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5 , CVAP/ii• ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department ; "of... r.. 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 ' �'�� ' Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish . a One-or Two-Family Dwelling � .0 This Section For Official Use Only Building Permit Numbed -c2I -oda Y Date Applied: !G 02 201 b l p ©r: Date to- I Building Official(Print Name) Slgffa e SECTION 1:SITE INFORMATION 1.1 Property dress: 1.2 Assessors Map&Parcel Numbers ,_T) ,5 (tee& f q/ 1.1a Is this an accepted street?yes k no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property.Dimensions: .t-if) ge" it wi/iA-1 l Z /Y6 .2 F•f /!ID Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 30 3z.,y 7,4) i/,5 ze yz 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system Check if yes❑ SECTION 2: PROPERTY OWNERSHIPI 1 Owner1 D �D of ecord: I O� nl DLL .� Hit Ct -76 Name(Print) City,State,ZIP 31 e1/i,5 6� Y:k &Irk frA-420 -?IV 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)Xi Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Des tion of Proposed Work2: ry/� - , 5r.`-+ , �iu%[s1L1 iv_ . .J5i�i/ ,modt) i�-6�, .12,f xii) sr. 4.rr.,-/ c/ r ___._. -- ff — ' `A K 064(fr��111 � � SECTION 4:ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: . _f'1 Official Use Only � . (Labor and Materials) , ,11 r :i_UA R r M r-N 1.Building $ it 333 1. Building Permit Fee:$i S D Indicate how fee is determined-2.Electrical $ *Standard City/Town Application Fee J 0 Total Project Cost3 Item 6)x multiplier x '! 3.Plumbing $ 50 2. Other Fees: $ '- ; 4.Mechanical (HVAC) $ List: .J 5.Mechanical (Fire Suppression) $ Total All Fees:$ Check No. Check Amount: Ca 6.Total Project Cost: $ 466,33 0 Paid in Full itl Outstanding ante Due: `d n SECTION 5: CONSTRUCTION SERVICES 5.1 Construction S ervisor License(CSL) �- � ram- a/zL(�c) tlz� lq License Number Expirati n Date Name of CSL Holder List CSL Type(see below) („s No.and Street Type Description i -1Qf-(f_�J/l t /�� G Z 'c/ U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP / R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding f,ter p� -y�j / ,,� SF Solid Fuel Burning Appliances ee.7lC�'22 P3 /+(Y1�gau-e- 5..,64) ". D(2r[cv �s-fe "1 Insulation Telephone Email address I D Demolition 5.2 Registered ome Improvement Contractor(HIC) J HIC Registration Number Expuatiddn Date HIC Comp iyaizthe o y N r1HI,/4C R istrant Name sr Street Email addres / City Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 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 , No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize A-LieAJ C '8 4A;., (17 to act on my behalf,in,all matters relative to work authorized by this building permit application. 1 7/L -j / Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained i i this appli ation is true and accurate to the best of my knowledge and understanding.J Print Owner')or Author ed Agent's Name(Electronic Signature) ate ,—,7 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(HIC)Program),will not 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/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) J'-'(Z— (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" The Commonwealth of Massachusetts 1==Pinir0,- = 1, Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 5••'�� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): .... Ak.-A,/ Address: ZL� � �� 4-(Address: J j City/State/Zip: • 624,C;y Phone #: c 17_ Are you an employer?Check the Appropriate box: �[ Type of project(required): lm a employer with employees(full and/or part-time).* 7. New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in $.'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.❑I am a homeowner and will be hiring contractors to conduct all work on m property.Y I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I 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.t 13. Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees. [No workers'comp.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 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:Z.� 6P A, "Art Policy#or Self-ins.Lic.#: (rO & j q '3 Expiration Date: D 3`0l /e Job Site Address:-30 e i C % , City/State/Zip: UP-(UJ{tt(' � Attach a copy of the workers' compensation policy declaration page(showing the policy n mber and ei(piration 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 cent under t e pains and penalties of perjury that the information provided above is true and correct. Signature: Date: -7/3+ /' / Phone#: — 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#: Y o TOWN OF YARMOUTH :5+g c BUILDING DEPARTMENT 0 -"`'`'� = , 1146 Route 28,South Yarmouth, MA 02664 � 5-� 508-398-2231 ext. 1261 Fax 508-398-0836 BUDDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40,Section 54 and 780 CMR, Chapter I, Section 1113, I hereby certify that the debris resulting from the proposed work/demolition to be C' conducted at > t /j 6,2_,..it' (4,eiz,,„0.7lipfor Work Address • Is to be disposed of at the following location: 567V- ?c lit Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Itf, -- -77 7 Sign tare°of pplication i t i Date Permit No. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards • •Construct ,ion Supervisor CS-012060 1 ' Expires: 11/24/2019 - I ' DEVVITT P DAVENPORT' 20 N.MAIN STREET. T '1. 4? 11 SOUTH YARMOUTH MA 02664 • f .1‘ I V: Commissioner CL Q.-As mmon.weald.e`°gilla:;;ackue t Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Trust Registration . Expiration 106C24:-s r,: 07/20/2020 DAVENPORT BUILDING CQ TRUS T DEWITT P.DAVENPORT — �rC( 20 NORTH MAIN STREET7T b SOUTH YARiMOUTH,MA::02864 Undersecretary Registration valid for individual use only R before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston,MA 02118 1 a> tiNot lkithout signature �-� DAVEREA-01 NCANUSO "CORE,` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/11/2019 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 have ADDITIONAL INSURED provisions or 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 NAME: Valley Forge Captive Advisors PHONE/ ,No,EXt):(610)458-3659 I FAX 484 965-9627 630 Freedom Business Center Drive (A/C,"°):( ) Suite 203 E-MAILSS: King Of Prussia,PA 19406 INSURER(S)AFFORDING COVERAGE NAIC II INSURER A:Zurich American Insurance Company 16535 INSURED INSURER B Davenport Building Co INSURER C: c/o Davenport Realty Trust 20 North Main Street INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MM/DO/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR GL08196255 03/01/2019 03/01/2020 DAMAGE TO RENTED 1,000,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: C $ A AUTOMOBILE LIABILITY ((EOMa aBINED dentSINGLE LIMIT $ 1,000,000 X ANY AUTO BAP8196256 03/01/2019 03/01/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY _ AUTOS BODILY BODILY INJURY(Per acadent) $ AUTOS ONLY _ NON-OWNEDUUO ONLY PROPERTYaccident) DAMAGE (Per $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION - X PER STATUTE ERH AND EMPLOYERS'LIABILITY WC8196035 03/01/2019 03/01/2020 1,000,000 ANY NYIPROPRIETOR/PARTNER/E ECUTIVE Y/N N(A E.L.EACH ACCIDENTO $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Vision Government Solutions Page 1 of 3 30 ELLIS CIR Location 30 ELLIS CIR Mblu 141/ 6/// Acct# 16166 Owner KUEHN DAVID LAWRENCE Assessment $367,100 PID 16166 Building Count 1 Current Value Assessment Valuation Year Improvements Land Total 2019 $168,300 I $198,800 $367,100 Owner of Record Owner KUEHN DAVID LAWRENCE Sale Price $1 Care Of Certificate Address 30 ELLIS CIR Book&Page 16106/0214 YARMOUTH PORT, MA 02675 Sale Date 12/18/2002 Instrument 1F Qualified U Ownership History Ownership History Owner Sale Price Certificate Book&Page Instrument Sale Date KUEHN DAVID LAWRENCE $1 16106/0214 iF 12/18/2002 I KUEHN DAVID TR $1 15069/0067 ( iF 04/22/2002 KUEHN DAVID LAWRENCE $139,000 /0 iN 07/16/1993 Building Information Building 1 : Section 1 Year Built: 1964 Building Photo Living Area: 1,472 Replacement Cost: $227,607 Building Percent 70 Good: Replacement Cost Less Depreciation: $159,300 Building Attributes Field Description Style Ranch Model Residential http://gis.vgsi.com/yarmouthma/Parcel.aspx?pid=16166 8/1/2019 Vision Government Solutions Page 2 of 3 Grade: Average+10 - _ 1 A E Stories: 1 Story , Occupancy Exterior Wall 1 Wood Shingle Exterior Wall 2 1; Roof Structure: Gable/Hip Roof Cover Asph/F GIs/Cmp ° � a.r.>�<*: � �"�Z � ten, ' Interior Wall 1 Drywall/Sheet • � " Intenor Wall 2 '; fj Interior Fir 1 Hardwood (http://images.vgsi corn/photos2/Yarmouth MAPhotos//\00\02 Interior FIr 2 Carpet \70\27.jpg) Heat Fuel Gas Building Layout Heat Type: Hot Water AC Type: None E ? � Total Bedrooms: 3 Bedrooms 3 � Total Bthrms: 1 ',- Total Half Baths: 1 Total Xtra Fixtrs: Total Rooms: Bath Style: Kitchen Style: Num Kitchens 00 Cndtn (http://images.vgsi.com/photos2/YarmouthMAPhotos//Sketches/ Usrfld 103 Building Sub-Areas(sq ft) Leaend Usrfld 104 Gross Living Code Description Usrfld SOS Area Area Usrfld 106 BAS First Floor 1,472 1,472 Usrfld 107 FGR Garage 308 0 Num Park FOP Porch,Open,Finished 40 0 Fireplaces PTO Patio 312 0 i Usrfld 108 UBM Basement,Unfinished 1,352 01 Usrfld 102 WDK Deck,Wood 360 0' Usrfld 100 3,844 1,472` ,.ay,` . ;,,IIt.s, ~ aa,w., £—I. „a ii ,i ,..-::: .I,, `?rti•`. ,''''ki l gv2z ,r . ,,,,,,r,.. Extra Features Extra Features Legend Code Description Size Value Bldg# ---t FPL1 FIREPLACE 1ST 1.00 UNITS $1,500; 1 WHL WHIRLPOOL 1.00 UNITS $2,500 i 1 EOS Encl Outs Shwr 1.00 UNITS $0 1 Land http://gis.vgsi.com/yarmouthma/Parcel.aspx?pid=16166 8/1/2019 Vision Government Solutions Page 3 of 3 Land Use Land Line Valuation Use Code 1010 Size(Acres) 0.28 Description SINGLE FAM MDL-01 Frontage 0 Zone Depth 0 Neighborhood 0080 Assessed Value $198,800 Alt Land Appr No Category Outbuildings Outbuildings Legend No Data for Outbuildings Valuation History Assessment Valuation Year Improvements Land Total 2019 $168,300 $198,800 $367,100 2018 $168,3001 $189,900 $358,200 2017 $168,3001 $189,900 $358,200 (c)2016 Vision Government Solutions,Inc.All rights reserved. http://gis.vgsi.com/yarmouthma/Parcel.aspx?pid=16166 8/1/2019 I _ 14111 11101 it illi WI I. I . iir II 4 131111 ``In I.f - . ll ‘1 li 11 z i' f 6 t 1 t { Z VI - • 'k �yTM w^""�'�"�' Plan•I 13 PROJECT;Pining I milyroom/Pffias Addi+ion for: csanneca i I. tomb aware*, waaa..w.rary rewerm r...ol-eff•41, .wwrwer a..am.....•a ..eq..wu ee.w t4 a NAYV0AM1e-�'. PAVID t�UNCN ANI7 AU CN TF-OGMAN a O . ? 6 ' i,,..... .adlar Ae.w6L.ta..\ LOCATION; "^"Y„W�,.... �..***w.w-o IAM." Weesslanal bull'ding design 'iftlapram a''r"'�"'�' ar.....a.w...e...oa u.vro. aY On O 0 Glis GirGls a..W..a=:::.....a.e a......w.rw.i i.io. ;ao.maru.l sa.a..u,.n...wa. .+....a+...ww.rr.. iiwo. P.O. mow. ,01• 'aa YwrmoUtt�por+.PIA saner. . . _ - ...r.�.....3 le% Q Q'-- II I , 00t1•2 ' �. � 1.—.1 .AIL 1...— 1 .. . w i ii?"‘ .-,' r 11. r- �1 rr. c : • �� wal l i a ` - 1 a ' • 04 ; • • *oar, kil : ° , ' 0;1474 ►4IN rivl Nam►tg'Wctsse 44s:en, tj ,,,) co\ pito. 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(� EL 21.61E ��• 23.0' WITNESS: ANY VON HONE, RS D r_ • �IR PPE IlYEL 2.DOODLE WASHED PFASRXIE DATE: 4/2/03 • �' ocomM s 0 JUL� � \ < 2 MIN/INCH • 5cP 1 U ZW3 U TANK �/ TF-- 20.1' PERC. RATE .• 'mime r•1 rRE 12�-Q1 obi.Pr„A*• / 19.70' f'.tSE■��,�m.vro,o�,�_, �^ CLASS I SOILS PI S LOCUS STO _ g� a.se __ __Mf6lA17_,-t;I OEM or now. 4' O (11512122 M D XANIGM. SSSa �_ 19.1' ELEV. M =Q nae TEE SIZES` ('R SLOPE) (�R SLOPE) 3/4"TO 1 1 EAGLE INLET DEPTH- 10` /2'DOUBLE WASHED STONE FlLL OWLET ooR1- 14• 10• B. • LOCATION MAP NO SCALE FOUNDATION—EXIST. —SEPTIC TANK— 10' D' BOX 4' LEACHNG LMS FACILITY ASSESSORS MAP )4) PARCEL 6 'THE INSTALLER SHALL VERIFY THE J4• 10YR 5/4 LOCATIONS OF AU.UTRITIES AND ALL 5• 20.2' BUILDING SEWER OUTLETS AND ELEVATIONS ClZONING: R-40 (CURRENT) PRIOR TO INSTALLING ANY PORTION OF FRONT: 30' SEPTIC SYSTEM MS SIDE: 20' REAR: 20' _ 2.5Y 6/6 USE ADJUSTED WATER AT EL 14.1' SO FLOODZONE: C PERC Il[ C2 PREP.Apart }\ • C.] FS WELL SOW 252 (NAIRIEO AREA) 12`W.PI Iq +zas :us: aDs WAtER 13.2' AD•I ZONE:0.9• . 2, A .�2. . .NE 2,5Y 6/3 /OG 44 11,0' ,-. ;i' '+� i V NOTES: 'I q + �, �. w` , SEPTIC DESIGN: • (OAR9AOE wog,is NOT ALLOWED ) 1. DATUM IS ASSUMED 2e I _ �n1 UESIGA FLOM 4✓ '• * z. w BEDROOMS (110 GPD) 330 GPO. _"...- 2. MUNK;IPAL WATERJS EI(1371N0 "'— — -' -- C`-'S'+": �u 3. k'•::V'Ju P:=E FtCH TO BE 1/8"PER FOOT. + A l'�� i ���" SEPTIC TANK: 33L GPO(?) . 660 GALLONS 4. DESIGN LOADING FOR ALL PRECAST UNRS TO BE AASHO H- 10 BENCH MARK - TOP OF I )4 ` 'j a �•ir USE A 1 5. PIPE JOINTS TO BE MADE WATERTIGHT. iQ EMSL / \�• 18`P.PINE TIM_GALLON SEPTIC TANK (RE-USE EXISTING) COW. BNB.ELF 23.3 + CARADE ,I LEACHING: 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. •� ENVIRONMENTAL CODE TITLE V. �I� ��Tro EXIST.SEPTIC SIDES: 2(37.25 + 10.83) (.58)(.74) 41 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR ANY OTHER PURPOSE ti / A / L2J TANK BOTfON: 37.25 R 10.83 (.74) 298 SYSTEM TO SCH, 40-4`PVC, \ 8. PIPE FOR SEPTIC / �' / ( - TOTAL: 459 S.F. 339 )N GPD 9. COMPONENTS NOT T6 BE BACKFILlEO OR CONCEALED WITHOUT I +B.S USE(5) STANDARD INFILTRATORS WITH 4' STONE AT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 1. FROM BOARD OF HEALTH. zz .z2aoxEu GIBES AND 3'AT ENDS 49 / \\Tr-2aW 10. LEACH PR TO BE PUMPED AND REMOVED.ALL CONTAMINATED R� / , LEGEND SOIL TO BE REMOVED AND REPLACED WITH CLEAN SAND. • �4 s 4-.2.0' / V N‘. 'I' LOY AH 1100.0 I PROPOSED SPOT ELEVATION �198A s0. FT \ %/ / 100*0 EXISTING SPOT ELEVATION TITLE 5 SITE PLAN " ELT o ,oD0 PROPOSED CONTOUR °F30 ELLIS CIRCLE / +E02 20 —100— EXISTING CONTOUR IN THE TOWN OF: cf1Q�lA! \ �' YARMOUTH(PORT) G b,i �• a PREPARED FOR: DAVID KUEHN v ,4LLEit, \ N.N. 011,1111 WARD OF HEALTH 7~4.'uG V•Y/.fit/ \ APPROVED DATE HA 20 0 1•••�-� 20 40 60 Feet ISs 1`= 20' APRIL 11, 2003 SCALE: DATE: tor+W.•_-_, I wn cope engineering, inc m OF CIVIL ENGINEERS /°� //IR H, / LAND SU NGRVEYORS g •I L 13-008 939 nain st,yarnouth,no 02675 }, - . •._. . A. , OM `.:., P.L.S. DATA'. t rt_____ 11■ 141111PIR- -----1 • ■ Et) it ;iltli'I III OI a`=1�' 7 P = r.�f �1■I.tM �� I >�pp III } Il•�! I - _t - q ,., i'nII I L - I. 4 • i i Z '��'__ t14- I z nii iiiI ' 'tea'; I III!. k'• i I. Fl IIITS {til F 1. h /\l 1,i\ Li 1 h r1 r ....--.-- st ' P 1 C1' _ ,, _= rir 1 ,illy .1_ I __ Li-----L- N` aeovym■!fw!I■f:aaem a■m nalwYn: \ • "'"2roYYpcycW"er h4iY cweW■w mr>Wiwww.er of MS - PROJECT: .. wmhwvludr nwuuYeY,.my Plan*1 5 I Pining/Pamilyroom/Office Addition for:. PRAWN sr. "�� '.. .m.�:oreneseawwus: e:iim� r-eNNeTNaAmee-re. 1 t" i v..\ vYl+sronefwosYper. \ J nora4ow W4ano ces,wror .. rJhVID IGUHEfj/4Nt2 4LLEt.► �Ulai 1J4N D£`I'{,D4 ItevelnHsi - -anns4i A.4I r Asvoaietes LOCATION: rwe u�OYc...aa+e' :Y'I`M . • �"n• Pr.nm:n.vy O..rvof/Ob/o! `w='"1 e:Tu p/ v•� at uoac..yC...r«.I�■iaos prvressivnal building design 4)0 Ens GlrGids .le•Lp:pr..te rcomm LO.. - commercial•rea denial YY:mfn,cull fvx..Ieywu `.. e9o.,141-fryYwy.1..a:eo loe 7103.12 YArTOU�-hPOrF.{-'�pa Ym.Ywcuwip.."mwNenf:a•"ra L. 7 J w.Ylr..wyly.vY-wwa yl�om- a:nn�e.,Yryr•NO/or .• Z.m .Ia 1mray■a.mfya the 3 - ■I_Ye. 999C — I 9.lo3 II to 0 L A 4=0 0 ( A I I Li F rile ri Ol< 1117 --V -r, cT.TS OW-4d_