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HomeMy WebLinkAbout2022 Sign off Transmittal - Inground Pool of Yak TOWN OF YARMOUTH rc HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: 9. cv +Ch uu9t)c/ lCol Proposed Improvement: (,/bo pool. lec.pi4pvietw Y h 'c (- Applicant: 5 f L.v`'.--v (�d/LQ 5oS st-S 2 Tel. No.: Address: 9.S k,; 7ith do0cv ed S- ,1'4-(' ;,VA O.26(err Date Fi led: J 'Lj f1/a.2 **Ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: 5,Y1/4".- ,-o De-U(0/2/.0 Owner Address: 'Kr c 21- 4,4 ).„*,,,.1-4 awt Owner Tel. No.: SZaB etS-9'-3 si 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: ()I-7 DATE: PLEASE NOTE COMMENTS/CONDITIONS: p (cc ave/ Sr )(<< S2. 1 CB/DH 1 1 FND EIS71NG ` 1 D I VELLING 1 CB/DH FND ! S 77 25 50 — " ~ vQ3 SHELLS m o N STONE I w PATIO o EXISTING O SHED co WOOD DRIVEWAY 1 STEP '- o l000 pp I fn 1.1 L 28.8 APPROXIMATE PRO90SED = I SEPTIC ' 1.5 LOCA77ON K'STORY I o IV OOR RD 18'Z22x22' ' WOOD PROPOSED o � C I ` FRAMEE 91 H A No o ° HOUSE FRONT 0 1 OD o STONE #95 1' I PATIO PORCH Q w 1 I AS /l] M 58.8 � Ln NEW 4' HIGH / STAIR TO y, 18' DIAMETER BASE ENT Pool i 00 10" E 119..55' � N 716 36.1, EXISTING DWELLING00 w ro to M� rn o cA CB/DHS FND-° 120.0 LEGEND 0' S79'ST50 W 50.9 X SPOT ELEVATION C.B. ® CATCH BASIN DMH OO DRAINAGE MANHOLE CB/DH SMH OO SEWER MANHOLE FND TMH 0 TELEPHONE MANHOLE LP LIGHT POLE UPL UTILITY POLE / LIGHT NOTE: UPLT UTILITY POLE / LIGHT & TRANS. UPT UTILITY POLE / TRANSFORMER THE SEPTIC SYSTEM DEPICTED ON THIS _PAN IS UP UTILITY POLE COMPILED FROM THE TOWN OF YARMOUTH HEALTH OHW — OVERHEADELECTRIC LINE DEPARTMENT AND IS APPROXIMATE o EHH ELECTRIC HANDHOLE ® GMET GAS METER — G— GAS LINE KIERAN,1. -+ o HEAL'f N0.48135. o RFGISTER��JF`,� IERAN J. HEALY LS ATE FOR THE BSC 4ROUP, INC. REVISIONS: SrgT WITH PROPOSED LOCUS INFORMATION 05 WI TCHW®O® ROAD IN SOUTH YARMOUTH MASSACHUSETTS (BARNSTABLE COUNTY) MAY 31 s 2022 vw N!V /p PREPARED FOR: SILVINO DELLORTO 95 WITCHWOOD ROAD SOUTH YARMOUTH, MA 02664 508-815—.9311 IN BSC GROUP 349 Route 28, Unit D West Yarmouth,' Massachusetts 02673 508 778 8919 © 2022 The BSC Group, Inc. SCALE: 1 " _ 20' NO. DATE DESC. ll PROJ. MGR.: CRAIG FIELD FIELD: C. O'LEARY CALL./DESIGN: K. HEALY DRAWN: J. -PORTUONDO CHECK: CRAIG FIELD FILE: 50396=CPP-C3D(2). DWG DWG. NO: 6642-03 qlz� SHEET 1 OF 1 JOB. NO: 5-0396.0 — N I CURF ENT OWNER: SILVINO DELLORTO OVERLAY DISTRICT: APD RAFAFLA FAZOLO LLjT TITLE REFERENCE: DEED BOOK 30561, PAGE 169 NITROGEN SENSITIVE ZONE: ZONE II — Cy�p lqL ®�Rp PLAN REFERENCE: PLAN BOOK 117, PAGE 17 FEMA FLOOD "X" QO�O ZONE DISTRICT: DATED 7/16/14 — ASSE SSORS MAP: 78 PANEL #25001CO587J — LOCUS o PARCEL: 259 LONG MINIMUM LOT SIZE: 40,000 S.F. — � POND ZONI qG DISTRICT: SETBACKS: R-40 FRONT (27.2+30)/=28.6' EXISTING LOT SIZE: 12,800± S.F. SIDE 20' EXISTING BUILDING COVERAGE: 1,403/12,800=11.0% 1 CERTIFY TO THE BEST OF MY REAR 20' PROFESSIONAL KNOWLEDGE, INFORMATION �eNS PROPOSED BUILDING COVERAGE: 2,014/12,800=15.7% AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS To THE STRUCTURE AS DETERMINED BY LOCUS MAP INSTRUMENT SURVEY AND AS SHOWN ON NOT TO SCALE THIS PLAN ARE CORRECT. Gv, 1 CB/DH 1 1 FND EIS71NG ` 1 D I VELLING 1 CB/DH FND ! S 77 25 50 — " ~ vQ3 SHELLS m o N STONE I w PATIO o EXISTING O SHED co WOOD DRIVEWAY 1 STEP '- o l000 pp I fn 1.1 L 28.8 APPROXIMATE PRO90SED = I SEPTIC ' 1.5 LOCA77ON K'STORY I o IV OOR RD 18'Z22x22' ' WOOD PROPOSED o � C I ` FRAMEE 91 H A No o ° HOUSE FRONT 0 1 OD o STONE #95 1' I PATIO PORCH Q w 1 I AS /l] M 58.8 � Ln NEW 4' HIGH / STAIR TO y, 18' DIAMETER BASE ENT Pool i 00 10" E 119..55' � N 716 36.1, EXISTING DWELLING00 w ro to M� rn o cA CB/DHS FND-° 120.0 LEGEND 0' S79'ST50 W 50.9 X SPOT ELEVATION C.B. ® CATCH BASIN DMH OO DRAINAGE MANHOLE CB/DH SMH OO SEWER MANHOLE FND TMH 0 TELEPHONE MANHOLE LP LIGHT POLE UPL UTILITY POLE / LIGHT NOTE: UPLT UTILITY POLE / LIGHT & TRANS. UPT UTILITY POLE / TRANSFORMER THE SEPTIC SYSTEM DEPICTED ON THIS _PAN IS UP UTILITY POLE COMPILED FROM THE TOWN OF YARMOUTH HEALTH OHW — OVERHEADELECTRIC LINE DEPARTMENT AND IS APPROXIMATE o EHH ELECTRIC HANDHOLE ® GMET GAS METER — G— GAS LINE KIERAN,1. -+ o HEAL'f N0.48135. o RFGISTER��JF`,� IERAN J. HEALY LS ATE FOR THE BSC 4ROUP, INC. CERTIFIED PLOT PLAN WITH PROPOSED ADDITIONS AT 05 WI TCHW®O® ROAD IN SOUTH YARMOUTH MASSACHUSETTS (BARNSTABLE COUNTY) MAY 31 s 2022 vw N!V HEALTH DEPT. PREPARED FOR: SILVINO DELLORTO 95 WITCHWOOD ROAD SOUTH YARMOUTH, MA 02664 508-815—.9311 IN BSC GROUP 349 Route 28, Unit D West Yarmouth,' Massachusetts 02673 508 778 8919 © 2022 The BSC Group, Inc. SCALE: 1 " _ 20' 0 " 2.5 5 10 METERS 0 10 20 40 FEET PROJ. MGR.: CRAIG FIELD FIELD: C. O'LEARY CALL./DESIGN: K. HEALY DRAWN: J. -PORTUONDO CHECK: CRAIG FIELD FILE: 50396=CPP-C3D(2). DWG DWG. NO: 6642-03 SHEET 1 OF 1 JOB. NO: 5-0396.0