HomeMy WebLinkAbout2015 May 12 - Sign Off Transmittal Sheet, Plans - Kitchen & Half Bath Addition ` o4�q�e,y, TOWN OF YARMOUTH
�2 `�� HEALTH DEPARTMENT
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^��% PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Locarion: / � ����
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Pro os d Improvement: ��i 7�e�� C �� �� �r ��� � �) �� �n )�
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Applicant: �P ��Ji< h f' j�, �� ��'� � Tel. No.: �✓ ���/ 'L'� 7�
A
Address: �- �{ S� �:, ., � � s C r�c I c, �✓�.,r,��=Date Filed: �
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**Ifyou would like e-mail notifzcation o,fsign off,please provide e-mail address:
Owner Name: /�C A ��r � c. / a S �
Owner Address: .�S S17 c �� Owner Tel. No.:>>�6��4�/ ' �� ��
_..........................................................._......_................._.................................................................................................................................................._...._.......................................................................................................
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;
k
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)-
Note:Floor ptans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
_............................_........................................ ........... .......... .............................................................................................................................................................................................................................................................
REVIEWED BY: DATE:���`�
PLEASE NOTE
COMMENTS/CONDITIONS:
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/ �� JOB NO. Y74-36
/ TOSI.DWG
" FB 30-67
M � 1. LOCUS IS AM. 148, PARCEL 7.
� 2 LOCUS IS IN ROOD ZWlES AE (EL.12) AND % (OLD C) ON
a /� FlRN PANFL 057 DAIED JULY 16. 2014.
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� �E'at ��—• OYERHANG $ Qj,
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� EXIST. H��@... 1( � � �
'� n '�, a � 75 s._ � '�
PRWOSED DECK ON PIERS ^ ..:"�p,r �a�. �
Exst p�
(390 SF.) �p9 ••� 17 �v � '� , J;.. 3�$ � FLOWXZONE
I N F y �` i � � BOUNDARY
6 TOWN OF YARMOUT}i '�o LOT�7 / �j
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P�1b PROPOSED 72' X 15'
5 ADDI710N ON PERS
(180 SFJ LOT COVQ2A(�
I DOS7ING HOUSE/OVERHANG 7477tSF.
E7�S71NC 91ED 773SF.
� POSf. FRONT OEQ( 88tSF.
PROPOSFD ADDITON 78625.F.
PROPOSED OECK 3CO2SF.
` TOTAL 21{2tSF.
� � � LAT COYERAGE-2142tSF./72,tODiS.F.�17.75
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I CERTFY iHAT hIE LOCAiIONS SHOWN ON 7HIS PLAN
WERE MEASURED IN iHE Fl oN s/oa/u e� a/2a/is. PLOT P HEALTH DEPT.
�12 s F�
�yZH�F� BEATRICE TOSI & ROBERTA DOLAN
o`'� RONALD y�
� JAMES �, LOT 7, 15 SHELL ORIVE, YARMOU'iHPORT, MA
� CADILLAC y APRIL 28, Z01S SCALE: 1��40�
.o #35779 „
t9O'`�ss����. RONALD d CI1DMlAG PL3. RS, P.C.
AN�3U y� PROFE590NAL LAND SURVEYOFt $ REqSTEIim SANITARIAN
P.O. BOX 256 �
WEST YARNOU7N, MA 0�73
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