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HomeMy WebLinkAboutBLD-19-003720 ei/Xadzl /46//5- ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department or v 1146 Route 28, South Yarmouth,MA 02664-4492 " 508-398-2231 ext. 1261 Fax 508-398-0836 1 .t Ifitt Massachusetts State Building Code,780 CMR Building Permit Application To Construct,Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Sb -/9-6Z,39Q'aDateApplied: aloCN Building Official(Print Name) Signature,, 'Date J _ SECTION 1:SITE INFORMATION • _ 1.1 Property Address: 1.2 Assessors ap&Parcel Numb7ers / r (16it/c44, 1itm /nut .S f� 1.1a Is this an accepted street?yes - no Map Number Parcel Number !1;: m 1.3 Zoning Information: 1.4 Property Dimensions: e" ' Zoning District Proposed Use Lot Area(sq ft) �Frontage(ft) 1-1=� 0 1.5 Building Setbacks(ft) CW to l.1 Za Front Yard Side Yards Rear Yard it Mi 9 Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ato; /-Tanwy SaJ•, •J yain�loaf/+/Hi IHA. oO)6 PS Name(Print) ty,State,ZIP a6Nt /vlham Or'.✓..t S-07-?G2. -/010 Temmye AfQ /ocPCfo, torn No.and Street Telephone Email Address ' SECTION 3:.DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition H Demolition 0 Accessory Bldg. 0 Number of Units_ Other Cl Specify: Brief Description of Proposed Worka:4cid?Asir ,...4p n„( L'}L &' S%t-c p+c k j 41A'S/ 446 �.0 Lk- m €var . /M1I. ;Aara d Qs e w r t}s f1 /fr�cr 1 9 -' E_D.t SECTION;4:ESTIMATED CONSTRUCTION COSTS. JAN 0 7 219 Item Estimated Costs: cia Offil Use Only 'Iy pa t'l (Labor and Materials) - • . :euiL n; uLi b;t dNr I.Building $ 7 Sub• 1 Buildmg Permit Fee:$ Indicate hbw#ee is-determined:- = 2.Electrical $ b.Standard City/TowtApplicationpee in Total Project Cos (Item 6)x multiplier. x 3.Plumbing $ 2. Other Fees: $Cos* !I7 • 4.Mechanical (HVAC) $ 5.Mechanical (Fire Suppression) $ Total All Fees $ CheckNo. . Check Amount Cash Amount - 6.Total Project Cost: $ 'fit 5-02), 02.1 O paid in Full . , Outstanding Balance Due: 4() u a m ...td A ,b m v 0 '5b 0 o .a G P. - o o o y ho 4 be � .y U q " � opv a V enp. W y N MoM u N Jo H b N v00 O Q q Y u " to, p N .O v • o to 7 Q .'a - TiJ N Q \ Q �D N td d T 0. cN Q. V .. a 0. C .moi fbe :ga, dW z ` ,°', p kb • v d w Q 2 w c v z�z E 5 ` c. •.'+ h W o 0 •5. 1gu m 33 O W .g z w .l o p' •o H o •d 'to V U��-- 1�- u o °� 09 P. W C7 73.— . ' - ,iy N b 0 y yA c n l v U " o, �' . �° o W o W A fa. U v p w 'a 0 0 `co a 00 vy 3 2 oc ?t. 25 faq '� r� 0 .n U a v 7 a rx 3 CO S Q �]` U '6 4 on 0 d F A •4 q al.o o a v P4 Oz � x b UO E w en 3o3 � U po .o. 0b Sr " U W h W W o .p o `� r 2 N v d rn 1 u UPer:4 UC vwi Q A cn a C u 0 o -.9,, a .0 a U p a o \' .�-i a . . -zV �. WA o o w oto xzzz [" O � � O �Po A T yN�i a ppa_ a� -,c, O0 a b F .n W H W 3 V a d qo 1 H a rE. v1. « p ♦Y O o •Er o o vF z .6% 0 z - V o Nap 2 z1 .�o. 00 2 v y L \ 1 • ' U se.se-� 0 e.8 t I. U ," [ fJ 0 L. 's� A CJ hi jg ZO s w A V •al 3 G4 c� v a u ax Tal o p .a0 0 .V. n a o \ > .meq .o m g m 0 C7 U y J W U f vw �O+ ." 0 m u a > c7 �'' m VI u p 4' % V o v Cz w .Oa aTi z bo w o •0 5 d o, FA N Oq �-', a "'! . C•i `o' v r bi — o ' c .°° p I0i �• 4 't4=„ a 3 •Joy it x oo x w 15 ury \\ ` - a - [7 V •y b y � a� orn6 n g [[[�����yyyf : .� m W :�ryo^l .5 8 m e.�m• yy � fj' 1.� o C: o, y El 6 V0' ra \ 9 ,n} 0 ° V q �. T i b ez w " d. r O y q ad FJ .0 b M O• 0 O y n op' \ x !\l <+ \ z O a' n w >`'' `o w 0 o N U 'd O m oD bn u .. 7 ..1 u z ti uP 1... o\ VJ h ✓ b O T y �. 3 y a' 0 5 N Py - .5 E . PD.' _y L) u a 1 � g o �' S w oo.5 P � V7 :d o 0 d o v � B a ash 8 X 7 3 W q .o Q u C p�p' •� '� pup Q " 63 d o .> ac. rc. w0 w ' o 0 o v o - o h 0 v 3 0 0 y In Z Z H � � �°°z v 3 . « • m o a • NE- 0ZZHH .n . • The Commonwealth of Massachusetts = ___or/ Department oflndustrialAccidents 't1 i 1 Congress Street, Suite 100 =Y • Boston,MA 02119-2017 www.mass.gov/dia • tr Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information p // Please Print Legibly Name (Business/Organization/Individual): ,St fcto ((4r (u5I Inns 4L G Address: oL3 Whir✓s PcJA Sul A{ City/State/Zip:.So.yR MU/WI MA Phone #: 57)8— • Are yon an employer?Check the appropriate box: rrhh'' Type of project(required): Im a employer with ' employees(full and/or part-time).• 7. 0 New construction 2 I em a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] S. emodCling ' 3.0 I am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions -- proprietors with no employees. 12.0 Plumbing repairs or additions 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet. . These sub-contractors have employees and have workers'comp.insurance.: 13.0 Roof repairs Al.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other(9/kV ! tics";A/6152,§I(4),and we have no employees.[No workers'comp.insurance required.] V N`Q c(t •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: fht 1 be(5 Policy#or Self-ins.Lic.#: 7/2-7 o e /K p i 8 e-ifi 7 Expiration Date: /).//,j-'//CF Job Site Address: G 6 AkIl;into tt7 Or t(bi City/State/Zip: 07001.,r/1m/104-- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ^erti� th- cars and p• aides of perjury that the information provided above is true and correct. Signature: \ . Date: Phone#: l Official use only. Do not write DI ruts area, to be completed by city or town official City or Town: Permit/License# • Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . : 3�°� r. .. TOWN OF YARMOUTH vg c BUILDING DEPARTMENT • °E. --pro. •,•- ti* 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L Chapter 40,Section 54 and 780 CMR, Chapter 1, Section 1113, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at G ( Ala,4 N 64urn dig, Ya f'vwr%// nTAt Work Address Is to be disposed of at the following location: 75w41 >6"7"1"/7 OresJ Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. A_ /4 41-170415- Signature o 4 Iication Date Permit No. • Commonwealth of Massachusetts r Division of Professional Licensure Board of Building Regulations and Standards Co n s trpittdd%dpe rvi so r CS-091653 a r V x tree 09/30/2020 v4 A*7; WALTER R WARREN" Y ' "'" Mry Y " } DEQ 0R c ARMOUTB PORT MA 0211715 � '*.` b/fi•13 Commissioner s Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Mme., husetts 02118 Home Improve fltractor Registration * Type: Corporation SAND DOLLAR CUSTOMS LLC j -��J�_ / Registration: 193567 :v'1� � Expiration- 10!29!2020 1851 FALMOUTH ROAD _.- 'E✓ CENTERVILLE,MA 02632 - 4k ti l IA tic _. a 014 IMO S„0 Update Address and Return Card. SCA 1 0 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TY*corooratlon before the expiration date. N found return to: fteaistrii Expiration Office of Consumer Affairs and Business Regulation 9' ---a1 10/29/2020 1000 Washington Street•Suite 710 SAND DO I o'tea.el Boston,MA 02118 '., �� WALTER R.W 'raft t,/`/1 1851 FALMOUTH •a s t� CENTERVILLE,MA 0 : Undersecretary Not v-• • i •r ignature coo CERTIFICATE OF LIABILITY INSURANCE Ilse p.rpoyYY„ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY:.AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE E DOES NOT CONSTITUTE NO _ A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE .... ltheai t• TA rid If reGOI iic the hddasr Is t ADDITIONAL I )must be endorsed. If SUBROGATION IS WANED,subject to partnere holder M Dau dsuch .. ..osAehT policiesSmY rapers al aendorsement. A statement on this digitate does not confer right*to the Preoucsot 1 DOWLING&O'NEIL INSURANCE AGENCY h, i• relminiall Fir , SOS 77516dD H73 NANNOUGH RD ?•�• HYANNIS - ,•..• � •• arum - MA 02801 warms: TRAVELERS PROPERTY CM CO OF AM C SAND DOLLAR CUSTOMS LLC — 23 WHITES PATH SUITE 1' SOUTH ARMOUR( - MA 07564 C1IVERAGEB CERTIFICATE NUMBER 2ZT73S THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED D NAMED ABOVE NUMBER: INDICATED. NORMTNBTANDING ANY REQUIREMENT.TERM OR CONOMON OF ANY CONTRACT OR OTHER DOCUMENT FOR THE POLICY PERIOD CERTIFICATE MAY SE ISSUED OR MAY PERTNN,THE INSURANCE 1MTRESPECTTO FEXCLUSIONS AND CONDRIONS OF SUCH POLICIES.LIMITS SHO%MI MAY HAVEBEEN REDUCED BYPAIDE S.HEREIN IS SUBJECT TO AU.THE TEPoltTO MICH 3 S 11 THEOPIPO RN1 I 14141^1 CLANS. . /�law.merALMteuTY --� _• , ..:•...... I' , ....i NMI «wsatADe 0 oastiii rrcHaaa, r e .......... . . . PBmOML4WIMRY $ AVlascaeEMaalTY .. PRODUCTS-COMM. r / ..huhn,. T. r:•- ■AUTDe /Aa lloe� WA MOLY NPar an) $ II1eMDAUIOI / aaaeD eoosYrAlRr(pranyy0 1. ®/ maluaiALeus ■oc . $ II =noun IN aniewne ANWHOPRETCSPARMEMEXECUTNE lleeetnr T.1, - ©fZ1u ■ Mae OrrrYsiYaMq ©: 7PJU81F0J9898817 12/152017 12/152018 �'P'A°iAcaoeNr. s. -., 000 =.uiL•, optyeaATlor+s ., �� _ . . eLceenr.rAJ . J- • ' 000 eros)er-palrCl'Larr 500000 onountONp.aNMT7MerNaf/ITIMR/Y■sari(*DCaD1M.AMrwrllarrbscheirm rybs_Clydrelcrssabrarapp) Workers* Dr benefits WI be paid to Massachusetts employees only.Pursuant to en toyees In states other than Massachusetts Mthe Insured h EndorsementWC 20eruo ee Ott B,no authorization s given to pay TNeartlacaeed poky In tr'es.arhasfYredllroeeenglopeesaotsidstNAA�dsls� This cal of of Inm of a on d tthls connote wee issued(unlessaoc the expiration date on a above VerMcatton Bosch toolstww rase. °a` wnhartnNpc,eddeedpedafroasProof dcovenpa-Cormprecedes the CERTIFICATE HOLLER CANCELLATION • SHOItO ANY OF 11C move=MOD,mutt*BECANCELLED 5 THE EXPIRATION-tan THERM% NOTICE:WILL BE DELMERED IN ACCORCrtNCEvent THE MUM,PRDVISeeta. AI IZEDaEPRINIsNtAnVa HNMth IAA 02845 DaNe1M.CttrJ7ey,CPCU,Vice Pntldent—Residual MMNt—WCRIBMA ACORD2d�p1�lQI) EtSSl 14ACORD The ACORD Rene end logo re registered meths aACORD CORPORATION. AM lights reserved. £a.. ids-+l • • o4 ^k TOWN OF YARMOUTH ` $ MA 026644451 3YARMOUTH, t° 1146 ROUTE 28, SOUTH Telephone(508) 398-2231 Ext. 1292-Fax(508)398-0836 RECEIVEBLD KING'S HIGHWAY HISTORIC DISTRICT COMMI TEE DEC 112018 DE, 102018 APPLICATION FOR YAI<MOU1H TOWN CLERK CERTIFICATE OF EXEMPTION OLD KINGS HIGHWAY SOUTH YARMOUTH MA Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: 6 / /� [ / Address of proposed work: if 4/071/4454 &m Off'tie '/artrro/M'o T Map/Lot# /CO - 94. / -. Owner(s):J4010 t 77,414y SaS,'✓ Phone#:rag' -7fl- 7J3 All applications must be submitted// by owner or accompanied by letter from owner approving submittal of application. Mailing address:71 (1 i(/G•T77ivm ,Di',(/•( y///JJJ 47/1-04• Year built: /// ?9o' Email:�m m/Id r4�f l6rxO/y4atC/O , (V ill Preferred notification method: Phone Email Agent/Contractor. 6../3 i 1V 4 I/ 4/ ..5-0 aro//ar 4/ 571/C7C i4 C Phone#: .�v�-b 9C/-.�O/(� - MailingAddrress:,Q� 7 4/4/74,5 Pe-/�l 61 ,j 0, '2 c ylUs-fh /12e • a d 66/f Email:AZ( ct,f Sir Jdu/lart(&S{c%MS Gail? Preferred notification method: Phone // Email/ Description of Proposed Work(Additional pages may be attached If necessary):.Jc€ 6 l 1 )� /i 4•Pc L W r 144 s t i (s /a 4/cls '.v6 JO ' �C re /Pock an fvai q �miCm e,, fZcw/s 4 Sc. , l5K sk.3eJ t otaclarG , A //26/c j e1os7;"✓4 I �� Signed(Owner or agent): Cu 1— a_ Date: /a/d); NNW I > Owner/contractor/agent is aware that a permit may be required from he Building Department.(Check other departments,also) > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. For Committee use only: /J- Date: /off /D/fr Approved _Approved with changes /'► PPIR 1ef/E Amount r9O Reason for denial: . ayll— � Cash/CK#:S31o4 DEC 10 2018 Rcvd by OLD KING'S HLIGHWAY Date Signed: A2-10- & Signed: J (--Z6924 APPLICATION#: E 13 1 \ vs.2on / 0E.Y44 TOWN OF YARMOUTH 4'...c.. 7.0 WATER DEPARTMENT • ` lit r 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771.7921 • Fax: (5081 771-7998 • • • BUILDING,PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET • it Bldg. Site Location 6 6 1r✓l,vf 44 NI Map #: JO Lot #: V6— 1 Proposed Improvement:JAdd 4 >( f i I)t'c I. 1,, /ti Srr,,y/S A " e y(,31/6 ? Applicant - Cub �T-' t&,t // Address3 14%i 5_P 0464._ Tel. #: 9 8-36 )-5'e76 Date Filed: (;/'al/g__ _s—o •ptn„cmfrinvlisr o.106 £f- RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Ccnseniation Commission: Determines Compliance to Wetlands Acts; i.e. If Lots) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire Department:. Determines Compliance to State and Town Requirements for Persona!, OLIatSafety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc... tS gnature of appl.caat"' / /� Date PLEASE NOTE: COMMENTS: fa -//-1/ Reviewed Division Date oR Er� Town of Yarmouth o �y Conservation Commission C1~ 'YIM4M1�p` �� Building Permit Sign-off Application TO BE FILLED OUT BY APPLICANT: l Building Site Location: G 6 ,vo!/, /L A rY) YO "41 r'v7h fn/ 7o • Map# 1St Lot(s) # 4b - 1 Property Owner---,/� a M1_54/,TG s<V m .SJ / .S4 -, " /W Applicant: a //--f. ( ca ,,,,, ) Applicant Address: e,73 l/4/Ater er A AA 6 a SO Ya MI Wilt / 1. 0)09 Telephone:SD -3G 7-S? 70 Date Filed 4/ l7/0le- Proposed,Project Description: <rd �g/io76 fir `` (v, /4j , 'S 4 10)0L7 4,1 / f/ Arta/ V bail, , Plans:ib7SG1bkl1 Repkt 1cQ, bb No1'Il' hQyvt 1 rale, Philip ekQNe 101118 ' TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Do You Have A Valid Permit From The Conservation Commission For The Proposed Project? NA Comments from Conservatio ' mission: Approved Conditionally Approved Rejected All work related debris shall be taken offsite or disposed in a legal upland location At the end of each day,the area shall be clean and no debris shall be in the Resource Area Refer to: SE83- or DOA permit Approval fin✓ oC¢ck ewpa,n(-044 ovt.0 .. 1M.Patic/ pro/ec/%o vi 4 cj ,9c wrrtv7ikJ /Wyu/Wuxi t2) 1.- /ft vitt aec Conservation Commission Sign-off Signature: Aa✓dsca/2.P /h /00 --S--0 41 Date: / 2 f Ci/Zp/g. t "-,�(Je-M 1,e7 P tr. t, I. slo%z': o-,nt.,t:arras NO r� 1�� - CLM-66C-eoS knot)-1 dmild'+ta Ic podglnouugt•�may2ugloN 99 _•._ - �/ aauapisay wages ayy I — m �` �1 c 4ti.dr _ \.--c: ir5.,, bNiyao it ! ___ et" ‘,..atrapjlemilat 44 ..„ j _ S........ il iir ik 1d30 Hlll/3 910Z 0 l 330 N/77a u1� R 03AltOin t' fill Pm- 10 cam. o"'E� �f1 I ° r �i2fa''M 9102 ..z „NI /44i/ Vat:101,1414Prifrik el 1 l 030 04 Al— 'Alliv li °°Fjy��tr -.t�oee � , � +7J�� �^�NOZJ \ ` I 4..a0or..A � ('i it 1401,tea ` g\ `- MN ;es - - `I !; �01 7 Nothe ly l fin*A1)1°7° / i: • is WOO' Nitill i 7° - 81OZ i 5 ` ! r !� li 934- : 3 s 9 1 9N A. sf t of y TOWN OF YARMOUTH <� �. �, �. oy HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: // Building Site Location: u a No/At/ 6 4441 Pc' k" YafragibViii Mere Proposed Improvement: ,*d 6 IX /9 Peck /o t,(Ij vi /0 tX /7 ' Qs. s'c Applicant: (/Q / R &4 t eAJT! Tel. No.: Sob JG7- a 70 Address:D23 14/411i.5 /"a RI Ga_ Sc. yet/mkt/6h /A • Date Filed: //)-) /o// If •• youwouldlikee-mail notification of sign off please provide e-mail address: //O h( 1-5-4/v/047%rCUS41075, Com Owner Name:la wl✓S f T.i/11//I1y S o S,,Al Owner Address: G 6 AMIA' v/ 4/til 9, ,v"? A rifrrr aill#JOwner Tel. No.604--789-1/06c) RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities:-- Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: /{(/� \ DATE: 1)//o / /8 PLEASE NOTE COMMENTS/CONDITIONS: . • 12r ^pAg.tdl or OK_ a700cnTIoh 6 h S /Verrs .13h,'W -u 1 PriVac n( c . St..,A (0.110. v ctis40 ►., s .CAX - 6 9 4- - SG / 1 % "' = 1 • RECEIVE®; G ,c, s4 ,„o Q<c/ DEC 102018 ,, t !e liv °UTH UA 2XIo re las N++1, I min HIGHWAY ,o,hJt/5: tc,c. . a net ! 6 ( j ' . 1 I I y - DEC 10 2018 y X c a�„ a. YARMOUTH tislk10 DtSL ga„ � LD KING'S HIGHWAY r�iY')� 11 1 F \".. / /al �o\A1a ���Gl}}�r �0 j".4ms //4 �. 6x6 1 ) !ac[ ' ' AeC V"3 v TOWN OlJTH vvv REVIEWED FOR B OM A Z DO CODE • F/ ANCE, ERRORS OR Ohl ISS ONS DO NOT RELIEVE THE FD APPLICANT FROM THE R?SPONSIBILITYOF'AS r SEC 1 G xi. P.r. COMPLIANCE. 770 8 '+ DATE:I�-ply-!) A*� , S U y Y RM�TK ., LI 66Ago +.3 sji xt-i.. wncic_ BUaDINc _FFICIA _ '; A/4 2l'Fa,,c..+s 8 eqd, tad 4.e 'h14 . C___ ', yresat.. FILE COPY 18 - E131 WORK MUST CONFORM TO ALL TOWN BYLAWS & REGULATIONS - r♦ '2 E15- YARMOUTH WATER DEPT DATE o���p` " ��� �� ;ii ° � ' �,' V -- ry.r B ....i1 � 1 2018 r' , , • APP/���� • ° OU �, UUTH A----0 i .....-,,.. ' IGHWAY `- -- �/ DEC 10 1 r' �---- �% 0 ?'8 J - ow kfivG c'"uT H — /."T, =prof -�— WAY r 1 hT4str,�ty! !e.11 6f VII RE C,VCD a ,g�'s'Q tx; G$4 •A• OEC 1 a .1l,,:�r ,. _ 0 / a iottizat egrat 11.u / 2018 ,, .,,4`;,.r.4,�r. 0,,,,� , ,. S+t)Uj O r� A r " r C.•!_g-i„ t r, 9 H YARD �;RH MA C� ��I � _��' . !'o. - fa a �. —� '+-CEIVED Ts ♦� _��rl\ �WfCCING Fe 111041 DEC 1;112018 t'�,A � OFa?S.0 ' 't PC y� I HEALTH DEPT. 41 _ r a, • H F �r ��` m 110401 er A:Nr7illitT:roiLLitialtibilitiviaritpii:144,''..1`,.. Ar I . T The Saben Residence \6• __ m _ I 66 Nottingham Dr.,Yarmouthpoct ��,� iik� "` `} __ to By Philip L Cheney 508-394.1373 • J iia\ \` f _' _ ----s_68' — _ _ _ _ �,._ Srde:Y.lnb' In/15/sore H —rice 8 • RECEIve-bi • .M� _.., , .� DEC ��- `� '\1' , j t , � 10 2018 ;4 �t % a> ^moi OLDKINGSHIGHW,gy Ip to, 1/40, our Sifie 6' h. 1 PS a.- 0=t { ,s,00----, OFC J7 �FO Y OGTtiYC 1Q1B oh 3 ti -47 i 18 - E131 DEC I 0 2018 VARA/100TH H--- ng KINGS HIGWgY 'ffi�d KX`Zh+e lli "'tip...... _ ni /41,0ANN w .- _ 11 Dei t�0LA� N/pyRo t ' �,�� cp� / • xfiilij tilt! iiIiiiIIIIi SGT 8 Fc /L F or ` ,, • O o � a9 . 18 - E131 • l0201g / "...+" p `G=t off '"'W".F. I4'AY :'fir...-- Wt-el. :et-r'<;+; ., • ir 1 li � ; ' tT A I ' : , imp ,i �� , • � i get ++"� -- � '8"' COi� • L r `tom'`,n'w ' iy Dec 7 i . ' ' i s ime:. �' o spy R,� _ ep J qii- N,z 11' e.,: "- , t + , ,. > f , � 'syr"-:: i' ,} � y irs&FsREi � r 4 r � itrapbv. '3 i i .��1' 1 ter€. .I ' ''Ci* Wit.*-1"1 alltra re r I / to y' r ,., s be, lh.o iii �r0 18 - E131