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HomeMy WebLinkAbout2019 Apr 16 - Sign Off Transmittal, Plans - Sunroom .df:Yditlyy TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: t EY SCS �1 �►�7 Proposed Improvement: Add /1.- X «' S(!11 rod i°l otepp J 1O * Applicant: 111 LiT o ' (i c . Tel. No.: 1509 -9'1c-030 Address: I G -21 0(1-etk A ( 1`tA , i�G�Vh(AA MA Date Filed: V:"-K, **Ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: C k r' �� 1 e r' F r-P�m c °1 Owner Address: 2,1 Ei cSG,ry W Owner Tel. No.: 9-78— 74 - i 30l 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: 6///6/e/ PLEASE NOTE COMMENTS/CONDITIONS: C Lo cSte► Jt plZi © � 1`o G 5(--� 20v-4-- �i�" a ".-. a ' `::= s _ _•..ems.. 7k.-- -� „ a"" "`'s,. 1 �, . 's" "'ice' .pRz.,i, - - _ `I .. +.11111111111. ,411.111111.. t s }` ! Marisa Garr4ty 16)L 3rteans Ro 1 East Harwich MR, 02b45 X08=945-0300 21 Erickson Commonwealth of Massachusetts Pr -. - / Title 5 Official Inspection Form .s - ,, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments -.• 14-- / Eri t k sop, IAA . Property Address n l C b.';ed Owner Owners N e . 1 I ///information is S0 u•f l lktii.e 4 414 sa ub`� 2//s,'required for everyIT,� State Zp Code ction page. 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 0 drawing attached separately vJ & i Way 1 ROOT r . - at , :41 o IuIflu . .E3--.E3----j _ 3 . R-: 32.0 d ; a3.d 3 3 9. 1 3 - S. ! /I: i'-a Lit c 3q.O t5inedoc•rev.6116 The 5 Olfidal Inspection Form:subsurface sewage e Disel System•Page 15 of 17 MAG Q SET UP'71�� oy Ci IP FND 0 2019 Moran Engineering Associates, LLC ON ou -W# CKs �oy Rj ae 0 /ZO6 R .o5. Proposed Sunroom Addition (on open tube & post foundation) �O Existing Septic Sstem \ (Location per 1711/18 septic \ inspection) RECEIVED APR 161019 J� X0 HEALTH DEPT. CB/DH FND N Ire 00 N FL U J ,1� LOCATION MAP Assessors' ID: 101/135 Deed: cTF. 216,194 Plan: L. C. Pl. 28477—B Lot 47 Zoning Cornpliance 7nnG. Q—dn 7., ;i , *This property is located within the Aquifer Protection Overlay District. H OF Mq,9,7 IVA OF MgSsq �? DANIEL MICHAEP. L c�G CROTEAU u S. CIVIL " LADUE m No. 46253 No. 37560 0 p 0/STEL G�? l9 R slow Ss�o AL Ea SCALE. • 1 "=20' 0 20 40 60 �ARAN ENGINEERING ASSOC.,LLC 508-432-2878 941 MAIN STREET (RTE 28), HARWICH, MA PROPOSED SUNROOM L OCA TION SITE PLAN Prepared For: Christopher and Judith Freeman 21 ERICKSON WAY S. YARMOUTH MA PROJECT.- 19-075 DA TE.- 04/11/19 Rev. 4/15/19 (add septic system) Art.: Vl Existing Proposed Min Front Setback 30' 31.8' No Change Min Side Setback 11.61J8. ' No Change Min Rear Setback 20 139.0' 28.9' Building Coverage (J 198 sf) 251',v, max 1 (1788 sf) I 149' (1956 sf) 15.390 *This property is located within the Aquifer Protection Overlay District. H OF Mq,9,7 IVA OF MgSsq �? DANIEL MICHAEP. L c�G CROTEAU u S. CIVIL " LADUE m No. 46253 No. 37560 0 p 0/STEL G�? l9 R slow Ss�o AL Ea SCALE. • 1 "=20' 0 20 40 60 �ARAN ENGINEERING ASSOC.,LLC 508-432-2878 941 MAIN STREET (RTE 28), HARWICH, MA PROPOSED SUNROOM L OCA TION SITE PLAN Prepared For: Christopher and Judith Freeman 21 ERICKSON WAY S. YARMOUTH MA PROJECT.- 19-075 DA TE.- 04/11/19 Rev. 4/15/19 (add septic system) W y V N, tU z m z 0 W Q, t5 N 2 34fo 0,_-____.._._--� -- - - - - i lk W \` �s F C Cal in .r 94 2 /PAVED Q a � M I to U 0 uj -.a o y �oca :x LU v o o I j �o �a o . 2 ct Q 1�. v o co 34fo 0,_-____.._._--� -- - - - - i lk W \` �s F C Cal in .r 94 2 /PAVED Q a � M I to U 0