HomeMy WebLinkAbout2021 Sign Off Transmittal - Addition TOWN OF YARMOUTH
*IA 1. HEALTH DEPARTMENT
-`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: j fes! VVe'tC* • G'jt /./(1)/14(.,>14--<.7.
Proposed Improvement: ' )y j jC ef 1,1",
e c, '`-.
Applicant: ,e;Lf {{6r< Tel. No.5°0— ()3` 60)\.
G�67;
Address: 6 //�Pv/ t�,P Dia , �. )46,ev ''uTC, frz'4 Date Filed: .11/ ' cC-(a.('
**Ifyou would like e-mail notification of sign off,please provide e-mail address:
Owner Name: M/ t tf.)L,/ A
Owner Address: ,/ 1/al �GT if 4,t1. 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,s, water line location,
and septic system location;
z�\ (2.) Floor plan labeling ALL rooms within building
,N\\ (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.
� r
REVIEWED BY: DATE:
PLEASE NOTE
COMMENTS/CONDITIONS:
Map 23
Parcel 308
(8.8)
Ns \
(8.2)�
Cr
( 0
NOTE:
LOCATION OF UTILITIES IS APPROXIMATE AND ALL
UNDERGROUND AND OVERHEAD UTILITIES MUST BE
DETERMINED IN THE FIELD PRIOR TO COMMENCEMENT
OF ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO,
REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES
AND THE LOCAL WATER DEPARTMENT.
Map 23
Parcel 319
S6 Sg 4s
(8.0) F
/ 1�
Existing 0 04' 8
Septic
Aser
Built -'!' o
Zone R-25
25,000 Sq. Ft.
150' Frontage
Setbacks
Front 30'
Side 15'
Rear 20'
Maximum Coverage: 25%
Existing Coverage: 11.1±
Proposed Coverage: 14.4±
tN
/ \ % (7.8)
Patio i .01
___ Proposed /
(10.2 / Slob / Addition zo / Q)
Grade / oh /
S 1.0 /
Existing/ Jh Parking ! tj n ` ^�
House #1 SCJ
Porch TOF EL = 11.8 I 3
� 130 51 \(7.6)
}\ 10.5) 31.0, / U
1
[ Parch 10 // Q) `
-00.5)
W �.
/ Lot 5 CO
/ 12,906± SF l 0 -
Catcfl B '
1` r TBMEL=6.7HEALTHEM?eP�T. Q�C (7.5) „
No.
Silt LULUS
NOT TO SCALE
71?' 11.) Assessor's Map 23 Parcel 309
�1 2.) Bk 33143 Pg 283
3,) PL BK 10 PIS 53
4, This property is not in a Wellhead
Protection District
5,) This property is in Flood Zone AE
Firm Map 25001CO588J Dated 7/16/14
Flood Elevation = 11
6,) Elevation Datum NAVD 88
Site Pian for
1 Florence Lane
Prepared for:
LF.wis Bay Management LLC
t'4 He-it(wp Drive
West Yarmouth, MA
Proposed Addition
West Yarmouth, MA
Prepared by:
All Cape Septic and Survey
618 Route 28
West Yarmouth, MA 02673
(508) 771-4200
al(copeseptic@gmoil.com
April 7, 2021 I Sheet 1 of 1 I By. MAI Check: SM I AC -292
Revised: November 17, 2021
GRAPHIC SCALE
( IN FEET )
1 inch = 20 ft.
Dwg. AC -292
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