HomeMy WebLinkAbout2016 Feb 12 - Sign Off Transmittal Sheet, Plot Plans - Swimming Pool �
�.o�'�q�,� TOWN OF YARMOUTH
�� � µ��}� HEALTH DEPARTMENT
��+r�ACM�'k+` � .
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
�
,
Building Site Location: � �G�b SP/�rMJ�-�'w�� '�WfH�U�4t.
Proposed Improvement: �N S-�a\\a-��o� 0.� � (o� X o1Q ' �N ar���d sw�M Po o�-
tJ���-�4 W S nn.�_�ln' Se,o a12.d_�-t.�N ���21��..-
Applicant: S�c'P�13 2�.�S�Iv�- Tel.No.:��"1y,}3 9�-��5�7
Address: ��] �J-�-2.�-�.�`�S� �{���yG�t/Nl.S, F��t,0.,Ot�6D i Date Filed: �� �a �6
**If you woudd dike e-maid notification of sign off,please provide e-mail address:
Owner Name: � (�GL��.) �.- ;�-p P U �...�.l�.—
Owner Address: 3 �-�' C 1 rC� Owner Tel.!No.��g���{-��a
,n - �
��.._�.�....`.�:...�...�...........�.'...�-Qt�:.......�..Q.....d....J.�....�.:...............:......:...........................:. ....................'/
.................�.
,......... .�......................................................................
RESIDENTIAL AND/OR COMMERCIAL BUII.DING �
HEALTH DEPARTMENT: Determines Compliance 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
� (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: C�, v�.. �
���
' PLEASE NOTE
COMMENTS/CONDITIONS:
�
r
�
,
�
� \V�
� �P
� �N��
P�
� °
,
1���
MBLU 23-347
166 SPRINGER LANE
YARMOUTH, MA
�
a��
/ •�N�
EX.
DWELUNG
I
' G3GC��u�i�D o
TANKO O
F t�3 '� 2 2016 �
-� LF
0
HEALTH DEPT. ��.
PR. 45 MIL
SEPARA 110N Z �
BLADDER ' 2 .�
ROP. SWIMM/NG POOL
�� _ ,WiTN POOL RATED FENCE
.
.�
, �
���, °;. .�� ��o. �p'I-�
SEP71C FROM ASBUILT
i ON FILE AT THE TOWN
j HEALTH DEPARTMENT
; BUILDER TO CONFIRM
CER TIFIED PL D T PLAN
ZAPPULA RESIDENCE
1 CER7IFY THAT THE lMPROVEMENTS SHOWN oF ,� 166 SPRINGER LANE
MEET THE SETBACK REQUIREMENTS OF THE ,��,P`��� ASs9�,y YARMOUTH, MA
'x' G DATE FEB. 10, 2016 DRAWN: RBS
TOWN OF YARMOUTH MA � ROBB R`, SCALE: 1"=30' �oe #: s�ss
o SYKES ,,., DWG. CPP
� No. 354ts �' EASTBOUND
'°o,�,��c• �o�,a� �LAND SURYEYING, INC.
• `��Sj�sLp�S� P.O. BOX 442
ROBB SYKES, P.LS. DATE FORESTDALE, MA 02644
508-477-4511
,
SPRINGER LANE
; — G3C��C�bGD »o.00�
�
tt� `i 2 2Q16
HEALTH DEPT.
MBLU 23-347
� 166 SPRINGER LANE
� YARMOUTH, MA
;
�
i
�
a
� Cl��ted• �a-4o co��ar LF
PROP. 45 MIL X 6' EX.
BLADDER�N DWELUNG �
�\a.
�
'�� N p �
o � �
j � � � TANK �'-
�
a
O
I �
o �P°aRa noN�!
`�° V �� ��+ �� �'���� � y�l�+��dl�����V»(�llyl;�ti I BLADDER LF
i' 'I� �h� i��r i �Y id ���41� i � v
0 o J 2� �,�_' cn
,�h �
DETAIL • —• z•-1
, .
MIN. . PROP. SW►MMING POOL
.J WITH POOL RATED FENCE
LOT AREA 18,36 7 SF � PROP. PERVfOUS
EX. DWELLlNG AREA— 1419 SF SEE DETAIL � o BLOCK POOL DECK
PR. POOL AREA= 400 SF z �
PR. LOT COVERAGE= 10.0% 107.13'
SEPTIC FROM ASBUILT
ON FILE AT THE TOWN
HEALTH DEPARTMENT
BUILDER TO CONFIRM
CER TI.FIED PL 0 T PLAN
ZAPPULA RES/DENCE
1 CERTIFY THAT THE IMPROVEMENTS SHOWN 166 SPRINGER LANE
MEET THE SETBACK REQUIREMENTS OF THE ��,P�'�� OF �Ass9�, YARMOUIN, MA
TOWN OF YARMOUTH MA o� yG DATE FEB. 10, 2ots DRAWN: RBS
� ROBB
o SYKES �, SCALE 1"=30' DWG. CPP 99
`� No. $5418 y EASTBOUND
�
�� 2-10-2016 ����'ssF�isTE�J�``�� �NP.O. BOXE442 G, INC.
ROBB SYKES, P.LS. A FORESTDALE, MA 02644
508—�77-4511