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HomeMy WebLinkAbout2015 Dec 09 - Sign Off Transmittal Sheet, Plans - Enclose Porch; Extend Bedroom �oF���r,,�o TOWN OF YARMOUTH 4� - -���� HEALTH DEPARTMENT ��''���%1� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: j Building Site Location: V� � s�� �`��`- ��� W ��� GW �� � � II y ( l� ��. Proposed Improvement: �V�C,d`->-�- ��f�l � D J L V� ' �f t v�� � �i �T�v^� III `/� Q CJ v� C o �t � � w � - , Applicant: v�_. �, �al�c� � w,,. � . ,� �- Tel.No.: �'� � � �� r2 0 D p , � r l Address: 3 � � �� OW S�n La�D_ W�`� G�„/ v�� Date Filed: 11��1 -�-U 1 � , r **If you woudd like e-maid notification of sign o,fJ;please provide e-mail address: i i Owner Name: �..a,�J� �CQ �u,-��C i f�/t�-� � A..� ��(... � � �i/� `� C ���� � .��� �.� ; Owner Address: � � �G�� ���1 �A� ��' � , ���'�^�Owner Tel.No.: �'� � � �� �� `� � ; /� ; ; .................................................................................................................................................................................................................................................................................................................................................................. ; RESIDENTIAL ArND/OR COMMERCIAL BUILDING ' HEALTH DEPARTMENT: Deterrnines 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: i (l.) Site Plan showing existing buildings, water line location, j and septic system location; ; (2.) Floor plan labeling ALL rooms within building '� (ali ezisting and proposed) - ' Note:Floor plans not required for decks,sheds, windows, roofang; ' (3.) If necessary, Title 5 application signed by licensed installer with fee. , ...........................................................................................................................:............................................................................................................................................................................................................................................ REVIEWED BY: �� � � DATE:�,� --.�/' /S PLEASE NOTE COMMENTS/CONDITIO S: � � y r /� S , _ (�' ; f I � � I I R. 1 .. . .. :. .. .. .. .. . ... . .. . . ,- aa�c ,._.z. �� x...,, ..:s .. . ,. .. ... . ......, . . . .. _ ��,n . . .. -.'. .::. .. ..... ..� :.ate. . _ ar EXISTING. . . . - ... DWEWNG � . . ....... . :. _ . I FIRST FLOOR a EL 9.8 rj Q .. : .... I : _. .. .. 4 ,.. - - ..:... - . . _ , .: l..., ,. __ , .e. INS v�,_MATION u) R 14 REVISIONS. �. r ::1. , �. - . . . .. 'Y1. 1. r. :> b �� . �,U� .� � ��SEE 2 N0 DATE DESC . . I / <a NOTE 2 - •n_ f �,, . ,.. Z ._.. . . . : ..N. .. _ . .. .' ', - : .': . .. . .. .. I 3. -. . l:: CUi�RENT OWNER: ,, .KAREN' .- PUCCiARE l LL , . , OVERLAY DISTRICT.. NONE t- . .. : .1. , . LAW R N I E E CE PUCC ARELLI ..:, _ . : .1. :.. I l____L_.___..�_____ e z.G . TITLE.. REt-ERENCE:: ITS, DEED:.BOOK. 10189, PAGE 154 .. E�. OGEN :SENSITNE .: E . . . W• . .- . . , 1. � Z 1. CNE. NOT; .A ZONE It .::. .. - ¢ .t. . 1. : PLAN - REFERENCE: : '. 86 .61, . ... / 85,Y33, 115 85, 361 70 . _ / /. FEMA FL000 - . . ,_ .. . .. . . . , . , .:; ... ... . . - . ... , QIST. ,, „ . _ A 12 EL' 11, 'DATEQ 7' 2 92 . w .. . ... . ;.ASSESSORS - MAP:' 17 .ZONE ... PA NEL #250015 0005.D _ . . . ... . . .. PARCEL::. 1.16 '. ... % 1. 1. . -. .. _ I- MAUSH7PS H . . .. MINIMUM LOT .SIZE: , 25;000 S.F. - 1. 1. . .PAT LOCUS . . . ZONING DISTRICT: _ , ; SETBACKS. R=25r. . FRONT. , < 30 EXISTING LOT SIZE:.... 9 624 S.F: . . W S I!. VER SALT MAR . . .. SH LN _ . .. .. SIDE i 5' . EXISTING LOT .COVERAGE:. 824f S.F.. (8:6�} - . -LEAF .LN. . _ . ... . .... .. . _ . .. . . . .. :REAR ;:. 20 . . t• , PROPO,�E LOT COVERAGE: 1...: 878f S F. 9:1 % o} . �: .. . . - ... .... .. .. . .. . .: . .. ..... ., .. ,, . . :. . . ...I 1.. . .. . . . S ., LCCU MAP . ... _, .. _ ... . . I CERTIFY TO THE EST OF MY B . NST . T�. SCALE .. .. . .... . . . ..I. - PROFESSIONAL KNOWLEDGE, INFORMATION .. _ - . . . . . . . . .' ... . . . i, . ..: , . , . . _ AND:. BELIEF: : THAT THE LOT: CORNERS, . . .. .11 -. . . . . . . . .. .. I. ,.. . .1. ... . . STRUCTURE AS DETERMfNED . ` BY . _ .: . ._ .. .. . . . , . .: . :INSTRUMENT- SURVEY' AND AS _SHOWN , ON. - . . ; . THIS PLAN .ARE CORRECT: -: ..-. .. : .. ... .. :. _- . . I. _ . . . . - . . . : ...... . . ,. . . . ? . `' 1 ' . .. . . . ..' . : . .. . . . .. .: .. . . .. . . 1. .. .. ... � . FIB . _ . � �._.. Lin � ' .. .. . .. � I. - .. . --; .- .. . ., .: i .,.. _ - . .1. ... . _ I .. . . _ 1 .. . __I. __ -. . S' ao �. . . N/F . . .. . . - ... 1 . . _ .� . PROFESSIONAL LAND `SURVEYOR DATE .__ . . .. ` . THOMAS WALL - ASSESSORS MAP 17 . . . . . . I'll .. . 1 . PARCEL 114 r . A & P PAT510S ASSESSORS MAP R.T. 17 . . . . PARCEL 115 . . #36-A. I. I � .. . t .. . . . #30-A 1 . .1.� . . .. .� I.. I I. �_ I. � . .. I . I . .. . 1. . .1� .1#�I . I . . . . . . .CERTIFIED PLOT PLAN �. , N,F MICHAEL FIELDS . ASSESSORS MAP 17 WITH . PARCEL 117 . I 6 S65' g4 50••E PROPOSED . � a //�� oO, v �� `X_X 1 67,19,1. X X . . I -- X-� X_ ADDITION . ,Q � n . ._X � . .... . . . .. . . I I . .. 1. . I �. -1 .� � ...� 1 .1 . Q C) o . .p : ' 1. I;-. ATI I . . I N/F . z SHED . : • BRYON WYCHE ASSESSORS MAP 17 2 j �,, ` U) 18.2' ': . J6: - . F wLL 11J ' g �- j Q zo I V*`u' ... : .. , . .'.... _ "v4 SAL. / �1�IRS 1. LAVE Icu U � % r, SEE NOTE 4 -cis i T . .. l: .. I I �I_l 'I 1, 8 ID � �- �_ wl 12.2' . WEST YARMOUTH . . 26.5' z , f= A � . . . .. Z Z - � _ o 1" _-_- ,; -__. o ' __ � ir) N/F MARIA C. FIELDS1. - MAS..7/'1V { I U..7 L 1 1 S #30 P /; I" --te r ASSESSORS MAP 17 . Q f -w I .J PARCEL 113 . (BARNSTABLE COUNTY) 13. OCTOBER 16, 2012 NOTES: 1. THE RECORD PLAN OF THE LOCUS PROPERTY DEPICTS A ROUNDING OF THE ROAD IN THIS AREA. FURTHER ROAD TAKING PLANS BY THE TOWN OF YARMOUTH IN 1954 DEPICT THE REMOVAL OF THIS ROUNDING. . 2. THE RECORD PLAN OF THE LOCUS PROPERTY DOES NOT HAVE ANY ROUNDING INFORMATION IN THIS AREA. THE RECORD PLANS WERE SCALED AND A BOUND ON THE INTERSECTION OF SALT MARSH LANE AND THE. EXISTING RECORD 20' WAY WAS HELD TO CREATE A RADIUS OF 17.0' . 3. THE TRAVELED WAY TO THE REAR PROPERTIES APPEARS TO CROSS OVER INTO THE LOCUS PROPERTY. 4. THE SEPTIC SYSTEM DEPICTED HEREON IS BASED ON THE FIELD LOCATION OF THE SEPTIC TANK AND THE . USE OF RECORD INFORMATION ON FILE AT THE YARMOUTH BOARD OF HEALTH TO LOCATE THE LEACHING FIELD. . . . © 2011 The BSC Group, Inc.,. . .1 I . SCALE: ` 1 ' = 20' I. .' 0 2.5 5 10 ..t��s . 0 10 20 40 �r PROD. MGR.: CRAIG FIELD . Yarruouth Health Repartment. APP:y VES . C�A -_;_/���___ zwe Date . FIELD: P..HAGIST CALC./DESIGN: K.: HEALY DRAWN: K. HEALY . CHECK: CRAIG FIELD FILE: 9622 -PROP -DWG . DWG. NO: 6078-02 . SHEET 1 0 JOB. N0: 4-9622.00 F 1 . 6 x9 34.5' . . #36 Ea I . �QJ . EXISTING. ui DWEWNG � u) ' FIRST FLOOR a EL 9.8 rj Q 39.6' 1 LU i t u) R 14 -3 c O f b �� r'42 N111 .� � ��SEE 2 I / <a NOTE 2 - •n_ f r- "' Vk�lRK Vk rl �. OCTOBER 16, 2012 NOTES: 1. THE RECORD PLAN OF THE LOCUS PROPERTY DEPICTS A ROUNDING OF THE ROAD IN THIS AREA. FURTHER ROAD TAKING PLANS BY THE TOWN OF YARMOUTH IN 1954 DEPICT THE REMOVAL OF THIS ROUNDING. . 2. THE RECORD PLAN OF THE LOCUS PROPERTY DOES NOT HAVE ANY ROUNDING INFORMATION IN THIS AREA. THE RECORD PLANS WERE SCALED AND A BOUND ON THE INTERSECTION OF SALT MARSH LANE AND THE. EXISTING RECORD 20' WAY WAS HELD TO CREATE A RADIUS OF 17.0' . 3. THE TRAVELED WAY TO THE REAR PROPERTIES APPEARS TO CROSS OVER INTO THE LOCUS PROPERTY. 4. THE SEPTIC SYSTEM DEPICTED HEREON IS BASED ON THE FIELD LOCATION OF THE SEPTIC TANK AND THE . USE OF RECORD INFORMATION ON FILE AT THE YARMOUTH BOARD OF HEALTH TO LOCATE THE LEACHING FIELD. . . . © 2011 The BSC Group, Inc.,. . .1 I . SCALE: ` 1 ' = 20' I. .' 0 2.5 5 10 ..t��s . 0 10 20 40 �r PROD. MGR.: CRAIG FIELD . Yarruouth Health Repartment. APP:y VES . C�A -_;_/���___ zwe Date . FIELD: P..HAGIST CALC./DESIGN: K.: HEALY DRAWN: K. HEALY . CHECK: CRAIG FIELD FILE: 9622 -PROP -DWG . DWG. NO: 6078-02 . SHEET 1 0 JOB. N0: 4-9622.00 F 1 .