HomeMy WebLinkAbout2022 Sign off Transmittal -Barn/Studio TOWN OF YARMOUTH;.414, HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant. 1 7�
Building Site Location: 169 C? ev-Sf ro �1, a `Hoo "r /1p 1 t o 7S
-
Proposed
Proposed Improvement: V "' I V .7/0 — j�t� (3,..---2)2)
I✓e w Se.w cu' L Lk.
L'r �� ✓c� a- Bel 0 % J ,
Applicant:
3 PhX%n -F 1 Gtt/bOf'1GL (' Tel. No.: 3q 7'12-3-600
1
o
rrPx‘i
-,•0\e 2c4 C( . g- 2 i
Address: /6 9 Ce k-K-'S t - C-1 d✓rt&t ( Date Filed: " ZD ZZ
2
"If you would like e-mail notification of sign off please provide e-mail address: C& pCCa. 6®CowlC /,1- .
Owner Name: S ke -t a 4 6 d G(.v.o
Owner Address: Ito Cen -ev 5k-- )76v A., Owner Tel. No.3`g7"72 601&1
frig (:)'q)-76-
RESIDENTIAL
tE,76RESIDENTIAL 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,
Ek; 3117.M and septic system location;
(2.) Floor plan labeling ALL rooms within building
- PEAR 0 1 2022 (all existing and proposed) -
HEALTH DEPT. 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: s a D
i
LEASE NOTE
COMMENTS/CONDITIONS:
Sep-t1 C- 0-41/1/4-) c-tovs e Rte vow, r-
*amara
3// � cl �,�c� S LA
A GALA-)
du_
V4
m
N/F
PHILIP PILIBOSIAN
ASSESSORS 940
PARCEL 30
130
S65°00'300E
N%F
MI }iAEL L. LE RA
ASSESSORS MAO 940
PA4iCEL 33.9
IND AND HELD
N04MARk 146.
05,
AUG 0 4 2022
HEALTH DEPT.
RANI,
IEALY
NO, 401316
FOR THE BSC GROUP INC.
3EST OF MY
INFORMATION
LOT CORNERS;.
'KS TSS 'THE.
MINED BY
4S SHOWN ON
®' D
PLOT A
CP�{ — �' — ""^ti q+�E.E✓p Y9Ysy V Q p
169 CENTER STREET
8 2010i
+ IN
1
1YARMOUTH
1
MASSACHUSETTS
1 f ttdl�22.22 c
I r axr ATE 9Ath¢TAIN 12" !
I 1 WCATON OF mOF COWR (BARNSTABLE COUNTY)
1 EtTtEPT1 22.0!
9,01 1 r
ll PROPOSED l ROPOSED
} _ 28'x36'' COVERED
N/F � DAWN r , ENTRY PROPOSED BARN
1 S EPHEN F, & EVA M. SLAB GRADE 23.9
CAREIONAR
MAP
sES94, & SEPTIC TIE IN
p I PARCEL140
t 32
}�
r,vcxi ILL
r 2' 1
i i7$ 'FA-1pN PROPOSED
f 1mv W�2t. 22 is D AEWAY JUNE S, i 2
CHIEN
N/F
NG JUAN 3z 4' � 5T 1� 000
�
ASSEORRCSE MAP' 140 1 DECK
PA31
d STORY YA%D
H
fHOUEE I } C3
I LL 1 MICHAEL L/FLETTERA
rr
ASSESSORS MAP 940 50? PARCEL 33,2
STOOP
tom.. s }.
1
AN
CENMR
1 ,�DiAI� K tttfE 1 G �
w I p
I
#P YS'32'ip"
ya5
(PU8410 4iT t4IDE)
,. — — —M — .-- — ,.....
NOTE:.
THE SEPTIC SYSTEM DEPICTED ON THIS PLAN IS
BASED ON INFORMATION FROM THE TOWN OF
YARMOUTH HEALTH DEPARTMENT, AND IS
APPROXIMATE. IT IS TO BE CONFIRMED AT TIME -
OF CONSTRUCTION,
PREPARED FOR:
STEPHEN CAR80NARO
169 CENTER STREET
YARMOUTH PORT, MA 02675
REVISIONS:
Q
LOW
1 N FORMATION
LOCUS
NO. DATE
DESC.,
cu,
�2 #�
CUR
ZENT OWNER:
STEPHEN
F. &e EVA M.
CARSoumo OVERLAY DISTRICTd
NONE"
TITLE
REFERENCE=
BOOK
21511, PAGE 35,0 NITROGEN SENSITIVE
_
ELLISGIj
PLA
BOOK
ZONE:
NOT IN A ZONE If
_
y
REFERENCE:
242, PAGE 39
FEMA FLOOD
U,
ZONE DISTRICT;
"X° DATED 7/96/14
S7
ASS
SSORS MAP.,
140
PANEL 25001005781
PARCEL:
32
MINIMUM LOT SIZE:
40,000 SaF
ZON;
C DISTRICT:
R-40
-
SETBACKS-
FRONT
30'
EXISTING LOT SIZE-
31,1I� � �<
I CERTIFY
TO THE f
SIDE
REAR
20`PROFESSIONAL
EXISTING BUILDING COVERAGE:
1,636/31,112--5Z7.
KNOWLEDGE
2V
(HOUSE, DECK, PORCH, SHED)'
AND BELIEF
DIMENSIONS
THAT THE
AND SETBA(
Af
PROPOSED BUILDING COVERAGECOVERAGE2>66$/39,192$.6l
STRUCTURE
AS DETER
LOCUS MAP
(HOUSE, DECK, PORCH, SHED x& BARN)
INSTRUMENT SURVEY AND
THIS PLAN ARE CORRECT.
NOT TO SCALE
t
N/F
PHILIP PILIBOSIAN
ASSESSORS 940
PARCEL 30
130
S65°00'300E
N%F
MI }iAEL L. LE RA
ASSESSORS MAO 940
PA4iCEL 33.9
IND AND HELD
N04MARk 146.
05,
AUG 0 4 2022
HEALTH DEPT.
RANI,
IEALY
NO, 401316
FOR THE BSC GROUP INC.
3EST OF MY
INFORMATION
LOT CORNERS;.
'KS TSS 'THE.
MINED BY
4S SHOWN ON
®' D
PLOT A
CP�{ — �' — ""^ti q+�E.E✓p Y9Ysy V Q p
169 CENTER STREET
8 2010i
+ IN
1
1YARMOUTH
1
MASSACHUSETTS
1 f ttdl�22.22 c
I r axr ATE 9Ath¢TAIN 12" !
I 1 WCATON OF mOF COWR (BARNSTABLE COUNTY)
1 EtTtEPT1 22.0!
9,01 1 r
ll PROPOSED l ROPOSED
} _ 28'x36'' COVERED
N/F � DAWN r , ENTRY PROPOSED BARN
1 S EPHEN F, & EVA M. SLAB GRADE 23.9
CAREIONAR
MAP
sES94, & SEPTIC TIE IN
p I PARCEL140
t 32
}�
r,vcxi ILL
r 2' 1
i i7$ 'FA-1pN PROPOSED
f 1mv W�2t. 22 is D AEWAY JUNE S, i 2
CHIEN
N/F
NG JUAN 3z 4' � 5T 1� 000
�
ASSEORRCSE MAP' 140 1 DECK
PA31
d STORY YA%D
H
fHOUEE I } C3
I LL 1 MICHAEL L/FLETTERA
rr
ASSESSORS MAP 940 50? PARCEL 33,2
STOOP
tom.. s }.
1
AN
CENMR
1 ,�DiAI� K tttfE 1 G �
w I p
I
#P YS'32'ip"
ya5
(PU8410 4iT t4IDE)
,. — — —M — .-- — ,.....
NOTE:.
THE SEPTIC SYSTEM DEPICTED ON THIS PLAN IS
BASED ON INFORMATION FROM THE TOWN OF
YARMOUTH HEALTH DEPARTMENT, AND IS
APPROXIMATE. IT IS TO BE CONFIRMED AT TIME -
OF CONSTRUCTION,
PREPARED FOR:
STEPHEN CAR80NARO
169 CENTER STREET
YARMOUTH PORT, MA 02675
I
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I
I
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I
I
I
fRO IST 5CALE ,4 _ 011
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MAR 012022
HEALTH DEPT
PROP05ED GARAGE/WOKK5HOP FOR:
Ry?er EVA � 5TEVE CAR13ONARO
® IN: sCAe. oR um3: DAM
& wilcd
YAKMOUTHPORT; A. 4' = 1'-0 DAr 4/14/21
SURVEYING ENGINEERING ON: eEv; ED:
HOME PLANNING do DESIGN
I GO CENTER 5TKEET Jon#
3 GIDDIAH HILL ROAD P.O. BOX 439 ALL MATERIAL5 AND MEf110D5 OF CON51 KUCTION 51ALL CONFOR'e DRANNG "JMbM
SO. ORLEANS, MASSACHUSETTS 02662 -0 THE MA55ACNLU5ET5 51 -ATE 61-JILDING CODEA55ENCE OF
TEL: 508.255.8392 FAX: 506.240.2306 Sf'ECIFIC ITEM5 FROMDKAVVING5 DOE5 NOT FELIEVE ANY PARTY A I OF.. I
ryder—Wllcox.com FKOPd CODE R'EQUIREMENT5.