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2022 Sign Off Transmittal - New Deck J�•Y'tk TOWN OF YARMOUTH Air HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: (-'l o2 ki Proposed Improvement: r'C) 4 3 \ \ /4,_; Applicant .iJu�� ,9A Yh vf.l Tel. No.:S a 3Z7 Address: o ti� Sfi -��-f— .�,,,,�, S Date Filed: / /�I.) 3 **/f you would like e-mail notification of sign off please provide e-mail address: Owner Name: 1 a c )4 . � 1� u l S Owner Address: t j g 1r-./4,i 2 Owner Tel. No.:•-(6 2. 73 7. Ga_ 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: � t 1 ASE NOTE COMMENTS/CONDITIONS: LOCUS INFORMATION RE1IStONS. NO. DATE OESC. ® CURRENT OWNER: BROOKE C.PAULSEN OVERLAY DISTRICT: NONE — N TILE REFERENCE: DEED BOOK 33250 PAGE 107 NITROGEN SENSZOOVNE NOT IN A ZONE II _ PLAN REFERENCE: PLAN BOOK 91 PAGE 93 FEMA FLOOD ZONE DISTRICT: 'K'.DATED 7/16/2014 _ ASSESSORS MAP: 31 PANEL if25001C058BJ — Z PARCEL: 144 MINIMUM LOT SIZE: 25,000 S.F. LOCUS ZONING DISTRICT: R-25 EXISTING LOT SIZE: 8.364*S.F. — g g SETBACKS: FRONT 30' I CERTIFY i0 THE BEST OF MY cal ag S REAR 20 EXISTING BUILDING COVERAGE: 1.0121 S.F.(12.1%) PROFESSIONAL KNOWLEDGE,INFORMATION co PROPOSED BUILDING COVERAGE: 1,256*S.F.(15.0%) AND BELIEF THAT THE LOT CORNERS, EXETER RO DIMENSIONS AND SETBACKS TO THE LEGEND STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON LOCUS MAP UP UTIUTY POLE THIS PLAN ARE CORRECT. NOT TO SCALE C.B.a CATCH BASIN —OHW— OVERHEAD ELECTRIC UNE DAH® DRAINAGE MANHOLE o EHH ELECTRIC HANDHOLE SIH® SEWER MANHOLE •GMET GAS METER • \ TMH_yOL, TELEPHONE MANHOLE ' G— GAS LINE LP 'r' UGHT POLE CN GAS GATE ,.i MESON 1 UPL* UTILITY POLE/UGHT CIG PAY 3 UPLT* UTILITY POLE/UGHT&TRANSFORMER WO 0 WATER GATE N0.Mtffi pe UPT,1 UTILITY POLE/TRANSFORMER —W— WATER UNE 1 IMIO T ' 7 1/ /� R LANEII/ LY, /' SPRiNG4o w1DE FOR THE BSC GR. P INC. v - _ 10 =� oruf09.1 FOLIO 8 HELD wain, °°` CERTIFIED j` T2T1 ----� — — 1 qe A PLOT PIAN N3.1p`0i0'E ®GAS I 76.18 GATE LAMP POST 1 42 SPRINGER LANE 211. CONCRETE IN '8KE0 ° WALX FOG, SAY WEST YARMOUTH \ \ ta MASSACHUSETTS o. ' IIIII Ai _ — m.t' (BARNSTABLE COUNTY) € I _ �. PROPOSED NOW FRAME ELLI G 1 : DECK LOCATION I. SEPTEMBER 7,2022 is 24.3 — ---- t ....... 1 $ .$ : GECX` 1 10.41 A s. 1 81 i ® i RECEIVED k T 4. 6 -I. ._ JA ESSEC*JANINE P O TRS HEALTH DEPT. MILY TRUST 46 SPRINGER LANE & ASSESSOR MAP Ji N� I • PARCEL 143 %OWE C FrLSEN ig 47 ASSESSOR M LANE A��444 .J E — - II 6.2' PREPARED FOR: i 4111 BROOKE C. PAULSEN 5 42 SPRINGER LANE & WEST YARMOUTH, MA 02673 .c . brookepaulsen2425@ggma�il.ccom� 99@ zinc SYSTEM LOCATION IS BASED _ '"111 BSC G1Wllr ON AN AS-EXALT RE CARD ON FILE N IMM THE;Li ERMRO tx M'IN.ALL LOCAONS t UT/UTIES 75-09' TO EIE CONFIRMED PRIM TO ANY • N3859'A9'E LONSTRUC110N. - $T0d`"DE FENCE 349 Route 28,Unit() W.Yarmouth,Massachusetts RICHARD V SCALL s 02673 cHDUNLAP 36 OPPRINGER LAE 508 778 8919 ASSESSOR MAP SI N/F' / PARCEL 143 ©2022 BSC Gnu:,Inc CAROLYN A.L1NCH 8 CAPSTAN ROAD � SCALE: 1'. 10' ASSESSOR MAP 31 1 PARCEL 152X4eN 0 6 10 20 nu FILE 5067®D-CPP DWG. NO:6837-02 JOB.NO: 50696.00 SHEET 1 OF 1