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HomeMy WebLinkAbout2016 Nov 01 - Sign Off Transmittal, Plans - Change In-Law Apt into Garage oti Yqk TOWN OF YARMOUTH HEALTH DEPARTMENT `' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 1. /4fibi4/1-(/ DI ✓C Proposed Improvement: 'Tr h GXi 544 I v?• I +-� - Qd4X404,1 iv, f0 /a E -- vve j9aft,(o©wt Avi l )<Vtctie vl C Applicant: D I-.o dSI ('0( 'vi c Tel. No.: S`Uq 3 %%v,2 Address: 7"V /42/ ././51 Yrftift-,ec/4 / ��6 7� Date Filed: I i/ / I **Ifyou would like e-mail notification of sign off please provide e-mail address: 'b I C Lt f\Zo✓' Owner Name: ' J Ovi es Owner Address: I " i&-V14%(/7;0vE_ Owner Tel.No.: t )44.aii U N I' a%75— RESIDENTIAL rRESIDENTIAL 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: 7 /C. PLEASE NOTE COMMENTS/CONDITIONS: N N 80 '°7" N 120.52 Cl 16.0'6°' 23 2' 54.5' N 5.0 N Proposed 5x22' 37.8' /j, k Lot 2 CO addition N 20,014± S.F. 0.5± Ac. `Q. '1 37.8' ►;ch 8.6 --.,.3 .� 7.2' u) 0 z N #12 Deck _N Exist. - - Dwg. s Z w 35.5' © m S.A.S. rn ■ Locotiorn N Dor C) (API 30.3 .23 34.2' c8/DH/FNo Tr 1 % 96.47' �%�� •O0' S 8126'S3" W •�6' -or - - NE RAD E1 NOV 01 2016 HEALTH DEPT STREET ADDRESS: 12 YEOMAN DRIVE TOWN OF YARMOUTH ZONING ASSESSORS MAP 75 PARCEL 25 BY--LAW OWNER: GARY C. JONES DEED REF.: BK. 22965 PG. 63 ZONE. : R-40 PLAN REF.: PL. BK. 292 PG. 23 LOT 2 (Non—con forming) I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THE DWELLING SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS OF THE ZONING BY—LAW FOR THE TOWN OF YARMOUTH. PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE - .k PLANS OF RECORD AND VERIFIED "AS—BUILT" ON THE GROUND. ; kyr µ PLOT PLAN No THE DWELLING DEPICTED ON THIS : :041;' = -SHOWING PROPOSED ADDITION PLAN WAS LOCA TED ON THE GROUND / l L4 -',; IN BY SURVEY ON OCT. 13, 2016 AND l �'�i"t""`� EXISTS AS SHOWN AS Of THE DATE f �� YARMOUTH, MASS. OF LOCATION. l }1 SCALE. 1".40' OCT. 27, 2016 AA' THIS PLAN IS FOR PLOT ?LAN (! " TERRY A. WARNER, P.L.S. 70„:7!PURPOSES ONLY AND NOT FOR f• \, 22 LONG ROAD RECORDING, DEED DESCRIPTIONS, HARWICH, MA. 02645 OR ESTABLISHING PROPERTY LINES. (508) 432-8309 THIS PLAN IS VOID IF NOT ® ... 4,,, STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT NO. 16-296 __y J 1 I ,91/£l Z5 X."2 + ..o —,SZ .91/£l ZS X .4482 D 0 r - O -0 a r s 1 1 1 D 1 I I 1 1 Q 1 1 1 1 1 D 1 1 1 1 i 1 1 I 1 1 1 4 t 1 1 1 1 D 1 1 1 p c i• r-------------------------------------------------- r --- -----------r O 1 I 1 1 1 0 I 1 1 t I 1 1 1 1 I I 1 1 1 I 1 - 1 1 I 1 1 I 1 1 1 1 1 .,Q 1 1 1 �•G i 1 1 v, 1 a 1 J I'' 1 1 - W I I I 1 1 I Of I 1 1 1 CD 1 I 11 1 a 1 W - 1 t 1 1 1 1 1 d% _ I•-------------1------------------------- --------------- ---� p --------' p �I I vQ pa .v o• • vl4 o va .v o• . v 4 y va .v o. v 4 o va .v o. v v v 1 t p •- ---- -----------------------------------------------------------+--------------- Q--------' - "o 'Iez 1 1 1 1 1 1 1 1 1 . 1 1 d 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 d 1 I b 1 1 1 1 1 1 1 1 1 s 1 1 1 D 1 I I 1 1 Q 1 1 1 1 1 D 1 1 1 1 i 1 1 I 1 1 1 4 t 1 1 1 1 D 1 1 1 p c i• r-------------------------------------------------- r --- -----------r O 1 I 1 1 1 0 I 1 1 t I 1 1 1 1 I I 1 1 1 I 1 - 1 1 I 1 1 I 1 1 1 1 1 .,Q 1 1 1 �•G i 1 1 v, 1 a 1 J I'' 1 1 - W I I I 1 1 I Of I 1 1 1 CD 1 I 11 1 a 1 W - 1 t 1 1 1 1 1 d% _ I•-------------1------------------------- --------------- ---� p --------' p �I I vQ pa .v o• • vl4 o va .v o• . v 4 y va .v o. v 4 o va .v o. v v v 1 t p •- ---- -----------------------------------------------------------+--------------- Q--------' - "o 'Iez 1 1 1 1 1 1 1 1 1 . 1 1 d 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 d 1 I b 1 1 1 1 1 1 1 1 1 s 1 1 1 D 1 I I 1 1 Q 1 1 1 1 1 D 1 1 1 1 i 1 1 I 1 1 1 4 t 1 1 1 1 D 1 1 1 p c i• r-------------------------------------------------- r --- -----------r O 1 I 1 1 1 0 I 1 1 t I 1 1 1 1 I I 1 1 1 I 1 - 1 1 I 1 1 I 1 1 1 1 1 .,Q 1 1 1 �•G i 1 1 v, 1 a 1 J I'' 1 1 - W I I I 1 1 I Of I 1 1 1 CD 1 I 11 1 a 1 W - 1 t 1 1 1 1 1 d% _ I•-------------1------------------------- --------------- ---� p --------' p �I I vQ pa .v o• • vl4 o va .v o• . v 4 y va .v o. v 4 o va .v o. v v v 1 t p •- ---- -----------------------------------------------------------+--------------- Q--------' - "o 'Iez