HomeMy WebLinkAbout0046 WATERSIDE DRIVE y� cv�.��-51�`�r
�, 1
,.
., 1'
- n
Q
e .,
. ,.. � � i
,. >. ..
..
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
,
Map- Parcel ;k�STA8 " Application #
Health Division €t� , Date Issued
2
c A1,11 r
Conservation Division Application Fe
Planning Dept. Permit Fee '05-00
Date Definitive Plan Approved by Planning Board .: 1011VI
Historic - OKH _ Preservation/ Hyannis
Project Street Address !��:4
Village ����1��'✓�//�
Owner S2 Address
Telephone �Z ,4,4
Permit Request o
vLe /04-
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation A34,�q, ,2 onstruction Type ✓� ��/��
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family - Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes *No On Old King's Highway: ❑Yes INo
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New .Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Telephone Number
Address l ������ �,/� License # /D--P
Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE zlz DATE ��/�`
J
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
;J
ADDRESS VILLAGE
OWNER
ti
E
v DATE OF INSPECTION:
f
S
FOUNDATION
FRAME
INSULATION
FIREPLACE L
y
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
A
FINAL BUILDING
P
` DATE CLOSED OUT
ASSOCIATION PLAN NO.
Massachusetts ,!)epartn)ent.0f Public safety.
.."Board of Building R.i!gulations and Standards
Construction Supervisor
License: CS=1do988
HENRY E CASSIpV.
8 SHED ROW :
WEST YARMOL?rH 8
Expiration
-Commissioner
.Commissioner " 11111/2015
x Office of Consumer Affairs:and Buslness Regulation
10 Park Plaza Suite 5170
Boston, Massachusetts 021.16 .
- Home Improvement Contractor Registration
Registration: 153567
Type: Private Corporation
_ Expiration:' .12/15/2016 Tr# 259188 r
CAPE COD INSULATION, INC 4
HENRY CASSIDY
18 REARDON CIRCLE
SO, YARMOUTH, MA 02664
Update Address and return"card.Mark reason for.change.
SCA 1 di 20M-05/1 1
Address Renewal ,Employment LostCard
V/te coy—oauoecel6t a1C1/ffrwaacXcweff
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
UV
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return for
egistration: 153567 -Type: Office of Consumer Affairs and Business Regulation
xpiration 12115/201.6 Private'Corporation 10 Park Plaza-Suite 5.170 `
., Bost6'n,MA 02116
CAPE COD INSULATION 1NC
HENRY.CASSIDY
18 REARDON CIRCLE
S0.YARMOUTH,MA 02664 Undersecretary. QN, valid rvi ut sign e
_77
r The Commonwealth of Massachusetts
'=�- ---— Department of Industrial Accidents'
Office of Investigations
690 Washington Street
za SAL-�_ --.(•J.
Boston, MA 02111
www.mass.gov/dia
f Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers .
Applicant Information Please Print LetZibly
Name (Business/organization/Individual): ! lei
Address:
� 31� ✓ a
City/State/Zip: , �� Phone'#:
Are you an employer? Check th appropriate box: Type of project (required):
1. ,I am a employer with 4. ❑ I am a general contractor and I
* have hired the sub-contractors 6. ❑ New construction
Lr employees(full and/or part-time). -
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y $ 9: ❑ Building addition
[No workers' comp. insurance comp, insurance.
required.] -5• ❑ We are a corporation and its 10.0 Electrical repairs or additions
officers have exercised their. 11. Plumbing repairs or additions
3.❑ I am a homeowner doing all work .- ❑ g P
myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs
insurance required.] c. 152, §1(4), and we have no ,
employees. [No workers' 13, Other
•comp', insurance required.]
*Any applicant that checks box 91 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 subcontractors 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; � hLl 4V �,hn AA . /
Policy # or Self-ins. Lie. Expiration Date: �/ i PttJ✓
i
Job Site Address: 4LA 41,4rX��/�✓� t���//M��'� ����City/State/Zip: yy� � G ;� Z
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ,
fine up to $1,506.00 and/or one-year irt�prisonment,'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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurarw.%coverage verification. .
I do hereby certify ad the psi an penalties of perjury that the information provided above is true and correct.
i
Si nature: a Date: 61
Phone#: 2 2,6 12,)
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
n,....--- Phone#-
CAPECOD-27 BDELAWRENCE
- oRo CERTIFICATE OF LIABILITY, INSURANCE F
DATE(MM/°°"Y"'
6/30/2015
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(les)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,
NAME:
Rogers&Gray Insurance Agency,Ina PHONE
434 Rte 134 A/C o xt: FAX No;(877j 816-2156
South Dennis,MA 02660 E-MAIL
ADDRESS:
INSURER'S)AFFORDING COVERAGE NAIC#
INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL
INSURED INSURER BATLANTIC CHARTER.INSURANCE GROUP
Cape Cod Insulation,Inc; INSURERC
18 Reardon Circle INSURERD:
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 CONTRACTOR 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 -
LTR TYPE OF INSURANCE R POLICY NUMBER MM/DDY EFF MMIDDY EXP tYYYYI LIMITS
A X COMMERCIAL GENERAL LIABILITY, i
EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE OCCUR CBP8263063 04/01/2016 04/01/2016 DAMAGE TO RrRTEU-
PREMISES Ea occurrence $ 100,000
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
JECT .
X POLICY 0 PRO- � ''
LOC F PRODUCTS-COMP/OP AGO $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accldent
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $
$
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAIMS-MADE AGGREGATE
$ .
DED RETENTION$ ' _
WORKERS COMPENSATION $
AND EMPLOYERS'LIABILITY STATUTE ERH
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCE00431901 06/3012015 06/30I2016
OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1,000,000
(Mandatory In NH)
If yes,describe under �' E.L.DISEASE-EA EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS LLOCATIONS/VEHICLES (; ORD,101,Addltlonal Remarks Schedule,may be attached If more space is.required)
Workers Compensation includes Officers or Proprietors.
Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder:
CERTIFICATE HOLDER CANCELLATION.'
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS,
South Yarmouth,MA 62664
AUTHORIZED REPRESENTATIVE. -
01988.2014 ACORD CORPORATION. All rights reserved,
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
muss save - R
CONTIUM• •
PERMIT AUTHORIZATION'FORM
I, JAMES HURLEY ;owner of the property located at:
(Owner's Name,printed)
46 Waterside Dr..' CENTERVILLE
(Property Street Address) (city)
hereby authorize the.Mass Save Home Energy Service_s Program assigned Participating Contractor
listed below to act on my behalf and obtain a builAT permit to perf rm insulation.and/or
weatherization work on my proa0wer
ture
FOR CSG OFFICE USE ONLY,,
Conservation Services Group has assigned the following Mass Save Home Energy Services Participating
Contractor to the above referenced project:
°• Q 3 /Y"
Participating Contractor> Date..
OI'M
for office Use Only.
Rev. 12132011
C
APE CarD46.,OF BARNSTABLE
INSULAtlo
111cNT::: m t° 1 n tl
VISA OEASS SEAM EISS SSIAI FOAM SUSVINOIO
• SAM OUf111S. IN USATION _'CIRWOS - -
1-800-696-66100
Town of Barnstable
g
Re ulator
Y Servic
e s
i
,
Building Division. "
200 Main St
Hyannis;MA 02601
r
;Date:Dear Building.Inspector
'Please accept this Affidavit as'documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and'weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the-specifications listed on the building permit
application. All work has been inspected by a certified Building Performance`Institute
(BPI) inspector. A11 work'preformed meets or exceeds Federal & State Requirements.
Property Owner Property Address Village
A,Qyr�.�i r-�-
lnsulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Slopes
Floors
Walls
Sincerely
H r E ssi r Presiden Y t
pe C `Ins ation,,Inc. '
Assessor's ma and lot number s t� W z��p ..._�.:.......... ..................� PROF 7N E Tp�y
Sewage Permit number .............CS C ....... ..................
C Z 33AR3STA13LE, i
House number ... L.............................. 9p Mae&
pe,039. \00
TOWN OF BARNSTABLE
BUILDING INSPECTOR
ff
APPLICATION FOR PERMIT TO .... E w ,l,r ..... ?�k; vi.......1 ��................................................................
,,rr t ..........
TYPE OF CONSTRUCTION ..........1/)Oa' ��, ..R^!!.a�"........................................................................................
l A'o�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....AP77.... ........... ":.......
�sc/� i=(i....�;r� ......:� ................................................
..... ' ..
r
ProposedUse ...... .:..........................................................................................................................................................
Zoning District ..,R � � ......................................Fire DistrictN.�G�fti;�• k-: ( (?- „ �..
...
Name of Owner Ili?. .:...... ` ..:.............Address ...... ..........R-4A, �I a t ,•x ,Name of Builder ' i s=r�e nl..................Address t" $. .....ma zj.o 3.
Nameof Architect .........n y!.�.............................................Address ....................................................................................
Number of Rooms Foundation 1,0 Re .....................................................
Exterior .. /#(.....'t"'....ta.n�.{=......................................Roofing A.S. �•,4.4 1 �.
J� —f—................. .\. ..... ..........................
Floors ....7Fif;� r�.�ra .......................................................Interior ...... :?k.C= '(, 7 ��.....................................................
Heating t... ...................................................Plumbing s• ..,
Fireplace ..............................................................................Approximate. Cost ....... ..�?[�f�..:.....................................
Definitive Plan Approved by Planning Board _______________________*_______19________. Area ..........................................
Diagram of Lot and Building with Dimensions `ti
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable Mega?ding the above
construction.
9 Name J.....�..: !f a/ '......... .................................
Construction Supervisor's License
J.F.H. DEVELOPERS A=207-157
No ....29214 permit for..
or l story si, ,gle
family„dwelling
............ .........
Location
L. ....ot #22. ......46. ...Wate. . sid. .
br,
.... .... .. .. . ........ .. ... ....
Centerville
........................................................ ................ }
J.F.H. Developers
Owner ..................................................................
Type of Construction f.rame. . !,
.. .... .. ..........................
Plot ............................ Lot ................................
Permit Granted ..............April...17••••19 86
Date of Inspection 19
Date Completed ......................................19
1
e
by
AssFssorslnap and lot number d. ......4:71.:.....^.4:K SUBJECT p,� �,,j,, *THE
4 .
Sewage Permit number `... .................. B�'4r�° Te®fll91VIliSLrR
4
9
SS1044 Z BASHSTADLE,
Hous'e number ......#.. 1..A'?'..�.......................... . 0�
y IOU&
APPROVED. ' oo t639• `0
i0�'o gar°''
BarnstOble Conservation N OF B A R N S T A M SYSTEM M ST BE
LED IN COMPLIANCE
Z/1-1-.ALL WITH TITLE 5
igned Date BUILDING I N 'P E T R"IhONMENTAL CODE AND
S C 0 TOWN REGULATIONS
APPLICATION FOR PERMIT.TO ....� ?N.s�>.1, ...... �+,!! +.!.+ ......?4�................................................................
TYPE OF CONSTRUCTION .......... ...�? C1....:I'.�i. M1 G........................................................................................
............................j. .. 19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .... '. ....... ...........IVA4 .aC�S.i.tl. .........;&- o........ . ..........:......................................
ProposedUse .....1.\.E ...................................................................................................................................I.........................
Zoning District .. ......................Fire District
Name of Owner i.l ,..!7:....... ! V .�G►��'E-z ..:.............Address ...... ...... .(1............ �►1A.11L.S..
Name of Builder �-�- ^� (� / -
:................... Address ......a�. ......i �5. . ....:1�.��-�. ...<....:1��
Name of Architect .........IV.., ...............Address ....................................................................................
.. :. ...............................
ti
Number of Rooms ..:...... ....... Foundation ..14..... A,.r.....................................................
Exlerior ....... . ..... ....... ... g ........ .
!� i ... s.i�!..4.................................... Roofing .....................................................
..
Floors ..../� C�.S�tlCaCt4� `Interior Shin!�`v� ..................................................
Heating + .... ... . ... .........................................." .Plumbing ........ .............................- .......
Fireplace .... ..........................................................................Approximate. Cost
W..C? C............................ .....
Definitive Plan Approved by Planning'Board -----l,YC -----!r________19__81 . Area
r.... ...s'..............
Diagram'of Lot and Building with Dimensions Fee 1 �......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH �1��.
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town o arnsta regar 'n . the above
construction.
Nam .... ........... t.. ... ..........................................
Construction Supervisor's License ...................................Cy
J.F.H. DEVELOPERS A=207-157
a
tC� 29214 1 story single
..... Permit for �t.................................
family dwelling
.................. . ... . ..... ................................. _
LocationLot. #22..... Waterside. Dr,
CenteviLle _ - + -
............................................... t _T
'Owner .......J?F H. > eyelopers..............
" 'T e of Construction . .....fs ?ne.............. �... �.
...........:................. :.... r. ......................................
Plot ............................ Lot..................................
c
Permit Granted ............April...... ..1 ......1986
Date of Inspection .................................: l 9 .
Date Completed ....: 0[J/' ` zP......`19
tee.. � t�, ' _ �+�, �� _ � _• - •-� . `.. , .. : ..J` .. .
LJ
in
Cr r4
x
oFtes�• TOWN OF BARNSTABLE Permit No. .....?9214
BUILDING DEPARTMENT
{ D°819i I TOWN OFFICE BUILDING Cash
.wa�
nur►� X
HYANNIS,MASS.02601 Bond ......
CERTIFICATE OF USE AND OCCUPANCY
Issued to J, F� H. DEVELOPERS
Address lot #22 46 Waterside Drive, Centerville
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
......... 19....
Building Inspector
c.
��..� °•,� TOWN OF BARNSTABLE
BUILDING DEPARTMENT
f
_ seag�T TOWN OFFICE BUILDING
t� 1639.
HYANNIS. MASS. 02601
,J
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has, been issued for the building authorized.by
BuildingPermit $ ....... � /.. ._.....................................................................................................» ...._..................
............
_
issued for h( ..:ba o w /s..........` ZZ.................................
Please release the performance bond.
PINK-DEPT. FILE COPY/WHITE- FIELD COPY/YELLOW-APPLICANT COPY z 0
BUILDING04
TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT
VA
LIDATION
LIDATION
A-207-157
DATE April 17 Ig 86 PERMIT NO. _ 4; ._UM4
APPLICANT_ Larry Peterson 182 Troutbrook 13��<<d, Cotuit C,i,: _�!`
ADDRESS
(NO.) (STREET) (CONTR'S
PERMIT TO Build dwelling NUMBE( 1) STORY_ Single family dwelling DWELLLRINGOF
UNITS 1
- (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) .
AT (LOCATION) xh0tc,3;2a' 46 Idaterside Drive., Centerville ZONING
(NO.) lot #22 (STREET) - DISTRICT
BETWEEN
AND _
(CROSS STREET) (CROSS STREET) _
SUBDIVISION LOT LOT
BLOCK SIZE
BUILDING IS TO BE _FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRU:.T
I
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
� (TYPE)
I
I
REMARKS:AREA OR
a
VOLUME -�10�3sq. It. _ 90,000 PERMIT
ESTIMATED COST $ FEE
i (CUBIC/SQUARE FEET) -
OWNER J. F. it. Developers
( ADDRESS Bayvlew Road,, Hyannis, CV, BUILDING DEPT.
BY. 'i/1.'! y'i x
i
ALL CONSTRUCTION
i
I. FOUNDATIONS OR FOOTINGS. <sar z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTILI
• MEMBERS(READY TO LATH1. FINAL INSPECTION HAS BEEN MADE,
3. FINAL INSPECTION BEFORE
OCCUPANCY.
'POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APRROV�!_:
2 z
3 -7 HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROV,
1 EERIN
OTHER 2 2 BOARD OF HEALTH-
7-
WORK SHALL NOT PROCEED UNTIL THE PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON
! NSPECTOR HAS APPROVED THE vARIOuS WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FGR B'
STAGES OFCONSi RUCTION,
PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATIOv.
��ZZ
zo
" ' q
0 WILLIAM tiGN\
!!�
N Y E
,p No. 19334 Q ��
CERTIFIED PLOT PL A N
I CERTIFY T HAT T H E LOCATION
SHOWN HEREON COMPLYS WITH SCALE / �- 56) ' DATE
THE SIDELINE AND SETBACK
REQUIREMENTS OF THE TOWN OF PLAN REFERENCE E
,f!'j4fEV-�S,7T.423LC AND IS AJ07""— L._G'P Z Z B
LOCATED WITHIN THE FLOODPLAIN. L c 7--
GATE : a ' C f
BAXTER a NYE, INC. a
THIS PLAN IS NOT BASED ON N REGISTERED LAND SURVEYOR
` -INSTRUMENT SURVEY AND T OSTERVILLE',l-MASS.
OFFSETS SHOWN SHOULD NOT BE
USED TO DETERMINE LOT LINES,
APPLICANT