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HomeMy WebLinkAbout2017 Apr 21 - Sign Off Transmittal, Plans - Bathroom Addition ,_�.-� , ... a.o..�.,.��.-��. -� ��.._ � _�,.�. � � _� � _ , �--_� �-�- �� :�� � � � � � �4 � o� Yak � TOWN OF YARMOUTH • .�-�.:� � �1��;� HEALTH DEPARTMENT +� �.. µ - �,� �+ �4''�--.�.-�=E%� � . PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � �To e completed by Applicant.• �Building Site Location: C;,.rC,... V���`�'� ���' Proposed Improvement: �"'1 ��� ���`�l�J ��lJ Applicant: �����` "�"�``u Tel.No.: �����0���P! , � Address: 'J �� �G V"�--( Date Filed: **Ijyou would like e-mail notification ofsign off,pdease rovide e-mail address: Owner Name: �u �'������ C���-�A[K (.- Z� O er Address: � vi L `� ���— Owner Tel.No.: � ..............................:...................l:t./...i.........t.G�G�.......................V�.��........................ . ,.. ................................................................................................................................................................................... �� RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septa.ge 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 building (all existing and proposed) - Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer wYth fee. ........................................_.�...........................,...... . ............................................................................................................................:...............:..............................................................,................................................................... REVIEWED BY: DATE: G � � �" PLEASE NOTE COMMENTS/CONDITIONS: 7 P6 NMD M M . DOM LEAd{PRINT IIX24 x4 t? C C o SOMERSET ST LOCUS Aq Rk q PF LEWIS BA Y LOCUS MAP NOT TO SCALE. W 0 ix 0 I r UP I n p:-.-....tams�+r..e+«.. ,sw••.w_s.aspa,.rn.e......a».:-.........u.c..ra:--,<:vrraikn--...-w,y...,r,.wsfroas-'"—.-r_ �a✓...u:.,sv-ra.a.-,n---:x.-�-c.,c•.::.,.c:•,.s.e.v:...gva,.w:a•r>�.e:c.,..a.,ra'� �v:.c:a�--.�.... � OCTtiM 192 2004 LOCUS INFORMATION LQ z CHRISTINE F. LUTTAZI 4 25,000 ,S.F. DANIEL R. ROSENTHAL _ r TITLE REFERENCE: 28 0 1.25 2.5 5 was r 2 EXISTING LOT COVERAGE: 21.1% (1,700±S.F.) .. PLAN REFERENCE: BOOK 26, PAGE 113 PROPOSED LOT COVERAGE: 23.0% (1,856±S.F.) ASSESSORS MAP: N MAXIMUM LOT COVERAGE: 25% ` 61 i OVERLAY DISTRICT: 2 ZONING DISTRICT: SOMERSET ST LOCUS Aq Rk q PF LEWIS BA Y LOCUS MAP NOT TO SCALE. W 0 ix 0 I r UP I n p:-.-....tams�+r..e+«.. ,sw••.w_s.aspa,.rn.e......a».:-.........u.c..ra:--,<:vrraikn--...-w,y...,r,.wsfroas-'"—.-r_ �a✓...u:.,sv-ra.a.-,n---:x.-�-c.,c•.::.,.c:•,.s.e.v:...gva,.w:a•r>�.e:c.,..a.,ra'� �v:.c:a�--.�.... � OCTtiM 192 2004 LOCUS INFORMATION LQ z CHRISTINE F. LUTTAZI 4 25,000 ,S.F. DANIEL R. ROSENTHAL _ r TITLE REFERENCE: BOOK 18727, PAGE 30 0 1.25 2.5 5 was r 2 SOMERSET ST LOCUS Aq Rk q PF LEWIS BA Y LOCUS MAP NOT TO SCALE. W 0 ix 0 I r UP I n p:-.-....tams�+r..e+«.. ,sw••.w_s.aspa,.rn.e......a».:-.........u.c..ra:--,<:vrraikn--...-w,y...,r,.wsfroas-'"—.-r_ �a✓...u:.,sv-ra.a.-,n---:x.-�-c.,c•.::.,.c:•,.s.e.v:...gva,.w:a•r>�.e:c.,..a.,ra'� �v:.c:a�--.�.... � OCTtiM 192 2004 LOCUS INFORMATION Cli CURRENT OWNER: CHRISTINE F. LUTTAZI & MINIMUM LOT SIZE: 25,000 ,S.F. DANIEL R. ROSENTHAL EXISTING LOT SIZE: .± 8,056tS.F. TITLE REFERENCE: BOOK 18727, PAGE 30 0 1.25 2.5 5 was r PROJ. MGR.: CRAIG FIELD EXISTING LOT COVERAGE: 21.1% (1,700±S.F.) .. PLAN REFERENCE: BOOK 26, PAGE 113 PROPOSED LOT COVERAGE: 23.0% (1,856±S.F.) ASSESSORS MAP: 20i MAXIMUM LOT COVERAGE: 25% PARCEL: 61 i OVERLAY DISTRICT: NOT IN A ZONE II ZONING DISTRICT: R-25 FEMA FLOOD ZONE "C" AS SHOWN ON SETBACKS: FRONT 30' ZONE DISTRICT: PANEL 250015 0005 D SIDE 15' DATED 7/2/92 REAR 20' NOTE: SEP11C SYSTEM DEPICTED ON THE PLAN IS ' COMPILED FROM RECORD INFORMATION AT THE TOWN OF YARMOUTH BOARD OF HEALTH. CB/DISK FND MARY BALEGNO ^o ASSESSORS MAP 20 PAR&L 60 S -58'02'00" E 53.00' i 20.2' Tn GARAGE 'n to 6 �. 20.2' GAs �� — 6.0' METER 16.9' 0 to (i1 N I N 19.2' VC C l±t1t 2 STORY RC?D� 1ic�t�� WOOD FRAME 7.8' HOUSE I #22 a STAIRS 10.9' 1 MASSACHUSETTS � OCTtiM 192 2004 PREPARED FOR: Ms. CRISTIN LUTTAZI Cli SAN FRANCISCO CALIFORNIA 94123 *r. f.l d 11ll }ll szaJ iiL11aee 5 1Jy,'lr7 i. C) 2004 The BSC Group, Inc. ICNO 0 1.25 2.5 5 was r PROJ. MGR.: CRAIG FIELD I CALC./DESIGN: P. HAGIST DRAWN: P. HAGIST 28.1' FILE: 8755—CPP.DWG DWG. NO: 5475-01 SHEET 1 OF 1 JOB. NO: 4-8755.00 _... _ �� _ ---- 35.9' 0 6.0' N co APPROXIMATE ul LOCATION OF EXISTING SEPTIC W Ui W a a�0 wl0 0 wl I I I I I CB/DISK FND N /F RICHARD W. PECKHAM UAP 90 I CERTIFY TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY °INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE C RECT. oF� Ca t� PRnFFSSInNAI I AND SURVEYOR DATE CERTIFIED PLOT KLAN WITH PROPOSED ADDITION 0 00 N F CRiSTIN F. LUTTAZI & DANIEL R. ROSENTHAL! ASSESSORS MAP 20 PARCEL 61 8,056±S.F. THE LOCUS PARCEL INCLUDES LOT 118, I THE WESTERLY PORTION OF LOT 119 AND A TWO (2') FOOT PORTION OF LOT 120 AS DESCRIBED IN THE RECORD DEED BOOK 18727, PAGE ` 30. i 558'02'00"E 53.00' CB /DH FND EDGE OF PAVEMENT PARK A (PUBLIC 40' WIDE) WEA( MUST CONFOFO, TQt}m BYUMWS A4110 REGUI TION YAFR 5/0� UUTH WA �T:R !?EPI 0o4TE WEST YARMOUTH MASSACHUSETTS (BARNSTABLE COUNTY) OCTtiM 192 2004 PREPARED FOR: Ms. CRISTIN LUTTAZI 2949 OCTAVIA STREET SAN FRANCISCO CALIFORNIA 94123 *r. f.l d 11ll }ll szaJ iiL11aee 5 1Jy,'lr7 i. C) 2004 The BSC Group, Inc. SCALE: 1 " = 10' 0 1.25 2.5 5 was 0 5 10 20 nuc PROJ. MGR.: CRAIG FIELD FIELD: D. GAZZOLO / J. MCCARTIN CALC./DESIGN: P. HAGIST DRAWN: P. HAGIST CHECK: CRAIG FIELD FILE: 8755—CPP.DWG DWG. NO: 5475-01 SHEET 1 OF 1 JOB. NO: 4-8755.00