HomeMy WebLinkAbout2022 Sign Off Transmittal - Bathroom addition j r•
Y�1TOWN OF YARMOUTH
A c HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: 12 -&-;n-- 4z %U )S
w t fl�'►G �
Proposed� Improvement: i/id .SX l0 Gt CG t�''O2Z-c. etc 4�t r- ne.1 J
bakrco'✓t_ 0 os) ova
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Applicant:\--AY&&-f +'�-� d�(( Tel. No.: 4/-2a 356 ?
Address• iL X W,#vdccr boil £ec04C9ICi.l /22/9 Date Filed: lOP/ke--
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: Narey
Owner Address: /c p / ���f/
�t�.� �S ��� ey`�/VinL;E~��Lvmer Tel. No.: .5®&-c'�Jrc�J:�q[-'S
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;
RECEIVED ,., ,(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note: Floor plans not required for decks, sheds, windows, roofing;
HEALTH DEPT (3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: ` p 7\ c - ---
PLEASE NOTE
COMMENTS/CONDITIONS:
BUILDING PERMIT PLAN
NV APNN80-88
KAREN E.K.ANTONIO
C. 181710
R = 2884.00' 1— V3.99'
DOIBEN
I E1 BUILDING SETBACK UNE
U n
` R
IIS
APN 80-89 y9 w •ay. ,
N APN 80-98
RICHARD H.1ERSCH N/F
0. 1178050 I DECK t JOSEPH DEMARCO
a D.1142905
No. 12 ^;
1 Sn."D.FR. I rn
s8.l Q
APN 80-97 # BIT. L
GONG.
11,220±SF DRIVE
L - 100.001iia
'`
R = 2754.0( \
ST. ANDREWS (40'WIDE) WAY
\_BEMCHMARK: MAC NAIL SET
ELEV.=38.75(NAYD88)
1. OWNER/APPUCANT: MARCY COHENI
12 ST. ANDREWS WAY
YARMOUTH, MA
2. LOCUS IS SHOWN AS APN 80-97 ON THE TOWN OF YARMOUTH ASSESSORS MAPS. i 1
3. DEED REFERENCE: BK. 25337 — PG. 145, B.C.R.D.
PLAN REFERENCE: PB 18 — P 25
4. LOCUS IS ZONED RC.
5. LOCUS IS SITUATED IN ZONE X AS SHOWN ON FIRM. No. 25001C0591J, •
EFFECTIVE JULY 16, 2014.
6. ELEVATIONS SHOWN HEREON ARE REFERENCED TO NAVD88.
7. SEPTIC SYSTEM COMPONENTS ARE SHOWN AS PER AS—BUILT INFORMATION. HEALTH DEPT
LOT COVERAGE TABLE
EXISTING %COV. PROPOSED %COV.
HOUSE/DECK 2155 SF 19.2 2235 SF 19.9 0 30 60 90
we me m -
I HEREBY CERTIFY THAT, TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, CONDITIONS
ON THE GROUND EXIST AS SHOWN HEREON.
Ee��" OF
rryc richard j. hood, pis SITE PLAN
, • ,B ., y� professional land surveyor PREPARED FOR
3 OOD ,a,
No.35031 DREAM HOME IMPROVEMENT LLC
12 settlers path — sandwich, ma 02563 +
�Mo\ suR ph: 508.246.6260 — rikhood®gmail.com IN
JN: 22116 DRAWN: RJH CHECK: rjh YARMOUTH, MA
DATE: 21JUN22 SCALE: 1" = 30' REV:
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