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HomeMy WebLinkAboutBLD-19-3798 cc //2. 4, . ONE & TWO FAMILY ONLY-BUILDING PERMIT Town of Yarmouth Building Department or rqiii 1146 Route 28, South Yarmouth,MA 02664-4492 r ky " 508-398-2231 ext. 1261 Fax 508-398-0836 i Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair,Renovate Or Demolish • a One-or Two-Family Dwelling RECti• V ::. , , . j. -. , : . cial Use Building PermitNumbec /9-47) 32Y- Date : - ' :• , ' Lc.464._ 0 1770(c 1 1 • ..'• 1 ry ' Af.5.- :''' %,'• :f ': '1 ' i .• --1: 1Building Official(Print Name) - ignature:7. ' ' .'• . .a--.7h-F's.7 Ttliiii777 ' ,....:. ' . .• .• • •, SECTION 1;SITE INFORMATION . 1.1 Property Alt r e S"42tir 47 1.2 Assessors Map&Parcel Numbers . _ : \I el : . • .3 , 1 tie6C C 1.------) PaiteI NUrnber •1.1a Is this an latcepted street?yes X. no Map Number 1.3 Zoning Information: 3 "6 'i' 1.4 Property Dimensions: \ jAM,, M u' Zoning District Proposed Use Lot Area(sq ft) Fitinta$‘ )ibit,lo uizi)nizi Ni. ._ I 1.5 Building Setbacks(ft) • Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(MAIL c.40,454) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: • Public ic Private 0 Zone: Garside Flt3cd ane? Municipal 0 on site disposal system id Check if yes0 -• .. , . • 2.1 Ownerof Record: -TAME Ca IA4SA/3 YoriE Ab3114 t MA- O214, 9 • Name(Print) . City,State,ZIP 41 t•14 LAIC 13-Se ig-2473 No.and Street Telephone , PmallAdyresh a, • .... ,•,• •:: '..• siconcoN,a;.TAES-eRtivittil'Oft nionithIYO.Ide(c41.411.14.6t at/Pli) New Construction 0 Existing Building Owner-Occupied 0 Repairs(s) 0 I Alteration(s) 0 Addition Cl Demolition Cl Accessory Bldg.CI Number of Units____ Other CI Specify: Brief Dkription of Proposed Work2: remokeif 7;r7.e4-loi2 crP-- &R4071)44 /Iota" "trar-5 Ce rombAT;ao A rooF 73 getta:, Ads As :.(sEcTOtlgfriiMAiOP*409,!Or-COSTS.-- -1.:.:,7-A"-7.L:,‘,..;. ... . .:,, t -.,:t.,-.: -.• Item Estimated Costs: :•-,,,,;-' ;;',.:--.6:!.:(L':1,;$ 1:75.:';':''F'.offtimilVie Only (Labor and Materials) :.,:w.';', :l.-'k'It;Y,.":'''''•'i"" ....PIPL'm . e: illtWeinV 0 '41YliCat!4.!f!0 IS4,111P.,(1.: I.Building $ liBidding Pe 3 213 go— ':A ,ttiidiiid.,.e(fivic,; ),4:446iditsii tiekA):::..f,Tt.i.r,!;t:t....:•::,,r4":"1;;;;;:: • 2.Elechical $ 8, two-- .-tErfaaticigarbdiOninire:ii. .1:,::::,,i*.=: ::...:, :, 3.Plumbing 2, ottaarryegt $.,3,52-•:.' 1 '..p,',';':,...'..".'-'7:' 1,t. $ 811" --- ---•. , -7- j ' ' '4 ' • -A'r '•;' ''•. -mc,,,,*,ni.5).',"7. tn:,•,:.;:::, 'tiii•(...;,:';',.:;,,, : ,rnk;ii....7! :k.t.;:";.'‘,:-'1,4,,,,,'9''9.t•-n;':41,..:, ,- ' t- 4.Mechanical (HVAC) $ li, 3" ---- , ,-;,-' ',h -). ' ,.0(.,;;;:;-:,;;...,,,(sy cm:.• 5.Mechanical (Fire • Suppression) $ TotalAil ' l'e "' - ' , •• .' eaech .'s,' iiiis -r..1;', ..2 stSc- bliA,7; ,..t; : Cash Aarunt:_i__*.... 6.Total Project Cost: $ 3 300-- -a iiiialtai,77,z.: po*tabi-TriLiganaq,Doe:-')ila ,- / • • SECTIONS:.CONSTRUCTION SERVICES . S CConJst1rnetlin'Sop rvisorLicense(CSL) C5—bOZoe o l,�{I/Z4/I 1 kJC=�/• '1 (Tb License Number E�i:atioa Date Name of CSI„Holder 6 7D )414 H At. a— List CSL Type(see below) No.reet nPe... Description C5: Ptii_ beco,/ U Unrestricted(Buildings up to 35,000 cu.R) v 7R Restricted lea Family Dwell ng CiteState,ZIP M Masonry • RC Roofing Covering WS Window end Siding - • SF Solid Fuel Burning Appliances -3922293 11/0,L141•44 4).H. nonc' *+ke fn"'Insulation Telephone Email address ! D Demolition • 5ftegistnd Htme Improvement tCContractor(HIC) /0 692V / �>c-i'.D t 11Registration Z Loz� RIC Com,pry N,rgae or HIC t Name HIC Registrations�Number Expiration Date ZO o h•f kip,Lt„teiSC�tNa jibORrENt‘%J6s .tan No.end trees Email address . tertea / .1-ca— azie 39N 2223 City wn,State,zTP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.152.9 25C(6))„ Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes K No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT .. T i f ` I,as Owner of the subject property,hereby authorize )At�� c��JCAs+06 4A ? to act on my behalf;in all matters relative to work authorized by building permit application. aiy ( lit Prmt ter' Name(EI-ec SignSignature) ZAM. n..30n 9/d5//e/cr • • l SECTION 7b:OWNER3 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information con .ed in this app 'cation is true and accurate to the best of my knowledge and understanding. ''e ar 7Q .18•it s sees or FrZ ed Agent's Name(Electronic Signature) Date • NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(MC)Program),will have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/ocq Information on the Construction Supervisor License can be found at www.mass,zov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost 111. • The Commonwealth of Massachusetts ==,lig Department oflndustrialAccidents _lent_ 1 Congress Street,Suite 100 =1 te' Boston,M4 02119-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aaolicant Information Please Print LeeibIv Name (Business/Organization/IndividuaqA-{J- r041 art' Address: 20 4or t, /-14-r - City/State/Zip: a-(A o J 7Z J'(.L 0?4( /Phone#: 60 a - 3,3 - ZZ 93 Are you an employer?Check t e appropriate box: Type of project(required): 1116.1.tim a employer with employees(Atli and/or part-time).* 2.0 I am a sole proprietor or partnershipand have no employees . 0 New ruction p oyees working forme in 8. Remodeling any capacity.[No workers'comp.insurance required.) 3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 4.01 am a homeowner and will be hiring contactors to conduct all work on my property. I will lOkBuilding addition ensure that all contactors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.0 Plumbing repairs or additions These sub-contractors have employees and have workers'comp.innrnncai 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,11(4),and we have no employees.[No workers'camp.insurance required.] *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 subcontractors and state whether or not those entities have employees. If the sub-contactors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employee& Below is the policy and job site information. Insurance Company Name: --Z-UP-4c14 C'-HeP—.003 / Policy#or Self-ins.Lie.#: (LI LB f 603 Expiration Date: -3(O( / l Cl' Job Site Address: . 7 14t(74 14_/JC City/State/Zip: 5 1/44,e2,-to Jli-t 1f,4 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 certify nder the Ins and penalties of perjury that the information provided above is true and correct Signature: Date: CV/ a Phone#: , g 7 2-3.3 Official use only. Do not write in this 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#: •nit, TOWN OF YARMOUTH �-, e G BUILDING DEPARTMENT • +,a;h 1146 Route 28,South Yarmouth,MA 02664 40 508-398-2231 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 111.5, I hereby certify/that the debris resulting from the proposed work/demolition to be conducted at L(7 (Lc(y (A-or ci viiQrfai, N a— Work Address Is to be disposed of at the following location: 66- Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. rall QitSR S' na a of • p , 'cation Date Permit No. 111 Commonwealth of Massachusetts 171 Division of Professional Licensure Board of Building Regulations and Standards Co nstructicni Supervisor • CS-012060 `.1 Expires: 11/24/2019 _:/..Y' I r • e lk DEWITTP DAVENPORT^! , �- �]] I : • 20 N.MAIN STREET Itk ! +C' 1�•,N r ;•. SOUTH YARMOUTH MA 0266 5�" 0/W..11W . y1:14m 1.114, Commissioner CL 4 • e Ipom>noma.ea/L "lC.ecodac.4uaeCA Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Trust p eaistratlon . Exnh=_tton 106024- 4ACC)R0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6/5/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Gayle McLean NAME: Y Risk Strategies Company PHONEFzu' ( ADDRESS; 617)330-5700 INC.No):(617)639-3]52 gmclean@risk-strategies.com Box 970069 E-MAIL gmclean@risk-strate ies.com INSURER(S)AFFORDING COVERAGE NAIC a Boston MA 02297 INSURER A Associated Industries Ins Company INSURED INSURER 8:Houston Casualty Company • Davenport Building Company INSURER C: 20 North Main Street INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL186567150 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSD WVO POLICY NUMBER I(MMIDDIVYVYI I IMMIDDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ 100,000 AES103838703 6/1/2018 6/1/2019 MED EXP(Any one person) $ ran. . PERSONAL IADV INJURY f 1,000,000 GEN'.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 I POLICY JECC XT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 �II OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea ecadent) ANY AUTO BODILY INJURY(Per parson) $ — ALL OWNED SCHEDULED BODILY INJURY(Per acddent) $ _ AUTOS _ AUTOS - NON-OWNED (Per PcRCentDAMAGE $ HIRED AUTOS AUTOS $ B X UMBRELLALIAB —, OCCUR a17XC5061102 6/1/2018 6/1/2019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE f 5,000,000 DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER,EXECUTIVE YnNIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ Dyee,desdbe andel DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ B Excess Umbrella NY18EXC9367691C 6/1/2018 6/1/2019 Unlit $5,000,000 Aggregate $5,000,000 DESCRIPTOR OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be dached If more space Is required) Issued as evidence of insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Michael Christian/IYP -7- ..--c:5- '��r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD . IN5025(201401) CERTIFICATE OF LIABILITY INSURANCE GATE(MM DDYYY ) • ACOe. k......---- - 2/20/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to . the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the . certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Kristina Converse E. K.McConkey&Co.(Valley Forge) PHONE FAX 2555 Kingston Road,Suite 100 a Macro EXtt INC No):717-755-9237 York PA 17402 ADDRESS: kconverse@vfcadvisors.com INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:Zurich American 16535 INSURED DAVEN-) INSURER B Davenport Building Co do Davenport Realty Trust INSURER C: 20 North Main Street INSURER D: South Yarmouth MA 02664 INSURER E: . INSURER F: COVERAGES CERTIFICATE NUMBER:1325177293 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INV? TYPE OF INSURANCE ADDL-SUBR POLICY EFF POLICY EXP LIMITS LTR - INRn MTh POLICY NUMBER IMMIDIYYYY) (MMIDDWYVYI COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS-MADE 0 OCCUR - PREMISES(Ea occurrence) S • MED EXP(My one person) $ PERSONAL 8 ADV INJURY S GEN-'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S . RPOLICY PRO- LOO PRODUCTS-COMP OP AGG S • OTHER: S A AUTOMOBILE LIABILITY BAP8198258 3/1/2018 3/12019 COMBINED SINGLE LIMIT t (Ea&cadent) 1 000 000 X ANY AUTO - BODILY INJURY(Per person) S - ALL OWNED SCHEDULED . • BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS /Per accident) X Comp$100 X Coe$500 S UMBRELLA LIABOCCUR EACH OCCURRENCE S _ • - EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS . S A WORKERS COMPENSATION WC8196035 3/1/2018 3/1/2019 X PER OTH- AND EMPLOYERS'LIABILITY STA ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L EACH ACCIDENT 51,000,000 OFFICER/MEMBER EXCLUDED? N N IA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 11,000,000 II yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 51,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more spec*Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. Route 28 ' South Yarmouth MA 02664 AUTHORIZED REPR SENTATIVE USA • ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD . • k ,.' :. 40- • TOWN OF YARMOUTH a 1 j. 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSE1 IS 02664-4451 • MATTA 11 [�3 "moi Telephone(508) 398-2231,Ext. 1250—Fax(508) 760-4830 Engineering and Surveying Division Building Permit Review Residential and /or Commercial Buildings Name of Applicant: Ti`-thrio?ea —e2tn\At3-06, ( q4-my 74-my/ Telephone or Email Address: Mutt t L I asS 0(?'Matt ro4Tc fiepteS . Lott Proposed Building Location: 41 1-10 IL( (hi'C. Date Submitted: I b/Lila Requirements for review: Please submit one(I) copy of plans, to include: 1. For Residential: Site Plan showing proposed and/or existing buildings, proposed contours with bench mark,water service location, and septic system location. For Commercial: Site Plan showing details required by the Zoning By-law and revisions required by Site Plan review, if any. Note: Site plans must be signed and stamped by a Licensed Professional Land Surveyor and Engineer or Sanitarian. 2. House or Building- Floor Plan(s) and Elevation Plan(s) 3. One(1) copy of application. • . Reviewed By: - Date: PLEASE NOTE Comments/Conditions: • 0 Printed on Recyded Paper 0.2:1 ,, TOWN OF YARMOUTH � r o HEALTH DEPARTMENT a PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET Ncar To be completed by Applicant: �� /` Building Site Location: t/7 4. 4 ' //WC Proposed Improvement: Rorrobe f tASiAE I 714,-(e- -Sea _beix'n r �I,/y / Bl, aa Applicant: b4{J Jft^, r „1Cit,.>6 dot-f44-:(7' Tel. No.: 4$'39$-Z2a? Address:7p ft4 P.. �,4-t,t' Sr-- Date Filed: •"/fyou would like e-mail notification of sign off please provide e-mail address: Owner Name: T—,4id 1agni� / S 00 / 7 Owner Address: 1 {-6/1- /4A/t< Owner Tel. No.: 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: ?Cie* e DATE: /Z 7'Q 7? PLEASE NOTE COM ENTS/CONDITIONS: 108.51' LOT 74 h 8,661± S.F. j / 0 4 32.5' to LCJI e ,,-45, , 7 cs, ........, ..3 ,c-,,,. ,..„' f j .3 ,... 1 J • 38.21 _ I 1 A O 2.3' a .„ ,, 1Ll/CCJ , A 108.02' N N ROBIN '` el': l':14 WILLIAM fill '8WILCOX N k., No. 31341 ,rt '?D.cP FC/STE—0,.. ,� TOP OF FOUNDATION IS ELEVATION - 1 iAu 9.88 (NAD 88). TO THE BEST OF MY INFORMATION, • "EXISTING" PLOT PLAN KNOWLEDGE, AND BELIEF THE SOUTH YARMOUTH, MASS. STRUCTURES SHOWN ON THIS PLAN LOT 74, PL. BK.145 PG: 74 HAS BEEN LOCATED ON THE GROUND DATE AUG. 24, 2018 SCALE 1" = 20' AS INDICATED. JOB 8073-00 CLIENT JOHNSON �/' / SWEETSER ENGINEERING $/241 - (� 235 GREAT WESTERN ROAD DATE PROFESSIONAL LAND SURVEYOR Po BOX 713 SOUTH DENNIS, MA 02660 off. 508-398-3922 fax. 508-398-3063 C.• \S8\PROJ\80473-00\dwg\8073-CPP.DWG 0 2018 SWEETSER ENGINEERING