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BP-2540i 1 I S�-T bt�i �-L Y i rv. - to .^ ....r«.....r..Y..:..�asiNr�tiY-!'.-"7U•-t. �_ i 3L o l�v" Fes'— S��a�l D- D 01.\10-TUBE SIZEAN D }._. l IS REQUIRED DEFOPF THE CON(D ETE PC pop - � 4 � DEPARTAIENR - a Y y �. r. is � �� ��t :►� 1 �' v 1 DURING M� ,�! THE BUiLDI�G PROGR ESQ ®F THIS \�iOR of r a 2 3 f 1_59 Tru • `fit �4 ;k �5h A Cope Of This Endorsed P I Ca n I !lust B e i"e pl-. 09 Site 6• Dluring Construction i UK 0 a 11,al 97, W 72 9 Now*- ,c `� •.• � �''� r ��, r . • • `��: TOWN OF DA T AW1 0 3199�' R MOUTH BUILDING DE--��,���TE�A•.L-- ��5� tSN► - • •• r`'���_" ` �- . This DEPARTMENT plan has been reviewed and accepted as a record 1d � ��V �� Ste, ���,.._��, �� �� /M � , r5"Gg, (v79 - � �-7 �. copy of work proposed to be performed in • • , G� 780 CMR 5t p compliance with 3 ( h Edition. Th e owner, applicant/agent and/or ------ ponsible for architect/engineer i s res insuring final .. ) compliance with the above -mentioned ve mentioned code notwithstanding ��LL u S 7=7�C,,.� � C-' �' an errors or i ,"' ,��> , f,� � �, l � Y .omissions in the record plan. Any change j-,�� �1��-�l�t� in owner, license contractor or engineer must be reported to this f i ce i mmedi ate ly Any change i n plan ►±G lto must be submitt1, o thi offs e i a time y manner, Signature lode -1 Ca `f1 j 7 I � a--§ 1 .0-04 c c�so sc�,� 88� EgUl [At A Copy 014 T his Endorsed Pican Miust Be Kept Qn Site Dry ALLEQ D. �?ELLETI ER As.-Rr—" \TGe—T.URA%A—. �IES\6,.mSvZ f`�1 P.�t�l �.1�p�� . �.wr� gar• 1 O� � GG�V!`(T�/ ST �1V E� � M� �5�8} L79-43Z7 �/EL �Loo� �LLP.1�l �1 0 14 Z. ,u�s-t A, 199 C� - --------- a v I T r tv, A COPY Qf This Endorsed Pl^n Must Be Kept Qn Site During Consirucfien Date P.LI..ET�1 U. PEI._L.�1 E2/ A.;L" nIF-if-TU'R- N.I. 030 ��uNi"`/ ST �rA.L_i_�21�lETZ., MA.�SOB�"to79-4327 LEVEL FLbOP., P�-�� D2ta1iJ�U Tay: 199 v r-j- - - F-Roti1TELEVL>-T1bt�l P EP.i;a- ELEV �T� otib I 4 COPY Of This Ev ora ntd Ian Ithust Be Kep't, or, Site Date During Construct -ion ALLEt.I O. �_L�IE� �,4RG1-� IT��TUP�\- DES1 �t�l ER �o� Gd�� ;y �-; \\j EER, MA. iSog�Co79-432-1 GA�LLAC�HE2 �ESI DENC L FRo�1T y� SEAR EL�//�Tlot`l5 o�Awti1 ate/ : scn.�E: Y4"=�'-�' 4 AA9y-�oP.A��' A.uc�usTz, �ss� 2- I � I i � LEFT. S�p� �cLEVa-T�o�l r '� COPY Of 'his Endorsed l"'cin MIust BA KeP t On Site Duri ; -4 In'.. 19 n4ztru +* Date p��� p.pE-_'1�ET��2 /A�c.Ni�FLTU�P•�-. �S1�NE� �030 �ov��Ty sT��A.u�.�IVER , MP..(sag� tP79 - 415Z ............. LEFT Tay Y4 ��C�Pas� �S.1�UST 3, 199�0 a cl-) AV Ci) C/) cn co r-- CU E sse*55srE a3o.00� PLAT 80 Lo 0 T# f 15 SUBDI LOT#12 82, 703 S.F. ToOeF #1 Elev. = 111.19 57S so' T.O.F. #2 Elev. = 109.19 14-r •i that the location and elevation of this foundation is In conpliance a the bylaws # ` the toum Richard C. Alves Jr. Engineering & Design Services Scale: 9"=so' 4 Meadow Road Westport, MA. Date,* 07128197 TEL.: (508)63.6-8548 Fite #LK96-2 BM/Tree Pk Elev. � f niq _jTP R = 100.00' L = 42.38' �6Ap7.89' �og5.00' Drize "As-Bu�,lt " Ff i F-w j e �j[l U S�, P, I D Go #^s 1 f AU 0,�, . � �. rrr - �11�l���'a�'A71R! '-�!�•'.IFle�BIw���lr/r�'1i�i�� FOUNDATION Client: Chris Gallagher Location: Plat#80 Lot#f-15 Subdivision Lot#12 Plumlei�h. Dn*ve, D artmoutk MA. ,Sheet f It of 1 t� � r• 4 . a .._ _ WAP ;tA•+1, Y •� - .�..__. _.w ... ti •Par.-.. .-:.�,..�,rf - _ _, _ ... -1 _• _ - _ —. - _ _ . 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I . �,D Ln Z- C) �� N N f J !--' O ►`-, U as 11! !II N W O r-- F--i LL- O O) 0 0 O 0 .- r r cjj "-o > w > .-- E-- W E-- W V) Y w U A Q w 0 E- C� CY_ LL. ,- 49-9 �- c7 0 LO a_ V 0 © cV to to �- • o r- O 0 00 ' co 00 O 00o1 > 00 00 00 0 Q W 0 00 0 00 00o0 0 o O W L o 00 0o 0 0 0 O w Z �--i o o 0 ° CO Q U u 00 o0 00 W rn 000 0 v80 Z w J > 0o 00 J00 000 0 J (n 00 0 O O p U 00 QO 0? .1 - c) L o) O U) e C W !� Li V 0 e- M X LAJ )0 +. w O -- pq >LL- + LoI H 0 �< I «>1 Cl {,M ...� Lo i t 0 O L,J <L w A ...� t-u W .4< C DVY -�0 A' V u+_ d dOcQi- d o a v- Li Li M 0 C) ft O � W ti F- Z Z W C ~ w Q - Q � G4 W n}- J O W CL F- J f N11.35, 3 2 ai✓ �� � 104 103 261 102 r; PLAN SCALEI FRONT&SIDES T.O,F#2 - ELEV,= 109.30 FINISH GRADE BACK T,O,F # I ELE V,= 111.30 109.0 109.0 107.2 III,.,IIi,,,lll„Ill„ lillot III,,,_,,, „ „__,,,_. „ „11 i I=;Ir�ir�IrIII=aii I:•= II it�if=ili _ it is II i( II I o SUB. LOT f l 3 I 103 102 r 101 100 107.2 L^I J*nN G V, ELL I-.- L.L_L- v •"_ H' L-L-y_V .— ". L_1_a_ V .— I1c c If- i • .A. •.� J �4 I i 36, Ip V s•-�• 1 9-'6„ 1'—� 4•_�» 4" P.V.C. 4'-1" UQUID DEPTH --- SANITARY TEES I �o'-s• -I 1500 GALLON SEPTIC ""TANK AMERICAN PRECAST OR APPROVED EQUAL Not To Stale 103,E 103.0 70 100,6 30' 320' 99,6 94 0 120' 104,5 103.9 102.0 36' -101.8 60' 4d S 1 PnA, PERC. RATES+ 14 MIN,/III!, PERC, RATES: 8 MIN,/IN. PERC RATESs7 MINYIN }10TTLING e 30" GWT e 120'' GWT e 132' DATE, 11/4/96 �• PERCOLATION TEST TAKEN: 07/7/9.4 GHR ENGINEERING INSPECTORi WENDY HENDERSON e SOIL EVALUATOR: RICHARD C, ALVES JR. PERCOLATION RATES: 27MIN,/IN, 2.1 ESTIMATED .SEASONAL HIGH WATER: TP#103 EL, 01.1 19" DESIGN DATA 4 10" s DESIGN FOR; <30MIN,/IN, CLASS 2 SOILS "� • AESTIMATED FLOWi 110 GALLONS/BEDROOM/DAY x 3 BEDROOMS = 330 GPD 2" 20" 2" f -• - s" LEACH AREA, 26'(W)X38,5'(L) TYPICAL DISTRIBUTION BOX DETAIL CALCULATIONS, BOT,= 26'x38,5'x0.33gpd/sf = 330.3gpd Not To Scate AMERICAN PRECAST OR APPROVE EQUAL TOTAL GPD PROVIDED = 330,3 1 .j .— BACKFILL _—kj 4-1 L V �,> ` C> O 0 O 0 0 0 0 0 U to 0 O O o;, ;.. t'o°C>°O �00C) °000°0 o0Gy S-0 0 0 000(�0 000 0°00 0000 �0-0° °O°O 0 0 0 0 0 O O O G O 41 6• 61 6, 4, i 261 _--Nv7 -- 11 I BACKFILL 106.20 �f f 2% t • P.V.C. SAWARY : 44" @ 1 % 9' 1 /O 000OA�O�QG�0O�OC�C�O O0O0O C0O0O O O TEES 0 0000 0 00000 Coco 000000 00000 .� 107.06 f , 106.59 105.98 000c, oo �� 5' OVERDIG 1500 GALLON �� 105 gg 000000000GOp 000 BASEMENT FLOOR)1PRECAST CONCRETE 106.15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105.20 oOOOo 103,8 106.84 SEPTIC TANK ELEVATION 0 LEVEL STABLE BASE CLEAN CLAY FREE GRAVEL 4.1' TPL �'A jo - % f10'4 2.0 ' .,LEVEL STABLE BASE:• DISTRIBUTON BOX H 20 � EL=101.1 38.5 TPF104 99 . -_EL:—:j 01, $ LEACHI�!G BED TYPICAL . PROFILE OF A SEWAGE DISPOSAL SYSTEM not to scale TYPICAL LEACHING BED X—SECTION Not To Scate GENERAL NOTES: 1) THIS SYSTEM IS DESIGNED IN ACCORDANCE WITH THE STATE SANI T ARY CODE (TITLE V) AND ANY TOWN MODIFICATIONS 2) DISCREPANCIES OF SOIL OR WATER TABLE DURING CrNSTRUCTION MUST BE REPORTED TO ENGINEER FOR INSPECTION. 3) ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD O'F HEALTH AND THE ENGINEER. 4> E'�'GI��gEER AND THE BOARD OF HEALTH TO INSPECT S: WAGE -- DT �C1Sr' �__ SYS TE,r,' TP F1]Ri BACi�FILt_ItJG. 5) EL•E\,'ATIE1NS ARE: ON ASSUMED DATUM PLA'�E 6) LOCUS BEING PLAT#' 80, LOT#1--15i SUBDIVISION LOT#j." BUTTERWALK EST. 7) THIS DISPOSAL SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL, 8) LEACH AREA TO BE EXCAVATED TO ELEVATION! 99,6 ECEI 9) DISTRIBUTION PIPES TO BE CAPPED AT OUTLETS FR MAY 2 8 ' A D OF HffEAI v APpwat BY THIS OFFICE DOES 0 IG01,AKk41%_L_ ItNUINEERS A S-B U I Ir EFFEOTtVENEA71ONANY BOARD OF HEALTH STAMPS PLAN & CERTIFICATION irzsTALLA O'RO 0� STATEMENT REQUIRED DARTh"OUSH B.HEALTH i ELEVATIONS MUST HOT BE BOARD OF HEALTH INSPECTION OHAN1l'ED WITHOUT REQUIRED WHEN EXCAVATEDUT BOARD OF }HEALTH APPROVAL PLAN LEGEND 4' P,V,C. PIPE SCHL, 40 (TIGHT JOINTS) 0 0 SEPTIC TANK 4' PERFORATED PLASTIC PIPE ❑ 7ISTRIBUTION BOX j6 �/ 56 EXISTING CONTOURS TP "EST PIT S6 PROPOSED CONTOURS ��/ATER TABLE TEST RESERVE .LEACH AREA —� W WATER LIN:BENCH MARK E ON) G GAS LINE 'µ/ELL FILTER FABRIC v µ/ATER TABLE REVISION: 0 HO. LOCATION z cul (11 DATE: 5/25/97 FILE#: LK96-2 BOARD OF HEALTH STAMPS CONSTRUCTION OF THIS SEPTIC SYSTEM MUST BE COMPLETED WITH THREE (3) a r- YEARS OF THE DATE OF APPROVAL G, k This System Is Not Designed JUN I I I997 I For Garbage Grinder, Whirlpool BY: tP Or Other I-N�h �tSOfier Use ����si�A�es- TOWN If M TIVI UTH P.E. MP SUBSURFACE SEWERAGE [' L Y it ,F A9,�ss GERAD �G C LI ENT: C H R I S GALLEGH ER C FT"" GERAr.D PLAT#80 SUBDIVISION LOT# 12 �. �°.19309 PADDRESS: PLUMLEIGH DRIVE �FSS,oNAL DARTM 0 UTH , WA. P . L. S . STAM P DATE: 11 /8/9 6. CONTACT: RICHARD C. ALVES JR. 4 MEADOW ROAD WEcTPORT, MA. 02790 71 (508)-63()-8548 ( r = Furnace (hot air) - Fuel as(natural orpropane),fuel oil electrici other s ecig� tY� C P Y) E 000 Boiler (heating)- Fuel as(natur2l or ro ane ue,o• ec 'c' other(specify)g propane), ), f d, I trt ity, A = HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) .Air conditioning unit - ) :Pone of the above to be provided Hot Water Gas Electric Fuel Oil Ile Other 900 SPRINKLERS - FOR' STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential Required. --plans provided, 'plans not provided, why? - Not required, not to be installed. why 1000 REQUIRED OFF ET PARKING - for ZONING & Architectural Access NOTAPPLICABLE = Pnrlting Plan submitted To Building Department = Planning Board Date submitted Number of spaces - indoors . outside total provided handicap spaces - required yes no. If yes, how many as a part of the total required number. Ts Route 6 (State Road) Entrance permit required? yes - no =. If ties has it been issued ves - no ., Submit copy of application and/or permit as soon as available. I100 IDEt.MFICATION ("print or type except as noted) • �#Current owner - name a Ai cfe. e L Je4 ell""% r :address 2 .Z i phone 0 If corporation, officer in charge Arc ngineer - for overalldesign ('ompanv name /lz��Gh/ %� � �e � �. !� i i e r` Address -' A l v a r` " S Phone number Certified by State of :Massachusetts as Certification number N= Signatures and seals on all plans. affidavits and other documents SILALL BE originals and not reproductions. Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Si natures and seals on all cans, affid avits and other documents SHALL BE originals anid not g reproductions. General ('antractor:�1(if Hom ' F e owner, state homeowner here then complete section 1300) , a Company name4J ..� 1 u I - �e Address -7 Phone numberr67 �r✓/ Construction Supervisors license number NOTE Signatures and seals on a1 fanso affidavits and other documents S BE originais ai d not I p reproductions. 1200 FOR RESIDEN771AL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to(780CMR6 ?Yes No — If no go to) next section! - ) • requirement? Yes No If es, submit the require��1 affidavit! e you claiming exemption from the requtrem _.. Y Are , g P Remodel contractor name (please print) Address Registration number (if none state "none") Phone number PERSONS CONTR.AC�'iNG WITH UNREGiS 'i'E}�ED CONTRACTORS DO NOT HAVE ACCi�S S Gt1AR,�ANTEE FUND! Qt1ESTIONS 4R COMPLAINTS Gail or write: Owners name (print) Signature Date Home Improvement Contractors Registration OneAshburton Place - Room 1301 Boston.:MA 02108 (617) 727-8598 �• � . -ter-- i v • TO THE e/__� Lehi 1300 OV NER SIGN - OFF . t orized lessee(provide documentation) and I shave reviewed I, the undersigned, am th e owner of record or au h • � of m knowledge and belief that the information g��-ovided in this e application herein submitted. I state that to the hest Y g the pp a 'sued. . d that the permit requested h is application � true and correct an P - date of issue, if no wQ;�� is begun or it will expire in six months, from the a , Further i understand that the perm ed for six montl�:s if no word is . begun and that the permit may be extend six months after the last inspection if work has eg '• I understand that the permit may be extended only three tithes by anticipated if I request such an extension in writings written req P uest. I understand a new PP d that once the permit expires application may be required, including fees and current other requirements (including Zoning). f r Name r 6 • Vwwwssss Z � 1, �S i g n a to re •� -". - - The shove signalt_dA is my -voluntary the sins and ena ' Iunta ac.t an isp p lties of a urv. rYP � - Alteration s uare feet. A se arate Refuse Des sal Deciarati�f�n required. of existin • no increase in gross q P P° g� . Demolition - describe structure ' r Number of dwelling units Number of bedrooms A separate Refuse �',eposal DeclarIation reqlllred• Da to A• to pickup the permit a ent' `i��o � authorized p P P tat the Budding Dep rttn Address P., Phone • 1400 HOMEOWNER EXEMPITON - ONE & FIWO FAMILY ONLY FOR HOME OWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT $� .1.1 Linens' of Construction Supervisors: ce t for those structures governed b Construction Co - I o9 mgExcept g y Control l . in Section 127.0. effective Juiv 1, 1982, no individual shall be engaged in directly supervising persons engaged in g Pj construction, reconstruction, alteration, repair. removal or demolition involving the structural elements of buildings or structures. unless he or she is licensed in accordance with the rules and regulations promulgated by the BRRS entitled Rules and Regulations for Licensing Construction Super -visors P 4 S h ( Exception: Anv Hoene Owner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Home owner engages a person(s) for hire to do such work ,that such Home Ovi•ner shall act as supervisor. :For the purposes of this section only. a "Home Owner" is derv-ed as follows: Person(s) who owns a parcel of land 4. on which he;she resides or intends to reside, on which there is, ors intended to he, a one or two family dwelling, attached or detac l-, ed structures accessory to such use and/or farm structures. A person who constructs more than one home in two -rear period shall not be considered a Horne Owner. If you are applvinp, under this section nsign below/ Sizanature. Your signature tar(6 certain res onsibiUties, inc �' but not necessarily limited to, general liability g P g g NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction Supervisor, whether or not they have taken the permit are responsible for code compliance. (see 2.14 .= of section 14,500 Cosy Cost of Improvement 12 Items to he installed but not included in the above cost: TOTAL The follow�irtQ section for official use onIW I1��SPECi'ORS' Date plan reviewed Electrical S Plumbing HVAC Other a', 00 (!� Moving - (Provide co of D.P.W. moving license) Type of structure � PY from where (plat/lot or address) to where (plat/lot or address) Number of dweliin units Number of bedrooms per dwelling unit F. g Re-roo - (for existing only, is included in new construction) Number of square feet Number of lavers when complete A separate disposal declaration REQUIRED P P Number of layers already existing t " windows -(for existin onl (onlywhere doors and windows exist anud will not be Re Iacement doors and vvna g Y) P enlarged) dimensions must he maintained. Enlarged or new windows in an existing dwelling will be EGRESS considered as an Alteration, otherwise will he included in new construction. (see Code section 3'401.10 for residential and Article 8 for commer::ial) — Temporary s ra c�ture - includes when allowed, trailers, tents and the like and only for limited periods of time. tru Describe SOU CONSTRUCnON PLANS None submitted. why? 2" Submitted, usually three sets required. Four sets for food service uses. Number of sets submiitted 600 SITE PLAN ❑ Not requ red, why? ? PreviousI date � ` -Eolith this application Submitted ti'Vhen . � Y� 1 700 TEMILITIES Water su - re uired yes no, public `' _ yes ® no, on site well? yes _ Ino, PPS q --.- - existing? yes o . have necessary permits been issued?Vno yeso date If rec}utred and not extshng ha P� (M.GL. Chapter �, section provides 54 ides that no building permit may be issued unless a water suipply, when .. required, is. available. See Code 780 CMR section 114.1.2) Sewage - yes no, public sewer yes s no disposal - required _ --- _ _ ite yes no. Submit copy of permit as soon as availablee private septic on s _.___ - 7 30 days to review period expires OK to issue date �5 - ®K to issue sub ject to reques«u Yi.���............ �..-�.-��n, new (prove a manufacturersoil . see re • ect review works heet date `- instructions). Location(s) (list) p D J Fireplace(s)-(includese r n, HOLD reason date flu) List location(s) HOLD Subject to Zoning Board of Appeals action Game Court - describe (include overall dimensions) J �r -- Comments _ Tent, Trailer (Mobile Home) or Other - describe 300 CO R - PROPOSED PROJCIiJSE - INCLUDING 19 9 7 REE FAMILY OR MORE AND EXEMPT USES Date J U. t, Inspectors signature .r = THIS SECTION NOT APPLICABLE — d of above -Date time staff �`� (fax, phone, �n person) Applicant in orme ('The following descriptions are based on the Massachusetts State Building Cade Article 3, AS NOTED) (See the Code) Over ve six months since approved for issue - DEEMED abandoned! — Advise applicant. Hold 90 days for return then dispose if not picked up. — Assembly - restaurant, lounge, theater, school, etc.(see Code Section 30Z.0 Describe A is ppii yg � � ) Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.0) Educational - structure for training including child day care for those over Z years 9 months (see Code Section 304.0) = Factory /Industrial - (see Code Section 305.0) = High Hazard - (see Code Section 306.0) T 4t• — InstitutionaI - hospital, nursing home, infant day care (see Code Section 307.0) Mercantile - retaiI stores (see Code 308.0) = Residential - three or more family, hotel (see Code Section 309.0) Storage - includes garages (see Code Section 309.0) Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) New tenant for any of the above, indicate above, (see Code Section 119.0 and Zoning By-law section 35) - Tent or Trailer - temporary purpose = Other DLe:scnibe the prx)posal briefly, INCLUDE number of dwe units and bedrooms or occupant lmd as appficable, ., • • i. •1• condition 4061 TYPE OF CONSTRUCiON OR WORK. TO BE PERFORMED 3 _ New Conslruction and/or Addition - total q gross square feet Ok g (For commercial one total gross cubic feet) - indicate { It will be considered new construction if there an increase in square footage in addition to any alteration(s). If project is an addition to existing structure - Total gross square feet of existing .' FOR COM31ERCL4L ONLY Will this project be subject to COh1STRIICI7CON CONTROL see Code section 127.0). Designer to submit Code Synopsis. ` ViII this project require Peel- review (over 400,000 cu.ft.) (over 35,000 ca.ft.) Yes No. (If yes Yes No (see Code Appendix 1) Inspector Bate Advised applicant Date Time � staff (by phone, fax or in person) _ is PP OFFICEVNSPECTORS NOTES TOTAL FEE / • • yd - Ft. Gross area - new construction Total . q. alteration Total Sq, Ft. Permit is issued to Comments/notes on permit ell .10 01 APPLICANT TO PROVIDE 1600 TOAMY.ICANY'ERJRAL AND A,OVAL Date of Appticztion submission ce/i Plat /_ Lot�� Sit l 7 Owner ?44-701 Owner mail address Owner phone # sa:::zss::assaaaaaasra��aasraas:�,�,�zie����sa�rsaasaa��as�aaasratc�er�z�a:zaas�aa�aa�aaaas{asa��a���ss�,� OTII £R I VOLV'ED AGENCIES - The following agencies re uucrate u-e se q P ,l rsdicttonal permits or approval P for your Proposed Project, CONTACT FOR • sUBMMSIOPIS. 0 TAX COLLECTOR = Ap roved 110 . PLD B� Date 00onservation Conlin Z Approved 8v • Date a D . P. W. water Z Approved B �• Date a D. P. W'. — sewer _ Approved B v Date Q D.P.W. dross connection Z Appm,7ed Date 0 D.P.W. engineering _ Approved ed Date 13 Beard of Health well ; Approved - Date and of Health septic PP = A roved Da to urd of He:ilth food service _ A pPrpoed Date IRE DISTRICT J - II - II _ I� _ Approved . Date 0 � Planning Dept = Approved Date Other.— Approved , Date 't ) t h c -- Approved Date ARrIMOUTII VV N_ -F D 'TO Qk ��J TELr..,xHOINEAquifer Zone 508=999mO720 , rjl5zo 1.0 1. l Imments s:s::::::-=s::assa:atata�aasaazaaaa��asaasssaaasaasassffisaaas�a:::sass::::ass:was sa as�raaa�u��,t:�as��,tsrass�u�r�zs�esss P mjecr summary new constructions site ' rationiderrmo sewage disposal • c ubli• . P 1 przti a to _-,ltzr-add interior walls] [add rooms • � [add footprIntl water su 16 PPIy public,private ~veil [pooli [garnge.,,shed] [game court(food. • � s•er�•tcel Descnbe :az:ss:ss:raaasssE�a=�alg��t�aa#�t$Easalsmts , ascaness�oraa�a�csrssas�saaasazzaszsass:sasa�taa�er�ca�ts��sts;�ta��ruas�scs�asrss To the vat Taus departments: This notice has 1Seen forwarded to • v ou for Your uiforamation and any appropriate action. S 4uesnons lease advise. If any reason Should you have anti• P n to withhold the re . • quested per is found'. please. advise. Your assistance :oc)peririon is appreciated. a and Me B uildin� Department Date sent for review • ♦. t iOWL' S 16 IwArncdom • application to the best of their abilft prior to s •oii.•Ice� no :te a; tia2answere�d• The The applicant shall complete this aPPhc Y P De e. reular business hours to assist as n AMA ;houid be sasc—n. ted for those Sectionspart�nent staff wail he ava�Iabte dunn._ �g_ which do not a iv. A ro eriv com leted application vviH help avoid'unn delays. r,�. � ��� � w . PP . P P P (four owe aw onip) fee ed App&=tion._ Total PermiL Fee r ` Dntt25 AV IC&MMAjit # 100 LOCA77ON OF PRO.JEcT 400 S, PLAT LOT � ZONING DISTRICT CURRE��'I' .�CCESSOR . OTHER ZONING OVERIAY DISTRICTS , • if applicable r � t .. /IQ/UmLe Mr • 1ld�IBER ET 1' RIO, LQ /6/ F.=4 �IE.ARES�' CROSS STREET � SUBDIVISION NA.ME Sc LOT z?.e—Y e r w or BUSINESS NAMI • PREZ I OUS TFNA NrT , OWNER � 200 RESIDE - PROPOSED PROJECT - one & two fancily ridence only - THIS SE ION NOT APPLICABLE <deu ber bathsn m _ ber bedrooms family number = Two family - number bedrooms unit 1 number baths unit I number bedrooms unit _' number baths unit ? - f = p a Accessory ary ent Total gross sq. ft: —. Accessory structure e� I � i • 3` Gara e - detached attached to dwelling, dnnensions L f1ad4'n0'I� f ,� :-��Cltrrperi the to dwelim dunensions L W- detached attach g. _ Shed • dimensions L n� W — Gazebo - dimensions L TT s + AV • • above round in -ground Size tot, Square feet �,Ej*'Swirnming pool g t �!)' r, .�..�' ;�� Chimney - # of trues r- By V