HomeMy WebLinkAbout2016 Mar 03 - Sign Off Transmittal Sheet, Plans �
� o�--'-Y--�� TOWN OF YARMOUTH
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'��N�-' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
� be compdeted by Applicant:
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Building Site Location: �� 1 J�Q N Z���'q`f2- (� �,� �1 -Q
Proposed Irnprovement: I`��"���e �CXX.�I'c �tn J� � E.' Gf` �G�,S-Q /Ca��
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Applicant: �'1� �C-e 1(�l a.-✓�►� s' Tel.No.:�8� �7�—9��7
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Address: oZ ��c�.S ��� 5. Date Filecl: ( f�c
**Ifyou would like e-maid notification ofsign of�;please provide e-mail address:
Owner Name: �` �'��'- ��"c.� c�c.�n Q`
Owner Address: �() ����2 UV ' �-�:(\�j �-�-�� � Owner Tel.No.: <;'�J" 7 7�`�o��
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septa.ge Disposal and other Public Health Activities.
Please submit three (3) eopies 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.
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REVIEWED BY: DATE: � � �
PLEASE NOTE
COMIVIENTS/CONDITIONS: � /�
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06-221
off. 508-362-4541
Ifax 508-362-9880
down cape engineering, inc.
CIVIL ENGINEERS
LAND SURVEYORS
939 main st. yarmouth, ma 02675
ZONING SUMMARY
ZONING DISTRICT: R-40
MIN. FRONT SETBACK 30'
MIN. SIDE SETBACK 20'
MIN. REAR SETBACK 20'
G IORDML D
MAR 0 2 2016
HEALTH DEPT.
SBUILT PLOT PLAN
SHOWING ASBUILT POOL FRAME
AT
10 BARN BOARD LANE
WEST YARMOUTH
PREPARED FOR
MICHAEL NARDONE
DATE: OCTOBER 30, 2006
Scale:1 "= 20'
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