HomeMy WebLinkAbout2016 Mar 04 - Sign Off Transmittal Sheet, Plan - Shed . �
�o��'��?� TOWN OF YARMOUTH
� E-"-�`�y HEALTH DEPARTMENT
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'''��N`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: � � .� �SZ, �V ;��� �S�
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Proposed Improvement: �- ` "'_,�
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Add�s: .� � � Date Filed: �
**If you would like e-mai!notiftcation of sign o,fJ;please provide e-mail address:
Owner Name: � c�. N�.S1 �
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Owner Address: Owner Tel.No:: '
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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} 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 propased)—
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: �/ �
PLEASE NOTE
COMMENTS/CONDITIONS:
A01 7
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Andrews Survey & Engineering, Inc.
Land Surveying - Civil Engineering - Site Planning
P.O. Bog 312,104 Mendon Street
Uxbridge, Massachusetts 01569-0312
P:508-278-3897 F:508-278-2289
LOT 73
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SETBACK
ACCE SSSS OP gU1LDIN ovi
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LOT 74
1
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I CERTIFY THAT THE PROPERTY SHOWN IS
LOCATED IN THE ESTABLISHED FLOOD HAZARD
AREA ZONE Al2 AS SHOWN ON PANEL #250015
0006 D, MAP REVISED JULY 2, 1992.
CERTIFY THAT THE EXISTING STRUCTURES
SHOWN PREDATE CURRENT ZONING
ENFORCEMENT OF THE TOWN OF YARMOUTH.
I CERTIFY THAT THE PROPOSED STRUCTURE
SHOWN CONFORMS TO THE ZONING SETBACK
REQUIREMENTS OF THE TOWN OF YARMOUTH.
BUILDING PERMIT
PLAN
125 SEAVIEW AVENUE
YARMOUTH, MASSACHUSETTS
FOR
JONATHAN S. PATNODE
-o
0
LOT 75
EXISTING
HOUSE #125
BIT DRIVEWAY
154.71'
MAR "Q4 2016
HEALTH DEPT.
MAP 25, LOT 68
J.
ANDREWS
N0.47309
DEED REF: CERTIFICATE #198683
PLAN REF: PLAN #11622—A3 (LOT 74)
ZONE:
R-25
o EX. GAR.
FRONT:
30 FEET
m
I CERTIFY THAT THE PROPERTY SHOWN IS
LOCATED IN THE ESTABLISHED FLOOD HAZARD
AREA ZONE Al2 AS SHOWN ON PANEL #250015
0006 D, MAP REVISED JULY 2, 1992.
CERTIFY THAT THE EXISTING STRUCTURES
SHOWN PREDATE CURRENT ZONING
ENFORCEMENT OF THE TOWN OF YARMOUTH.
I CERTIFY THAT THE PROPOSED STRUCTURE
SHOWN CONFORMS TO THE ZONING SETBACK
REQUIREMENTS OF THE TOWN OF YARMOUTH.
BUILDING PERMIT
PLAN
125 SEAVIEW AVENUE
YARMOUTH, MASSACHUSETTS
FOR
JONATHAN S. PATNODE
-o
0
LOT 75
EXISTING
HOUSE #125
BIT DRIVEWAY
154.71'
MAR "Q4 2016
HEALTH DEPT.
MAP 25, LOT 68
J.
ANDREWS
N0.47309
DEED REF: CERTIFICATE #198683
PLAN REF: PLAN #11622—A3 (LOT 74)
ZONE:
R-25
BUILDINGS
FRONT:
30 FEET
SIDE:
15 FEET
REAR:
20 FEET
ACCESSORY BUILDINGS
30 FEET
6 FEET
6 FEET
DATE: FEBRUARY 29, 2016
SCALE: 1 " = 20'
JOB NO. 2013-271
PLAN NO. S-2982