2023 Sign off Transmittal - Bath bumb out ��. Yit TOWN OF YARMOUTH
sl 4r•
° HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant. l�A
Building Site Location: —7 ko �os�tot�( 0 -`
Proposed I provement: , tr Qakitk bouttkpakt ()Il ('r U f (f\cfVtj..
Q- J e ( trovp--
Applicant: &ai it ( kQIA 1 .LkitJiJS
Tel. No.:� )
Address: 14 (L .� k),IL LJ \10.1('4(k ( \f MA Date Filed: MI;el
**If you would like e-mail notification of sign off please provide e-mail address: J8 G((�F(/�[M aMtoU l(ct. S ' (Am
Owner Name: &T((w\
Owner Address: -7 FreslA 6c-a( Owner Tel. No. 3—J06- ()G-$1
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,
RECEIVED and septic system location;
AUG 0 U 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: 8/'/
PLEASE NOTE
COMMENTS/CONDITIONS:
CURRENT OWNER:
'Po TITLE REFERENCE:
4Q
N PLAN REFERENCE:
d ,d� ti�
fL ASSESSORS MAP:
BUCK PARCEL:
ISLAND RD ��q� ZONING DISTRICT:
SETBACKS:
C>
28
LOCUS MAP
NOT TO SCALE
LOCUS INFORMATION
BRIAN DAVIS &
ROBIN DAVIS
CTF. 223392
LC PLAN 30561-B, SH--5
am
R --- 40
FRONT 30'
SIDE 20'
REAR 20'
OVERLAY DISTRICT:
NITROGEN SENSITIVE
ZONE:
FEMA FLOOD
ZONE DISTRICT:
MINIMUM LOT SIZE:
EXISTING LOT SIZE:
EXISTING BUILDING COVERAGE:
PROPOSED BUILDING COVERAGE:
NOT A STATE ZONE II
"X', DATED 7--16--14
PANEL #25001C0587 J
40,000 S.F.
12,541 t S.F.
1,540t S.F. (12.3%)
1,785f S.F. (14.3%)
CONCRETE
BOUND
FOUND &
HELD
M Cn
FRESH 119R00K R0JAD W o
Q5 (40'WIDE) c 0
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tl
EDGE OF BITUMINOUS PAVEMENT
FMI
MAIL
f I BOX
N 79'30'20" E 108.00' ,.
� 1
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LA WN I 7
EXISTING
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D WELLING
z II g
GAS EXISTIN(
METERM7,
SUNR00,
GENERATOR
PROPOSED 8,5'X10.5"'"
ADDITION SET ON
CONCRETE WALLS. 40 mft
POLY LINER AROUND WALL
l+ 7H 10" OF SEP71C TANK.
PLASTIC
SHED
L_
f1y,",
FENCE LINE
101
0
APPROXIMATE
SEPTIC SYSTEM
LOCATION
S,...7 750220 �
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POLE �
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GARAGE
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16.6'/
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PROPOSED NEW /
EXPANDED GARAGE
NOTE:
SEP�7C SYSTEM LOCATION IS
APPROXIMATE AND IS BASED ON AN
INSPECTION REPORT ON FILE AT THE
YARMOUTH HEALTH DEPARTMENT.
W
m
0
0
REVISIONS:
NO. DATE DESC.
CERTIFY TO THE BEST OF MY
PROFESSIONAL KNOWLEDGE, INFORMATION
AND BELIEF THAT THE LOT CORNERS,
DIMENSIONS AND SETBACKS TO THE
STRUCTURE AS DETERMINED BY
INSTRUMENT SURVEY AND AS SHOWN ON
THIS PLAN ARE CORRECT.
tr;
001
KIERAN
.L
;= HEALY U
NO. 48135
Y
KIERAN J. HEALY, LS DA E
FOR THE BSC GROUP, INC.
CERTIFIED
PLOT PLAN
WITH
PROPOSED
ADDITION'S
AT
J7
f-PESH &?00K ROAD
IN
SOUTH YARMOUTH
MASSACHUSETTS
(BARNSTABLE COUNTY)
DECEMBER 17, 2021
PREPARED FOR:
BRIAN DAVIS
7 FRESH BROOK ROAD
SOUTH YARMOUTH, MA 02664
203-500-0828
brion.davis@powereng.com
79{�F GR
OUP
349 Route 28, Unit D
West Yarmouth, Massachusetts
02673
5087788919
C� 2021 The BSC Group, Inc.
SCALE: 1 " = 20'
0 2.5 5 10 METERS
0 10 20 40 Fr
PROJ. MGR.: CRAIG FIELD
FIELD: C. O'LEARY
CALL./DESIGN: K. HEALY
DRAWN: K. HEALY
CHECK: CRAIG FIELD
FILE: 50582-CPP3.DWG
DWG. NO: 6758-02
SHEET 1 OF 1
JOB. NO: 5-0582.00
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