HomeMy WebLinkAbout2022 Sign off Transmittal - Inground Pool TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: (01,-)
11) S n t tL SCO-17="t - G 421
Proposed Improvement: -�
Applicant: --C`I`���� � Tel. No.:
Address: 3 2 /1 E'A...J (?-14'{ Date Filed: --)1)Z./22_
**/fyou would like e-mail notification of sign o. ,please provide e-mail address:
Owner Name: �(/ij
Owner Address: S# Owner Tel. No.: 7l
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: DATE: `
PLEASE NOTE
COMMENTS/CONDITIONS:
0
g
LOCUS
LOCATION MAP
oor JOHN N
z
DEMAREST, JR,
F#filk;L1Lm
"./Z2—
DATE
MAP 60
PCL. 233
PLD MpaN
S-�FtEET
96.94v
AREA
16,827± S.F.
(0.39± AC.)
GARDEN
LEACH
AREA
GARDEN
ki
MAP 60
PCL. 230
OWNER OF RECORD:
KERRI POWER
259 OLD MAIN STREET
SOUTH YARMOUTH, MA 02664
REFERENCES:
DEED BOOK 31112 PAGE 122
ASSESSORS MAP 60 PARCEL 232
THE SEPTIC SYSTEM SHOWN IS AN
APPROXIMATE LOCATION BASED ON
BOARD OF HEALTH RECORDS.
SITE PLAN
259 OLD MAIN STREET
SOUTH YARMOUTH, MA
PREPARED FOR:
KERRI & RICHARD
POWER
SCALE: 1" = 30' JUNE 30, 2022
GRAPHIC SCALE IN FEET
30' 15' 0' 30' 60'
DEMAREST LAND SURVEYING
338 MAYFAIR ROAD
SOUTH DENNIS, MA 02660
508-364-9049
TING
DWEWNG
# 259
JJJ OS
JJ
i
`
J
N
]JJ J1
GRAVEL
DRNEWAY I
p
�,
MAP 60
PCL. 231
J
JJJJi
j JJJi
i
i
�
SHED I
it
m
—
LLLI L
�pgi10=
SHED
JUL 01 2022
2s'
HEALTH DEPT.
20'
2G
PROPOSED
y INGROUNO
POOL
GARDEN
i
MAP 60
PCL. 230
OWNER OF RECORD:
KERRI POWER
259 OLD MAIN STREET
SOUTH YARMOUTH, MA 02664
REFERENCES:
DEED BOOK 31112 PAGE 122
ASSESSORS MAP 60 PARCEL 232
THE SEPTIC SYSTEM SHOWN IS AN
APPROXIMATE LOCATION BASED ON
BOARD OF HEALTH RECORDS.
SITE PLAN
259 OLD MAIN STREET
SOUTH YARMOUTH, MA
PREPARED FOR:
KERRI & RICHARD
POWER
SCALE: 1" = 30' JUNE 30, 2022
GRAPHIC SCALE IN FEET
30' 15' 0' 30' 60'
DEMAREST LAND SURVEYING
338 MAYFAIR ROAD
SOUTH DENNIS, MA 02660
508-364-9049