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HomeMy WebLinkAbout2023 Sign off Transmittal - Inground Pool o�--Yak TOWN OF YARMOUTH RECEIVED HEALTH DEPARTMENT MAY 16 2023 PERMIT APPLICATION SIGN OFF TRANSMITTAL Vitgek.TH DEPT. To be completed by Applicant: ( 1 Building Site Location: )--7 7 Proposed Improvement: C y.36X ' S -cc I L.Jln l ! / ��y t 1 cnc'� y ,uf.�J FCJ1 Applicant: cSGJ►()') i n ) -)c) c� c )9 4J c 3( Tel. No.: 7c'd 933 Address: 7 C; h Z('1 t�( le- Date Filed:c//Qj 3 **If you would like e-mail notification of sign off please provide e-mail address:gul it e7,nyoo kr t>75)1 C p mfv,1 ^^ Owner Name: Chi) Owner Address:7 I S (c1 v Owner Tel. No.774'. , —o 33 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: 'S'-d 5 --„,/3 PLEASE NOTE COMMENTS/CONDITIONS: 6 l MAP NO. LOT NO . : •7 -7 ADDRESS : a� c‘ck;/t 5/,1GQ �,� OWNERS NAME : SEWAGE PERMIT NO. : / -//y NEW: REPAIR : DATE ISSUED : 6 ._11—tit DATE INSTALLED : 6 -/7- / ' INSTALLERS NAME : fl ,,j/ INSTALLATION OF - T ( \ yl .UL ^1b �r Z� X / , 3�. r3Y :WATER TABLE : FINALINSPE TION DRAWING OF INSTALLATION ON REVERSE SIDE : TOP ti oo t.o 0 0o Q \r' p ? c6 i`n i TO" Irr; ce) ?"' 1.4? -%3 t.n 1111.11 s' tst COOA ugh C 1‘1 (.64 c. tA ( '* 1:11t7 N ri J a•i 1]c, o1111111111111 APN 47-78 N/F MATTHEW J. PULICKEN D. 1268194 OWNER/APPLICANT: GARY ROY 277 BUCK ISLAND ROAD WEST YARMOUTH, MA BUILDING PERMIT PLAN EAST SANDY POND (A GREAT POND) ME Low WAIE�_,.._..�--..v,.,,_, EXISTING STAIRWA .rn �0 72 I " I PROPOSED IN -GROUND POOL � / LIMIT .OF K (STAKED HAYBALES) ... ... ... PROPOSED CONCRETE / ;PROP STONE _ ,;.,:. PATIO (ELEV. 28.8) 4 RET NG WALL,' ' t,0" OF ALL =. 30.5) 1000 GAL DRY WELL Z �o II! _ PROPOSED 6' DIA. 7t— 51.3' XI I X — APN 47-77 33,115± SF (TO TIE LINE. No. 27 i j STY. WD. D. FR. FR. �( LINE (TYP.) 165.00' N 5719'10' E V BIT. CONC. DRIVE I I J LC No.6 BUCK ISLAND ROAD PLANN R REF: LCP CP 3232462E LOCUS IS SITUATED IN ZONE X. AS SHOWN ON F.I.R.M. No. 25DO1CO586J, (PUBLIC - 60' WIDE) EFFECTIVE 7/16/14. WETLAND DELINEATION WAS COMPLETED BY MARSHMATTERS ON XXXX2022, AND SUBSEQUENTLY LOCATED BY INSTRUMENT SURVEY. ELEVATIONS SHOWN HEREON ARE BASED ON NAVD88. REFER TO ACCOMPANYING POOL CONSTRUCTION/OPERATION PROTOCOL ALL LAWN/LANDSCAPED AREAS DISTURBED DURING POOL CONSTRUCTION TO BE REPAIRED/RESTORED TO PREVIOUS GRADE AND CONDITION. I HEREBY CERTIFY THAT, TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, CONDITIONS ON THE GROUND EXIST AS SHOWN HEREON. �y1H OF a� RICHA c a � H q No. 35031 Q,ess\oa �No SuRv E C JN: 2212e DATE: 251DEC22 rlchard j. hood, P15 profe551onal land surveyor 12 settlers path - 5andwlch, ma 02563 ph: 508.246.6260 - nkhood@gma'Lcom DRAWN: RJH I CHECK: rJh SCALE: I" = 30' 1 REV: APN 47-76 N/F JOHN G. CASSIDY D. 1288059 ZONING INFORMATION ZONING DISTRICT: R 25 FRONT YARD SETBACK: 30' SIDE YARD SETBACK: 15' REAR YARD SETBACK: 20' RECEIVED MAY 16 2023 • 30 •• EALTHJ*pT. PROPOSED POOL PROJECT PLAN PREPARED FOR 277 BUCK ISLAND ROAD WEST YARMOUTH, MA APPLICANT: GARY ROY © richard J. hood, p15