HomeMy WebLinkAbout2015 Jul 27 - Sign Off Transmittal Sheet, Plot Plan - Deck ._._..__. —...v.�.r.-':s-�.. ... :sf-«-_ .,......_. _. .._..�.>.�._ . . . . . . .. .. . .. .. . . .. . . .
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.o�'_�,Y--,q�,,� TOWN OF YARMOUTH ��7 �! ��
y�� � �� HEALTH DEPARTMENT
o-,.. -�
� ''���N�`'�`� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
� Building Site Location:� �i✓/'`�f����"?�'ad-� /�'}✓� W� �'/41L�u�i t�
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Proposed Improvement: � L�./L 2 a,�..�r �� � o��l — a L L
,
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''� Applicant: .S r4Ct� �� ��E'I�� Tel.No.:�`'"`I�/-. ��y�
Address: � �V"�-�f-� /��--'T"�1 r�r G`;�`��yo�i t� Date Filed: "
**Ifyou woudd dike e-mail notification ofsign off,please provide e-mail address:
Owner Name: ...��, C.�G t �' 1�-� �'�'/1't��
c.�.y���'� �`'
Owner Address: � �t/!4J r-�rfr�i�<i /���! Owner Tel.No���f `�1v�`L.,
..................................................................................................................................................................................................................................................................................................................................................................
�` RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Gompliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to i�nclude: �
(1.) Site Plan showing existing buildings,water line location,
and septic system location;
(2.) Fl�or plan labeling ALL rooms.within building
{all existing and proposed) —
Note:Floor plans not required for decks,sheds, windows,roo,f�ng;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
................................................................................ ...........................................................................................................................................................................................:......................... ............................................................
>- �
REVIEWED BY: DATE: ,� /S
PLEASE NOTE
COMMENTS/CONDITIONS:
3 ,. , �,.. .,..
�
� N
� N 80'S '1 30,� E
; 120.00,
l.o� 66 �
N
15,001 f S F. �
�.3t Ac. N
zo.o' ._.-- --�" � ci
.-- "_ ts V
__----
_..__. ---- Requiremen I ,;
zo.o' Setback '
58.9' �
IQ
' Existing --� � —
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w o� �.
' O o m �
I D
1 �
z . ek 1 c1,
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a u! Gar. Exist. �
V �wg' I �
� EX;sr. �
Deck
19.6, � 1 __-30.0"""
I �, � `��_.—.�._.-
� Proposed --
Deck
3Q.0' ,
"`� � ,
35.2' � ^
so.o• �h�ry
� i
3D.0' P
g5.00,
S SoaS��, �,,, �N A �E,
W�
SHINGT
TOWN OF YARMDUTH ZONlNG
8Y—LAW EET ADDRESS• ,¢�8 WASHINGTON Ai/ENUE
Gi�;GL���ILSD A SESSORS MAP 62 PARCEL 34
ZONE : R-40 0 ER: JACQUELINE M. MEDEIROS & KAREN A. MAGUIRE
0 ED REF.: Ci�::#179209
�UL_2 7 2015 AN REF.: L.eC. 25823F
FRONT.• 30' ��c�
SIDE.� 20'� ��Rt�-}.� f,��PT.
REAR: 20 � I ERTIFY THAT TO THE BEST QF MY PROFESSIONAL
KNOWLEDGE, lNFORMATION ANO BELIEF THE DWELLING
SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
PROPERTY LINES SHOWN HER£ON �F 1NE ZONING BY—LAW FOR THE TOWN OF YARMOUTH.
VY�RE COMPILED FROM AVAlLABLE
PLANS OF R�CORD AND I�ERIFIED
ON THE GROUND. ���,SNaFn�ss9cy
�� �AMNY G�`� P��T PLAN
y wAR►vFR y SHOWING PROPOSED ADOIT/ON
THE DWELLING DEPICTED ON THIS tdo,3g721 �
PLAN WAS LOCATED pN THE GROUND �, ��,Eo �N
BY SURV£Y ON JULY 22, Zo�S ' � �° � YARMDUTH, MASS.
AND EXISTS AS SHOWN AS OF TH�
DA TE OF �OCA T10N. SCALE.• 1"= 20' JUL Y 23, 2015
� �3 ��
TH(S PLAN lS FOR PLOT PLAN TERRY A. WARNER, P.L.S
PURPOSES ONLY AND NOT FOR 22 LONG ROAD '
RECORDING, DEED DESCRIPTIONS, , HARWtCH, MA 02645
OR ESTABLISHlNG PROPERTY LINES
(508) 432-8309
0 20 40 60
THlS PLAN lS VOID lF NOT
STAMPED ANQ SIGNED lN RED. PROJECT NO. 15-215