HomeMy WebLinkAbout2009 Nov 16 - Sign Off Transmittal, Plot Plan - Small Deck 01.
TOWN OF YARMOUTH
' , �' HEALTH DEPARTMENT
• ,
.. NMTYA n
`°' 6 PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 6 3 S,4 ;+k 5 Pa i n,4 2.00 c Map No.: S Lot No.:
Proposed Improvement: Srlo( de Lt o{-p- 5i d e ›f e K i SC l2 00c e
a0ped 50 9. -FA _
Applicant:j&mdm/54.0, " 4 s/PT Sp; Ic�f�j 7s-ic. Tel. No.: 7714 71-15-7-01f/7
Address: I k/co c1#4.70s 4 £(/ef7 1161C/104 A• 0152-D Date Filed:
**Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: An C►/c /`',d
S
Owner Address: .3 Si/kitr'' & S Paa44 d (,t/,Y0ia4 Owner Tel. No.:
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 four(4) 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: /90 i'JCP.,idDATE: /7.-16'r-C27
PLEASE NOTE
COMMENTS/CONDITIONS:
1.aT 4.- R loo
,
3,S$ Ac, ToTAL
c SURVEYOR'S CERTIFICATION:
Mc*" ON THE BASIS OF MY KNOWLEDGE. INFORMATION AND BELIEF.
r , I CERTIFY TO WILLIAM COLORICIC
vh THAT AS A RESULT OF A LOCATION SURVEY PERFORMED ON THE
GROUND ON APRIL 25. 1994 IN ACCORDANCE WITH THE
~ac NORMAL STANDARD OF CARE EXERCISED BY PROFESSIONAL LAND
' SURVEYORS PRACTICING IN THE COMMONWEALTH OF MASSACHUSETTS
I FIND THAT THE EXISTING POURED CONCRETE FOUNDATION IS
SITUATED ON LOCUS AS DELINEATED HEREON.
DATE: 2- ,22i / ��lL7%
1 (/ '_'� LAND SURVEYOR
Ci:i ,.
rdeo Se n ....,
` a6ixzz
f 61Y `/ '
I r
1. `- LOT S
oPOURED r— `
FCONCRETE QUEST HOUSE ,4.
T.O.F. ELEV. 1 FOLNDATION
•210'
T.O.F. IS 1.8 ft. LOT 3
ABOVE HIGH POINT
OF ROAD Q
f Mg �► gyp!'
f 100 A
%.
LOT 4 1 �. '7 b 12) w r
i
HIGH POINT
• 19.2'
ueh onfth Department I CERTWIED
APPROVED :
C1f ff
�' PLOT PLANOF LAND
IN
.0ate I W. YARMOUTH, MASS.
AS PREPARED FOR
NOTES: TELIAM COLDRICK
1. ZONING CLASSIFICATION: R-87.
LOT DIMENSION REQUIREMENTS ARE AS DETAILED SCALE: 1 In.. 100ft. APRIL 23. 1994
IN SECTION 402 OF THE ZONING BY-LAW FOR SCS i ELO BROTHERS
DEVELOPMENT. SEE BOARD OF APPEALS REGISTERED f
DECISION FOR PETITION NO. 2(Y PROFESSIONAL ENGINEERS AND LAND SURVEYORS
2. ASSESSORS' SHEET 4. PARCEL (PORTION OF Al) 101 ROUTE eJ1 - P.O. BOX 101
3. OWNER OF RECORD= WILLIAM COLDR I CIC.
SEE L.C.PLAN 4075P. LOT 100. ORLEANS. MA 023 cA
(508) 255-2098
- 0-8824
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