HomeMy WebLinkAbout2015 Jan 06 - Sign Off Transmittal Sheet, Plans - Bathroom, Laundry Addition� _ _ __ _. ------ ,_.
�2oF�aR,yo TOWN OF YARMOUTH
� HEALTH DEPARTMENT
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���=�`� $ PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: � 5 C1JC.fZ..��.,. Qx�
Proposed Improvement: ��2 o e m � L��r-�(xl.�..� (f1�/���t.�r--� I 2 f 1 Z
Qq CrOcu,.�c_ SP�G: w! �LLm i �_ �_� ti�(L
Applicant: eG-��TJ N1 Tel. No.: � '� �J�
Address: � ( a,�T-`r-OQ� 1!/1.,� Ll� ►y� p Date Filed: � 5
'•Ifyou would like e-mail notification ofsign o�j;pleare provide e-mail address:
Owner Name: �. "L N �Ri1v�C,rl �-C �'a
Owner Address: ' � �,���� p� • Owner Tel.No.:� "6�GI '3�I
..---..._......._........_.._........__....._....._..........................................................................................._...................................................................................................................................................._.......................................
RESIDENTIAL AND/OR C011'Il1�IERCIAL 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:F[oor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: I � f
PLEASE NOTE �
COMMENTS/CONDITIONS:
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HEALTH DEPT. g, L�. ('LM .
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DISTRICT
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off 508-362-4541
25,000 S.F.
MIN.
fax 508-362-9880
150'
MIN.
I downcape.com
30'
OWR cdpe engin@@/-ing, inc.
SIDE SETBACK
civil engineers
MIN.
land surveyors
20'
939 Main Street ( Rte 6A)
YARMOUTHPORT MA 02675
CP
PROVIDE APPROX. 30' OF 40 MIL LINER, TOP SET AT OR ABOVE
ELEVATION OF TOP OF LEACHING FACILITY (OR
SET CRAWLSPACE FLOOR ELEVATION AT OR ABOVE TOP LEACHING
FACILITY ELEVATION)
PLOT PLAN
OF
15 CAROL ROAD
SOUTH YARMOUTH
PREPARED FOR
M/M JOHN FERNANDES
DECEMBER 4, 2014
Scale:1 "= 30'
0 15 30 45 60 75 FEET
r�
DATE
1
luk
CAPE AND VINEYARD
ELECTRIC CO. ESMT.
51,695 SF
LOT 14
68,723± SF
1.6± AC (TTL)
DANIEL A. OJALA, P.L.S.
17,028 SF OUTSIDE
EASEMENT
PROP. BATHR OM ADD'N.
(CRAWLSPACE)
38, 3• �
2.a EXISTING
DWELLING
.x
\x\�
000
LOCUS MAP
SCALE 1"=2000'±
ASSESSORS MAP 50 PARCEL 21
LOCUS IS WITHIN FEMA FLOOD ZONE X
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'
NOTES:
DEED BK. 26883 PAGE 22
PLAN REF: PB 185 PG. 149
SEPTIC SYSTEM SHOWN PER ASBUILT
ON FILE WITH HEALTH DEPT.
CAROL
ROAD
/6"
AS
11�1.
G3L�C�C�VC�D
JAN 0 6 2015
HEALTH DEPT.