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HomeMy WebLinkAbout2019 Mar 01 - Sign Off Transmittal, Plans - In-law Apartment _f 1 t-'Y‘ TOWN OF YARMOUTH {*tee k � HEALTH DEPARTMENTfl ,yY,`. /t2' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: ` " I 6 19 Ct ; K i� c± I { CL., t 0 • Proposed Improvement: -n - I cL ut) A p 0 ( )11(0 IA 4 —(")F P 0(..' j'` f , y4 , 1v •-eF f v , i , _ – # a ,-') 2 a ww Applicant: Oe Y\C t b-eCth 1_ 0\1h ( U i f d Tel. No. 1;z(J- ) .. 3 95 Address: -t;I 1 �`�G A A /-3 ,'` t Date Filed: 3/t I / 9 **If you would like e-mail notification of sign off please provide e-mail address: (I ,0 11 41 Ci °C?Y 1 Ire : ( Q 0 'r ( 0 ft--i Owner Name: LP n•-\ { tloci r _, Owner Address: ' I ())-P k k ur a t'1k LO L` a; i'Y�U\I/1 Owner Tel. No.: -7 1'l d i ) , i c RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For 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 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 with fee. REVIEWED BY: DATE: j/7 Jam' PLEASE NOTE 4-I V v S C c t 1' . v"--k — /...)e-(-'/ COMMENTS/CONDITIONS: i Z. n %� c,S C-14c"ed O•r� Eii ^ 1--U PC' ,(l ) !`" h C: ) )(Gvolf('t='rt�I1�pir/1,67 4„-y, PSG-, Nf si �; 4 11x1 ?,d" �f -, bt f- S it lis /0 it,/ inz-) 1 (UC me y)e •te l'Y7Gtl((, 6, ,/e ` cJ - PX `1 , 0C' Gvk _J pco po f--eci, = L,rct , ,2 F ok, 3/, f1 f!cG / ',°cam..c .(fir"f1- ..3( Y_ r , . Commonwealth of Massachusetts t1! * ,, Title 5 Official Inspection Form •i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .":-, ;,+` 81 Bettys Path,West Yarmouth M-75 P-10 Property Address Wendy Dean Owner Owner's Name inforequired fo an isy 81 Bettys Path,West Yarmouth MA 02673 March 15,2017 page. City/rows State Zip Code Date of inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below O drawing attached separately I33.-c-k_. q 5 0 nt = a3 ' 6i " .22. J c1 Q 2. ..9'64 3= '18 ' 3 :-+ 1 ` Ei • • ,, ' : i I I I I-- . , _ I I • t5ins•3/13 Title 5 0lfirid hpMion Fan:SubsuAaoa Sewage Disposal System•Papa 15 of 17 Ficoe. 1PLf 0 g'1 Bern 191AP i"coora 32biJ )ryt_6, eNosi viN 6, 8 RECEIVED MAR 04`2019 HEALTH DEPT. F- i ►2 ST r Ioo R r____________ `t`L �^' .�.......n . r. a, sem. l =...�...� cLose1 FULL �►� �� ae i, i1'Ft L L. sD; Civh (o •12: Pc.)9C f tt •I §- \iviiiiiim 5PACE ti FULL AA QiM Z -6-eOcz_OOYYa 3 \?ye D`Rbuiv) Nekw -41,c) \ ---- Ct. —\-6-e � s�'� /-... kn 9 Seco ` Loo 4 - 1 .,i ( f 1, k Ul Cn. \ ' , \ 0 j.----4 .-, '-..11, ,---- 04 ill -.., , \ , c% / OnO v v . g � N a / ij0 o Q c �y-- c a� : O m ,n io -- ' \ ' < _ f.__ �. .-- 0 0 , I ---- „.--_-,___3 . \r•ra)) C.?-.' \ •'. C-1;-i\' '' Z ,. 4►6 ,r-0-W 0 Z 4�• = Gam) \ C�j J/�'‘ 1 0 4?„, / p/U Z N iib 00 v� s% to. l� 1 , • p®i ri 1}? � O t' \ �\ - OG 62 1 W l t 0z \ii _ '1 / r h 1 c., t q v: .A'' (> u� I 1 �� '� 0 , t i c / I I ��' c9'©I q� 7 , ;, ,.:.,- \ ,� 1 r , c ,t.....„--) ...., �'_,_- • '' \ --- , A, t� s )i5 '6\ . ._ � , 0- 7g �- __.1 a G h— ,‘ Y _i- 'sti/r stranger Floors.Straighter Ceilings. Wilmington,North Carolina (800)999-9105•FAX(910)743-8)78 Fernley,Nevada (800)223-5647•FAX(702)575-6803 :e Joists ■Gang-Lame LVL •Solid Std Rtm Board•Wood-Es Software ;1-1(x) ye. LrA0171 �' .. . A '*.1M/ ttcA' ' 1 '" 1,, 0.1..0)-)tit °` RECEIVED �� 1,sa�'"s"b air�, .. i I z, rIAR 04"2019 � w HEALTH DEPT L. � u 0 t tL • .'Zi .. . --- - 1:- , 4 4 1 ..;.. 0,4. fl, a ..../t A ; .1 A t 4 44 t.:'1 4 1.4:.0.. fl ti,4 t__, 1 i ,s in B Ir . ) t- ' i 1 i '...7::$4:1 1 ki 1 000( 141004 0 ,, I 1, { A } i 3B NAME: JOB# CATION: SHEET OF .LESMAN: BY DATE .,4.F°G"d 2COM 2,9. , .. Is SOLID START® -. ck0,2,„tr+0444,40- Stronger Floors. Straighter Ceilings. 04 Wilmington, North Carolina (800)999-9105 •FAX(910)763-8178 Fernley, Nevada (800)223-5647•FAX(702)575-6803 LPI®Joists •Gang-Lcun®LVL ■Solid Starr Rim Board ■Wood-E® Software Secon c', goof LcALAOLit- RECEIVED . MAR d 4 2019 + ,�X. ,,i,, HEALTH DEPT ,1 ; A it, 0 v Fw ' "1 N ,� L b p 1 l x +h gRogoO1 * rg .. ., , ,\ A' T y h;oblok JOB NAME: JOB # LOCATION: SHEET OF SALESMAN: BY DATE 1-4-FIG-4P 200M 2/97 0, 0 ,02 ,.. ..z.., c c•.3 c,`:" 4 ,,7,..Pi,s ei lei 4"- ,...iS = "1 : QS, Cd -2),..T 0 . 4 4n en•-. •=, cel , in q:4 ...,",© lf) 41 Nr N°4))0.) '..."'..- ,ts.."' . N .:s. —, N C "Zi ., 0. = =;?..r. c. 0 " 0 ,4,, c' EN ., r- ton , 0.1.0 " O 8ef.''.. g ; cukil 4; . ..., ...., ,. C 13 ...4 . —... '4 IS'n f.41 2 on Vi VI .cjcf,{11L,,)00 0 ci...01 'a. -.?.. IA'4-41 06 eq el e4 tt 41(:)=WIMPt ''ILT'' . . CI et•-• ,... 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"'"x_c a �.K;. G...t..._.ns..,,,o.,�„ 3 �..,.J .. _ .__t ;✓ •`.��n.-..�r ,¢ '� RECEIVED HEALTH DEPT. ' ..-.... ..w.w.v. gym..-.. e..nw .ws�ea. ..... .. .. - . .. ,. - .... .. - - a+«:-+++n-.y..--+�e.,.n...-mr...-+.--•-•-'-��,..o>...:�+.vn.:._.r.F-.�tne.,.«....�......-..Q+«—....-�.n-_.-.rar.....-; vee..i-.wn.a.n..a {�y" --..._....-,.n-.-...�. .-.T.-.e--.»+,.+.-..........-..m...am.... �.-.rte.. 5/ r" 7— r LEGEND 99— EXISTING CONTOUR X 99.1 EXIST. SPOT ELEV. 0/d Townhouse Rd. PROPOSED CONTOUR [98.4] PROPOSED SPOT EL. TH1 St000 0 TEST HOLE ardino o SLOPE OF GROUND C-0-0 UTILITY POLE B �o FIRE HYDRANT NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING LICE # 18-271 Scale:1"= 20' 0 10 20 30 40 50 FEET �s i NOTES 1. DATUM 15 NAVD88 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. 4. EXISTING SEPTIC LOCATION PER TIE -CARD ON FILE WITH TOWN. LOCUS MAP SCALE 1 "=2000'± ASSESSORS MAP 75 PARCEL 10 i ZONING SUMMARY C ZONING DISTRICT: R-40 DISTRICT MIN. LOT SIZE 40,000 S.F. MIN. LOT FRONTAGE 150' ` MIN. FRONT SETBACK 30' MIN. SIDE SETBACK 20' i MIN. REAR SETBACK 20' MAX. BUILDING COVERAGE 25% ---kl-tAX.- BUILD!!\.ir HEIGHT 35' h� SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT /Ir\ A ,_ Al _ I , ,I --JE s 52 W HE EXISTING 5 BEDROOM SEPTIC SYSTEM 5 BEDROOMS PROPOSED: 4 IN MAIN HOUSE & 1 NEW ADDITION CONNECT -NEW ADDITION TO EXISTING SEPTIC TANK AS -SHOWN SITE PLAN OF #81 BETTY'S PATH WEST YARMOUTH, MA PREPARED FOR WENDY DEAN DATE: OCTOBER 11, 2018 OF V, CNOFMgs �' �'�r OF '� S 9a� , 2 G off 508-362-4541 Sqc ,ti yo DA EL ti ^^ �• q.:� To DANIEL �' A `�� fax 508-362-9880 o`er DANIELA. Gs a%moo DANIELA Gs Y1� A ` o OJALA �, OJALA "(o OJALA� OJ LA downcape.com O ' CIVIL >' C11/IL "'!" 8 c�8, : : ' O No � caps en�inc�rit inc. ;A No. 465 ' i' No. 485E72'. �Eo. 4C g A` r,.' �oFeS >� as FG�ST� 1. ���N S� :via C/V/l el7glneers Aland ��a �? �su N� �� land surveyors 939 Main Street (Rte 6A) nATF nANIFI A OJAI A. P.E.. P.L.S. YARMOUTHPORT MA 02675 18-271 1 Pol 00 0/d Townhouse Rd. Iv n St000 0 o ardino o c " C B �o suffo/k O o Locus a LOCUS MAP SCALE 1 "=2000'± ASSESSORS MAP 75 PARCEL 10 i ZONING SUMMARY C ZONING DISTRICT: R-40 DISTRICT MIN. LOT SIZE 40,000 S.F. MIN. LOT FRONTAGE 150' ` MIN. FRONT SETBACK 30' MIN. SIDE SETBACK 20' i MIN. REAR SETBACK 20' MAX. BUILDING COVERAGE 25% ---kl-tAX.- BUILD!!\.ir HEIGHT 35' h� SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT /Ir\ A ,_ Al _ I , ,I --JE s 52 W HE EXISTING 5 BEDROOM SEPTIC SYSTEM 5 BEDROOMS PROPOSED: 4 IN MAIN HOUSE & 1 NEW ADDITION CONNECT -NEW ADDITION TO EXISTING SEPTIC TANK AS -SHOWN SITE PLAN OF #81 BETTY'S PATH WEST YARMOUTH, MA PREPARED FOR WENDY DEAN DATE: OCTOBER 11, 2018 OF V, CNOFMgs �' �'�r OF '� S 9a� , 2 G off 508-362-4541 Sqc ,ti yo DA EL ti ^^ �• q.:� To DANIEL �' A `�� fax 508-362-9880 o`er DANIELA. Gs a%moo DANIELA Gs Y1� A ` o OJALA �, OJALA "(o OJALA� OJ LA downcape.com O ' CIVIL >' C11/IL "'!" 8 c�8, : : ' O No � caps en�inc�rit inc. ;A No. 465 ' i' No. 485E72'. �Eo. 4C g A` r,.' �oFeS >� as FG�ST� 1. ���N S� :via C/V/l el7glneers Aland ��a �? �su N� �� land surveyors 939 Main Street (Rte 6A) nATF nANIFI A OJAI A. P.E.. P.L.S. YARMOUTHPORT MA 02675 18-271 1