HomeMy WebLinkAbout2015 Sep 03 - Sign Off Transmittal Sheet, Plot Plan - Porch ��.
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oF�'�?,y TOWN OF YARMOUTH
o� ���� HEALTH DEPARTMENT
� ^� •'`� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Appdicant:
Building Site Location: � O� �r� / � � 1 �l r � . ���'i�V S�'�
Proposed Improvement: ��I l� G� X 2 `i, x��L�-r ( tv
I (� _ r�� `JD�T -' OJ S F, ��I
Applicant: ��� ���5 � M �1T Te1.No.: `����92Z5d��l
Address: � -`, ��� � �"N�C (r� , c_.C�TU� � � �'1� Date Filed: i�y � � �5
•=I,fyou would like e-mail notification ofsrgn o,�;please prrnide e-mail address:
Owner Name: �� �U�- k OT�
Owner Address: i �(�, j��'�\y 5 �Q��-1 Owner Tel. No.: �`�� `(�0�02 O
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RESIDENTIAL AND/OR CONIl�IERCIAL BUII.DING
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: � �
PLEASE NOTE
COMMENTS/CONDITIONS:
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• 444.85' 156.98' `P
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�F �EP 0 3 2015
M�U 65-7 HEALTH DEPT.
106 BFTTYS PA1H
YARAtOUTFI, MA
100.0�� tOT AREA 66,046 SF
EX. DWELLING AREA- 2293 SF
o PROP. DECK AREA= 162 SF
o PROP. LOT COVERAGE= 3.7%
SEPAC FROM DESIGN PLAN
163.�� ON FILE AT THE TOWN
HEAL7H DEPARTMENT
BUILDER TO CONFlRM
CER TIFIED PL 0 T �'LAN
MAINUR RESDENCE
1 CERAFY THAT 1HE (MPROVEMENTS SNOWN � t� OF yAs c ��` �T r� P� '
HAVE BEEN LOCATED BY A FIELD SURVEY. �,�`' s.r YARA/OU1F1. MA
r y� DATE.� AUG. 20, 2075 �awN: RBS
ROBB ��3, JOB ;�: 5100
��� o SYKES � SCALE 1"=50' OWG. GPP
�' " t+o.,35ata H EASTBOUND
�� �� �LAND SURVEYING, INC.
�� �� �� � 1� �� FORESTDA�E, MA 02644
ROBB SYKES P.LS DA1E r
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