HomeMy WebLinkAbout2022 Sign off Transmittal - Replace 2nd Floor Deck on Garage TOWN OF YARMOUTH
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, � HEALTH DEPARTMENT
'�• '� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: 6.3 I6-4 is'INK
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Proposed Improvement: r RI ✓l c E £XIS 1-I ry G- c rc K Q 6-0,2A G F
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Applicant: AT AA ovv_ pw4P►'S Tel. No.:50k 579 ow a
Address: g(, Co✓1 S•M n1Gp- Ave Date Filed: « -1 a'a 2
**If you would like e-mail notification of sign off please provide e-mail address: gCtij 2d1,0 vq.R py I Cr-/Yicj, l ('0 vv
Owner Name: Z-v I'A0►'Uf) Q.,vy
Owner Address: Ce3 N GA $3 t1NV - Z Q 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;
DEC 1 9 2022 (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: / / 7/2-1-
PLEASE NOTE
COMMENT/ONDITIONS
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GENERAL NOTES:
S 12°30'55"W .
A 145.00' ' Map Id:70/59
Flood Zone: X
Zoning District: R 40
0, Lot 2 Wind Exposure Category: B
co
o 17,435 Sq.Ft. Owner Of Record: Raymond Roy
63 Highbank Rd
South Yarmouth,Ma
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® Lot Coverage
35.4'
(i' 40.9' Existing 2 Lot Area 17,435 Sq. Ft.
o — Garage - .p Existing Structures:
.41
g V. House,Deck,Garage 2,008 Sq. Ft. 11.5
co in -rt
w o f= w
rn Brick
Existing patio , �`tN Of M
_ Dwelling At DAVID le---,
Paved RLEB
O° • #63 Drive s t.^.`A Ki y
co..,,!9C/STEW'
LAND S\
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A=06°40'48" R=801.70' L=93.47' N 09°33'52"E 59.18'
PLOT PLAN OF LAND
HIGHBANK ROAD LOCATED IN
YARMOUTH ,MASS.
PREPARED FOR
RAYMOND ROY
,� oZ DATE: DEC. 16, 2022
ire, DAVID SANICKI FALMOUTH,MA
HEALTF- vEPT.