HomeMy WebLinkAbout2021 Sign Off Transmittal - Addition �: -Y%,�,� TOWN OF YARMOUTH
00; HEALTH DEPARTMENT
�• ` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
UN O 9 2021
7o he completed by Applicant. HEALTH DEPT.
Building Site Location:
, Lie.
C (\A (As; r
Proposed Improvement: g �C 2 a A ) `3.tA
Applicant: 1 /\T\ b ( d; S ° 1 Tei. No.. -SCg2 -Z S2.
Address: Li N\;l 1)i r rJ Date Filed:
**lfyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: v`'t e Fig"Km Ct.-r-1 R 'i s5
Owner Address: 5 t�''l �� v :: (\ t (A 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 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.
41.
REVIEWED BY: ,
DATE: Q DD'
PLEASE NOTE
COMMENTS/CONDITIONS:
wN=S S 7`11/ n J. t) �C? _�r
�' ) ��fy.
12.13-11 � �-
c, ait ides( S�'� �'�- Std i, v— a ci �`E+ •-� S Y e r t 4 t.
I
BATH CL BEDROOM
DIN/NG ROOM CL 1
AREA
KITCHEN
LCL
LIVING BEDROOM
FP Room 2
1 CL
FIRST FLOOR PLAN
NOT TO SCALE
UNFINISHED
BASEMENT
56 MEL VILLE ROAD
YARMOUTH
i
GREar wts
reR
w o � ROAD
� o
N 2
> D
J
2 � o
LOCUS
LOCATION MAP
/Z7 -A k
DATE
MAP 100
PCL. 119C
HYDRANT
i
o
O
O
o
56 MELVILLE ROAD
TAG T
BOL
TAGELEB LT
REFERENCES:
CERTIFICATE #144134
LAND COURT PLAN #30101—A
N 87'23'20" E 126.28'
ASSESSORS MAP 100 PARCEL 120
FLOOD HAZARD ZONE: X
PROPOSED
VERTICAL DATUM: ASSUMED
STEP
LOCATION BASED ON BOARD OF HEALTH
PROPOSED
_ -�---
MAP 100
ADDITION
GRAVEL DRIVEWAY
FENCE LINE
(TYPICAL)
41
--------------
26'
o
HEALTH lbEPf.
P
O S
CONC
a CO RG�s
PATIO
O
J
EXISTING
SEPTIC
TANK
I
DWELLING TONE
SITE PLAN
#56 PATIO
SOUTH
YARMOUTH, MA
IPREPARED
O
JAMES EATON 8c
O O
COREY RUSSO
SCALE
1" = 30' SEPTEMBER 22, 2021
LOT 2
PROPOSED
a
AREA:
12,8091 S.F.
STEP
..LEACH
(0.29± AC.)
338 MAYFAIR ROAD
SOUTH DENNIS, MA 02660
S 87'23'20" W 129.90'
508-364-9049
MAP 100
PCL. 121
OWNER OF RECORD
JAMES G. EATON JR. & COREL L. RUSSO
56 MELVILLE ROAD
SOUTH YARMOUTH, MA 02664
REFERENCES:
CERTIFICATE #144134
LAND COURT PLAN #30101—A
ASSESSORS MAP 100 PARCEL 120
FLOOD HAZARD ZONE: X
VERTICAL DATUM: ASSUMED
SEPTIC SYSTEM SHOWN IS AN APPROXIMATE
LOCATION BASED ON BOARD OF HEALTH
RECORDS
MAP 100
PCL. 76
FENCE LINE
(TYPICAL)
NI0v 2
o
HEALTH lbEPf.
P
O S
a CO RG�s
0
O
J
MAP 100
I
I PGL 75
SITE PLAN
56 M ELVI LLE ROAD
SOUTH
YARMOUTH, MA
IPREPARED
FOR:
JAMES EATON 8c
COREY RUSSO
SCALE
1" = 30' SEPTEMBER 22, 2021
GRAPHIC SCALE IN FEET
15' 0' 30' 60'
30'
DEMAREST
LAND SURVEYING
338 MAYFAIR ROAD
SOUTH DENNIS, MA 02660
508-364-9049
i �'t� c�s� pie t1t�t�tB
q
JMhE:7 F/Alvw
sCAIC