HomeMy WebLinkAbout2014 Oct 28 - Sign Off Transmittal Sheet, Plan - Garage _ ._ _ _ __ .
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oF�qR,y TOWN OF YARMOUTH I
3= � `��O HEALTH DEPARTMENT ��I
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��^�•''� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET �
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To be completed by Applicant.• �
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Building Site Location: 23 U 6��-�N�s�i �� � l� � . /�,r`. �
Proposed Improvement: ��uL /� C� �Z / �w C) C fl-VL C� �K N 1� d�U(�. ) I
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Applicant: !� ��1 �`1�'�' �� /`� • 1 v `� �U LZ Tel. No.: �O a' �6 U �f� h'S'�(
Address: 2 3 C� �� -��t�`' c S F4K, -� C�. Date Filed: �6• Z� • �L/
"'If you wou[d/rke e-mail notification of sign oJ'j,please provide e-mail address:
OwnerName: l� (a c7 Ng�"� / -1 / "�� CU K—
Owner Address: 2..y�� 6��. 1 w �S�-� � � Owner Tel. No.: S� �6 0 'SY,�`
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RESIDENTIAL AND/OR COMMERCIAL BUILDING I
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) —
1Vote:Floor plans not required for decks,sheds, windows, roofing;
j (3.) If necessary, Title 5 application signed by licensed installer
with fee.
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REVIEWED BY: DATE: �G � �/ �� i
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PLEASE NOTE
COMMENTS/CONDITIONS: �
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NOTES: `
1.) TH/S PL4N /S �AC/D ONLY /F /7 /S 57AMPE0 AND S/GNfO � \
� lN RED. TH/S OFF/C£ ASSUMES NO RESPONSIBIUTY FOR �
INFORMA7ION CONrAlNED ON COPI£S WHICH DO N07 HAVE � ' `
OR/G/NAL S7AMP5 AND SIGNATUR£S lN RfO.
2.)AREA CALCULATIONS:
EX/ST. HOUSE & GAR = 1592 SFt
fX/SL DECKS = 500 SFt
EX/ST/NG SHED = 120 SFt L 07 10
� PROPOSED ADO/T/ON = 545 SFt
9, EXIST. S/7E CO�ERAGE _ (7592+500+120) / 30000 x 700
= 7.37x
% PROPOSED 5/7f COVERAGE _ (2272 + 545) / 30000 x 700
= 9.20%
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30,000 S�' t
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" A.S' - BUILT " PL OT PLAN
R. J O 'h'earn, P.L. S., R. S. Loc,q�30 CR�'AT �1'EST�'RN ROAII
35 Route >34, Sw¢n River Pl¢z¢, U�cit .Z Y.9RrGl0UTH, MA.
South Dennis, rlf¢. 02660 ASS�'SSORS MAP 10! PARCSL »s
l CERTIFY TO LEONARD A. McCUE lV � doe No.: p017R
AND 70 THE lOWN OF YARMOUNTN BUILD/NC /NSPECTOR
� rHA7 70 7H£ BEST OF MY INFORMATION, KNOWLEDGE 1� � �Sf pqre:
ANO BEL/EF, THE STRUCTURfS SHOWN ON THIS PLAN 4cy . JUNE 70, 2014
RICHARD
HAS BEEN LOCA7ED ON 7HE GROUND AS /NDICATED � � CL/ENT:
� AND THAT /7 /S LOCATED /N FLOOD ZONE C PER Q,H�qRN �, McCUE IV
FLOOD INSUR4NCE RATE MAP DATED 7/02/92
N0.27871 c sate
1 /N = 40 FT
RFGISTER`�J orr. er.
6 ZO /y �'AL LAN� R. o'H.
DA REC. PRO AL LAND SURVEYOR SHEE7 1 OF 1
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