HomeMy WebLinkAbout2019 Apr 03 - Sign Off Transmittal, Plans - Family Room Addition {�t k4"fl tt6
TOWN OF YARMOUTH
C HEALTH DEPARTMENT
\s.,, c `'� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 14 `DOkl. K. (A), \Mit\
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Proposed Improvement: 1 Gr u�`� ile.bk"'' 'ateL1/ i200\,
Applicant: 1 2' I .. .► Tel. No.Sob 34°36-39
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Address: 7 - Y=-Cw-- Date Filed: q 13-11
**lf you would like e-mail notification of sign off please provide e-mail address: -141)1 %%�''t----
Owner Name: ft ) (k)1t .. .
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Owner Address: I q -\\-1 OS Owner Tel. No.: I
RESIDENTIAL AND/OR COMMERCIAL BUILDING I
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
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Please submit three (3) copies of plans, to include: 1
(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 decks,sheds, windows,roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with Tee.
REVIEWED BY: („' 11 DATE: y 1 I 9
I
PLEASE NOTE
COMMENT / ONDITIONS:
1
l CB/DH(FND)
_ CB TO CORN.
1 2.30'
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DO /'° 12.93'
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/A 30.33'° J ', '
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CB/DH(FND) �l S01'
CB TO CORN.
1.80' S 6425. C ... 0, -�
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SETBACK REQ. EXIST. PROP. / � � , WATER
DEPT DA
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FRONT 30' 30.33' N/C CB/DI-OND)
SIDE 20' 12.72' 13.08'
REAR 20' 28.08' 24.30' LOT 11
11,121 S.F.+/-
COVERAGE- EXISTING: 1,433 S.F. 12.89% 0.26 ACRES+/-
PROPOSED 1,727 S.F. 15.53%
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CERTIFIED PLOT
PLAN OF LAND IN WEST YARMOUTH, MASS.
AS PREPARED FOR JANICE R. HENDERSON REVOC. TRUST
TO: JANICE R. HENDERSON REVOC. TRUST PPLAN REFERENCE-
ON THE BASIS OF MY KNOWLEDGE & (LOT
PG.1 1 1 a-�, F�,, "
INFORMATION, I FIND, THAT AS A (LOT 11) p?vN/ —�'a\4,\ ''�
I RESULT OF A SURVEY MADE ON THE ADDRESS- /�r - `F.'
GROUND TO THE NORMAL STANDARD 14 SOUTH ROAD "I Sl``'`y ER '�ii
OF CARE OF PROFESSIONAL LAND WEST YARMOUTH �tiNo 3� 4 l
SURVEYORS PRACTICING IN THE ���IL A a! ''
COMMONWEALTH OF MASSACHUSETTS, PLAN SCALE- u;w=''`'
THE LOCATION OF DWELLING 1"=30'
IS AS SHOWN HEREON. DATE DRAWN- PAUL E. SWEETSER
-----�--- 01/16/19 PROF. LAND SURVEYOR
01/16/19 L FILE: 2399-00 P.O. BOX 1146
DATE PROFESSIONAL LAND SURVEYOR F.B.: EFB DENNISPORT, MA 02639
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