HomeMy WebLinkAbout2014 Jun 03 - Sign Off Transmittal Sheet, Plot Plan - Rebuild Bulkhead and Deck oF��,y, TOWN OF YARMOUTH
3� � -��� HEALTH DEPARTMENT
F '�•�••`� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be compdeted by Applicant:
Building Site Locadon: p � �lG�7� V /' j,l�. /�"� T� j
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Proposed Improvement�1+�WR r�/i12���jC Z�L/� /.�J ',
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Applicant: � /��'�L��� Tel.No.:� � 7 �SS .) 35
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Address: 3}�Urc/•— � W. � Date Filed: a �
"Ifyou would[ike e-mail not�cation ofsign off,please prwrde e-maiJ address:
OwnerName: � ����'T"?"���v // �GI`G7�'/ �
Owner Address: Owner Tel.No.:��� 7 7 ) ���
RESIDENTIAL AND/OR COMbIERCIAL BUII.DING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements
For Septage Disposal and other Public Health Activides.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing ezisting buildings, water line location,
and septic system location;
. (2.) Floor plan labeling ALL rooms within building
(all ezisting and proposed) —
Note:Floor ptans not required for decks,sheds, windows, roofang; i
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
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REVIEWED BY: DATE: 4� 3 I ' � I
PLEASE NOTE I
COMMENTS/CONDITIONS:
JOB N0. Y74-02
LOT COVERAGE NOTES Buckle .dw
EXISTING HOUSE 1810tS.F. fB 29-58
1. OCUS IS A.M. 22, PARCEL 33.
EXISi1NG BULKHEAO 92tS.F. 2. OWS IS IN FLOOD ZONE B ON FlRM DAiED JULY 2, 1992.
EXIS¶NG DECK 140tS.F. 3. OCUS IS IN FLOOD ZONE X ON PROPOSEO FlRM DAlED MAY 3, 2013
TOTAL 2042tS.F. 4. FF'SETS SHOWN ARE TO hIE CORNERBOAROS.
LOT COVERAGE=2042tS.F./10,900fS.F.=18.7R
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PROPERTY L1NE NOTES: RECORD PLAN LACKS BEAPoNGS W
SIDE LOT LINES HELO PERPENDICULAR TO REAR LOT LINE. �
YARMOUTH ROAD BIXINDS AND LAYWTS F�2 BAY ROAD ��9_ w
AND HED(� ROW HELD. �� OO 2
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N/F 9� �
BRITA 4?�, �
�a°��o° 6.0� LOT 14 A�'z �R,� �
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1°s�r F1'=5 8 S�F. �ti.:�., 10,900tS.F. y e'�.
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N/F 90 so. �`�� KHOURY '
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LOCATION fROM 9/1/12 ZONWG DISTRICT: R-25 �.
INSPEC110N '�.
FRONT YARD 30' '��
SIDE YARD 15'
N/F REAR YARD 20'
LOT COVERAGE 25� �
KHOURY
I CER7IFY hiAT THE LOCATIONS SNOWN ON h11S '�
PLAN WERE MEASURED IN hIE FlELD ON t/21/14. PLOT PLAN � '',
" ' FOR
�' ,~ , � ��,�� THOMAS & MAUREEN BUCKLEY
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y �`�G' LOT 74, 23 WEST ROAD, WEST YARMOU7H, MA
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