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Application for a Permit to Build
- FLEA D BY Fee must accompany is application
V
s 4ING BOARD. /�i �7
jjPu11'173 / Yarmouth 7- a 19
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:'
L Name of Owner rRoa tf-y / -woa Address 2 0 /AVein.
Q 2 C� G. 4
2. Name of Architect (if any) I ic2 5C g O 111 c e Co ' /04-4„0,...,7-71,-
_
3.
-4„0�'Thf-
3. Name of Builder O CFA-,...cc ice Nc. nn���
4. Precinct No. 2. Lot Noverr Plan: Name or No. /1i� r" ✓A
5. Name of Street Cori/ \ /29.4r Attu.), L,y
6. Purpose of Building S', �,, /r. F/4✓v4 1 L y
7. Material OD O
8. Estimated cost of building DS O O a
9. Dwelling ' / G I U/a(y g
10. Cottage Sesta( yarn / 167cMrl/A/ddllf
it
11. Heat 6/9 S /ND V''• t..--.g-y-c.n, ei
v y'♦ / �j -t TN.
12. Basement 1 ff` ('i+' /
13. Garage A.10
t
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 • ys t No. of feet rear / -f- No. of feet deep ../•f?
19. Size of building. No. of feet front ....5 z No. of feet side 2 L No. of feet rear 3 J;6-
20.
'20. Distance from nearest i it gt Front7 0 ft.; side p ft.; side ft.; rear/
21. Distance back from line or street 6:16 , from rear lot line Q..O r side line So r b±
Show by diagram the location of propsed building with relation to distances f ad'oining lots, o everse si .
Name /l —}—
Address 12! / 7/O' 41.1 73 n/ /lam
Street Name y)/-
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Left Side Depth of Lot
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Right Side Depth of Lot . . - T_
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Street Name !i
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of'Y'gR ' TOWN • OF YARMOUTH pLI
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!,1 r ,,, t4 d : ' � I' WATER , DEPARTMENT , +
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CL: '0 . 102 UNION STREET
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• ' YARMOUTH PORT, MASS. 02675
WATER COMMIESI : THE 01 WATER .AT UN2 ME[TI [VERT MONDAY
r
r 4. • ' FREDERICK J. TNACHER
r. .
�: ..� ROGER G. EDWAROS• JR. . , ,i • 9
THbMAS [. I&ILCY •
, i , ' Date; ' May 19, 1980 . !
SUPERINTENDENT ,
z1•,' PAUL WILSON , , q
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. Name; Robert Harwood
f ' Address; 22 Melva Rd ' •
!•• '. ' ' • ' S Yarmouth MA 02664'
TO WHOM LT MAY CONCERN: i .
Please be advised that Town water is available on Lot or Lots
3r
(Street) Mathews Circle as shown on Assessorls Sheet 106 ',,F`
Very,truly yours,
S
au : I. wJ.'son
' Superintendent
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NORTH DENNIS ROAD
•
74.7 _ - - 74.0
-- 750_ .--- EDGE OF PAVEMENT
•
64'- — - — _ _ 82—Ps--1'E0:95 _ , — ' '_ X82'
4'
•
88'86' _-- 1_' _ _. _ ._ 11 •_8"86'
_ __LOT +� �8�\\
\ -r O
90 17,565 S0.FT _
92 ------
r _ o
` � —_92'
/y'o44.01. . '-.\--
- LOT 10
Vc' Azac.v VG .PTj r _-94'
I 620",.✓._ E-\w--`fir .
LOT 15 cv 1 1 .a- 1•` X96v. \
"I op � \ \
. I rErt."-_ / ,.o! a 98
1 -lr>triee nk. ` C VN. �?C> �I00'
___�91 ‘ \J5 25 \ \� --) a.. .F,.,A=9.91
BENCH
94' 96' 98' 00' 102' 102'a 100.00
' LOT 12
99.7
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Z
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98.5J
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LEGEND
EXISTING SPOT ELEVATIONS 99.7 CERTIFIED PLOT PLAN IN
EXISTING CONTOURS ----94' ---- YARMOUTH , MASS.
ELEVATIONS BASED ON ASSUMED DATUM BEING LOT II SHOWN ON PLAN BK.272 PG. 64
NAIL CENTER CUL-DE-SAC ELEV.= 100.00 IRA R.THACHER, JR.
APPROVED: BOARD OF HEALTH REG. LAND SURVEYOR
DATE .-S/00.__ SO.YARMOUTH, MASS.
AGENT
DATE : r- 5' 9° SCALE 1 40'
DRAWN BY: IRT SHEET I OF .2
(.......")
`p�triOFM� • , a..� I CERTIFY THAT THE P.'Zoi os6o
ift =HA , .7.1?%''�-%.4:, . FOUNDATION SHOWN ON THIS PLAN
KE` j�21 , /'} CONFORMS TO THE ZONING BY-LAWS• /$7 I " d OF THE TOWN OF YARMOUTH, MASS.
F~" REG. LAND SURVEYO
INVERT ELEVATIONS NOTES=
, . SOIL TEST '
DATE OF SOIL TEST 4' 30 . 8D ,INVERT AT BUILDING _957° FT. ALL WORKMANSHIP AND MATERIALS
' WITNESSED BY rr k . INLET SEPTIC TANK FT. SHALL CONFORM TO D.E.Q.E. TITLE 5
PERCOLATION RATE 1-2-- MIN./INCH OUTLET, SEPTIC TANK 94.3 FT AND THE TOWN OF "e•ITIOU'r4+ RULES
INLET DISTRIBUTION BOX 94 OFT AND REGULATIONS FOR SUBSURFACE
OBSERVATION HOLE I OBSERVATION HOLE 2 DISPOSAL OF SANITARY SEWAGE
ELEVATION=93.9 ± ELEVATION= OUTLET DISTRIBUTION BOX 93•f3 FT.
INLET LEACHING PIT 93. 3 Ft
uLuam BOTTOM LEACHING PIT .97• ' FT.
Sub X11 DESIGN CALCULATIONS -
-Z`
end�clay NUMBER OF BEDROOMS 2
� GARBAGE DISPOSAL UNIT... . nona
.mix. I TOTAL ESTIMATED FLOW (11 0 GAL./BR./DAY X�a. BR.),., Z2. 0 GAL./DAY
aoe REQUIRED SEPTIC TANK CAPACITY... 350 GAL.
dean med10M sand ACTUAL SIZE OF • SEPTIC TANK TO BE INSTALLED1 non GAL.
WI vFonne5 • LEACHING AREA REQUIREMENTS •
' SIDE WALL AREA 2_5 GAL./S.F
—1446 El. = 8/•9 -- BOTTOM AREA I. 0 GAL./S.F. •
I1 n }6-0 LEACHING CAPACITY ( BOTTOM SIDEWALL ) 5.9 GAL.
RESERVE LEACHING CAPACITY.. . - - 549.q CAL.
zo' mIn. • .1
TOP OF
,I • 4� SCH. 40 C/,� nway To BE INSreoz2EO ON -ICAO/ •
ELEV.= 10y 10 min. CONCRETE PVC PIPE CLEAN SAND ,pa--7-4) .W?TH/N /.2 O. , 6V/cN.ED ,4acL
COVERS MIN, PITCH CONCRETE
r +1 _ _ 1/5 PER. Ft COVER
• • 2% MIN. PITCH ��tHoaMgr. • '
12 MAX. �, �r� 9`
0i. • r� : _ - z_ u o y
--� FLOW LINE •_.. a nammes WASHED STONE OF e- 1/2 a ()wornRD
w.eve f.
.p " 10Z• - V o • - '-0-,--3/4- 11/2�� �F(+fSTf. � ['
4 CAST IRON - 4 ' ° WASHED STONE P ' •
PIPE - MIN. PITCH o , , TB o sgTt . " '
I/4" PER FT. DIST. o � - ° ° PRECAST LEACHING y--
BOX o p° • 0 w v v BASIN OR EQUIV. /1—. / i/
WO -I o
.. : 1 — °° . . ;J L- 1 11 : _,3114) LiNtriP •
r-.:::
1• 00D GAL ',/ ,
w .t.,r...- a a MASS..
TANKSEPTIC ' p1 - i� . R. J. O' HEARN, INC., !.LS,R
• • -1L 1348 ROUTE 134 .
4 EAST DENN13, MASS.
s PROFILE OF GROUND WATER TABLE
• • SEWAGE DISPOSAL SYSTEM JOB No.6O-7o1 CLIENT.T}{ g
• NOT TO SCALE DATE .5 ' 5 'SO SHEET aOF Z. I
Application to •
. <,) Old Kings Highway Regional Historic District Committee X10'
in the Town of Yarmouth for 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 Constructio New Building ❑ Addition - 0 Alteration
Indicate type of building: Q] House ❑ Garage ❑ Commercial 0 Other
2. Exterior Painting: 0 •
3. Signs or Billboards: ❑ New sign 0 Existing sign 0 Repainting existing sign
4. Structure: 0 Fence 0 Wall 0 Flagpole 0 Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY /// v DATE 1f/P// O
ADDRESS OF PROPOSED WORK LC/o i 1 i '`rrtit%NE� II`5 / ASSESSORS MAP NO. �51 9
OWNER ✓`— IN L 2 o S' 4AQ WO O D /d ASSESSORS LOT NO. �1 3 -��
HOME ADDRESS 2`2 17�/EL ✓/LGE xE & 7 TEL NO.35111-599
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street orway: '.(Attaecadditional sheet if necessary).
•TOWN CLE-1-t; , Tr,c-.E,e xD S /4/247 1/i tJ> Lw 5
/?o or/E (Q3V-r7-IF/e S'
MAT 16 1790 S
AGENT OR CONT41.75:1 -E[RACTOR E{er 2' ff/ ` /O N TEL NO. ��S 9yy0
ADDRESS 4? ` 4 i 7QE� �r� t-c)' Y
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 xisting signsnd proposed
locations of new signs. (Attach additional sheet if necessary!. ALCH).. 0 of.e - I-00 D D lfS,20e,/0/
0::?02i-D nuts/Dig, /o.t/- Ft2Ef L/9cVE/ fC(EC Fid%C`c/o/2 --a.149 3o,9R' >S
()Li f-2ou7 dE'p/9,E'SN/NY42RES j9Lt o;Nr/2 S (D�/dNI-I-5
Flat Lt)/vj ..5Ecc �LWf/c 'a ,r SrinvacrS c4 H rrr AO/N/NU/Z(SoTitxs
I/j LEAP 1>8/may •� � - r / �1In
." 00OYLS- _ t3L1ND5 o c k
Signed L
- —
b1/2;14/ jays! !y'E,tft Owner-Contractor-Agent
Space below line for Committee use. 7/2 f M f/.i'ii !TY'
Received by H.D.C.
Date 1/776--- ID The Certificateis eby as d'.idDate ki7/3/e /=
Time JAC7r-AO'N
ByJ`, ,rldl��—✓/5t^
Approved (# IMPORTANT: If Certificate is approved, approval is subject to the ,20-lay appeal period
provided in the Act.
Disapproved 0 Please return to: Yarmouth Historic District Committee
P.O.Box 124,Yarmouth Port, Mass.02675
, .✓ BUILDING PERMIT REVIEW
APPLICANT.: BLDG PERMIT NO:
LOCATION OF PROPERTY: Lest 1 /11 c w$ 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.
RESIDENTIAL BUILDING:
•
A) CHECK WITH THE HEALTH DEPARTMENT IN REFEREDICE 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.
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, SWflNING POOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
REVIEWED BY:
DEPARTMENT: YES✓DOES NOT APPLY /SIGNATURE
I _ __ E .v. — DATE 814/80
cbEERIN
SERVATION COMMITTEE: YES_DOES.NOT: APPLY ✓SIGNATURE E____ a P 5. '. DATE 814/8a
I
PLA ING BOARD: YES DOES NOT APPLY SIGNATURE DATE
BbARD OF HEALTH: YES .-DOES NOT APPLY SIGNATURE 03r2/ DATE il/erre
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS:
-
• NORTH DEN.NROAD
74.7 - - - _ -74.0
......„_15•°--- --- EDGE OF PAVEMENT
-
84�- —-- - — — 82P �S — _ ' _ ---82'
..-
881-- , - - _ — -- '86'
•
4 -LOT 1
_ 1 _ - - '88'
9"1-- — 17,565 SQ.FT _
70� -- pp
X92•
_/�o,rf. . LOT 10
01 �EAW/N\5 PTj _ \
P / 22� 2�\ 94 ...
LOT 15 c� e/ Jr_ � X96.
‘J
,J -Av4 -11.2' O \ N \98i
4 \
riclra.A... cm- 4 4?/�� �I00�
•
nne__ \ \ 15+71,25 \ \` �' -I -T---.A=9.91
94' 9e 98100' 102 102' BENCH
I100.00
LOT 12
99.7
W
Z
Q .
98.5 _I
TOP OF FOUNDATION IS 4.10' ABOVE
HIGH POINT. IN ROAD. CO
3
W
x
I-
M
LEGEND _
EXISTING SPOT ELEVATIONS 99.7 CERTIFIED PLOT PLAN IN
EXISTING CONTOURS ----94' - -- YARMOUTH , MASS.
ELEVATIONS BASED ON ASSUMED DATUM BEING LOT II SHOWN ON PLAN BK. 272 PG. 64
NAIL CENTER CUL-DE-SAC ELEV.= 100.00 . '
IRA R.THACHER,JR.
APPROVED: BOARD OF HEALTH REG. LAND SURVEYOR
DATE SO.YARMOUTH, MASS. '
AGENT
DATE : 9-17-80 SCALE I°= 46' .
DRAWN BY: IRT SHEET 1 OF
P��0 u(c�
h�� � � Yvcs� I CERTIFY THAT THE EXISTING •
JAMES .� FOUNDATION SHOWN ON THIS PLAN
o�E`�" ,-^ , t. / ` CONFORMS TO THE ZONING BY-LAWS
i„eo
C1JTEC. �. '
4.7 til OF THE TOWN OF YARMOUTH, MASS.
s nor ., , , e �1�`4=' R
REG. LAND SURVEY()
I •