HomeMy WebLinkAbout2021 Sign off Transmittal - Sunporch iy: u,V__-,I
ii 5 2021
di
DEPT
_Y'i.o. TOWN OF YARMOUTH
74*.'0 HEALTHHEALTH
ittc HEALTH DEPARTMENT
• 4 $~ , `6
- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
-SNE.
To be completed by Applicant:
Building Site Location: 25 ElmCroft Drive, YarmouthPort
Proposed Improvement:SunPorch T
Applicant:W.D.PRICE,Inc Tel.No.:774.212.2942
Address: 161 Main Street,YarmouthPort Date Filed:21/11/02
**If you would like e-mail notification of sign off please provide e-mail address:wesley@wdprice.com
Owner Name:John and Rita Masotta
Owner Address:25 Elmcroft Way,YarmouthPort Owner Tel.No.:617.306.8740
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.
ell /C A (
REVIEWED BY: DATE: l
/ as-/
PLEASE NOTE
COMMENTS/CONDITIONS:
File number: 171214-18 UNREGISTERED LAND
Attorney: CAPE COD TITLE&ESCROW Deed Book Page
Lender: Plan Book 436 Page 7 Lot(s) 5A
Owner: GARY J. OLSEN TRUSTEE REGISTERED LAND
Re,;. Book 84001 C Sheet Lot(s): 5
Date: 12/18/2017 Certificate of Title 208510
Assessors Map 132 BIR: Lot 126 Census Tract
MORTGAGE INSPECTION PLAN Scale: 1"=80'
— 25 ELMCROFT WAY, YARMOUTHPORT, MA
NOV 052021
HEALTH DEPT.
/ "
?� OWNERS
q.r• UNKNOWN
OWNERS
UNKNOWN
211
N/F LOTS 5 & 5A
WOOD 31.528 hippOSCO LOT B
OWL
2srr
,125
LOT4 o^
P.
Q ^`O
"p /&k LOT 6A
LOT 4A
•
50.00
EL WA OFT
CERTIFICATION
I CERTIFY TO TI-IE ABOVE ATTORNEY,BANK,AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR
DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO
STRUCTURAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL
LAW TITLE VII,CHAPTER 40A,SECTION 7.
FLOOD DETERMINATION
BY SCALE,THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELITJEiLTED ON A MAP OF COMMUNITY
(19
OWNERS
• UNKNOWN
OWNERS
stf UNKNOWN
4#
1.1.,•
N/F LOTS 5 & 5A �°•
WOOD 31.528 SF
LOT 6
DK'
2 sry j
i
LOT 4 s -.,,; N2s f ck
'1. /c.- LOT 6A
/o Y
LOT 4A
50.00
ELM CR OFT
WAY
CERTIFICATION
I CERTIFY TO THE ABOVE ATTORNEY,BANK,AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR
DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO
STRUCTURAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL
LAW TITLE VII,CHAPTER 40A,SECTION 7.
FLOOD DETERMINATION
BY SCALE,THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY
#25001C0578J AS ZONE X DATED 7/16/14 BY THE NATIONAL FLOOD INSURANCE PROGRAM.
�P�ZH O:c:s.:71c211,..1,ayarr ��� GARYi " ,x Olde Stone Piot Plan Service, LLC o LABR-- Tiro, i .?� P.O. $OX 1Z66 `� No. 40 -.4'�
1 �
Lakeville, MA 02347-
-.,..,,,;!:.,...,,,.„,-.,„,::. 90
Tel: (800) 993-3302
P? '�
I ' Fax (800) 993-3304
PLEASE NOTE: This inspection is not the result of an instrument survey.The structures as shown are approximate only. An instrument survey
would be required for an accurate determination of building locations,encroachments, property line dimensions,fences and lot configuration
and may reflect different information than shown here. The land as shown is based on client furnished information only or assessor's map&
occupation and may be subject to further out-sales,takings,easements and rights of way. No responsibility is extended to the landowner or
surveyor,or occupant. This is merely a mortgage inspection and is not be be recorded.
LOT NO. : , ADDRESS : 2S (m
OWNERS NAME : Fitkiray
SEWAGE PERMIT NO. : NEW: REPAIR:
DATE ISSUED: DATE INSTALLED :
INSTALLERS NAME :
INSTALLATION OF : ' / IL Oil,. .11. !L/
WATER TABLE : elf-I-ft, INSPECTION BY C,1
DRAWING OF INSTALLATION ON REVERSE SIDE : 01163
22
w7
AC)fko 3P1
•
ADDMOL4 32
recl A2�u
WO) rbrbZq
X314
ltj
1
1
i
i 1
pre p W700 car
AvVND. IA7.3'
,g
4 op
o
0
G
Woo RE4-4),,j Va4i
y f �, ny o
Sr� LTJ tv
P,�Oj)OsED