HomeMy WebLinkAbout2009 Mar 26 - Sign Off Transmittal, Plans - Kitchen Extension -..- �� . �A=
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��'Y`��. T�WN OF YA�RMOUTH .
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'`°�"�`°'�c� PERMIT APPLICATION SYGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
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''- �`,.� Map No.: �D Lot No.: �O �
Building Site Location:�_� �vv� (� � �,�..�-.e,.�'" ��_
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Proposed-Improvement: ` (,� � X � �� �- 1-�-� �n-ea/' .�I�C--{��C i�v'�
�V� �!3-'n�� .� -�'t�-h�s
ApPlicant:�j�,(�•� al v,r� �D � ��'�n�-e�V' Tel_ No.: �`�? `'t .�.��1 �. $�`�7
Address: �, t C-�-✓� S Date Filed:-;�D�
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**Ifyou would lilr�ie-mail notification ofsign off,please provic�e e-mail address:
Owner Name: IM �y I��..y� �- �c�� S o r+
Owner Address: J T G yv� (��1n o►.•�.✓ �/V G�.l Owner Tel. No.: � `3 S�/ �17� � -
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
H�ALTH DEPARTMENT: Deternunes Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit four(4) cop� of plans, to include:
- (1.) Site Plan showing ezis�ng buildings,wat�r line locat�on,
and septic syste�n location;
;�F (2.) Floor plan labeling ALL rooms within building
(a�l ezisting and proposed)—
�"� Nnte:Floor plans not required for decks, sheds, windows, roofing;
� (3.) If necessary, Title 5 appl�cation signed by licensed installer
�
with fee.
� ....----------------�----------............-�----------------......---------------�----�--�--.....
REVIEWED BY: ` DATE:� a�� ',
'f PLEASE NOTE
COMN�NTS/CONDITIONS:
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MAR 2 6 2009
HEALTH DEPT.
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PLOT PLAN OF LAND
CLIENT FILE NO. 1562
DEED REF: BOOK: PAGE:
OWNER: MARY ANNE THOMPSON
PLAN REF: BOOK: PAGE:
ADDRESS: 3 TAM-O-SHANTER WAY
LAND COURT CERT. OF TITLE: 180608
S. YARMOUTH, MA 02664
LAND COURT PLAN: 28477-D (SHEET 2)
ASSESSORS MAP: 90 LOT: 108
MAP 90
LOT 113
L=47 24
i R=25.00#
%
PA
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OG
IP/FND �Q� �Q�'
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CO
MAP 90 0� C)
a
LOT 108
13,049 S.F.tk
6 00
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0
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IP/FND
EXISTING
DWELLING
IP/FND
�Q 70
%
ON D,
0
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MAP 90
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-
LOT 109
EX. CESSPOOL
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- 00
PROPOSED ADDITION
ON CRAWL SPACE
b,
�'�00 MAP 80
FOUNDATION
Q- LOT 99
i
IP/FND
MAR 2 6 2009
HEALTH DEPT.
I hereby certify that the lot comers, dimensions, elevations and
JC ENGINEERING INC
setbacks to the proposed structure, including any outside protrusion
such as decks, steps, bulkhead, overhang, chimney, etc. as shown on
2854 CRANBERRY HIGHWAY
this plan are correct and conforming to the Town of Yarmouth By -Laws
and Regulations.
EAST WAREHAM, MA 02538
TEL. (508) 273-0377 FAX. (508) 273-0367
�yI H OF MAS$4
NA
DATE: FEBRUARY 12, 2009 SCALE: 1"= 20'
JOHN
° 'n
� R. y
FARREN
No.33590 0�
ss
A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL
�1K°s
NUMBER 220015 0004 C DATED 7/17/1986 HAS BEEN
y//Z/11
CONDUCTED AND TO THE BEST OF MY INTERPRETATION, THIS
DWELLING IS IN FLOOD ZONE C AND IS NOT LOCATED
Date Professional Land Surveyor
WITHIN A SPECIAL FLOOD HAZARD ZONE.