HomeMy WebLinkAbout2022 Sign off Transmittal - Deck 0f /t„ TOWN OF YARMOUTH
iT*41Ar HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: a . 6 Cl t(' && .
Proposed Improvement:L lSk c)CA. 4\0 a_X S i1- ,CpC,
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p; t- ?a)C to LO N �t C�e,A7 o ,�
Applicant: -c,f\ r0.5 e Tel. No.: jptj lacz, a 4a
Address: 3 \ ZvW o\o M 6hhee (Yla.0a.b44 Date Filed: / 41/0 2,
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**If you would like e-mail notification of sign off please provide e-mail address: Oc `CIL @ 4- own
Owner Name: ('`(;'1e^A,C3 L WTG z S
� 3 SQOwner Address: a (� , G,� W�- T ( A Owner Tel. No.: -Q �
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:
- ----_ --i (1.) Site Plan showing existing buildings, water line location,
and septic system location;
DEC 2 12022 (2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
HEALTH DEPT.
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: I ,,Lick. l .2. 2-
PLEASE NOTE
COMMENTS/CONDITIONS:
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V.• IP FOUND 7o sa' - o "'�
��. � � � LOT 1
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XIDATI t?.40.6 FQUNDATION0
4 T.C.F. 23.' yy In
1I 84.00' �1 �+�1
z1\ O y`�� �' �, zA i HousE 0
t. 2. ' Y, Pill
' EXISTING � c
P QARAGE SLAB
:31*
Ili C°-4
cY ,, T.O.S. 20,t
t.
LOT 2 for S p6' za°l ,.i
X �' 43,575± S.F. 85 9' ., —<
�s 1.00± ACRES -E AR SET = Dj
c PARCEL RA SET "..�r� 6 E ri--' ' a
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DEC 2 1 2022 1
HEALTH DEFT 1
� REBAR SET
- SI�.t'4d'25'W O,f00'- H1i�HWAN Cf4AW DN<'FEN E 200.63' Sa.P4a'¢5 ROUTE 6 -
VI I CERTIFY THE FOLLOWING STATEMENTS TO "A — B U I L T" POT P L A I`
THE YARMOUTH BUILDING DEPARTMENT
I HEREBY CERTIFY THAT THE LOT SHOWN AND LOT 2
THE BUILDING THEREON CONFORM TO
,. ZONING BY—LAW WITH REGARD TO DIMENSIONAL W. GREAT WESTERN R D
` REQUIREMENTS AND ANR PLAN AS RECORDED.
I FURTHER CERTIFY THAT THE LOT SHOWN IN
DOES NOT FALL WITHIN A SPECIAL FEDERAL YA R M 0 U TH MASS
U FLOOD HAZARD AREA AND IS DESIGNATED AS t
�> ZONE "C' ON FIRM #250015-2D, DATED 7/2/92 SCALE: 11%60' DATE: 6/17/04
, PREP. FOR: Mrs. MARY UNGIS
.) THIS PLOT PLAN IS FOR BUILDING PREP. BY: EAS SURVEY, INC.
PURPOSES ONLY AND IS THE RESULT OF AN ROUTE 8A, PO BOX 1729
ONGROUND TAPE AND INSTRUMENT SURVEY."^ SANDIMCH,: MA 02563
4-- Jt"OF,�s`ti` REFERENCES: 508-888-3619
ram. _ `>it'` •
°`� EDWARDts
A. " ‘:OWNER Mrs. MARY LINGIS
STONE �1
_ b No.28980 PLAN REF: PLAN 576/18
`F�F�� TE�k.° '° ASSESSORS 109/76.2
dr s� / ZONING: R-40
' °H9 � .y FRONTAGE 150'
j;./7,p¢rAdlit
SETBACKS FRONT 30'
EDWARD A. STONE RPLS #28980 ,„ SIDE BSc REAR 20'
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