HomeMy WebLinkAbout2022 Sign off Transmittal - Home expansion and Garage TOWN OF YARMOUTH
HEALTH DEPARTMENT
•
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: a ST , vtAck.
4DZZ ,�. � ►�
Proposed Improvement: £ 4 (J ( T ek c���� �,� t �� &c- K ��
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(OO✓VN 4%/N)C4
Applicant: C� ' 4 2 e Tel. No.:5`.(s ct
Address: 7 r -w'r e_ /7/ - Date Filed: rv—Zt%"'Ze.,
**/fyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: t(/„ ,mac •
Owner Address: (2),. .5-- c c / • 5,r l/ Owner Tel. No.:
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: /0
PLEASE NOTE
COMMENTS/CONDITIONSX gC-
CO 4 ve r l- t o 3cy,)e_ fie_ J , tJ�""L, A j,vt, ..��
snn(3l
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d
A00*0
1
9 �!T-1-7 D/W 1
CA
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O
0
o' Lot. 7 ram?
� � Proposed 12,000± S Ft. it o
or �n Addition q
.0
11 32.5'
0 0 �� House #25
r
11 ��
11 _ J 1
� 1
Map 78 �--- '-� 1 Proposed CS
Parcel 138 1 4 r 11 Slab 6-
2 1 "Al
l Proposed
-� Bu khead
a
0 r
Shed
NOTE:
LOCATION OF UTILITIES IS APPROXIMATE AND ALL
UNDERGROUND AND OVERHEAD UTILITIES MUST B
DETERMINED IN THE FIELD PRIOR TO COMMENCEM NT
OF ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO,
REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY CO PANIES
AND THE LOCAL WATER DEPARTMENT.
8.� x k
ST SAS
r x k
p O x
Is_J k k
X
X k
k X
,� x Enclosed
Porch
Deck
to be
removed
54� W
,
Proposed
Addition
Map 78
Parcel 136
0
�o
GRAPHIC SCALE
20 0 10 20 40
( IN FEET }
I inch = 20 ft.
Zone: R-25
25,000 Sq. Ft.
150' Frontage
125' Width
Setbacks
Front 30'
Side 15'
Rear 20'
Max. Coverage 25%
Exist. Coverage 16.7%
Prof. Coverage 18.5%
R Stotion
goy Avenue
Ei=c)r
School
� Coptoin 1
lckerson
Ix caption Sm011 Road 7,
ca
o * �0
a Brook Ra a!-'
a V+ne
Locu
�\
SOUTH YARMOUTH, MA
SITE LOCUS
NOT TO SCALE
Notes
1.) Assessor's Map 78 Parcel 137
2.) 8k 34348 P g 198
3.) PI Bk 151 Pg 75 Lot 7
4.) This lot is located in Flood Zone X shown on
Firm Map 25001 CO587J Dated 07/16/2014
Plot Plan
Located at
Pro -posed Addition
Located at
aX��AoF,�,,�ss 25 Capt Small Road
STEPHFN tiG
�Q South Yarmouth, MA
Prepared for:
��_.. Lewis Ba Builders
y
Prepared by:
All Cape Septic and Survey
61.8 Route 28
West Yarmouth, MA 02673
RECEEIVED (508) 771--4200
a.IlcapesepticOgmail. com
OCT 2 4 2022 Date: October 18, 2022
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