HomeMy WebLinkAbout2015 Jun 04 - Sign Off Transmittal Sheet, Plan - Expand Family Room _ _ _ � : _ _ . _. _ �.� _ -,
{oF;=`�?,� TOWN OF YARMOUTH
o ' -��y HEALTH DEPARTMENT
� �^�_^•`� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: �� rnay`�Q.-� i�.d(
` v n
Proposed Impmvement: (.`!(�a�Ja�C �rn�i�4 K.�o r,-� b ti g�
Applicant: �I CIZ �qG�1.,1 Tel. No.:77y-a y q- S(p3�
` Address: 301 -�A�-�u.,..c� �Q DateFiled: �t-�I-1 �
I
•'Ifyou would like e-mail notrfication ofsigw ofJ;p[ease provide e-mail address:
Owner Nazne: ��C�r,( �jq&X.j�
Owner Address: 30 � lY1Ght�1p,c,,L (� Owner Tel. No.: 77�I o�y�, 5�3�j
_....._....__...............__.._...._......_.........._............_........._......._.................................._............................_.........................................................................._............................._......................................................................
RESIDENTIAL AND/OR COMA�RCIAL BUILDING
HEALTH DEPAR'TMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements I
For Septage Disposal and other Public Health Activities. �
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
Note:Floor plans not required for decks,sheds, windows,roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
.._..........._......_.....__..................._............._............_..................... .... ..................................;......................................................................_..........................:.................... .._........................._........_....._.........._...._...._.....
REVIEWED BY: DATE: ���/�s�
PLEASE NOTE
COMIvvIENTS/CONDITIONS:
MA YFAIR
I O�
IV
/
6.90
1�0
10
�N-
'q-�
TO BE PUMPED & FILLED
W/SAND AND ABANDONED LOCUS MAP
NOT TO SCALE
EXISTING SEPTIC TANK
(TO REMAIN)
IBENCHMARK TOP OF TANK, EL. =17.62
INV. (OUT)=16.29±
MAGNE77C NAIL SET
EL.= 20.44 (NGVD)
IP FND
S 5415'10" E STOCKADE FENCE 22,66 CB
21.19
!� 20.99 2 4 4--.._. x 25.40 150.00' x 4:55
1 2q._.__...._. -
22.90
✓ j^L-4x T�Tta1-� ..:. 2 -r -
RET WALL 22.86
19.26 + 19.1
11 PR PQ
-II -_ZO G PIT'
FENCE
19.01
6.
1905 1875
1I
.1O°8s
.8-.
�
.. y .;•DRIVEWAY . � .: , . ;, � ;"
... . •oo AR Lri
18.30 0y� LAWN/SHRUBS I
07
A GISTE�`` ��
:.,18 87
Pool 'BREAK SETBA
,. j I c�
19.06
I
\
16 39
LEGEND
�n
ROAD
\
- 20- --EXISTING
CONTOUR
.�
P.T.M.
x 20.12
EXISTING SPOT GRADE
y
2
zz
22.8
PROPOSED CONTOUR
PROPOSED SPOT GRADE
CHECKED
SHEET NO.
-W-
EXISTING WATER SERVICE
�_
- 19.41
12/4/14
EXISTING GAS SERVICE
1 Of 1
n
-U-
UNDERGROUND WIRES
DECK 1;
\
dL
WETLAND SYMBOL
0-1
TEST HOLE
EXIS77NG LEACH PIT
TO BE PUMPED & FILLED
W/SAND AND ABANDONED LOCUS MAP
NOT TO SCALE
EXISTING SEPTIC TANK
(TO REMAIN)
IBENCHMARK TOP OF TANK, EL. =17.62
INV. (OUT)=16.29±
MAGNE77C NAIL SET
EL.= 20.44 (NGVD)
IP FND
S 5415'10" E STOCKADE FENCE 22,66 CB
21.19
!� 20.99 2 4 4--.._. x 25.40 150.00' x 4:55
1 2q._.__...._. -
22.90
✓ j^L-4x T�Tta1-� ..:. 2 -r -
RET WALL 22.86
19.26 + 19.1
11 PR PQ
-II -_ZO G PIT'
FENCE
19.01
6.
1905 1875
1I
.1O°8s
.8-.
�
.. y .;•DRIVEWAY . � .: , . ;, � ;"
... . •oo AR Lri
18.30 0y� LAWN/SHRUBS I
07
A GISTE�`` ��
:.,18 87
Pool 'BREAK SETBA
,. j I c�
19.06
I
2
716.44
16 39
JOB. NO.
• LAMP
t
, (,./
sl
Utilitie 19.15
-
P.T.M.
261-10ab
301 MAYFAIR ROAD
18.94
-0
iLAMP
DATE
CHECKED
SHEET NO.
YARMOUTHPORT, MA 02675
�2 )��
�_
- 19.41
12/4/14
P.T.M.
1 Of 1
-'�:_..' '
DECK 1;
,.
:.. ..Y 18.28
18 18.28 x
ro Co
O BU i
-
,;
EXISTING
FBF �•�•
a�
\
- I� _
17.73 x
,' �
-.
HOUSE (#301)
�
DECK �,
�•�
x 13.5
-
8'X12'
8 ;' ,
12.78
15.68 x
` - ADDITION _
_ cv__._,
T.O.F.=19.591" i
i�'
�
x
x
_
CELLAR FL. =12.121
SWIMMING '
OL 17.56N .
1.
.10..O
It±-
O
72 _-
_
DECK (above)
�,
x 8.6
�,
ap
11.43
..J:_._.-
.-.-.-.
DECK x---
(below) 11.40 x..12.23 13.93
�.p
9.65
8-
-- --
- 9.06 8.91 9.90 . ------ ----10
8.89 9.87
-- _ FEMAZONEC (APPROX.)
8:80 _
7.35
6.72 -_T ...__._.- -
6-
- 9.74
- - - -9.7 -
x
.21
--
x 6.29 _ -' "
--- 5.96 . __ - RET.
x - ' _ -....
WALL 6.53
6.37FEMA ZONES
-
_
.6._ ..__
5.63
- .....
I
k..5.24
b-
5'
6 -
4.38
x 4.22
97 L SCSF LOT 8 4.72
3.88 '+3� 3.70- ------4---AP-N 137-66 `41 W
Fo�F'6F-k,. a 36,226±S.F. o
�y x 3.46 I O
,SUN 0 4 2015
VEGETA TED WETLAND N`'3, ` + 4,45 I,
�- HEALTH DEPT. BORDERING FOLLIN5 POND ---�
..,
3.51
(Tidal)
'111c 3.38 J
15' WIDE EASEMENT
VOR MUST CONFORM TOA 170.23 3.05 3'3 3.39 '<<
Etc . 3.13 , .�.i•�. �� 3.47
N REGULATIONS S 57.14'53" E B.VW 3.31 i
�-- , X3.11 �11k
/,' 3 ' l-� Q��\\ OF Mgss9� 2.99 BOARDWALK }
I,RMOUTH WATER DEPT . DATE �� tiG PETER T. AS -BUILT LOCATION OF PROPOSED ADDITION
o
M cVTEE
IL N 301 MAYFAIR ROAD, YARMOUTHPORT, MA
No. 35109 Prepared for: Rick Fagan, 301 Mayfair Rd, Yarmouthport, MA 02675
O
OWNER OF RECORD
A GISTE�`` ��
Engineering by:
SCALE
DRAWN
JOB. NO.
FAGAN, RICHARD J JR
FAGAN, PAULA
I t ��,\`
Engineering Works, Inc.
1"=20'
P.T.M.
261-10ab
301 MAYFAIR ROAD
West Crossfield Road, Forestdale, MA 02644
DATE
CHECKED
SHEET NO.
YARMOUTHPORT, MA 02675
�2 )��
(508) 477-5313
12/4/14
P.T.M.
1 Of 1