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0109 MEGAN ROAD
� N�zn �d . a9a��f7 - -- . t�.7yr . Town of BarnstableBuilding•.. .,!� _, 3 v ru 3�.P '"'"".y'"a..'".�5?'. - n, ..rm,z .. �,:A a ,.. .E ., :r s x"." "'"' a ',`° �'.'✓":...�� fit. �.. % .3"�,� r '.,` Post This Card So Thanrt-rs Visiblet'Fromrthe Street sA roved Plans:Must`be;Retamed on Jobganhis--CardPMust beKe uensaeirwrs r v pp i ! M Posted Until Final,lnspection Has�Been�Made�� � � $� � `� - � � � �` � � ' ��`' � � �r Where a Certificate of Occupancyis Required,,suchBuildmg shallNot be Occupied until azFinal Inspection hasbeen made :, er it ,r_�� /rl.,.nri,t. ;":'�',ai"L#�"ea�s, r .�• `.�a.✓sw,,:�,e�.,u�.„s_.._,,r o.Rr�.,. .,� ..b...w<..v .._e,.1.ere :ik� ..:,'�rF�:�i`ri✓.. x .iaa%u3' .__. e ,_.¢'as+s�z��`wl°Nw• / z,13.yewd2✓__"af"oti�l.� zw,'. .. Permit No. B-17-116 Applicant Name: Cheryl Gruenstern Approvals Date Issued: 01/30/2017 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 07/30/2017 Foundation: Location: 109 MEGAN ROAD, HYANNIS Map/Lot 292 247 Zoning District: RB. Sheathing: Owner on Record: KAVANAGH,GLENN 1&DEBRA-LYN Contra' r Name: SOLAR CITY CORPORATION Framing: 1 Address: 109 MEGAN ROAD r d` 168572 �� 3Contractor License 2 HYANNIS, MA 02601 � ' Est Project Cost: $8,900:00 Chimney: Description: Install solar panels on roof of existing house,with any upgrades, if Permit Fee: $95.39 Insulation: applicable,as specified by PE in Design;To be'interconnected with ai home electrical system. 6.3 kW 20 Panels A-QA3532 Fee Pd.' $95.39 Final: Date 1/30/2017 Project Review Req: Install solar panels on roof of existing house,withany upgrades, z �. if applicable,as specified by PE in Design,To be interconnected , ray- - Plumbing/Gas At %tL with home electrical system. 6.3 kW 20 Panels JB 0263532 - Rough Plumbing: .` .Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved applicai on and tthelapproved construction.documents for which this permit has been granted. All construction,alterations and changes of use of any building and struetures;shall be in compliance with the local zoning by laws,"and codes. Final Gas: This permit shall be displayed in a location clearly visible from access stree�t�or roa rid shall be maintained open for publi-in spection for the entire duration of the work until the completion of the same. ' r� �� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by theBwldmg and Fire Officials are,prouided on thi's'permit Service: Tt Minimum of Five Call Inspections Required for All Construction Work z 1.Foundation or Footing - Rough: 2:Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) t Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Wprk shall not proceed until the Inspector has approved the various stages of construction. Final: Persons contracting with unregistered contractors do not have access to the guaranty.fund"(as set forthin MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT._. f Town of Barnstable REC�E$tPT „ 200 Main Street, Hyannis MA 02601 508-862-4038 • C Ap plication for Building Permit `' Application No: TB-17-116 Date Recieved: 1/18/2017co Job Location: 109 MEGAN ROAD,HYANNIS Qn Permit For: Building-Solar Panel-Residential V c3 Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572 Address: 24 ST MARTIN STREET BLD 2UNIT 11, Applicant Phone: (508) 640-5397 MARLBOROUGH, MA 01752 (Home)Owner's Name: KAVANAGH,GLENN J&DEBRA-LYN Phone: (508)775-2521 (Home)Owner's Address: 109 MEGAN ROAD, HYANNIS,MA 02601 Work Description: Install solar panels on roof of existing house,with any upgrades, if applicable,as specified by PE in Design; To be interconnected with home electrical system. 6.3 kW 20 Panels JB-0263532 Total Value Of Work To Be Performed: $8,900.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Cheryl Gruenstern 1/18/2017 (508)640-5397 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost $8,900.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $95.39 1/18/2017 $95.39 XXXX-XXXX-XXXX Credit Card 8975 Total Permit Fee Paid: $95.39 w ! C'S l )3 0) 1? Town of Barnstable *Perm ,20,�7 1 ExpifV 6 months from issue date Regulatory Services r� ; *� Richard V.Scali Director. Building Division Tom Perry,CBO,Building Commissioner —200 Main Street,Hyannis,MA-02601 -- - - -- www:to_wn.barnstable ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY p Not Valid without Red X-Press Imprint �Map/parcel Number / I Property Address -::,I (^ ! ❑Residential Value of Work$ Ir6 50 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address es C,/A 0. © 1� �l ;cam, ZcReQ \ Contractor's Name V CSz L ('^ Telephone Number6�'c� 'Home Improvement Contractor License#(if applicable) (3 ( 0 03 Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to &OLP(A 0�t(74srPit, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILES\FORMS\building permit forms\E)PRESS.doc Revised 040215 ines�s Rea 110 n ce 0Consumer P' T CONTRACflair TOR OhOMEIMPRO MEN Type tration.i-1�36003 - Individual Regis �_ &J2,W 8- E piration'— — VCE P,MILLS ,R �< a ; MILLS ' __� `:� SRUCE PO►`iD`F?0r ;;" Vudersecretary 16 CROOKED " HY,�NNIS,MA 02601 Massachusetts Department of Public Safety Board of Building Regulations and Standards ` License: CS-078687 Construction Supervisor BRUCE P MILLS 16 CROOKED POND.ROAD e HYANNIS MA 02601"! Expiration: Commissioner 05/29/2018 l�l ! ro Ile eommomveakh of Vassadimetts Deparanent ofIndm[rid Acciderds - - — QfTce of�rnwrtigations 600 Wasthhzgton Street Boston,MA 02111 wfm mass gorldia orris' azmpensa1ianIns�r-a;<ic�A avi t de lC�nfiractarslFl cEricians P hers ---Please-Prinf F,egxUy-- ---- Address i C3 Crr���14Ct(Zc� Citylstaatef G. O O Phone-,k a Are you an employer9 the the appropriate box: = of r Type project( e1uired)= 1.❑ I am a employer mith. 4 ❑I am a general contractor and I 6. ❑New crostiuction employees(full andfor part-time).* have hiredthe sub"coanttacft= T1Fk1 am a sole proprietor orpartuer- I Tisted on the attached sheet. 7- ❑Remodeling ship and have no employees . Mese;sob-contractors have g- ❑Demolition w Q forme in employees andbne wodams' °fib �� $ 9. ❑B,uildmg addition rNo worlaus,comp.insurance comp-insurance .1 ] 5. ❑ We are a-corporation and its 10-❑Electrical repairs nr actions 3.❑ I am a homeowner doing all work of have ft=—ised then 1 L❑Plumbing repairs or additions ,,,,�,sdf rnmg o workers' right of a rption per MGL insurance required-]F c.152,§1(4h aadwe have no 12 El Roof repairs. employees.[Nowoziers' 13_❑ Other P d 1 camp.insurance required] 'AnyappB=tffat daetImboar2amstelmM out the sectioab9awshowingflmhwmIea'mmpmLufi0npaHcyialinsms=_ #Hameuwne=Who sab=t dais cedars huKt&tmr they are doing zU wcak and.&mhim aatside contactors mmst ml=it a new amdaeat inaica4n?such_ ICaatactors YEuet ehect tlas box asast emrhed an.sddit-a shea shoring the name of the sub-c==Uxr aad stale whethr ar not tbnse enfitkshrnme erap3cyees.Iftbesuh caatactvisbave employees,ESey=nrpm-ndetb&warkm'c=p.policy namiber_ I arrr au erripI r fleatisirrmzrlirrg�varkers'catrrpertsaficrrt iitsrtrarrce for ury*empIuJ es Eeloav is thepaVcy and jab site irrformafiom ` Insurance Compacy Name: Ffllicy or Self ins.Lic_ FxpiraticaDate: Job Site Addre= CitylStzWziP: Attach a copy of the wort-ere campensationpolicy declaration page(shoving the policy number and expiration date). Fail=to secure coverage as req*edunder Section 25A of MGL c 1572 can lead to the imposition of criminal penalties of a fine up to$1,54DOD andlor one-year imprisonment,as well as civil penalties in i e form of a STOP WORK ORDER and a fine of up to -00 a day against the vic atur Be adiised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification_ Ida hereby caiVfj,under trig pains ,rallies :p F. ry that Me informadmi proaiiW abmw is brig and correct Sit�ature: G / Date_ Phone ik 0 �d C ) C26 f2 O,pcial aw only. Do not it<rite in Mis area,to be completed by city ortoirn official City or Town: PeruatMi,cense# Issuing Authority(cirde one): 1.Board of Health 2.Building Department 3.QtylTown Clerk 4,Elect rical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone it: Laformation and lastruefion Musa] mefts General Laws cbzpt=152 raqui s all en:gloyers'to provide workers'compensation fur their employees. Pursuant—to this sft[3ie,an.erVIoy,=is defined as."_.cvmy person in the service of another u der any c omtract ofhlre, express or impliecl,oral or written." An employer is defined as"an indnvidiial,parinersbip,association,cmporfion or other legal ez fdn or any two or more of the f3regoing=gaged in a joint eteip6se,and including the legal=PeSCMtafiV=of a deceased employer,or the receiver or trastee of an individual,P31taership,association or otherlegal entity,employing employees- However the o the o 'des or occupant f e not mare�.t3rree artments and who rest therein, � owner of a dweIIing boas having � _ _ e of another who I emons to do maikce,construction or repair work on such dwelling house dweIImg boos ��P or on the grotmds or bmldmg appurteuar¢thereio shaII not because of sash employment be an be deemed to emp to yer." MGL cbapt�r 152,§25C(�also sees that"every sbde or local Rcensin agency shall withhold$ne issuance or renewal of a license or permit to operate,a business or to constraa bmZdmgs na the commonwealth for any applicant who has not produced acceptable-evidence of cdmplianm with the insurance.coverage requirecL" Additionally,MGL chapter 152,§25C(7)states Neither the com aaweakhnor any ofit.spolitical subdivisions shall enter tutu any contract far the pmf==ce ofpnbho wmkustil aDm?able evidence of complian.cewifh the fim= ce.. rMEmremerds of this chapter have been presented to the contacting authority_" - Applican-ts Please fiII out the wozio=rs'compensation affidavit completely,by ch=ld g the boxes that apply to your sitnation and,if necessary,supply sub-coniractor(s)name{s), addresses)and phone-m— er(s)aIong with their cerfificate(s) of hisiza„ce. Limited Liability Companies(LLC)or Limited LiabilityPartumships(LLP)withno employees other fhan the members orpartaers,are not required to cauy warke2s'compensalim in= ce If an LLC or I.LP does have employees,a policy is required. Be advised that this affidayit may be submitted to the Department of Industrial Accidents for confmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retried to to city or town that the application for the permit or license is being regmestA notthe Depmtmeaf of jTndastaai Accidents. Should you have auy questions regarding the law or ifyou are required to obtam a workers' compensation policy,please call the Departmentatthelmmberlistedbelow Self--=nedcompEriesshouldm'trthair s elf-insarance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete-and pri:i:d legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigatio is has to contact you regarding the applicant: Please be sure to fill is the pen itllicemse m aber which will be used as a reference number. In addition,an applicant that must submit inullple pezmitlIicemse applications in any given year,need only submit one affidavit indicating cma=t policy infbznation(if necessary)and under"Job Situ Address"the applicant sho Id write"all locations in (may or town)--A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fafm-e permits or licemses A new affidavit must be filled out each year,glh=a home owner or cYL-ma is obtaining a license or p= not=Iated to any business or commercial ve� (i.e. a dog license Orpermmit to bum leaves etc.)said person is NOT requred to complete this affidavit The Of Hoe:of Investigations would like to thank you in.advance for your coopex,tion and should you have any questions, please do not hesitate to give us a caIL The Department's address,telephone and fax number: Tht CG=MMWeaIffiE of Massaahu&E-tfs , . 7�e��t�cif lzidn�ial A�cide�.� " �t�e of�t�g�tia� �QQ-�asI�in�tan � &moons MA 02111 TTI.:#617' -4900 i�-,xt 406 ax 1-4,77-MASSAFFF, Fax-617-727-774-9 Revised 4-24-07 masg g�agf din 4��THE tp� } rt Ae RNC1'1Ri^F. t -'-ASS¢ Town of Barnstable Regulatory Services Richard V.Scali,Director -----_ Thomas Perry,CBO. .. — Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, e 7_.J(.Ic:t\6 V - ' ,as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: Cf�lc (Address of Job) S' ature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFnM\FORMS\building permit fortes\EXPRFSS.doc Revised 040215 Town of Barnstable Regulatory Services �oFt TOxyr Richard V.Scali,Director Building Division Tom Perry'Building Commissioner KAM z6,3 �m� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: - city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval ofBuildingOfficial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a Person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a formlcertification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 11 - - s - 'a�d..5w,...o. d� u�x - S s - -. - s:.. :, ,� S _ �€ '�clt ~� - _ - __ I. R :.� O ` . , 1./.2 ..Z - . -_ - \ - -. :.. _ O." ..:. .:' _ .0 :, ^h . Q -�-- a � n / / 9 n - 'V - _ - �; '.- �I Q - - , J Via- _ 91 �" . - N: -, _ -,4. o h >' ` .. . . I. = - h ��-I�,��..�-.-I-.'.'I.-.*):I..I'.p�I:,i--.�r-.:-�--�--.,-%.'�.'�I..I1.'-,- - d : - 1 s i n � q, I. sh .�f1 G-: Tom. � - . - C`- - F t E P L. T' P A N $ GALE � ~. :gym ".. DATE ;%9.y s �9.7� - - - ;R E - E R E N G as ..�e j. ": 7 '' -i9:; .qs` s .bC:......Al.c I_ - _• p,�i! GAc/ Off` ".G.9.c/h 'o i2 ' �8f?c S!... - y . OATE oF" "��ri.as , . . - t WE,:REBY CEFt.T1.F .Y' THAT 'THE B.UI LDfNG REG. .:I. ANO SURVEY . - SHO:WN. O.N := TH.tS PLAN IS -:LOCATED ON . Tlt1E` G ROUNO AS S HO,WN HEREON AND ;Y14 T l.T DoFs CONFORM T' O .THE ��� M� Z O N I N. G B Y.- L A W S O F T H E -T O W.N. O F . . - - ca t .qe�/�TAx3 C — W H E. N C.O•N S T R U C T E D. .8'. . _ . 1 �t a ;OAR:NSTAB: LE . SU. RVEY C.'oNSUL:TANTS tNC �� - ;. { •.. WEST YARMOUTH, tv1ASS r _ :_: :. ' =r. `_ 1 »e c�. � - "9 f BB B -9 - . Cv:.c. Z� -,[SEPTIC SYSTEM MUST BE INSTAL LED IN d MPLIANCE WITH A TU=1 II'STATE. SANITARY C61)EStAIV11� y 12EGULAT'tONS `.r----- .` R /� /� R T �{ THE T� OWN iJ 1-l .�s C11J 1J ■ r 2 33AUST"LE, i 1639. BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ........ -S�{`' 'r!C ..� ... ................................. .. TYPE OF CONSTRUCTION . &.00e4ve . .... .............19.. TO THE INSPECTOR-OF BUILDINGS: The undersigned hereby pplies for a permit according to the following information: Location ........... ..........................�................. ..... . ......................... ..................... ...... . ProposedUse ...t w..Z,-a....... ........................................................ Zoning District ................. �/-r�:......................................Fire District Name of Owner .� �.,,/,Adclress � !.,......... .1`...` � Nameof Builder ......................................................................Address ........................................._............1 a............. �......... Name of Architect ................................................ ......Address Number of Rooms ........... .. .....:?r.:--::......................................Foundation ......�.. .~ .................... ..................... .......... Exterior .....�.eAy..... .�.'.d.%� .af-d: . ....................Roofing .......................... .............................. Floors ........ ........... ... .... ... ... ...........te .............Interior .... . .�...�����%j ��.................. Heatingf......................_.... .. ........ 1 ...................Plumbing .......f...................................................................... Fireplace ................�.............................................................Approximate Cost ....... . .................. ..................... ........ Definitive Plan Approved by Planning Board _ ___�_ _ �____19__---_--- ®� Diagram of Lot and Building with Dimensions I SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction, ff Name .... �G�. �.. . ....... ...... ....... Dacey, WlI]iazu E. Jr. - / ./ mo - — Permit for ........one.. --. ^ | --. ---- ' ������ --'. ----~-----'=------ " m� [�| |~ ' Roox� ' �pconpn .......��.���.—_-----.------' ^ ' ........................ YA ...................................... � � / {J,vner ---_.. � Type of Construction ..............frame................ � ------------------- � -------. � �l]� Plot ----'----. �� -----'����--' . ^ . ' Permit Granted ----��vI4.,`---.�----lV ^~�9 - ' Date of Inspection ` 19 CompletedDate 7/4n ! ^ . . ' ^ � . ' PERMIT REFUSED ' ............................................................. lg ' � .—.-------..----------------. ^ / '...---------.--------------- � , '----------------,—.—.----'—. , ' ------------'—'—^~—^^-------^ | . � " { Approved ................................................ lV ' � . � ----------------------~.--- � ----------------------.--.— ` ) / ! - ^ Town of Barnstable Regulatory Services Thomas F.Geller,Director $ "MMIL $ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barusta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT#CA� V15 f FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Gv 01 M�&PM ICJ ra-v�nL S Location of shed(address) Village Property owner's name Telephone number aLf Size of Shed Map/Parcel# r ZE Sign a Date �r{:Z Hy am Street Waterfront Historic District? rry Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must rile with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-fonus-shedreg REV:052813 114 REMOVE & REPLAE'i STOCKADE FENCE REMOVE & REPLAC, LOT 122 TELEPHONE SERVIC! ( � X09.0 137,80' x P9.7 y L< o Li ko GARDEN 59,4 E,99.4 IS \t ' EXTING PIT : \a' (TO BE PUMPED & EXISTING SEPTIC TANK TOP OF TANK EL: 98.32 INV(OUT) EL: 96.99t BENCHMARK l L° TOP OF CONCRETE BULKHRAD CORNER EL: 100.00 (Assumed) O H M X99.5 p Ln r. L D T 119 R�98,6 MAP 292 PARCEL 24 7 15,625+S,F, 0 r 59,59' QQ�� EL -DRIDGE A \1E SCALE, V-20' ' 0 20 40