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HomeMy WebLinkAbout2021 Sign off Transmittal - Addition to include bed and bath A0N- y,1,74,,, TOWN OF YARMOUTH , ce HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: EP vi Proposed Improvement: 4 /r. 33- (j.el F'eh) t /0971/00-t S Re oce c( p C A-e c /7/ ( Applicant: /d/1 i/,2% c/v Tel. No.: _e„--(7k7 2 4/1 ?v.(, Address: 2 �i!/,�� e " v t 1` G 1 f 4) DatI F1'led: g14;?7f ?,e, **If you would like e-mail notification ofs off' oplease p Ovide#,rirail address:?��� I,S�j �%� l i�_b►')- An.� C rt.0 Owner Name: / ie?/&2Gi,f4Vi(OurialtvgicoR Owner Address: S 2j'8 & - cfrft1 .'l trter Tr` >� ti �J / 3 y? 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) — '7/-� ..-- Note: Floor plans not required for decks, sheds,'w)ndows, roofing; ,. (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: � ! DATE: 7/7 p) l PLEASE NOTE COMMENTS/CONDITIONS: a tri a i 'ci Ver"he g t4- >u 74 Vc00 ,nn j-�c) Li5e w/ cc, t vt 3 1-_,..cI/ v-a S, e--€ (J e w 1 ✓1 c-e J 1c (vim r2 ( /-7/ Al c= `1-0 MO i e c at on-%. q\i, 5 - (Z p LA - s 4 u-t/t-t'Yc-`t&t y __ I PLAN OF LAND IN SOUTH YARMOUTH, MASSACHUSETTS 38 EVERGREEN STREET 100.00' 85.0' S � 16,392 sq, ft, I i rn �' w in 0 o S 15.1' 15' CONC. I PAD PRO OSED ONE / STO' Y ADDITI 15.0' ISTI G BUILDING AVER GE = 6% OPC 3ED BUILDING 1VER kGE = 10% 46.9' 15' 100.00' EVERGREEN STREET AUG 2 7 2021 HEALTH DEPT. GRAPHIC SCALE 10 20 40 ( IN FEET ) 1 inch = 20 ft. OWNER: BRUCE VADEBONCOEUR 38 EVERGREEN STREET SOUTH YARMOUTH MA.02664 d ASSESSORS REF: UA MAP 42 LOT 6 N DEED REF: BOOK 30339 PAGE 50 V i � / C S KELLEY LAND SURVEYORS 246 OLD FALL RIVER ROAD SWANSEA MA. 02777 617-201-7017 ZONEING R25 MINIMUM LOT SIZE 25000 FRONTAGE 150' FRONT SET BACK 30' SIDE SET BACK 15' REAR SETBACK 20' MAXIMUM BUILDING COVERAGE 25% V i � / C S KELLEY LAND SURVEYORS 246 OLD FALL RIVER ROAD SWANSEA MA. 02777 617-201-7017 1w Zo a� WINDOW QUANTITY WIDTH HEIGHT DESCRIPTION in S-2 A 5 12'- 6" 14'- 6" 0 B 1 N T- 6" 6/6 DOUBLE HUNG o EXTERIOR DOOR SCHEDULE 9'-1" I 15'- 5 1/2" 9'-51/2" 3'-0" IF� 15'-0" 9'.Y OFIRST FLOOR 1 1/4" = 1,-0" OLEFT ELEVATION 4 1/4" = 1'-0" WINDOW SCHEDULE a� WINDOW QUANTITY WIDTH HEIGHT DESCRIPTION "N S-2 A 5 12'- 6" 14'- 6" 6/6 DOUBLE HUNG B 1 N T- 6" 6/6 DOUBLE HUNG EXTERIOR DOOR SCHEDULE DOOR QUANTITY I WIDTH HEIGHT DESCRIPTION 9'-1" I 15'- 5 1/2" 9'-51/2" 3'-0" IF� 15'-0" 9'.Y OFIRST FLOOR 1 1/4" = 1,-0" OLEFT ELEVATION 4 1/4" = 1'-0" WINDOW SCHEDULE ,I WINDOW QUANTITY WIDTH HEIGHT DESCRIPTION A 5 12'- 6" 14'- 6" 6/6 DOUBLE HUNG B 1 2' - 4" T- 6" 6/6 DOUBLE HUNG EXTERIOR DOOR SCHEDULE DOOR QUANTITY I WIDTH HEIGHT DESCRIPTION 1 2 3' - 0" T - 0" 9 LITE 2 PANEL 47'. 0" BATHROOM III LAUNDRY ROOM LIVING ROOM L��(@ BEDROOM BEDROOM C CS 12'-0" OREAR ELEVATION 1/4" = 1'-0 72 W c0 N 15.1' PROPOSED ONE STORY ADDITI 15.0' EXISTING BUILDING COVERAGE = 6% COVERAGE = 10% OSite Plan 1" = 20'-0 �1 100.00' 85.0' 16,392 sq. ft. I i O O S v CONC. PAD 46.9' 100.00' NEW EXISTING � 12 OFRONT ELEVATION 1/4" =1'-0" x, Vadeboncoeur Residence 38 Evergreen St South Yarmouth, MA 02664 For Permitting 08.26.2021 CLIENT: Bruce & Kaylyn Vadeboncoeur 38 Evergreen St South Yarmouth, MA 02664 ENGINEERING: Michele Cudilo, P.E. 123 Cottonwood Lane Centerville, MA 02632-1979 mcudilo@comcast.net Second Floor 508-737-8521 10'-0" OF U48, q MICHELE ��, CUDILO STRUCTURAL No 34774 GfSiEp'`G�a`ve !f /J �dpl� First Floor Aj-� 7 r.Z r 0" [� Grade =(x sEP 07 2021 DRAWN BY: HEALTH DEPT. Yoana Karakusheva Guzman 5 Madison Ct Nantucket, MA 02554 yoana.ackdesign@gmail.com 774-325-6705 O6 RIGHT ELEVATION TLAt� 1 /4" = 1 �-o,. FLOOR PLAN & ELEVATIONS A-1 ,I eN OFRONT ELEVATION 1/4" =1'-0" x, Vadeboncoeur Residence 38 Evergreen St South Yarmouth, MA 02664 For Permitting 08.26.2021 CLIENT: Bruce & Kaylyn Vadeboncoeur 38 Evergreen St South Yarmouth, MA 02664 ENGINEERING: Michele Cudilo, P.E. 123 Cottonwood Lane Centerville, MA 02632-1979 mcudilo@comcast.net Second Floor 508-737-8521 10'-0" OF U48, q MICHELE ��, CUDILO STRUCTURAL No 34774 GfSiEp'`G�a`ve !f /J �dpl� First Floor Aj-� 7 r.Z r 0" [� Grade =(x sEP 07 2021 DRAWN BY: HEALTH DEPT. Yoana Karakusheva Guzman 5 Madison Ct Nantucket, MA 02554 yoana.ackdesign@gmail.com 774-325-6705 O6 RIGHT ELEVATION TLAt� 1 /4" = 1 �-o,. FLOOR PLAN & ELEVATIONS A-1