HomeMy WebLinkAbout2015 May 13 - Sign Off Transmittal Sheet, Plan Showing Proposed Gazebo �o���.� .�WN OF YARMOUTH
� p `�'��� HEALTH DEPARTMENT
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� ~"`'��NE`'� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 3 2 wiz-Sax,) ���
Proposed Improvement:_ G�A 2.�'130 2 0`L y � /3'lr°� D�J .�O,,u�-, ,���,--
Applicant: 57�LY�v '�'v4-RzS�� Tel. No.: 3�08 -8 7 3-Z7o�
Address: ZZ Lc���.+-t r�++S�3vri-G l�,+A"_S��5C3vK�Y ,uti�!_ Date Filed: .�-d 3-!�
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**Ifyou would like e-mail notification ofsign off,pdease provide e-mail address:
Owner Name: 1H lRf�laa�.t-`T A. L�2l..Sa�
Owner Address: J 1' /,�cs,q•,v pyL F-�U 3�fy1,�-w 5�i2Y_ ,,,�„�q_ Owner Tel.No.: .5"b t3-'199-Z t 1.$
O�S�S
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines 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 existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within buYlding
� (all egisting and proposed) —
Note:Floor pdans not required for decks,sheds, windows, roofang;
(3.) If necessary, Title 5 application signed by licensed installer '
with fee.
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REVIEWED BY: bATE: ��/3//f �
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PLEASE NOTE
COMA!IENTS/CONDITIONS:
LOT COVERAGE �oe r�o. Y�4—�s
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DCQSTING HOUSE 1405tS.F. Job Folder
PROPOSED GAZEBO 213fS.F.
EXISTING STEPS 40tS.F. 1• LOCUS IS A.M. 58, PARCEL 119.
2. LOCUS IS WT�DE OF FLOOD AREAS ON FlRM PANEL 587J DATED MAY 3, 2013.
TOTAL 1658fS.F. 3. OFfSETS SHOMRV ARE TO 7HE CORNERBOARDS ON EXISTING BUILDINGS.
LOT COVERAGE=1644tS.F./9,050tSF=18.3%
ZONING DISTRICT: R40
FRONT YARD �o• N�F
SIDE YARD 20'
REAR YARD 2Q'
LOT COVERAGE 2sx M AN TI N ELLO N/F
DUPUIS
N g�'03'45� E , ; SEPTIC FROM
,�OQ•�� � , j AS-BUILT
14.9 4�,g 1
15.1'
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N/F
LAP�LEY PROPOSED 11.5' X 18.5'
GAZEBO W/1' ROOFED
OVERHANG '
RCC�COdC�D
MAY 13 Z015
i CERTiFY THAT THE LOCATIONS SHOWN ON THIS
PLAN WERE �AEASURED IN Fl oN s/os/�4. PLOT PLAN HEALTH DEPT.
F� i
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����NOFMqSs � MARGARET A. CARLSON, TR. ;
a� RONALD � LOT 52, 32 WILSON ROAD, YARMOUTH, MA
�� JAMES �, JUNE 25, 2014 SCALE: 1"=30'
U CADILLAC � '
.o #35779 �
RONALD d CADILLAC, PLS, RS, P.C.
l��FEss���c� PROFESSIONAL LAND SURVEYOR dt REqS7ERED SMIITARIAN
9��S U RV Ey� r � P.O. BOX 258 f
MYEST YARMOUTH. GIA 02673 �
Z� OC 2014 BY R.J. CADILLAC ��� �5'9700
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