Loading...
HomeMy WebLinkAbout2017 Apr 24 - Sign Off Transmittal, Plans, Plot Plan - Sunroom ,r. .. , �. ,,e .��„� . � ��: . ��-.,� _ , _�..> _ � -�:.. . � .. , . ,� �� , , _` . o���� -� "`�` TOWN OF YARMOUTH . .,,,. ;�. 4� s `��}� HEALTH DEPARTMENT � -s.. �., � --- ,��,� "`'�=E-`'_. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET I . ; To be completed by Applicant: I Building Site Location: � � 8 v�zn�it� ! �'-ee. �.v►�e. S• y 1�9j� /� . . Proposed Improvemer�t: �N�e o M � D A l T� a�t.1 CJ .P�tl "T u � X l J //'t i � � � 0 � �� u av �� Ua ��P � �:I , ,� i Applicant: l� A ! ZZ/� N e7�. �rn ��d� �/� -ZN L Tel. No.: �U� � ��' l��/�' �t"t,!c� y�� 9 I/I' J A rrt�.,! Address: � � /,� �/��!N �Y-C� L A N�-- Date Filed: D S✓��' � J`7 ; ; **Ifyou would like e-mail notification ofsign off,pdease provide e-mail address: � Owner Name: �2 p c�U r-G ti�-► �b A✓A M��JC� i _ � l S l3�ra���l ,� G G N e Owner Address: � � � � __ Owner Tel.No.: `�/3- �u 1-G 7 �O3 �— : � �1M atlT t� �../`�A............�..��'G y � ,� S . L/,�} , . ..�...............................................f ....._... .................... ...... ......... ......... `.................................................. ......... ...�..:.:. ...... ............... � � �� � nh.,_ . � � . � � .,.. w,, .� _ � � . RESIDEN`i'IAL AND/OR Ct�MMERCI��;-�LII.�.,D�A�G' �' � � � . � ;��rm- � HEALTH DEPARTMENT: Determines Compliance to State,and Ta�Regulations;3�.e1,Reqt�irements For Septage Disposal and othe�r�I�itb�ic Health Activ��E��. ,:�" ` �'� : ,�, �'"� { � � r ,� , Please subm-i�thr����(3) co_pies��.�an�si_�ainclud�:� (1.) Site P��n-stt�"owing, ` g buildingsy water line location, and sept�e-sys,t�� �c�tion; (2.) Floor pl��abeling� rooms within building , (al��x�isting and pro�osed) = , Note:Floor plans not�equired for dec�ts,sheds, windows, roafing; --�°~" (3.) If necessary, Title �5 application signe�l by licensed installer �-� . with fee. �� , ;: .......................:.:...............................:....................... ...... .... ........................................................................................�:...................................................................................................................................................................... REVIEWED BY: DATE: l ~� l '` ` ` ' PLEASE NOTE C OMMENTS/CONDITIONS: � 1 � .��3� . �lJ 4 9-.t. . � : � .�11P§t 5�4 � � _ � � �. f o # � �. r � � � ii � � � Q � 1-= �� � � � � N � � � � _ � _ N o � ,� - W � _._ - _ `� 1 I U' "` u� ,� � � i�, .� � a = `� � � � � ,r�``* � c�+ � � � � � . � � J � - �- ---� �, � �--- —;� '� � � :. � � � � �_ � �� ,� ' � � � 3 � �. � � �d � �..�.. � .�,� _ � � �e � . : � � ,. . _ � � . � � � � � � � � � � _ _ _ � � � � � � � _ � � � � `� � �} I � � � � i � , � � � � . .�� : � � a � � � �; _ � �r (� ,� � � .� � � � � ^� � � 1 � �,,� � �� '� � � y� , �. .� _ ,� � � . � � o � - � � � � � � :� � � � � � �" � � $ � � � � � � � ; � ��.. � � � ' _ ` I � � � � � � � � �� 1 �- ; I �` �. 1 � , � _ ,,� _ _... .�. .�.... �. � , : :,._ � � i r � , � _ � _ � � � i 1Z�'�5� � � �: W .. ... � - EX, Z ..W:.�:�..::�-:::• :. :. Q DRIVEWAY J ; PROP. :;. ADD/TlON t,s� 22•�1� °° W �;.�... o o � � " - � � C3 � 2�.55 ... ? � �• �� Z � ::; Ex. � �:. + .:�� DWELUNG f�: :: :: m � :�: �. ::� �; .....:::<�:;::::::_:::� 33.50' � o, N N � SEPTIC FROM ASBUILT 93:00' ON Flt.E' A T THE TOWN HEALTH DEPARTMENT 8UlLDER TO CQNFIRM ' LOT AREA=13.068 EX. DWEWNG AREA— 1891 SF ' PROP. AQDIIION AREA� 315 SF PROP. STRUCTURE COVERAGE= 18.9R PAV�MENT AREA=863 SF IMPERIROUS LOT COYEf�AGE= 23.4$ I I � � CER TIF�ED PL 0 T P�AN MBLU 91-82 1 CERTIFY 7HAT THE IMPROVEMENTS SHOWN 15 BURNING TREE LANE HAVE BEEN LOCATED BY A FlELD SURVEY. ��,��'�� �F yAss,�c YARMOUTH, MA �'s ROBB yJ' �ATE:FEB. 22, 2017 DRAWN: RBS JOB �: S293 ` o SYKES � SCALE: 1"�30' Q� P f � No. 3s��8 � EASTBOUND � J, ",_r �, � � � �LAND SURVEYING, INC. � S� P.O. BOX 442 ROBB SYKES, P,LS pATE FQRES7DACE, MA �2844 508-477-4511 � E