HomeMy WebLinkAbout2023 Sign off Transmittal - Addition k"� TOWN OF YARMOUTH
.7474,
. HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: 6iJ ,n eltie y{fir /ru-t c W. St YCt r ry ou i. 141i O2. G 7 3
Proposed Improvement: /,60/740r/ k /1/3 v . SG s-•
CCU' co 4 0-- 0/ 57171. r„A
Applicant: 7 -zr/ /%ltc 7 Tel. No.: 3-02 aP9y-C gy
Address: lit/i e�e.S rn- C� 1944-kx,-/4 Date Filed: 14
**lfyou would like e-mail notification of sign off,please provide e-mail address: Cy 11 f y e Q� 9:MCcl(. co M
Owner Name: Cr' li t a V , Ty . 1'C evocc ki 1 cc .s+ , Cy_h r oleo
ff'e
Owner Address: 32,.er g N (,t.l (,'.S ^ Di, Owner Tel. No.: S08380'G 5JS1-
130cet 4 l-otv 1 FL 33y9 (�
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,
'C�`'�MED and septic system location;
BAN 17 2023 (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: l 3
PLEASE NOTE
COMMENTS/CONDITIONS:
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LOCUS DATA
CURRENT OWNER CYNTHIA J. TYE
REVOCABLE TR.
PLAN REFERENCE 10/53 — 239/107
DEED REFERENCE 34440-89
ZONING DISTRICT R-25
FLOOD ZONE
ASSESSORS MAP
PARCEL
OVERLAY DISTRICT
LOT AREA
EX. BLD, COVER.
PR. BLD. COVER.
"X" & "AE"
22
255
NONE
9,488t S.F.
2,004f S.F. (21 %)
2,136f S.F. (23%)
CERTIFIED
PLOT PLAN
WINCHES TER A VE
IN
W. YARMOUTH, MASS
NOVEMBER 25, 2022
OWNER/APPLICANT:
CYN TH I A TYE
C/O PAOLO DEMARCO
8 WINCHESTER CT.
W. YARMOUTH, MA 02673
PREPARED BY:
EAS SURVEY, INC.
P.O. BOX 1729
SANDWICH, MA 02563
CELL (508) 527-3600
EAS.SURVEY@YAHOO.COM
JAN � 2 �'7 2023 V A 28
HEALTH DEPT. \ \ w
\ \ N >_ SILVER LEAF LANE.
of
OF m w
uj
ON
EDWARD �G \ \ LOCUS �= Z
A \ \ U w
U STONE Q
No.28980 \ PROPOSED 6'x22' ADDITION
\ SET ON S❑N❑ TUBES, LEWIS BAY BLVD.
LAND
\ LOCUS MAP
Is, NOT TO SCALE:
2 EXISTING SEPTIC SYSTEM 119•
5, L TO REMAIN RO'� 22-0143
po 27.4' `:10 �0
19.4'
� <c, •88, �p�F, �Oh ��
LOT 16B
n cot—G�-c,Qe•�y
EXISTING \ p
DECK
#9 \
EXISTING \ /
DWELLING /
33.1'
/
L❑T 17
Z /
/
N� tiQ911
O= 9
/
NOTES: /
/
THE SEPTIC SYSTEM TANK WAS FIELD /
LOCATED AND THE LEACHING AREAS / 0 20 30 4-0ARE BASED ON THE AS —BUILT PLANS.
THE FEMA LINE DEPICTED HEREIN IS
BASED ON THE CURRENT FEMA MAPS
FOR THE LOCUS PROPERTY. GRAPHIC SCALE:
1 INCH = 20 FEET