HomeMy WebLinkAboutRecorded Deed Restriction and Application� �r ry �y �y d li
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BOARD OF HEALTH .
NOTICE OF DEED RESTRICTION
RESIDENTIAL
Notice is hereby given of the applicability of the Town of Yarmouth Health Department for a
deed restriction, to 29 Skipper Lane , shown in Town Assessors Book dated 2017 , Map 115, !
Parcel 199. As Deed is recorded at the Barnstable County Registry of Deeds, on the Deed Book
30340 , Page 320 .
As plan of land is recorded at the Barnstable County Registry of Deeds on a subdivision plan
titled "Subdivision Plan of Land in Yarmouth, Mass. for Robert W. Lubv" Lot 49 dated Julv
,� 20, 1964, and recorded on the Plan Book 187 Page 149.
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� The engineered plan prepared by Mever & Sons. Inc. , dated Apri16, 2017 approved by the
�.. Health Department on May 5 , 2017 , requires a m�imum, not to exceed:
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� (1) the number of bedrooms not to exceed Two (2 �per design restrictions, �
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; (a) Title 5, Section 15.214,Nitrogen Loading Limitations �
� (b) Title 5, Section 15.203, System Sewage Flow Design Criteria
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Fo Yarmouth He th Department:
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aBruce G. Murphy, Health rec , R.S., C.H.O. Date ;
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� Owner/Representative:
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p°q I have read and fully understand the conditions of the above restrictions �
� and accept them as written:
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� Annette P. Pend ast Living Trust Date
� Stephen M. Fay, Trustee �
� 61 Rosewood Drive ;
.� Braintree, MA 02184 i
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� MAY 0 ZOi� ;
BARNST —� HEALTH DEPT
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John F Meade, Register
.��'Y��, TOWN OF YARMOUTH ;
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�"' 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
�M��� Telephone(508)398-2231 ext. 1240, Fax(508)760-3472
BOARD OF HEALTH
May 9, 2017 ,
Mr. Stephen M. Fay, Trustee
Annette P. Pendergast Living Trust !
61 Rosewood Drive
Braintree, MA 02184
RE: Two Bedroom Deed Restriction 29 Skipper Lane,Yarmouth,MA �
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Dear Mr. Fay: �
Please find enclosed the Two Bedroom Deed Restriction which is required as part of the septic
system approval process for the replacement of the septic system at the above address. The Deed
Restriction must be signed and dated by the current owner(s) or legal designee. Once the
restriction is signed,please have the original restriction recorded and stamped with the new
Registry recording information at the Barnstable County Registry of Deeds, Route 6A,
Barnsta.ble. The recording fee at the Registry is currently$ 75.00. A copy of the stamped
Restriction must then be returned to the Health Department as proof of the recording prior to
issuance of the Title 5 Certificate of Compliance which is typically issued upon installation and
approval of the septic system.
If there are any fizrther questions,please contact this office at 508-398-2231 X1240. Thank you
for your prompt attention.
Sincerely
y L. von Hone, R.S., C.H.O.
Assistant Health Director !
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APPLICATION FOR TITLE 5 DEED RESTRICTION
The information requested below must be accurate and completed in full to ensure the deed restriction
can be completed properly and in a timely manner.
1. Town of Yarmouth Assessor's Book(most current): /
Map (l� Lot�Address i r �,� �y�l , �
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book���Page�-`�or�u�- �`�' �*'�' `�
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3. The lot indicated abov is shown on a plan of land entitled: � ' 'S!a � �� �t
r`� l ' , dated �,r� .6
l The plan o land for the lot is recorded at the Barns able County Registry of Dee s in P an
Book Page�or T a '�'�-.--`",��
4. The engineered septic plan has been prepared by ��pT�- ..�:. �Dri r y��,
and dated ,�r�
5. Board of Health approval date_S��',��
6. The number of bedrooms is restricted to �j,,�� ��;�, � .
7. Owner Name: ���"1�r'� ��/`(�1/, �i'�.Ls�� D � P�9tlY�/(� I � l�C�'j/!"f� �s"��T v!�'
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Address: �c ��F�S{� �bz����(`.�l/J� � ����
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The required information supplied to this department for the application of a Title 5 Deed
Restriction is correct as shown above.
Applicant Date
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