HomeMy WebLinkAbout2015 Oct 07 - Sign Off Transmittal Sheet, Plan - Barn � Y t�
oF.�a� TOWN OF YARMOUTH
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o� -_~�l� HEALTH DEPARTMENT
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`���N�` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
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Building Site Location:
Proposed Improvement: J���✓/ ���� �=�' � ��
Applicant: Tel.No.: �d-� 77D ����
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Address: 4�� ��'�� ����7 c �� �y� Date Filed: ���� ��
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**Ifyou would like e-mail notafication ofsi o ,please provide e-mail address: /������'�Q //G-�
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Owner Name: / /h''lm��
Owner Address: J��" �d�-- Owner Tel.No.: ,,�����-�
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RESIDENTIAL AND/OR COD�IlVIERCIAL BUILDING
HEALTH DEPARTMENT: Lletermines 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 ezisting 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: �a � �
PLEASE NOTE
COMMENTS/CONDITIONS:
LOCUS DATA
CURRENT OWNER:
PAT & THOMAS
SIMMONS
PLAN REFERENCE
221-5
DEED REFERENCE
9588-284
ZONING DISTRICT
R-40
OVERLAY DIST.
ZONE II
FLOOD ZONE
"X"
7/16/14
ASSESSORS MAP
67
PARCEL
68
LOT AREA
28,112± S.F.
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SHEET 1 OF 1 I
CERTIFIED
PLOT PLAN ��R�ST�
O 0,90
#26 ��=S LOCUS
SK YL INE DRI VE
IN
WEST YARMOUTH
DATE: OCT. 6. 2015 N
PREPARED BY:
EAS SURVEY, INC.
141 RT. 6A
P.O. BOX 1729
SANDWICH, MA 02563
PH. (508) 888-3619
CELL (508) 527-3600
A D
Ln Ln
75.7'
EXISTING 4'x9'
DECK TO BE
REPLACED WITH
A 4'x9'
COVERED
PORCH
I o {'. 31.0'
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13
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7.1
LOCUS MAP
NOT TO SCALE:
39.3' PROPOSED
\ 3'x4'
r�n Iii �r e n
0 20 30 40
I
I GRAPHIC SCALE:
I 1 INCH = 20 FEET
20.9'
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tiSH or
EDWARD yN I
o A. I
STONE
o PN0. 2 98 I
s is E
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PROPOSED
j 24'x24
BARN
ON SLAB
S 77°49'58" W
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1
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m2@120MD
OCT '0 7 2015
HEALTH DEPT.
233•a� I
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i 100' WIDE ELECTRIC
Imo._ COMPANY EASEMENT
1
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1
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200.
EXISTING
SEPTIC
08.5'
(67/68)