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HomeMy WebLinkAbout2009 Nov 02 - Sign Off Transmittal Sheet, Plans - Sunroom 4w.� ._.:.,. .� . .n—�..�.. ,�-^-�m.^^'v++._"f'k.+' ' � . . `-..np„'T'"6'�.. .. . . ' : . . .. .- ` � °��Y �. TOWN OF YARMOUTH a� °a� HEALTH DEPARTMENT Ns,�"".^,d,.,;.�r�� �' PERMIT APPLICATION SIGN OFF TRANSMITPAL SHEET To be completed by Applicant: Building Site Location: /�0 ��'w/rS � �- �c✓ �-+o��No.�.Z- Lot No.:3�S Proposed Improvement: l�f��i F i c�+ Q 1� �,-, �-c�o�-- �- ,�jv� S�v.� `�... ��4 Applicant: 1 Ci E �c.�r O a .�r , d F-' Tel. No.: ��0 S'��.� � Address: /�G � �✓�� � � (� "�c, ,�.� � ✓ ' Date Filed �� � G � 3 **lfyau would like e-mail notrficatlon ofsign o,JJ;pleose provide e-mai[add(�ress: �,.-� � Q� �S J, '}f � Owner Name: t C]!�-'1 l�� v ( G • O o�1�.� m � � � , � Owner Address: �� G7 L' t.•�t S r � � -/�Tel. No.: � G7�4�J8L1- � _ ..._ .._......._.........__..._.........._........._.........._......._._.....................__.._._........_. _..._.._..........._....._......._..---...._.._.._..____..........._.._........_......__........._.............._.._..._..__...._...--.._......._._........ N J 3 RESIDENTIAL AND/OR COMNIERCIAL BUILDING W HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements J For Septage Disposal and other Public Health Activities. 0 Please submit four(4) copies of plans, to include: � (1.) Site Plan showing ezisting buildings, water line lceation, "� and septic system location; (2.) Floor plan labeling ALL rooms within building (all egisting and proposerl)— Note:FToor plans not required for decks, sheds, windows, roo.finSi (3.) If necessary, Title 5 application signed by licensed installer with fee. � _...._ _ .._......_........._........._.............._......................._......._..........................._............_............... . , O _........._............................._............._..............._......._._._...._.. REVIEWED BY: DATE: �Ta� �= PLEASE NOTE COMA�NTS/CONDTI'IONS: � - PLOT PLAN PROPERTY ADDRESS: �100 LEWIS ROAD YARMOUTH. MASSACHUSETTS i SCALE: 1 IN.=20 FT. DATE: MAY 28. 2010 � ._. • � 50.00' � % I. � �ri � � LOT 167: ^ 6,433ts.f. ,,23. co a a � a �_ � : < � ff �' i 0 U 1 3" 2 s• I � PROPOSED s.s' 1za z<.s' Mf00D � , in DEqC LOT 169 0 $ a waoa � � ^ � Z DECK `° N � � �.� 11.1' 0 N 1 1/2 sTY � � r LOT 165 � "' WOOD " 3 w � � �700 � W ¢� UZ � � O � U �.3' i g_p' 17.7' i smRr %+ �� cara wax io N �� 50.00' 1 LEWIS RDAD I h�eby certify that the buldinq on this plan is located on the ground as shown and is not located within a special flood hazard area as determined iran F.E.M.A. flood insurance map. Community Panel No. 250015 0005 D o��$�'jH��H ss9 Dated: JULY 2. 1992 i V1P AS.40CIATL'S. INC.. $ POR7ER m � Su(vCyRKK3 — CINI EIIf�& `d p No.39057 �+ 132 ADAMS STREET 2ND FLOOR SUITE 3 v Ay Q, c,'' REqSTRY �' DEEDS: M' e NEWTON, MA 02456 ( ��`ESS�a.�,OQ. DEED REF: B001C� PAGE Oy CERT. m- (617) 332-8271 �y�SUR�r' PLAN REF: Book 25 Page 49 fAX. (617) 969-2330 .. _ _ . . - -, . . :. . � -:. . , � . . . , . ,- , ,... . _ _ , � . . . , . _.. , r. ,_. = Sv � ! . , _ _.. ,_ _ - � : �, , , . _ : _ (�,00r� - ������"�,�t� a _._ _ , ,, __ - _ _ _�. . � ;_ _. , _, :.. i , __ r� _ , ` oEcic. OY ��'��0� _ ° � , EAt 1 ti utY �� . 1 ' I . . � < , � , ... I � � o.i✓�,vG � � � � //// //,� ,� �;!;� �TTGHE'�✓ ._ � /eOD/+( . . . , , 6�0.�,� ; : wi�F L�E,/>R�r�t ; i _ �� F-`---- � - � �� I� ESk�r} , ; , . .='i/16,rrvyr� �__ G�dinrG- � �I i /� i � — �---___;. 2aoM — /,�'o.eoo� � � l�o�zc�.�-� � I — r-- ��C�� SEft50/✓. HBDU�; 2 n/O f�orr,i' I � ; oo2cy �� ✓�,✓6- �,eE.v � ,. _ _ ,_ _:_; ; ` RaovE:, ��t .��,e �,v,w� .9ir,E-9 , DO L-�, [ S (Z� (.c�,y --, � 1 � � � _ ; ,. ,. - _ ; � . ; , ; - _, , , , _ � � I � ... ,. � __ � __,. _ _� _. _ r ; . . :_, � LOCATION MAP - SUBJECT PROPERTY ��'" � >��, � . . .�� .yy� ��_ . .y4d� . _. . a +�� .. ... . . _ i � N �' . . � � . j . -.. ee�e�� R��s,Qa� � o: . � �i Bass R�ver ; .West Yarmout� °J � � "��� � ' � `� � � � S `�. . . j . . �t� L�' . r, � .yi� � � Mein ,t `, . . . . � �:� � umr-�td � v „ . . _ -� _ �:�[ .. .. ... , . ,:i� . � . . . (� v. � m �.��. . I � � -� 100 lewis Rd 4 .� , t� . , . � v, y ; Y ° . . � ...90 S er Ln ^�y � � ��O y � :m �-o � S s:�iir - � iBYachtAve `�o �.c p o�c t`� o c ''� 'n'- . � b�..E � �ewppd ' . ci "O d� s N 'm r � �' �'. a. � ,, "4 �� � `�� < ,,y r u D, �' o � ,' _�' J `%,� '�� �� '�� � 'w' `� � - �' � Nqy o� . � � - Afi K�� . � '�. �+;:, � . :s 'P. ir v � ..2Q 3asside Yl Rtl 4 �" ���. � �� z� . � y a-. C °% � � �. �� �` . �. . . ��o . J � i �� � k � � . J� . � F� ' i . � . i d s- . .. .� ��� 'n "�k� ',��i 7r'� � 2a.e.zaM^� . ;4 � ..V�Y ����s,a'; . I