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HomeMy WebLinkAbout2023 Sign off Transmittal - AdditionCA V W -� M V a L U NI 4A I W b a 1 43 'aK Ca ri �-- t-o' rrO V p �n k��. ix. i _ 1 — 4 ve k )AA 0 Architects 2 �. �, ,� 4 e, A RC H ITE CTS 2 20 WOODWARD STREET, NEWTON HIGHLANDS, MA 02461 617-630-1999 MAIL@ARCHITECTS260STON.COM • • ? TOWN OF YARMOUTH -it..1:letc HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: f iq /ll6//Fa k -V Proposed Improvement: / ;(/ X l(p rig A 1721T1(W 7l7 Ak fyggi i 4 8(i7i?�;rti NC �- I &Mc Applicant: LY/4kErt p9/ Yi1A/-�✓�`�,�.'OC � Tel. No.: Address: llit /// g)L'' 77 z: !/ agiW 1 i,i) OZ Date Filed: /54&'J,2? **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: J//yi) 67// 5Y/T Owner Address: /// /////j',t' PPZ/71 hi��kV73�� �O��Owner Tel. No.: 770GIV N 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. RECEIVED Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, MAY 15 2023 and septic system location; (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (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:/....-y%__Jz,-)a..ASZ:______ DATE: ' / ,.72-_3 _...._ -_ PLEASE NOTE COMMENTS/CONDITIONS: May 13, 2023 Town of Yarmouth RECEIVED Board of health MAY 1 5 2023 HEALTH DEPT, Greetings, We request a building permit for 119 Highbank Road. We are NOT adding any additional bedrooms, the current floor plan has two bedrooms on the first floor and no other bedrooms. Our request is to add a 15 by 15 by 16-foot addition to one of the existing bedrooms. This will allow for a master bedroom with a closet and new bathroom. The only other add on is an= foot by$-foot space on the second floor which will be a home office. It will have no closet; my wife works remotely as an RN Medical supervisor and needs more office space. This 8 by 8-foot space will encompass the entire second floor, there are NO other rooms existing or to be added to the second floor. I am providing our building permit request, the stamped architect plans, the sign off sheet from the water department, the stamped plot survey indicating the requested new addition and the second-floor space. (Highlighted in Yellow) I am also adding the Title 5 survey which shows the septic system in the back yard on the opposite side of the house from the addition. Of course, the stamped survey also shows the location. Thank you for your time and consideration, Respectfully, Daniel and Kathleen Charette 774-230-1588 CM BUILDING COVERAGE / (SF.) Existing Dwelling 1,267 IS Existing Garage 379 F 'r m Existing Deck to Remain A p} Proposed Future 12•x14'Addition 168UN = 5 Proposed 15'x16'Addition 240 TOTAL 2,303 I 12.2X of Lot Area ,Fnd :I" e� PBASSI WON 'hfmRx3cav,41 Fnds ' OF- Si7. a° fg ales .ze I 1 I YARMOUTH. MASS 'F � LOCUS MAP(N.T.S.) PROPOSED 12'X 14' Fnd Fnd FUTURE ADDITION TO ! zrm ZONING DISTRICT(S) ON BE CONSTRUCTED ON Fnd. R-40(Realdentlal 40) SONOTUBES OR PIERS j.', Min.Lot Size 40,000 S.F. CIMin.Frontage 150 Ft. Front Setback 30 Ft. \ ' O r Side Setback Rear Setback 20 Ft. / 20 Ft. ' y Max.Bldg.Coverage 25% \ PROPOSED O R„above 0h,a.una Rep,1.w„eny are hum 9 ,5'X,6' _ the 7o Map of the To.n of Ysmovth' P 202I.obtained from ADDITION *dated throw)*Speck/ Z \O `\ 3 the T of Yarmouth.ebe/ta I.4t Roof K i O- P d �' vM'� g j- Orwhv.V(Tj.) I et I ° QG. �o I < d G, a �a / I ily 4a0•__ c1 i OWNER(S)OF RECORD J0,,Q'-' i- u.o•'I /,// .li i p Daniel R.and Kathleen M.Charette �Q 7 % - - ,a o Ii Deed Book 32974,Page 65 N` N 0' P\ yO� j/,� . a Assessors Map 80,Parcel 128 Ct \ r�v / Atyrrt�e p'��7� cEaek r$rsy 0li,a.r 1 m J / E1•i51','/c i' Tmr ,„ ,���i Mote/a) I i kb l 7.ii_ii/i p a j aet Roof---,el %I...T. 11.4't Reef p Fnd LOT AREA O.rheq(014 / L'"" jl 1 0»rhau MP) 18,913 S.F.t l/ii/iiih- — 0.43 ACRES Frei PLAN 77 1za9Ir - Prepared For �d toaT/ v Dan Charette Fnd �.: Rioce 119 HIGHBANK ROAD YARMOUTH MASS. Fnd'', \ Scaler: 1'=20' Project Na: Y-526.0 .-y RECEIVED 1 NOTES Street Size: 1B x24. Ile lighba*Ra Yomeear.d.p MR 1. Horizontal Datum: NADBJ Fnd sP1 Vertical Datum: Approximate NAVD88 1//-�ou�.ss'\' P.O.eo,303 1•t) 2. The subject lot h located in fEMA Zone X determined al v, l TS Lend a„wid,roK w,azsw MAY 1 2023 5— 40 to be outside the .2 annual chance fl Ramie/ale as shown on sw.T3T.ee35 ooapl '"I Surveying, Inc. 1ea.MJ,ndsurv.ying.mm FIRM No. 25001C05914 effective dots July 16, 2014. 27 x,.,,N 0/3 Scale:1'=20' A Septic system location is approximate and is based on �,Y' www.tslendsurveying.com information on file with the Health Department. / �"�`""°y HEALTH DEPT 4. Ex/sthg utility locations ore based an visible, above ground ��,�..� ' . .4 - Date:May 13,2023 Sheet No.1 of 1 components located during the field survey and are considered to be approximate. Contractor shall notify D/gSa/e(call 811 or NO. Date REVISION 888-DIG-SAFE)at least 72 hours prior to any construction to have all existing utilities located and clearly marked. ©Copyight 2023 by TS Lad Sunman Ina i it Commonwealth of Massachusetts • li Title 5 Official Inspection on Form •t- - = Subsurface SewageP _ :I.,,_ � Disposal System Form-Not for Voluntary Assessments `:._L:: , 119 Highbank Rd Property Add — Address Hall Owner Owner's Name infommtion is South Yarmouth required for every Ma 02664 5/912020 Page. City/Town State Tip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system,including ties to at least two Pew te super s landmarks or benchmarks.Locate all wells within t00 feet Locate where pubic enter the budding.Check one Of the boxes below. El hand-sketchin the area below RECEIVED . 0 drawing attached separately MAY 15 2023 ! HEALTH DEPT. r t I Dcf a (3GN2z Ihi - .ab I [‘ f!3 _ 35' 6 li) 59 1 I ca L Qa - 311 t - 133 - 39 4 toFk w e.rvac•nx.MOW/ Tara aka Yrp+don Panic ad+dtb r4lawegDimnalSin-Pewled7e