HomeMy WebLinkAbout2023 Sign off Transmittal -Kitchen / Bath Renovation TOWN OF YARMOUTH
HEALTH DEPARTMENT
'�• ` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location:_ ) �1 E 1' F1 E�1� ,� V.i _ �ldf'.1�4' -z
Proposed Improvement: ('.�d,, � k.,-cc,ke% / ,, Ikdd 3 � 3 e-iy'cuns ,1 /I0p kx'o' Cr"nS,6:i
Applicant: G`l, ,$( fel Tel. No.: 5 c `1 L213 L Z
Address: )k ) S, 5 ems., Ave uji,s i y, .r"`4 Date Filed:_ 3 y, -23
**/fyou would like e-mail notification of sign off please provide e-mail address: _
Owner Name: j( c CC i-/ V L u' C
Owner Address: .Z S �tf t� {� i ���� , 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:
6t t , __,_ (1.) Site Plan showing existing buildings, water line location,
BAR and septic system location;
® pg� (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: air-(--0 DATE: /- ) v � � 3
PLEASE NOTE
COMMENTS/CONDITIONS:
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Zone R-25
25,000 Sq. Ft.
Road 150' Frontage
D e e r f e d Setbacks
4 �' W i d e) Front 30'
Side 15'
— — _ — — Rear 20'
58.67' Max. Coverage
— R Existing Coverage
I � 83`36 30
-' — �— % r " E 100' � Q5 _ � � 4.08' � � � Proposed Coverage
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_T( 11
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z' (0/fir I Lot 44
U, -P( ( 13,667± Sq. Ft,
Q L'I
Map 23
:)rcel 295 ( \ Proposed
( \ Addition--
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3.0
ti \
< Shed \ ,
Map 23
Parcel 308 /
4.2 0 ooy °ram �>l S T�6 ' E
QDB �
go� / >
O /
/House #25
/ 2 Bedroom
\ Deck I
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O
Map 23
OTE: Parcel 310
DCATION OF UTILITIES IS APPROXIMATE AND ALL
NDERGROUND AND OVERHEAD UTILITIES MUST BE
ETERMINED IN THE FIELD PRIOR TO COMMENCEMENT
F ANY WORK, THIS INCLUDES, BUT NOT LIMITED TO,
EQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES
ND THE LOCAL WATER DEPARTMENT.
Proposed
Addition
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Map 23
Parcel 293
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MAR 3 0 2023
HEALTH DEPT.
Sq
STEPHEN
q
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Notes
1.) Assessor's Mop 23 Parcel 294
2.) C220232
3.) LC Plan 17149—F Lot 44
4.) This lot is not located in the Aquifer
Protection District
5.) This property is in Flood Zone AE
Firm Map 25001CO588J Doted 7/16/14
25%
6.3%
7.5%
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WEST YARMOUTH, MA
SITE LOCUS
NOT TO SCALE
Plot Pan
for
Proposed Addition
Located at
25 Deerfield Road
West Yarmouth, MA
Prepared for:
Lewis Bay Builders
Prepared by:
All Cape Septic and Survey
618 Route 28
West Yarmouth, MA 02673
(508) 771— 4200
allcopeseptic@gmoil. corn
Date: November 7, 2022
GR,%PHIC SCALE
20 0 10 20 40
IN FEET )
1 inch = 20 ft. Dwg #524