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2023 Sign off Transmittal - Addition and Renovations
oo'Y`��r RECEIVED �s ,, TOWN OF YARMOUTH c '\-..° HEALTH DEPARTMENT n AY 15 2023 PERMIT APPLICATION SIGN OFF TRANSMITTAL SA1TH DEPT. To be completed by Applicant: Building Site Location: /7 /4' i /t 4-,. • pp Proposed Improvement: ,t.A L.k.J itchy 3 u T,l i ty AM O i ( �-,c,s i�A Iris 4 rcl e c KK. iv.i. re i S ' .4 21,w ,ricer r,•.,/,V ) Ki1 -hevi , itcm,,de I't Flea" WcJ/.S To ex�,,4 I ' -1- (7�s-- m �f�.e,'/S iuo .J w� GilS dca, rea'•'f Applicant: �r A XCt Tel.No.: ,�� S Z 2 (3 6 Address: , C( S , S A"vL tom. l_.-.4r 0 ! Date Filed:s%/ 3:- z 3 **Ifyou would like e-mail notification of sign off,please provide e-mail address: 4-LCJ, S 1 c&./b 1t; l d e{-jo c4 yVJct: /,cci Yi-i Owner Name: //le fl d o re Jo5eej ' £v el v ci UV otiAktr Owner Address: c -bee Wolf 5 i)tit,I 5-A: 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: (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: G.A, o DATE: 6--. dS C PLEASE NOTE COMMENTS/CONDITIONS: I I '-G" (+1-J REPLACE EX15TING AWNING WINDOWS WITH NEW DH WDWS (P.EVISE ROOF FOP. CUTOUT) I X G VERTICAL 5TAGGERED AZER ON P.T. FRAME. PROP05ED EAST ELEVATION 114" = 1 '_O„ REPLACE !",t:D CEDAR SHIN (ALL EXI5TING ROOr5) EXISTING BOARD 510ING TO REMAIN TOP OF 51)BFLOOR GRADE ELEV. S.O PROP05ED VILEST ELEVATION 1 / S1 = 1 1-011 /,-� /-<-. R tWW 51LL ror OF 5UBFLOOP, rMl, 1 G.3 I X G VERTICAL 5TAGGERED AM,, ON P.T. 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DpIIJ O©�(L o0Qa� ©�d ts7�Qn_ r �0wQD 00�0z4 Z Q J a 14 P R 128.1 10 WHALE ROAD THEODORE J. WOJNAR JR 2300 WOLFAST DALLAS, fX 7526,1 DEC DCE ## 19-043 IL ANULRSON BIRCH LANE MA 01742 Scale:1 "= 20' 6 ! ! r n� / / 1 / / / 0- / ! 12 • 10 20 30 40 50 FEET 1. DATUM IS NAVD88 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. 4. EXISTING SEPTIC LOCATION PER TIE —CARD ON FILE WITH TOWN. 5. WETLAND FLAGGED BY BRAD HALL OF BLH ENVIRONMENTAL CONSULTING. uR[)cC'AP 0-50' 50-100' EXISTING: 3683 SF 424 SF PROPOSED: 3521 SF 0 SF INCREASE: —162 SF —424 SF PROPOSED DECREASE OF 586 S.F. OF HARDSCAPE WITHIN THE 100' BUFFER TO THE COASTAL DUNE. X�N OF M,q DANIEL A. OJALA q No.40960 �r opess\o_ ����jN OF �'dgss�cy � DAN;ELA. Gs OJ�1lA CIVIL �' No. 46502 91/ c�sSICNAL � DATE DANIEL A. OJALA, P.E., P.L.S. F� Q Lewis B pond Rollo Power d Locus ,ond Roa Nantucket Sound LOCUS MAP SCALE 1 "=2000't ASSESSORS MAP 14 PARCEL 129 LOCUS IS WITHIN FEMA FLOOD ZONE VE (EL 13) & AE (EL 11) AS SHOWN ON COMMUNITY PANEL #25001CO588J DATED 7/16/2014 ZONING SUMMARY ZONING DISTRICT. R-25 DISTRICT MIN. LOT SIZE 25,000 S.F. MIN. LOT FRONTAGE 150' MIN. FRONT SETBACK 30' MIN. SIDE SETBACK 15' MIN. REAR SETBACK 20' MAX. BUILDING COVERAGE 25% MAX. BUILDING HEIGHT 35' EXISTING BUILDING COVERAGE= 16.8% PROPOSED BUILDING COVERAGE= 11.4% O.K OWNER OF RECORD THEODORE J. WOJNAR JR. & SUSAN 0. WOJNAR 2300 WOLD STREET 15A DALLAS, TX 75201 REFERENCES CERT. 218858 LCP 14426-H SITE PLAN OF #14 WHALE ROAD WEST YAR OUTH, MA PREPARED FOR TJ & SUSAN WOJNAR DATE: APRIL 28, 2022 off 508-362-4541 fax 508-362-9880 downcope.com lemft CQC eogkeerfi7g, IVC. civil engineers land surveyors 939 Main Street ( Rte 6A) YARMOUTHPORT MA 02675 19-043