BEDROOM HOUSE
r.H. « iESIGN
T.H.rH • �
—•aC..e..,e- ELEV.pxCJa)
O
ArC)" ELEV.•ZS.!}
F{}1y-11 12" 24.4 PERC RATE d Z' MIN/IN. DISPOSER DISPOSER
24' 23,4 FLOW RATE 220 (GAL./DAY) 220
Loanc, SEPTIC TANK Z2o lc (I.5)= 33O
Suheoll REQ'D SEPTIC TANK SIZE 1 000
CI- McAturn LEACH FACILITY
c.1 SIDE WALL 26X 21 X Z ><_ (2.6) = 200 G/D.
BOTTOM 2o'x Z' x ( 1.0) - 4 O G/D.
TOTAL= 120g,£ = 240T-1/d0y
USE: ( 1) LEACHING Teestal
t44' 13.4
ZO'lonC' xZi WId*, X 2'deepCbelouaalpe.7
�O WATER ENCOUNTERED
See note a•hove
NOTES: (UNLESS OTHERWISE NOTED)
1. DATUM + iF 4b O'l'),er57 ^'�� ``,*..
(MSL) TAKEN F OMa5-6.5 54,1 M2Bpo paA,-id°{ ras ‘ - {SH OF/fes
2.MUNICIPAL WATER^^ 7 - — - 440 �E,P 4,r,,
3.
3.PIPE PITCH: 'l-- ^-----•AVAILABLE
4.DESIGN 4x"PER FOOT aItCEPT WI.IE2E n1oTE0 U* JAMES , c.' JAMES-N -)"
S.MIN.GROUND
FOR ALL PRECAST UNITS:AASHO- H-10 -44 /y.' - H. .a / H
ROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. LB . BOWMAN N : L - '
6.PIPE JOINTS SHALL BE MADE WATER TIGHT BOWMAN 's
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. I ' s 21098 . (\ /1 24040 I ,B
STATE ENVIRONMENTAL ��•
CODE TITLE 5 - ( ,� f-.1 F `a <- 0.
REG.PROFESSIONAL ENGINEER
CONTO{JRS (EXISTING) --- i 2 BOARD OF HEALTH
(PROPOSED)-0-0-0-0- `( APPROVED- DATE � YFkCMPo T N SMA
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, •. ' . . • •/ - BUILDING- •"-• BUILOING PERMIT 4EVIEW•s • • ‘ -• • ' •
• • •
• :,- -"Jr : - • - -. -.•••:. - • ••1 •'-:.. :.-•.,, •-•• 2•• • "..44•.'ilf- •••• ; - ••• •-•••. .f.' "4.• 71•••••-•:c-::: •••-A
•
• APPL IctANT: - • tearvQ,/ erck.4 ,Lrryt••;.• : - •• ' • • - • -,:,7• ..-.- - - BLDG PERMIT NO: -• 'I
sr,
LOCATION OF PROPERTY: 044S7/ -a-- Lek. "kr .. .. :. .t. . -t , .. DATE.FILED:: 7/070,‘• •''''•
•
• _ . - • .... ........
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE 'PROCEDURES AN iNDIVIDLAL. - ' • •4•••••
-• . .*f • F:
MUST FOLLOW IN oRDER TO OBTAIN A PERMIT TO BUILD OR ALTER A..BUILDING. -THE BUILDING :7-2:
. , • :
-DEPARTMENT WILL CHECK ON :THE FOLLOWING: (A) CONSERVANCY DISTRICTS (B)".-•t. HISTORICAL'..... ...-if ..f.,•4:
. . .
DISTRICTS (C) ,
: FLOOD PLAINc7ONING,• AND WILL BE RESPONSIBLE FOR ASSISTING THE 1:•:-:•-. - - • t• -
•-
AFPLICANT. THROUGH•THE FOLLOWING .AGENdIES: : ,"-- -'. • -.7.-•• ••::: • 7 rr" • • c " 1 . -• ' .7 v; :..:•• . •- "' ..
-
.:
A) CHECIS WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE • •
. • -- - . . -
--• B) . CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS. . -: 'I; ..
' • - -: -
EXAMPLES:. STREAMS, PONDS, RIVERS,:OCEAN; BAY, BOGS, MARSH,. ETC: •.-_--:-:-*-• 77.."....- - •• -. .-.••::
- • C) CHECK WITH PLANNING BOAROFOR LOT "RELEASE-.: -1-•,-:7-- . .. .- . ..-.•••.-----•••2-tg. .r4 -...::."
---"::--' :•--r.--••:*T ::::-..t'...‘-lt t 1' ZZ--;"".-'a:tter:.7."; ...:.:1; ..!t"....7‘.:=Cr-::-t'.-:-.. ,......::.,>r*- - ,a.•..::::-.:•.,-:.•:.;,:. .-:.. :.' • ., •.•••• -7. •=•:;t. nil-• -•.i-.-
, 2. ' COMMERCIAL-BUILDING:--,E,., c.a.:-:;* . 77-:"•-• -- .::---ti 47:":.... ;: •-• -: 7-.17.-..-1 •-...-.: -.. --7-•,:: .......%•-•"•':::' •:".-'4,,,--:
.,-,.• : ,..-4._ ... :, . , . .. -•;:•-z1 2':- -•ei:-T: 7lf• .•-: -.Cyc7::;&C•.:` ;: -:t- ,.„-" -'37:.721.-•' " " T.'-• '22 .:;:lt r':;:-... F•A"-",...:
rc.7..., A) : ENGINEERING. -DEPART-MEN-T-FOR. PARKING,AND 'DRAINAGE 4EQUIREMENTS, TOPOGP•-••PHY SITE,' .:-.
ir-4-c:ii-: PLAN REVIEWfj;7• • . :::':: .:7...t .:7-;;'-rt::,;*;t4:-1-1'ft.: 7?3:;;:...f......- -:.t:--':-:.4 ".;;!--",":•::"::-..-.‘“•:42:.:--;.:4.;-.•..2.:'
-•:".7t ::',7„...-, -- •- - c:-.;7,,--;; 37"Y,:-..- ••••••-.. • -,. '--‘••-it•-••T 77.- '`::-.4.:•;":7•",'-'-;:7i'-'7:7:7--. -4‘.: ;•.7:...:•''
C .% B) : e ONs kRVAT I ON COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. : -..- . -‘:-.-- .: -
C) PLANNING BOARD-TO SEE IF LOT: COMPLIES WITH ZONING BY-LAWS. . . . -'• . -•• . -
DY BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. .
-'•
EXAMPLES: ' SAUNA . BATHS, SWIMMING POOLS, RESTAURANTS, ETC. • . • ...'. • .
.. . , .
.
"I) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE - :•, ::
• - -
.. .
.,. .
L.1 . a .• - : :.,.,. :- 2 -. ::: 2:71.• -.., :;.1'..-y- --:-'. ;ri . '..:•.;::.:•:::-:; I ' -‘ .----. .. ..':-•:'f'7::77- ::•:-"--1-k.
REVIEWED BY: -: - .,-•-•: : , : ::-- -:1--V-f-t-2-•:-:•77-•:- :C:.•;.;--- z:;?'.:--.-7:;--: c.:7--77.:.: - ...: -7-
1..- ENGINEERING DEPARTMENT:i -YES i/DOES-.- N- OT APPLY L- iIGN-ATURE: -. se elk'c t::.---t---.1. DATE
r
2- CONSERVATION COMMITTEE: YES • .DOES NOT APPLY SIGNATURE f :till el a.A.t.4.4t- z DATEt tier
3. 7' PLANNING BOAR!): -- 4 ,• ••••••• - %NES t! DOES NOT APPLY ' -SIGN/IRES -: :-..-<:-.- i•!-:-0ATE---- -• ;•
_ . . . • - , . — . _ • — • .• • - .
4: noARO OF-HEALTFii. -:, - -1 YES bOES NOT APPLY . •"- SIGNAT . cs••••A•12P-a -' - -DATE-31.0AS
. . . . . — . .. . .
. .
5. FIRE DEPARTMENT: . . •:. YES DOES NOT APPLY SIGNATURE • • • DATE
./.COMMENTS • ''
. . -
t.
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/5' -.40 :<iao✓. Tf/S COAD,
Q_ DISTANCE AS CERTIFIED " I3eir;9. /e,nG,ncve/' 6.7C .
IHEREQY CERTIFY THAT THEAUILDING /A! /-d [ 9.127
SHOWN ON THIS PLAN IS LOCATED ON THE _ SITE E PLAN ,
GROUND AS SHOWN HEREON&THAT IT Z�OES (1-17 • } A9� n LOCUS: G1`�T / - FOLE /Z0.4L�
CONFORM TO THE ZONING BY LAWS OF THE .., ;« no 4,0,5://..,
Cy SO Li b' y%q,eMOUTr1, /riASS. -
TOWN OF ' 'rle,wou T.s-/. NK (in `:
WHEN CONSTRUCTED, DATE 6:,/S,//i98o oOJALAI-:'/an /.3O �.
ti REF. �Qp /98, ?q. %27
:.. #26348-
' down cape engineer/ng PREPARED FOR: 7'/Qh-AS «CW, /A./C.
CIVIL ENGINEERS
LAND SURVEYORS �`C\m.S`.r,�
R • VOR . /"a30' G/S/9S0
Yarnout.'w.Jrl.,:^s,MA SCALi
DATE 80-0/0
t �