HomeMy WebLinkAbout2023 Sign off Transmittal - Inground Pool 1
Y`9
,� TOWN OF YARMOUTH `7,
. r F 'c HEALTH DEPARTMENT :�
4. T�- 1r +r
"`"`�, PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: jy N (ifS h5/ckQ DI, 4diHU(itiki X1. -- k
fi-
Proposed Improvement: I f rc) L R 0 g,A
Applicant: )�L-)j )i f )vvq j'-}f--1(E(eci l A( t l tt'In.u'/
fZ Tel. No.: S .%J S`Y
Address: S
- " ITate Filed: 5 1/C , S
**If you would like e-mail notification of sign off please provide e-mail address: 4 Lk)(A' �l3)SQ
Owner Name: I ( ` 1 cJ - l ( I � k gOvIC ,;1 ,1,-
Owner Address: ---N NE/5,7 i�Q n
�-^-r.� Y, Owner Tel. No.: ��3.pl.0 -(Q 7C/s
4 .." .0 mac): -... -i Cz 7
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:
RECEIVED (1.) Site Plan showing existing buildings, water line location,
and septic system location;
MAY 1 0 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: -f - ? j , (2.'
c. PLEASE NOTE
COMMENTS/CONDITIONS:
CB
C)
w
o
O N
pto
c6
m
rn
rh
a
cn cn
o 4t
0 (A
R9
CB
PROP. DRYWELL FOR
POOL DRAW -DOWN
DW 382 W/ 2 FT.
OF 3/4" - 1 1/2"
WASHED STONE 6'4
TOTAL (SEE NOTES)
EXIST.
SEPTIC
SYSTEM
EXISANG OWLLINC
ENCZ 1 "ix:
1 ._
t
Cop
11"vj
PROP.
PA no
113x1
\ 6'
ROP.
POOL.
28'
�C
112x4
ti
2
N
TOP OF CB
ELEV. = 120.3
CB
120
� l �
CLEARED'
ZONE
SEE LANDSCAPE PLAN i
FOR FINAL\,31RADING
V xr
\ 1 LOT 49
\ \ 40,438f S.F.
114.0 \
112.5 rs,
i SHIED r
PLAN
20 10 0 20
1 inch = 20 fL
326.03'
N 80'05'30" W
GENERAL NOTES
1. ELEVATIONS ARE BASED ON AN ASSUMED DATUM. USE THE BENCHMARK: TOP OF THE CONCRETE
PROPERTY BOUND MARKER SHOWN ON THE SITE PLAN.
2. PLAN REFERENCE; PLAN REF. LCP 31551E, LOT 49; BUILDING TO LOT LINE OFFSETS ARE FROM A SITE
PLAN OF 34 MARSH SIDE DRIVE, YARMOUTH PORT - DECEMBER 14, 2020, DOWN CAPE ENGINEERING,
INC. DANIEL O1ALA, PLS; ADDITIONAL SITE DATA BY CAPE COD ENGINEERING, INC.
3. EXISTING UTILITY LINES AND UNDERGROUND FACILITIES SHALL BE MARKED OUT PRIOR TO
COMMENCING WORK
4. EXISTING SEPTIC SYSTEM COMPONENT LOCATIONS AS SHOWN ARE BASED ON A CERTIFIED TITLE 5
INSPECTION REPORT DATED MARCH Z5, 2021
5. THE DETAILS OF THE PROPOSED LANDSCAPE ALTERATION, POOL, PATIO SURFACE, LOW CRESTED
LANDSCAPE WALL MATERIALS ARE AVAILABLE ON A PLAN ENTITLED " HARDSCAPE PLAN GILOOVI
RESIDENCE" PREPARED BY PHIL CHENEY DATED MARCH 29, 20Z3
6. POOL DRAW DOWN PIT SHALL CONSIST OF A PRECAST CONCRETE, DRYWELL CORE, 2.5 FT. DIAM. , "DW
382" AS MAN. BY ACME - SHOREY PRECAST, OR EQUAL, SURROUNDED BY 2 FT. OF % TO 1 X INCH.
WASHED STONE, W/ 4 INCH DIAM. SCH. 40 PIPE INLET BELOW THE "B" SOIL HORIZON.
ZONING SUMMARY
1. YARMOUTH ZONING DISTRICT R-40
2. LOT AREA 40,438 S.F.
3. SETBACKS - FRONT = 30 FT. SIDE = 20 FT., REAR = 20 FT.
4. BUILDING COVERAGE = EXIST. HOUSE & DECK, PROPOSED SHED = 2,677 S.F.; 2,677 / 40,438 S.F. X 100 =
6.6 %
S. SITE COVERAGE - DRIVEWAY, HOUSE, DECK, DRIVEWAY, PROPOSED POOL, PATIO = 6,659 S.F. / 40,438
S.F.X100=16.5%
6. THE ENTIRETY OF LOCUS IS WITHIN FEMA FLOOD ZONE "X" (NOT A FLOOD HAZARD ZONE)
c8
RECEIVED
MAY 10 2023
HEALTH DEPT.
GI LH OOLY. D WG