HomeMy WebLinkAbout2015 Oct 08 - Sign Off Transmittal Sheet, Plan - New 2 Car Garage w
oF;�e,y TOWN OF YARMOUTH
o{ - •=�� HEALTH DEPARTMENT `1
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'�•_••`� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: a �� �r�/� 5 �4t�i
Proposed Improvement: �onS ���� �f r.�✓ oZ �� ���� 4, L
Applicant: /�G���� (.�T t Tel.No.: 7F I-�y�-�S�/
Address: r�- �� �"�'�f ����'I Date Filed: G��G� �3�
■'Ifyou wou(d like e-mail noNfication ofsrgn o,�;please prrnide e-mail address:
Owner Name: �G.�� � �� �
Owner Address: vZ �/ ���i�s (/`��1 Owner Tel.No.: 7�� -�Y( "���S
..__...........__......._............._................_.............._...................................._.........._.........._......._................................................................................._................_....................................................................................................
RESIDENTIAL AND/OR COMA�RCIAL BUILDING
HEALTH DEPARTMENT: Determines Compli�nce to State and Town Regulations; i.e.,Requirements
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
(aR existing and proposed)—
Note:Floor p[ans not required for decks,sheds, windows, roofzng;
(3.) If necessary, Title 5 applicafion signed by licensed installer ,
with fee. '
..._....................................................... �
REVIEWEDBY: ......_............ ..............................................................................._.............._...................DATE:_...../C��.//....5_....-._........_............_............... ,I
PLEASE NOTE
COMh�NTS1CONDITIONS: �� T'�
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11
N/F
WOODWORTH
N/F
WAKEFIELD
CONC I,
FND
EL PIPE
FND
FOLLINS POND
0
CONC MON'Qvi- - -_
FND --- -
%
r r
r r r --
r
/
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hO i ---
SPIKE INlr T
TBM X8.9 r z
.' rr
28 -- i r EXISTING
GARAGE
FOUNDATION
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6 ��-- �(
38VO
---—
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PROP GARAGE \ _
SLAB 34t --_
i--- _------- ---- -- `
/- o000 `
-- `\
4?000,
gs
N/F
YEAPLE
a
BERGSTROM—BI
Q O
MEAN LOW WATER
MAY 1954 PLAN
PAUL
JAMES E. yGm U PRONEul
o OV
McLOUGHLIN IV°, No. 343i5
0�si
- 319
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DATE i g t �i DATE:1 c�1 I
GENERAL NOTES:
1. REFERENCE ASSESSORS MAP 128, LOT 11.1. REFERENCE
DEED RECORDED AT BOOK 13675, PAGE 76 OF BARNSTABLE
REGISTRY OF DEEDS.
2. REFERENCE PLAN ENTITLED "SECTION B, DRIFTWOOD ON
BASS RIVER, YARMOUTH, MASS. SURVEYED FOR HERBERT J.
KAISER, MAY 1954" RECORDED AT BARNSTABLE REGISTRY OF
DEEDS AT PLAN BOOK 120, PAGE 119.
3. LOT AREA IS 0.8f AC.
4. TBM SPIKE SET IN TREE. ELEVATION: 28.99 NGVD.
5. REFERENCE FLOOD INSURANCE RATE MAP 250015 0002 D,
DATED 2 JULY 1992. THE 100–YR FLOOD ELEVATION IS 5 NGVD.
6. TOP OF BANK, TOE OF BANK AND BORDERING VEGETATED
WETLANDS FLAGGED BY HAINES HYDROGEOLOGIC CONSULTING.
7. ZONING DISTRICT IS R-40.
LEGEND:
=732— EXISTING 2–FOOT CONTOUR
EXISTING 10– FOOT CONTOUR
— e -- PROPOSED CONTOUR
PROPOSED EDGE OF PAVEMENT
--- EXISTING STRUCTURE
PROPOSED STRUCTURE
TOP OF BANK
100–YEAR FLOODPLAIN
BORDERING VEGETATED WETLAND
o CONCRETE MONUMENT
O STEEL PIPE
NO. I DATE I DESCRIPTION I BY I
SPECIAL PERM T PLAN
24 ERIKS PATH
YARMOUTH, MA
SCALE: 1 " = 20'
DATE: 19 JUNE 2015
OWNER & APPLICANT: ROBERT K. LEE
600 WORCESTER ROAD
FRAMINGHAM, MA 01702
COMMONWEALTH DESIGN, LLC
320 Conant Road
Weston, MA 02493 Telephone: 781 726-1820
Email: Commonwealthdesign@verizon.net
GRAPHIC SCALE
20 0 10 20 40
(IN FEET)
1 inch = 20 ft.
SHEET 1 OF 1 JOB 201506
201006-001