HomeMy WebLinkAbout2020 Feb 07 - Sign Off Transmittal, Plot Plan - Deck Extension �.'' o TOWN OF YARMOUTH
.. . A , HEALTH DEPARTMENT
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'mss` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: 7 rave
/1'.€11
Proposed Improvement: 47{' 1r- ,Ex° Ye' S`/ d
diApplicant: / fir' e 1-- Tel. No.. 09"--
Address: C t''G/77 4/14. Z C YJ t^ 7449 04, to Filed: .` -" �` " "`
**Ifyou would like e-mail notification of sign off,please provide e-mail address:
Owner Name: / /'-' /I',1.40#11 '/� ci C',/. 1 ' G G„-
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Owner Address: 7 (.' ave , a Owner Tel.No.:50 c- ..7:70. 2 9,,Cl
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: ihM.,-- DATE: 2 i 2 e 2-0
PLEASE NOTE
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COMMENTS/CO1DITIONS:
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TOAI OF YARMOUTH ZONING qd,
ZONE : R-25
40,
LOCATION OF SEPTIC SYSTEM
COMPONENTS TAKEN FROM
_ SETBACKS : AS-BUILT.CARD.
FRONT - .30'
• SIDE - 15'
REAR
- 20'
THE
LOCATION OF THE ORIGINAL DWELLING
SHOWN HEREON EITHER WAS IN COMPLIANCE
WITH THE LOCAL APPLICABLE ZONING BYLAW
IN EFFECT WHEN CONSTRUCTED (WITH RESPECT
TO NOR(ZONAL DIMENSIONAL REOUIREMENTS ONLY)
OR EXEMPT FROM VIOLATION ENFORCEMENT
I HEREBY CERTIFY THAT r ACTION UNDER TITLE VII CHAPTER 40A SECTION 7.
THE DWELLING DEPICTED ON THIS ' 0
PLAN WAS LOCATED ON THE GROUND PLOT PLAN
BY SURVEY ON JULY 10. 2002
AND EXISTS AS SHOWN AS OF THE IN
DATE OF LOCATION. YARMOUTB. MA.
THIS PLAN IS FOR PLOT PLAN SCALE: 1--40' AUG. 5. 2002
PURPOSES ONLY AND NOT FOR o were. SA OCT. a s OCT. 16. 2003
RECORDING. DEED DESCRIPTIONS �� `� � EAGLE SURVEY I NG, t NC
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i a: / I +"'A • R'., YaemsntM+ert. W.:02676
OR ESTABL ISH ING PROPERTY LINES. ;/G/i..:,� 3 ',` -14,',,'":=•''N
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Csob) 432-53.33
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SCANNEL
THIS PLAN IS VOID IF NOT _ _ -. • t--
STAMPED AND SIGNED IN RED. n
0 20 40 80 PROJECT NO. p2,4 .