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2009 Jul 21 - Sign Off Transmittal, Plan - Storage Shed
...� -�-�,� �-..,.��.�,�..�.. _ ���-� - �:r-; a-, ,� .�� _ .N=���, ,�:°��Y��a TOWN OF YARMOUTH - ' � � y ' HEALTH DEPARTMENT ; ;� �'�„,,,,�e��,��� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be eompleted by Applicant: Building Site Location: ;j � � S� �ver2 �'/ Map No.:�Lot No.: � ' S. �,��rQv , /h'A, pz�65' . Proposed'�Improvement: ��Z SToit �-� S' " C,c,/t � c� i ��x ._. .. �. , �,�` Applicant: 1 u i D � I�'!S' ` Tel. No.: `� 7�i `��QU rf�`� '--_..,..._. ✓_�. Address: i D,2. C y1 c i2/2 y �,�?1�d.p ���, /�a f Lt ��.�,,�/�30�Z1)ate File :�`77�-`�7"�---�"`��1-�� . **If you would like e-mail notification of sign ofJ;please provide e-mail address: . �,� / l _. _ t _ Owner Name: .�i�c�� � �- �o Ca V�N�f __ _ �/a.�,f�fi � — � Owner Address:_� (��2 C ��- r2�?y �J p�a J J� �(�aS�►J�. /V� O r Tel. No.:� �Yj ,,�(}Q �y�,1 ' �3 06.2.,..� ' � 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. i Please snbmit four (4) copies of plans, to include: , � (l.) Site Plan showing ezisting buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building , (all ezistidg and proposed)— � Note:Floor plans not required for decks, sheds, windows, roofing; , (3.) If necessary, Title 5 application signed by licensed installer � with fee. -��--------------�----�---..........----�--....................._..-------- ...---�-------��--- �----�--...................................-�---�-��-�---- ......................--.....................................................-�-----......--�-................-------....-�---...---..........------_........................--�---.......... REVIEWED BY: ;' DATE: � �! O � ��t PLEASE NOTE CONIlVIENTS/CONDITIONS: � � � �� :+e.�rna.. �� AC� � r °��s;; , 1 ,,� ,� �: . � ,_� �°i .�� � . .�..�� . . ..,.-,. � ; v��: ,�. �.��� ..��.�.� � � ; �. _� � w..�.r,k�.�,.�� � ��� , . E. _._, �k�...1 � , 195 1 ..� __. , t � , � �, � . _ �2,1�1+� .��� �,. ,� �� � . �,���� r.. ` c� �� � + , f ► � ,.,.. � ,. .w.j �� � 'l.ta3 A!' � r � _ . -� 1 !�� A� t. �2 q� C� �.. � ; � .�.a.. � � r���� ��� �� � �� �,�,� � �...��...� ��.., � �...� , �� � � � � �. �� r � � �,� � � �� � � .� �� w,..TM �. ��'i" �s __.�--� aa r ���� ��� t'�-o�y� �'� ��--� � ' �. � ' �,,, � `� _ -���� �. � �---.�...,_ � ��'"'�-q L.J °° � f� � � C`� � '� '��`'� �V j ���°- ,� ,�t �„_ f� 1 ��j`"`"'� ,.,�.�„��'"� .. �-_.� ,18 �� �'ow .6"� � .'!? ����� �1 ��v . �� �:�� � � � , >�.�� �� t41q � 1 9 � ,� �; v� C.� ( .�.,j�� � t � ��� �~-� ! _�.�� � � �1 AC�' A��`� � , ; `'�-- �...._. �.�. �, �. w.l s j � � i � i •�►�. ��. `" "-- �„ � � { � 0 f --. � �,-,..,t °' W� ±, � 'i�7.9.� i � 928.9.9 �� ��12."L_ � �f - _ � .93 AC � � . AC � �---�AC �_. '�" � `� j cs i 1 � � �'W-w � .�' b. '` � _ � __s._ .� �i � � � ��a- � t i . �--�.-...._._. �,�., � t3.'i9 � j t ; . � f'YU 43.-.,..,.'�",,,,,-t � � —��.,, . �- -�-----�-�-.. �� � ;��J �:� z_���c ,�--t:��a+c ��� . o�c � 2& ��R j �T -�.,,_..�,... ----.,..,,.,..� � �.�` �a ``�.�"y' � �_,.�,�; 9 AC � .'i _„�~----�� z � ., ��� � �4 �� �� � o. .32 AC 125 ��,�,�� .. �j:� �'� :��� � Q.42 AC l�7�a .��C � 1 � 4� .�Ac �.�---� � ; � , Q ,b� ��� � � ��'u^�� �� �� �� ��• � T 1 �� '�" `"° I`--_ � ..... <... � �zr• � _.� ` 14$ e 1'R' C p` ,� ;,9�1 A� � ; � �. 49 ; Cl � �; � C�. 7 � �4 a..� ��G c:-��.r'� � � f 145 i `� - -., ..__. r�"""'1 y t P' -:'VISIONS: NO. DATE DESC. I CERTIFY TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION AND BELIEF THAT THE LOT CORNERS, DIMENSIONS AND SETBACKS TO THE STRUCTURE AS DETERMINED BY INSTRUMENT SURVEY AND AS SHOWN ON THIS PLAN ARE CORRECT. OFCPW'klS�cyG N PROFE IONAL LAND SURVEYOR DATE PLAN OF LAND #115 RIVER STREET AND #1 15A RIVER STREET IN BASS RIVER MASSACHUSETTS (BARNSTABLE COUNTY) PROPOSED LAUNDRY ROOM JUNE 39 2009 PREPARED FOR: SARAH HORNE 47-48 FRANCIS LEWIS BLVD BAYSIDE, NY 11361 (718) 279-4602 BSC GPOU'P 349 Main Street, Rt. 28, Unit D W. Yarmouth Massachusetts 02673 508 778 8919 © 2009 The BSC Group, Inc. SCALE: 1 " = 20' 0 2.5 5 10 MEMRS 0 10 20 40 FEET PROJ. MGR.: C. FIELD FIELD: D. GAZZOLO / N. MERCIER CALC./DESIGN: K. HEALY DRAWN: K. HEALY CHECK: C. FIELD FILE: 9274SITE. DWG DWG. NO: 5841-02 SHEET 1 OF 1 JOB. NO: 4-9274.00