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HomeMy WebLinkAbout2022 Sign off Transmittal - Sunroom Addition TOWN OF YARMOUTH - = ..• r HEALTH DEPARTMENT ;Y 22 �• ` PERMIT APPLICATION SIGN OFF TRANSMITT L SII '11F-I DEPT. To he completed by Applicant: Building Site Location: S':17-- ru KY/Y i c-J c -1 A *AP P0/Z Proposed Improvement: /04,14 (3...) Sc?G,s4:, C)Q Al Applicant: %)i i OrnrJ r / Tel. No.4' 08- 1t— ' 1 �) Address: PO S► 11 i 1%JLs 1 c:ArNi' /'lobs. O 6-70 Date Filed: /ll/ 6 **/f you would like e-mail notification of sign off, please provide e-mail address,/r"i)iot 1 t,l ;r U 7E a 5 4 erti c y J Owner Name: 6' b f 1,-\006- 3 Owner Address: 1- 1< T Ug,.Y P iekt,) 7 • y U (-6 Owner Tel. No±h 3 "q 33- (3 3) 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. P ni Q �1\ 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: 5--)-Nd PLEASE NOTE COMMENTS/CONDITIONS: CO D ASSESSORS M. GARY B. & SI PO BOX 832 YARMOUTH PC DEED BOOK 1 PLAN BOOK 3 NOTEsuRVEY 2. APPROX AVAILAI COPYRIGHT NO PART OF THIS DO MECHANICAL. PHOTOp ANY MODIQCATIONS N HEALTHB P > > MAP 125 LOT 2 MAP 125 LOT I NIF NIF JUNIOR EMMANUEL _ CGM REALTY TRUST 125 LOT 4 NIF Y OSCAR QJ.UV 7 crT r SCY fiG t Yq-'m ' _N ---_.I r M LOGA1'loN t'I FIT c '� FAbr 5 5 ocrvll�i I FN F 20.8 cor urs r c.(n� ms ASSESSORS OB MAP 125 LOT 5 (AREA=8,500± S.F.) � ra v�Arcr ATER NANHW 85.00' S28'46'10°E KATHARYN MICHAEL 125 LOT 5 UNIT C43A ZON B. HODGE , MA 02675 47 PAGE 28 PAGE 35 FA�I� RATIONS PERFORMED BY FARLAND CORP. IN MARCH 2022. E LOCATION OF UNDERGROUND SANITARY SYSTEM TAKEN FROM BEST INFORMATION AND HAS NOT BEEN VERIFIED 1 FARLAND CORP. ALL RIGHTS RESERVED T MAY RE REPRODUCED, STORED IN A RETRIEVAL SYSTEM, OR TRANSMITTED IN ANY FORM OR BY. ANY MEANS ELECTRONIC, RECORDING OR OTHERWISE, WRHOUT THE EXPRESS WRITTEN CONSENT OF FARLAND_CORP ^ PROPOSED 3 SEASON PORCH (16' x 10 w MAP 125 LA T 6 o o NIF o �+ ALBERT E. AREK, Z ET. AL 0' 20' CERTIFIED PLOT PLAN 37 KATHARYN MICHAEL ROAD ASSESSORS MAP 125 LOT 5 UNIT C43A YARMOUTH MASSACHUSETTS 60' 1"=20' OF M ASS � A C BRIAN �Om� MURPHY www.FeandCorp.com PREPARED FORT y IRS GARY HODGE l 21 VENTURA DRIVE 37 KATHARYN MICHAEL ROAD DARTMOUTH, MA 02747 YARMOUTH PORT, MA 02675 SC$LE:- 1 -20 . 173 9 P .508 .747 r e1NEERING A �IL 25 2022 ENG e SITEWORK� o LAND SURVEYING D WN,BY: SB ® DEVELOPMENT J913 NO: 22-151 I I ZOO ING DATA - M TRICT: R-40 DESCRIPTION REQUIRED FRONT SETBACK 30 FT SIDE SETBACK 20 FT REAR SETBACK 20 FT CO D ASSESSORS M. GARY B. & SI PO BOX 832 YARMOUTH PC DEED BOOK 1 PLAN BOOK 3 NOTEsuRVEY 2. APPROX AVAILAI COPYRIGHT NO PART OF THIS DO MECHANICAL. PHOTOp ANY MODIQCATIONS N HEALTHB P > > MAP 125 LOT 2 MAP 125 LOT I NIF NIF JUNIOR EMMANUEL _ CGM REALTY TRUST 125 LOT 4 NIF Y OSCAR QJ.UV 7 crT r SCY fiG t Yq-'m ' _N ---_.I r M LOGA1'loN t'I FIT c '� FAbr 5 5 ocrvll�i I FN F 20.8 cor urs r c.(n� ms ASSESSORS OB MAP 125 LOT 5 (AREA=8,500± S.F.) � ra v�Arcr ATER NANHW 85.00' S28'46'10°E KATHARYN MICHAEL 125 LOT 5 UNIT C43A ZON B. HODGE , MA 02675 47 PAGE 28 PAGE 35 FA�I� RATIONS PERFORMED BY FARLAND CORP. IN MARCH 2022. E LOCATION OF UNDERGROUND SANITARY SYSTEM TAKEN FROM BEST INFORMATION AND HAS NOT BEEN VERIFIED 1 FARLAND CORP. ALL RIGHTS RESERVED T MAY RE REPRODUCED, STORED IN A RETRIEVAL SYSTEM, OR TRANSMITTED IN ANY FORM OR BY. ANY MEANS ELECTRONIC, RECORDING OR OTHERWISE, WRHOUT THE EXPRESS WRITTEN CONSENT OF FARLAND_CORP ^ PROPOSED 3 SEASON PORCH (16' x 10 w MAP 125 LA T 6 o o NIF o �+ ALBERT E. AREK, Z ET. AL 0' 20' CERTIFIED PLOT PLAN 37 KATHARYN MICHAEL ROAD ASSESSORS MAP 125 LOT 5 UNIT C43A YARMOUTH MASSACHUSETTS 60' 1"=20' OF M ASS � A C BRIAN �Om� MURPHY www.FeandCorp.com PREPARED FORT y IRS GARY HODGE l 21 VENTURA DRIVE 37 KATHARYN MICHAEL ROAD DARTMOUTH, MA 02747 YARMOUTH PORT, MA 02675 SC$LE:- 1 -20 . 173 9 P .508 .747 r e1NEERING A �IL 25 2022 ENG e SITEWORK� o LAND SURVEYING D WN,BY: SB ® DEVELOPMENT J913 NO: 22-151 I I