HomeMy WebLinkAbout2016 May 13 - Sign Off Transmittal Sheet, Plans - Addition �.
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o!�-'Y'�k TOWN OF YARMOUTH
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--�=�-�- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant.• .
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Building Site Location: / ,� `7�
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Proposed Improvement: � � r, �r � �
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�I Applicant: / c,._` �,/' Tel. No.:���� ,.�,5 ! �,,.`1�9j
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Address: Date Filed: � �
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' **If you woudd like e-maid notifacation of sign off,please provide e-mail'address: , � ,�
Owner Name: ` ° f V� �!
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Owner Address: � �,pwner Tel.No � ~ � �
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
�r �`or 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 withi� building
(all existing and proposed) —
Note:Floar 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: � l � /�
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PLEASE NOTE
COMMENTS/CONDITIONS: '
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� ZONING DISTRICT: R-40
FRONT: 30'
SIDE: 20'
' REAR: 20'
� FLOODZONE X ' -
� PROP. BLDG. COVERAGE:20J% �`��S C � �L��
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( �� �o � 0•�1 � � EXIS7ING SEP11C TANK
� � ��v �I 5' � TO BE RE-LOCATED (OR
� REPLACED WITH 1500
�� 24•4' Q� IXISTiNG GALLON SEPTIC TANK),
•� DWEWNG � MINIMUM 10' FROM
xzs.eo 3�•�' o �2 FOUNDATiONS/LOT UNES.
„ HOLD TOP OF TANK
PROPOS v� ELEV. OF 25.2'
ADDRION OVER LpT 18 .sz �� �.
EXISTING CONCRETE ��,564f SF ^ PROPOSED EXPANSIONS
FOUNDATION
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MAY �� 3 2016 � ��;^;;� � � P ^ �
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HEALTH DEPT. �, �- ,�� �� °'�•; �
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PLOT PLAN 15-242 MAR .� �
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PREPARED EXCLUSNELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTI-�Q� ���VI`��
LOCATION : 8 MATTI5 DRIVE, YARMOUTH PORT ��yA�ti10UTH
SCALE : 1" = 30' DATE : OCT. 16, 2015
PREPARED FOR:
REFERENCE : MAP 141 PARCEL 13 �GIN UN�
DB 1444 PG. 1039 \.�,,,` a��s J \
I HEREBY CERTIFY THAT THE STRUCTURE �� � a�
SHOWN ON THIS PLAN 15 LOCATED ON THE �� QA'��'�� ���'
GROUND AS SHOWN HEREON. o p. �
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down cape engineering, inc.
C/V/L ENG/NEERS �O ^�b-'� / ^ �
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LAND SURVFYORS
939 Moin St�eet — YARMOUTHPORT, MASS. DATE REG. LAND SURVEYOR �
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