HomeMy WebLinkAboutRecorded Deed Restriction and Application �1-1 3 e=t`?'�,S F°���r :,5,,5,�4-
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"' „ �' 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 0266424451
�� Telephone(508)398-2231 ext. 1240, Fax(508)760-3472
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 23 Shady Rest Drive , shown in Town Assessors Book dated 2016 , Map '
98, Parcel 20, As Deed is recorded at the Barnstable County Registry of Deeds, on the Deed
Book 29720 , Page 313 .
As plan of land is recorded at the Bar�zst�ble County Registry of Deeds on a subdivision plan
� titled "Section B, Fleetwood Park in �South) Yarmouth, Massachusetts, for Lads Investors, Inc.,
� Gerald A. Mercer & Co., Inc.. Civil En�ineers" Lot 112 dated June, 1964, and recorded on the
� Plan Book 187 Page 31.
,> The engineered plan prepared by Meyer & Sons, Inc. , dated July 7, 2016 approved by the ,
q Health Department on Julv 12, 2016 , requires a maximum, not to exceed:
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� (1) the number of bedrooms not to exceed Two (2 �per design restrictions,
� (a) Title 5, Section 15.214,Nitrogen Loading Limitations
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a Yarmouth Health Department: �
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aBruce G. Murphy, ea Director, R.S., C.H.O. Date
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N Owner/Representative:
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�° I have read and fully understand the conditions of the above restrictions ��
� and accept them as written: �
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� �/ ./�,����� /��r.,��LGC_-. '�''—oZ fJ-� �
�; Shady Rest Nommee Trust Date
� Antonio Andrade, Trustee ;
,� 168 Garrison Lane �
,� Osterville, MA 02655 '
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BARN9TA�LE REGISTRI(OF DEEDS !
John F. Meade, Register �
•���Y��, TOWN OF YARMOUTH
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�- � 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
�yM��y� Telephone(508)398-2231 ext. 1240, Fax(508)760-3472
BOARD OF HEALTH
July 13, 2016
Shady Rest Nominee Trust '
Antonio Andrade, Trustee
168 Garrison Lane
Osterville, MA 02655 .
RE: Two Bedroom Deed Restriction 394A North Dennis Road,Yarmouth,MA
Dear Mr. Andrade:
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, i
Barnstable. T'he 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. f
If there are any further questions,please contact this office at 508-398-2231 X1240. Thank you
for your prompt attention.
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Sincerely, i
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y L. von Hone, R.S., C.H.O.
Assistant Health Director
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HEALTH DEpT
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_�� Lot `7�U Address `Z� ,��� +.-l�12[.3,j'�11�(-�t t/� ,, S, %r�/►�-�j�
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book� Page � i3 or Land Court Certificate
3. The lot indicated above is shown on a plan of land entitled: ��i�.1 (� , �(w�o�
�_{ �'�+.,� %s�+2M-��—H�- , dated Ti�,•� 19 S�
The plan of land for the ot is recorded at the Barnstable County Registry of Deeds in Plan
Book �'�`�— Page 3 1 or Land Court Plan '
4. The engineered septic plan has been prepared by ��2��f� /� ►M� �J�� ,
and dated ��j� � /�, '
5. Board of Health approval date
6. The number of bedrooms is restricted to 2
7. OwnerName: �.r�6tstD ���T�2Lt�f i�GC- Skf,A��(" /�q�y+,�rv�- ��5�-
Address: ��� (�fk(Zl�ttS� U�.r��"
�`��Jt c�.��-- r�— �26
The required information supplied to this department for the application of a Title 5 Deed
Restriction is correct as shown above.
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Applicant CZ.�i}'.� C��d— Date �2 :
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� °� y��. T 4 W N � F Y A R M O U T H Board of ;
�. � Health �
= 1146 ROUTE 28,SQLTTH YARMOUTH,MASSACHUSETTS 02664-24451 i
'�.�►e Telephone(SQ8)398-2231,ext. 124.1 Health !
Fax(508}760-3472 Division
APPLICA'I'TON FOR TITLE 5 DEED RES'I'RIC'�'ION
The information requested below must be accurate and completed in full to ensure the deed restniction
can be completed properly and in a timely manner.
1. Town of Yarmouth Assessor's Book(most current): '
Map 98 Lot 20 Address 23 Shady Rest Dr. , South Yarmouth. MA 02664
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book 29720�page 313 or Land Court Certificate
3. The lot indicated above is shown on a plan of land entitled: Section B, Fleetwood Park
in South Yarmouth for LADSINVE•STORS INC. ,dated June, 1964
The plan of land for the lot is recorded at the Barnstable Counry Registry of Deeds in Plan
Book 187 Page 31 or Land Court Plan ;
4. The engineered septic plan has been prepared by
and dated
5. Board of Health approval date
6. The number of bedrooms is restricted to two (2)
7. Owner Name: Antonio Andrade, Trustee of the Shady Rest Nominee Trust
Address: 168 Garrison Lane
Osterville, MA 02b55
The required information supplied to this department for the application of a Title 5 Deed
Restriction is conect as shown ahove.
� Applicant Date
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05/20/10
� J��/l�/201�/WED 05: �3 "nM Today RE - �vlle F�X No. 50$7�013$� F, O�`/001
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TRANSACTION REPORT
JUI,/12/20 �6/'�UE 0� : 23 PM
FAX ( TX)
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'�HE FOLLOWING DATA COULD NOT BE SENT .
PT�EASE GIVE TIiIS TRANSACTI�IV REPORT TO SENDER .
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Fti�(;!1$�7[�Q-3+17w Div;;:i��i�
APIPLICATIO�T FO� Tx'�L� 5 A��p �.i�ST�C�'�ON
T71e informstioq Te�uested baloK���ust be accuzate and ca�-npleted in fu11 to ensure d�a deed restricti4n
can 6�coi�7pleted peoperly and in a timely�r�aianer.
Z- Town of Yari�nouth Assessoc's BooIc(most curr�nt):
Ma�. .�R Lot ?.O Address_�.'j .SN� '7 ►'�'�./kLi v� S,y�,vr►-►�,��
Z. The,property deed is recvrded at the Ba,rn,stable County Registry of Deeds in
Ueed Baoic� Page � �3 ve�.�.tad CQurt Ceetifi�ati� ,
., �V �� '�C� ��t'G���l�c'�r �'C6���.f.CGi-f(LS � �� ��� �
�. The Ivt indieated above is sl�o��n o� a p�Q�vfl�nd ent�tfecl;_�'��� t3�, f'---�-��wo��,� ��f ,
p,�K J�..► ,,�'��.�`i� �.a � ,��S�c'�G/��llZ- dated Tv,•� r C C��� �_�/�¢�
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The plan of 1a��d for the ot is �ecarded a the�a�scabCe Co�uttty�te�lst�y of D�eds in Plan
Book '�`}�Page 3 ! __ or Land Court P(ar� _
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4. The engineered se tic plan has been prepared by ��R12��.f � ►�t1� '��Q f
euzd dated �� ;� �—7-1� ,
5. 8vard af Health approval date �– �� – ��,
6. Th�number of bedroo�ns is restricted to �
7. OwnerNa�ne: �r t�t�'��3 �c�t9,�(,�'9� ,i 2t.c.S;�C S k4�9�l�F�-Cr /v�i�ir.r� i R.c.�-,��'
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Addres�: �t�c`� �F{t CZ�S� �NG
t���Rff t(rt.I� W�1-� c�?�.�
The r�quired infoimatio�i svpplied to this depa+rt,�rlent fqrthe�ppl'sc�tiott of a Title$ Deed
Res�e-iction is corrett as shown abave.
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