HomeMy WebLinkAboutRecorded Deed Restriction and Application t
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"'� „ � 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
M�a�� Telephone(508)398-2231 ex� 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 49 Shaker House Road , shown in Town Assessors Book dated 2017 , Map '
115, Parce1208_ As Deed is recorded at the Barnstable County Registry of Deeds, on the Deed '
Book 6378 , Page 221 .
� 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 39 dated Julv
� 20, 1964, and recorded on the Plan Book 187 Page 149.
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.� The engineered plan prepared by Punkhorn Services , dated Februarv 24, 2017, Revised April
� 12, 2017 approved by the Health Department on April 12, 2017 , requires a maximum, not
�, to exceed: �
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x (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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� Yarmout Ith Department:
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��',, ruce G. Murphy, He th rector, R.S., C.H.O. Date
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� Owner/Representative: I
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o I have read and fully understand the conditions of the above restrictions
° and accept them as written:
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� Bernard J. Sissens, Owner Date '
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� Clare J. Sis s, Owner Da e
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� 49 Shaker House Road RECEI D
Yarmouthport, MA 02675 !
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BARNSTABLE REGISTRY �F DEEDS
John F. Meade, R@glSt@f HEALTH DEPT.
� .og`Y''� TOWN OF YARMOUTH
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"~ ,',� 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
������ Telephone(508)39&2231 ex� 1240, Fax(508)760-3472
BOARD OF HEALTH
April 12, 2017
Mr. &Mrs. Bernard Sissens '
49 Shaker House Road �
Yarmouthport, MA 02675
RE: Two Bedroom Deed Restriction 49 Shaker House Road,Yarmouth,MA
Dear Mr. &Mrs. Sissens:
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 Barnsta.ble 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 further questions,please conta.ct this office at 508-398-2231 X1240. Thank you
for your prompt attention.
� Sincerely,
• C ��
. von Hone,R.S., C.H.O.
Assistant Health Director �
cc: file
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� °� y TOWN OF YARMOUTH Boardof
� Health
° 1146 ROL7TE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 -
++�..►o Telephone(508)398-2231,ext. 1241 Health
Fax(508)760-3472 Division
APPLICATION FOR TITLE 5 DEED RESTRICTION
T'he 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 208 Address 49 Shaker House Road
2. 'Fl�e property deed is recorded at the Barnsta.ble County Registry of Deeds in
Deed Book �,g7R , Page 2�� or Land Court Certificate
3. The lot indicated above is shown on a plan of land en�titled: Subdivision Plan.of and in
Yarmouth, Mass for Robert W. Luby l.���i�" ,dated 20 1964 .
The plan of land far the lot is recorded at the Barnstable Co ty Registry of Deeds in Plan
Book 187 Page 149 or Land Court Pl�n ,
4. The engineered septic plan has been prep�red by p�p.�horn �ervi�s
and dated February 24,2017 �,.y�
5. Board of Health approval date
6. The number of bedrooms is restricted to 2
7. Owner Name: Bernard J & Clare J Sissens
Address: 49 Shaker House Road
Yarmouth Port, MA 02675 :
The required information supplied to this department for the application of a Title 5 Deed
Restriction is correct as sho above.
Apph ��eG� Date �0�1"�
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