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HomeMy WebLinkAbout2022 Sign off Transmittal - 2nd Floor Bath in UF Attic TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: ()..3.)___ Or✓ a S 5 . Y Y Proposed Improvement: oZ-tom 6 (co Applicant: t C O.(SS Tel. No.: 7 ? ("t 0 7g Address: YNG' S S. �i O�try- _ Date Filed: i c) **If you would like e-mail notification of sign off please provide e-mail address: i(t C 1 C ( `tg e, /r'c0 \\ •00`( V Owner Name: ( cgO,s.S Owner Address: o b 5to Sk CC et- 51- Owner Tel. No.:-6, 17 478- +cy-y F O (o9 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. All,REVIEWED BY: DATE: LEASE NOTE COMMENTS/CONDITIONS: i • � � V .,...,..._ ) U� _i__ . (- -b __, 4- v.- ____ i. - - \ - 0,,i-, ,7,..,4 --,-. . . ..,.....„ ,. _ c -- .1 `� I. v m ^' ii NO m 9\- -4 N o CIS - c' 0 0.-. oCis --NJ i ,77 P . - \,...___, .\ ' ,.-.t ______ . I( ' E. i o 1 Q°,e V b Former Cottage Location 46.3' ,ra 27.6' Prepared For: Pine Bass Ill LLC IC BARD CHEURS x NO. 34312 Notes: 1.) The propertj, line infor, compiled fro available 2.) The location of the structures shown was obtained by an on the ground survey performed on or between 201JUN11998 and 23/JUN/22. 3.) The datum ed is NAVD '88, o fixed mean sea level dotIm. Benchmark used: "8148" New 2 Story w/f Garage RECEIVED 01) 05 2024 DEPT.iIEWH Location Map: 1 "=2, 000±' Flood Zones: X (0.2% Chance of Flood) & VE(EL13) Based on Mop # 25001CO589J July 16, 2014 1 Sty w/f Shed Local References: Parcel Area 49,250±SF to MLW / i Assessors Mop 43 Parcel 26 Zone: "R-40" (Residentiol) Setbacks: 30'(fron t) Setbacks: 20'(side), 20'(rear) Max Building Height is 35' rC,e �ha a\ 2% P Of �1a2O, Ne CB/D� Fnd Stone & Mortar Revetment CB/DH Fnd c: AL �AAL � AL o 5 0e� �. flo od e Sheet # Dwg # ('JapeSury Title: Plan Showing New Garage C311 _7 2 1 At 232 Pleasant Street Scale1 "-40' 23 West Bay Rd, Suite. G u�J of � Osterville MA 02655 Date (508)420-3994 (508)420-3995 fax YARMOUTHy MASSACHUSETTS 77/JUL/22 copesurv©ccpecod.net 0 C9 i SECOND FLOOR ATTIC PLAN ROOM KEY RECEIVED ELEVATION vIt\ OF MgSS HEAUTH DEPT. 1 T VARNUM PHILBROOK $' MECHANICAL �No. 6t)[� Q�7 i cq W �7 � d .-7 0 � v H d W W 1 r •a •s z ..