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Home My WebLink About2017 Jul 18 - Sign Off Transmittal, Plan _ I E �� Yqk TOWN OF YARMOUTH ! ��'� �, �°�° HEALTH DEPARTMENT i o:..�.� �,::I'� � ��''�� ``�l$ PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � �� To be completed by Applicant: � Building Site Location: � ��.�� ,.�. �(��.��t..�1�-}� Proposed Improvement: ��.�,�� `� Ut��'�-�1 " V�1 N��/�/ � �_l , Applicant: �-,`—(--�'G'(�-�� -.0 1,:� TeL No.: +-=,CX� 7,4-�C�ft2.� Address: � `�� N1�D�� • � ��'�� Date Filed: �7 1� ( **Ifyou would like e-mail notification ofsign off,please provide e-mail address: ��C��-$�s�� Owner Name: ��.F'�1t�.1�G -�"1�'�� Owner Address: 2... j�.�lci� ��...1�, Owner Tel. No.: �� 2. �7� .................................................................................................................................................................................................................................................................................................................................................................. 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. j a 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:Floor plans not required for decks, sheds, windows, roofing; � (3.) If necessary, Title 5 application signed by licensed installer � with fee. ............................................................................... . .............................................................................................................................................................................................. I .................... ........................................................... REVIEWED BY: DATE: �� PLEASE NOTE COMMENTS/CONDITIONS: a � l � I I � , i � o r- �6 �s rnp� :z,9 �,4i�,. Mu v 1 � LOT 'NO . : ��.11DDR�S S : �. �D�l�� -r-� OWNERS NAI�lE : ��d ��c�.c, r� � • —� ld : R PAIR : ✓ S�W�GE PERMIT G . .�� E E .,�____. D�IT� ISSUEll : �t �� D1�TE I�1S1'1lLLED : �-a.�''-�� 1 TALLER At�iE : � � �' d v 2 C4 • zr s s N INSTAL,1�11TI0[�I �F :f�" �� '�l�-` g°� 2 �G� N S 1 �-�-- Ea1�TER TA�LE : Fit�AL iNSP�CTioN BY : __.___� Di�11WING (�F INSThLi�11TI0N ON �t�VERSE S InE : • /�� ',�.� �� . ---.�—_—.___..__ _ ___ _ � ,_.--' �� , � 3' .�` .� ��v.� t-_ � - � _, , �I�o nr7' , .. , -------� � --_ ._�____ � 'i� � �� 7 E I FLOAT MILL CREEK */)/ 3CARVERRUAD A.CE950R'SPARCEL 18.119 6Y Nr- . 4g , $ Dgvww nanuaN Q, \ to0110''w CAR NORTH3IXiW IGH,IM 01532 `♦ CONCRETE 4% �\ IVAr.I(IYP.1 % s♦ MOVED '/ • it EXISTING I I E%STNG >( '�O e ./,PPOPo6EDBIGTOOT SONOTUBE COLUMN SUPPORi161 PYPU I , PROPOSED SIRNGHf EGNOTUBE COLUMN EIIPPORT iBi PP., 9 ., f � i _ P00RY `AELLWITNI.010. �• r PVO CDRNDRVN P.PE FROME%6nNG P1E}I - A�\ ��'•:I- ` 111 i WI GUTTER DNSPOUTAND LEADERS. 161 I L INV. 4PV� � r / EASTNG MARSH r DWELLING r 1�. IN <•PVL EL26 , PROPoSED ORYW".LWIP14'OIA �/ �; PVL DRAV.PIPE FROIAE%IS1AG r ..'. ■ ♦♦ �/' GITTERWWwSPOOTgHp LEAOERs BmsTEPs aIL / � A� ~♦♦♦ 0 � \ I^Pao ♦ ( \ �ry14 F EJOSnNGPIERRESWN6 , EASANG.' / .. �� 9 \\ ASSEESALDPAHCE�l29.163 I Nq KAnAVU ARJTR3 RS Ui 31 SPARAILL ST ' evuIHAM'Ma mdsx PLAN / 7ALDENRGAD LA1Y ASSESSORS PMCEi29190 I 10 5 0 10- 30 ARTIIVREBOGOENTRSCID 1 CHNSTOWERBOGOEN 7ALDENRO NEST YAAMOJTH, MA 02673 NOTES: 1. SUPPLY ALL MATERIAL. EQUIPMENTAND LABOR FOR STRUCTURAL REMOVAL AND CONSTRUCTION OF THE PROPOSED REPAIRWORK AS DESCRIBED AND SHOWN ON THE 'PLAN AND DETAILS. 2. ACCESS FOR MATERIAL AND EQUIPMENT TO BE FROM THE SUBJECT PROPERTY CONTRACTOR IS RESPONSIBLE FOR OBTAINING ALL PERMIS&A REQUIRED FOR USE OF ANY AND ALL ACCESS. 3. PERFORMANCE OF THE WORK BHA' BE WI E IN COMPLIANCE TTL ?IAN AND DETAILS. - .AND ORDER OF CONDITIONS ISSUED BY THE YARMOUTH CONSERVATION COMMISSION FOR THE REFERENCED PROJECT AND AS DESCRIBED BELOW 4. EXISTING CONCRETE CMU RETAINING WALL SLAB TO BE BROKEN UP AND REMOVED WITH MINIMAL DISTURBANCE TO SURROUNDING GROUND. CONCRETE TO BE. REMOVED FROM SITE AND DISPOSEDOF AT AN APPROVED SITE. 6. ANY FILL To BE BROUGHT ON SITE SHALL BE CLEAN COURSE COMPATIBLE SAND. B. ANY BANK DISTURBED DURING CONSTRUCTION IS TO BE VEGETATED WrrH NATIVE COASTAL -VEGETATION INCLUDING AMERICAN BEACH GRASS,: LITTLE ELUESTEM, AND BIG BLUESTEM, OR AS APPROVED BY THE YARMOUTH CONSERVATION ICOMMISSION. 7.. PLANT ANY DISTURBED AREAS TO A MINIMUM OF 4' FROM TOE OH. BANK. 8.. PLANT DISTURBED AREAS WITH APPROPRIATE NATIVE VEGETATION FOR RESOURCE AREA. 'SALT MARSH RESOURCE TO BE PLANTED WITH SPARTINAALT ERNIFLORA AS APPROPRIATE. COASTAL BANK TO BE PLANED WITH NATIVE COASTAL GRASSES OR 'SHRUBS - S. STRAW WATRE TO BE PLACED FOR SEDIMENT CONTROL DURING CONSTRUCTION TO ELIMINATE CONCRETE DEBRIS INTO SALT MARSH RESOURCE. FF4�� COF PIER,POST, TYP CONNECTSPECIFIED BVS STRUCTURAL DRANNO 2"CL^ s m i4• CIA BONOTUBE; (USE 16' OIA SONCTfUBE IF STL COL. B BASE PLATE SUPPRORTEDJ b SB" DIA. PREMANUFACTURED SPREAD `1O1 ING FORM 1 VJGULARFTOIL ON gCMPTABLF. PROOF. 3VL:E0 SOILa T COMPACTED STRUCTURAL TRUCTUR?.LF LL BIG FOOT SONOTUBE COLUMN SUPPORT DETAIL LEGEND PLAN REFERENCES: O EXISTING a t:d2 {MEANHIGH WATE'n U I ■ BOUND - NA�a3 _ FLOOD NOTE. alL; ■ O ! NPRBIf COSH T 4'OIAORA!NPiPE 777777 TDA M BE HE LOOD ZONE AE (EL 13, AND ZONE ' E (EL 111 t COi URPiN MANHOLE AS. SHOWN ON FEMA FIRM PANEL 231 M Ah LU'N WATG . E123 !125001005691 EfFECTNE'. JULY 16, 2014 � Ir ��y RAA1P �! r yy�I Ii i` PROPQSEB � t' rJ STAIRS INJ 4'PVC ♦ // 3CARVERRUAD A.CE950R'SPARCEL 18.119 6Y Nr- . 4g , $ Dgvww nanuaN Q, \ to0110''w CAR NORTH3IXiW IGH,IM 01532 `♦ CONCRETE 4% �\ IVAr.I(IYP.1 % s♦ MOVED '/ • it EXISTING I I E%STNG >( '�O e ./,PPOPo6EDBIGTOOT SONOTUBE COLUMN SUPPORi161 PYPU I , PROPOSED SIRNGHf EGNOTUBE COLUMN EIIPPORT iBi PP., 9 ., f � i _ P00RY `AELLWITNI.010. �• r PVO CDRNDRVN P.PE FROME%6nNG P1E}I - A�\ ��'•:I- ` 111 i WI GUTTER DNSPOUTAND LEADERS. 161 I L INV. 4PV� � r / EASTNG MARSH r DWELLING r 1�. IN <•PVL EL26 , PROPoSED ORYW".LWIP14'OIA �/ �; PVL DRAV.PIPE FROIAE%IS1AG r ..'. ■ ♦♦ �/' GITTERWWwSPOOTgHp LEAOERs BmsTEPs aIL / � A� ~♦♦♦ 0 � \ I^Pao ♦ ( \ �ry14 F EJOSnNGPIERRESWN6 , EASANG.' / .. �� 9 \\ ASSEESALDPAHCE�l29.163 I Nq KAnAVU ARJTR3 RS Ui 31 SPARAILL ST ' evuIHAM'Ma mdsx PLAN / 7ALDENRGAD LA1Y ASSESSORS PMCEi29190 I 10 5 0 10- 30 ARTIIVREBOGOENTRSCID 1 CHNSTOWERBOGOEN 7ALDENRO NEST YAAMOJTH, MA 02673 NOTES: 1. SUPPLY ALL MATERIAL. EQUIPMENTAND LABOR FOR STRUCTURAL REMOVAL AND CONSTRUCTION OF THE PROPOSED REPAIRWORK AS DESCRIBED AND SHOWN ON THE 'PLAN AND DETAILS. 2. ACCESS FOR MATERIAL AND EQUIPMENT TO BE FROM THE SUBJECT PROPERTY CONTRACTOR IS RESPONSIBLE FOR OBTAINING ALL PERMIS&A REQUIRED FOR USE OF ANY AND ALL ACCESS. 3. PERFORMANCE OF THE WORK BHA' BE WI E IN COMPLIANCE TTL ?IAN AND DETAILS. - .AND ORDER OF CONDITIONS ISSUED BY THE YARMOUTH CONSERVATION COMMISSION FOR THE REFERENCED PROJECT AND AS DESCRIBED BELOW 4. EXISTING CONCRETE CMU RETAINING WALL SLAB TO BE BROKEN UP AND REMOVED WITH MINIMAL DISTURBANCE TO SURROUNDING GROUND. CONCRETE TO BE. REMOVED FROM SITE AND DISPOSEDOF AT AN APPROVED SITE. 6. ANY FILL To BE BROUGHT ON SITE SHALL BE CLEAN COURSE COMPATIBLE SAND. B. ANY BANK DISTURBED DURING CONSTRUCTION IS TO BE VEGETATED WrrH NATIVE COASTAL -VEGETATION INCLUDING AMERICAN BEACH GRASS,: LITTLE ELUESTEM, AND BIG BLUESTEM, OR AS APPROVED BY THE YARMOUTH CONSERVATION ICOMMISSION. 7.. PLANT ANY DISTURBED AREAS TO A MINIMUM OF 4' FROM TOE OH. BANK. 8.. PLANT DISTURBED AREAS WITH APPROPRIATE NATIVE VEGETATION FOR RESOURCE AREA. 'SALT MARSH RESOURCE TO BE PLANTED WITH SPARTINAALT ERNIFLORA AS APPROPRIATE. COASTAL BANK TO BE PLANED WITH NATIVE COASTAL GRASSES OR 'SHRUBS - S. STRAW WATRE TO BE PLACED FOR SEDIMENT CONTROL DURING CONSTRUCTION TO ELIMINATE CONCRETE DEBRIS INTO SALT MARSH RESOURCE. FF4�� COF PIER,POST, TYP CONNECTSPECIFIED BVS STRUCTURAL DRANNO 2"CL^ s m i4• CIA BONOTUBE; (USE 16' OIA SONCTfUBE IF STL COL. B BASE PLATE SUPPRORTEDJ b SB" DIA. PREMANUFACTURED SPREAD `1O1 ING FORM 1 VJGULARFTOIL ON gCMPTABLF. PROOF. 3VL:E0 SOILa T COMPACTED STRUCTURAL TRUCTUR?.LF LL BIG FOOT SONOTUBE COLUMN SUPPORT DETAIL rI ME LOCALS CREEK COASTAL 11 ;y engineering co. �` � 260 Canhetry Hwy. p4aI4 rM 02853 �0355.85L� SOBISSSTIOF LEWS SAY KFY MAP i0 SC.ALE LEGEND PLAN REFERENCES: O EXISTING ASSESSORS MAP29, PARCEL 168 t:d2 {MEANHIGH WATE'n U I ■ BOUND - NA�a3 _ FLOOD NOTE. � BASIN CATCH BA 4'OIAORA!NPiPE 777777 TDA LOOD ZONE AE (EL 13, AND ZONE ' E (EL 111 L COi URPiN MANHOLE AS. SHOWN ON FEMA FIRM PANEL 231 M Ah LU'N WATG !125001005691 EfFECTNE'. JULY 16, 2014 NOAA TIDAL PROFILE CONTOUR DATUM NOTE: STA ,7495 GALE SAQUATUCKET HARBOR. HAI^,WICH NOT TO SCALE SCALE: 1^ 4' PP.OP09F0- mARnNPPITETCIIPLORA ELEVATIONS SHOWN HEREON ARE BASED ON THE NORTH AMERICAN VERTICAL DATUM 1988(NAVD 1968) rI ME LOCALS CREEK COASTAL 11 ;y engineering co. �` � 260 Canhetry Hwy. p4aI4 rM 02853 �0355.85L� SOBISSSTIOF LEWS SAY KFY MAP i0 SC.ALE POS' .yP ""- PLISTBASEPER S,,^.HEDUIE; CONNECT AS - > .SPECIFIED BY STRUGTUPA_AL1 I.WIN'GS \•� z•a R..;.:. i �� a SONOTUBEPERPLAN -\ 1 � I I f --MIN CF y ,: USHEO,COIVPACTED 0UI:..R STONE ON ACCEPTABLE PRCO'ROI.LEDBOLSO, COMPACTED _\ STRUCTIJRAI. FILL \ STRAIGHT SONOTUBE COLUMN SUPPORT DET.!!_. JUL I q O EALTH DEPT. U - FINISH GRADE -- _ FILI00 ZCIEAE (EL 131 _ _ _ _ _ _ � LAYER OF UB`T012' STCNNE 4'OIAORA!NPiPE 777777 TDA N /. I CONCtiETE - 3W TO FLOCC ZONEAE LEL t1i REGRADEAND DRYYID� '� UTDOUBLED I WASHEDSTONE 1 EXISTING CO�RETEWA VEGF'7 WITH NATIVE TO BE REMOVED �\ COASIALVEG'EW. 7 DRYWELL DETAIL (DW -2) GALE t-F%18TM0 NOT TO SCALE PP.OP09F0- mARnNPPITETCIIPLORA S SALTMARSH I SEt 6 J DC7—clil I \u �COTOBEREMWENG SECTIONA:A OObD12'P STPAWWATFLEF0H6ED6N —0 CURING 'tAPPRp(IrAiELCCAnoV1 3�COMO. .I Tyu _ML IN. e.3. IbEE NOTE81 tf-4 l _,1...1....1 0 5 10 15 DISTANCE ALONG TRANSECT (FT.) 20 25 - 33 35 40 - db 63 s *)o17 POS' .yP ""- PLISTBASEPER S,,^.HEDUIE; CONNECT AS - > .SPECIFIED BY STRUGTUPA_AL1 I.WIN'GS \•� z•a R..;.:. i �� a SONOTUBEPERPLAN -\ 1 � I I f --MIN CF y ,: USHEO,COIVPACTED 0UI:..R STONE ON ACCEPTABLE PRCO'ROI.LEDBOLSO, COMPACTED _\ STRUCTIJRAI. FILL \ STRAIGHT SONOTUBE COLUMN SUPPORT DET.!!_. JUL I q O EALTH DEPT. U 0 FINISH GRADE -- a RLTERFABR:COVERAZ' LAYER OF UB`T012' STCNNE 4'OIAORA!NPiPE 777777 TDA N /. I CONCtiETE - 3W TO DRYYID� '� UTDOUBLED WASHEDSTONE 1 DRYWELL DETAIL (DW -2) GALE DMW'lNC. FL NOT TO SCALE f= O Q J P. Z KES THIS DRAWING IS PREPARED FOR PERMITTING PURPOSES ONLY AND SHALL NOT BE USED FOR CONSTRUCTION. CONTRACTOR SHALL OBTAIN FINAL ` ��.�•� CONSTRUCTION DETAILS FROM THE ENGINEER PRIOR TO PREPARATION OF CONSTRUCTION BID AND BEFORE BEGINNING ANY WORK. s