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2017 Aug 07 - Sign Off Transmittal, Plans - Sunroom
T..�en,,g.�r -.-��.� . _.. �.�.�., ; -� �----��.�- �, . ; o� Y�� TOWN OF YARMOUTH � �"°`'�'`,o �; -;� HEALTH DEPARTMENT Q:..�,_ � - '-j"g ��`~''� ``�l� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ,,���NE To be completed by Applicant.• $uilding Site Location: � � �� � ��°� � s-�-e�n �� rc.�-4. �o i..J� y�.,c��,,�, Proposed Improvement: 1�i � x t to� 5�� �o e w, ��..��cQ.+� u•,� Q�,�. h�,v�..Q ��a)- �a.r c�S-e C3� S"o,�,u � � APPlicant: � �..`�� � � v�e,��a Tel. No.: �a�'S' 3� t� �'}�CG Address: �Y'1 t��.,.• � , l�.aQ;+�+r��S M�► , Date Filed: �-�5�� � o t ] **Ifyou would like e-mail notifacation ofsign off,'pdease provide e-mail address: Owner Name: �G� �+�� �'\0.0 e.r� �u d't��`�I .> -. Owner Address: � C� P„N.�,� (�����, �,:sc,�s So�� ��r�nr-e�Owner Tel.No.: So�- 3� � - � 3 Sl ................................................�................................................................................................:.....................................................................................................................:..............................................:.......................................... 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; (2.) Floor plan labeling ALL rooms within building (all egisting and proposed) — Note:Floor plans not required for decks,sheds,windows, rnofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. .................................:.........................................:........................................................................................................................:..................................................................................:.......................................:........................................ ,, REVIEWED BY: DATE:��� � PLEASE NOTE COMMENTS/CONDITIONS: * j�C� tn�� �c�c-e� �c. M cc '�-�►�c. Cr v e'/ S~�.,�.v�r✓ �t c.► ,.,,c. 110.00' 110.00' v � `V 38.4' 0.04' O p I�ER � ySHED p.l' y - � i � � PROPOSED � +� ADD�TION � w � rn � o � � /. � EXISTIN� STR�CTURE � 27.3' � -/� c.� � I � W �or �3 G3�C�G�M�[D � 13,457.2 f S.F. A�� (�� 2Q�� ;���t�+�-'►�.s� 5'u+✓ �y"` ;� ROBiN ��'� HEALTH DEPT. WiLLIAM `� �i' � �� W���oX � � CIRCL ! 32 EN ,� rJo. 31 s41 � �.�, s2� � '� R� .� o �o �, ��E`��G/S T E��¢J� '" TTING ; �,� �A�o p U � � TO THE BEST OF MY INFORMATION, ��PROPOSED�� PLOT PLAN I�� KNOWLEDGE, AND BELIEF THE SOUTH YARMOUTH, MASS. ', STRUCTURES SHOWN ON THIS PLAN �OT 13, �.C. PL. 31979_A HAS BEEN LOCATED ON THE GROUND DATE 7/15/17 SCALE 1" = 20' AS INDICATED. JOB 7885-00 CLIENT AGNELLO 7/15/17 �/�,/ SWEETSER ENGINEERING 203 SETUCKET ROAD DATE PROF�ESSIONAL LAN SURVEYOR OFF. 508-35°6 013 SOUTH DENNIS, Ma o2sso FAX. 508-385-6991 C: I S8 I PROJ I 7885-00 1 dwg I 7885-PPP.DWG O 201 7 SWEETSER ENGINEERING � � ��.. _ ` � � r � � ..v �. S ,°�i � - � �' d '� s � J : � � � . � r 3 `� =- � J L � r � � - � � � � � "t � � - � j � - - ^ r I Q _ - � : � i - � a � fb � - ' �} 1. �. � i 'i� C?'_ ; ! �+ _ � �`�0 � � �- � � � � � 3 '� � f � � . � j. -� !12 � � "_ 'C . '� ' X� _ ( � d� _ _ � a ' E i� > �j\\� � __ "x � / 4 L_ \ � .� � s \ • � � _ _ � � � � � �: � . _ � 9 ° .t c ,- (— � ; - f � ; -- � � � 4 --I' i 1 = _• � d' `� '` L_,_. .� _.1 � ~ , �' � `�.� d � � /\ � � a 1 _ `� S �1 } s _ � � � � ( . •� N m� � � � � � _ � �., � .� � � �, t i .. � d . � �..� �1 ` `�� . �t v � � ',� �\� � - r- r ' � ,_, � � � - � ` � � � � �- _ _ _ _ � ; -. � �� . _ `-! , ' i k,. �„ �j � � � � _��, � �d i - . � r - a � X � s . � � 1 , v � � � M . � .. �� � , �,, � i � � � � � ��- ` _ - O "�� ' j / ?� J ; -:1�- • �... _�J —�,.,. -- � � _ .r -- c . i ..�- � i � . � 3 � � � � d d � G .:� -r-�,-'; o .Y t^:J ..1�... O' � - i^ i T- �' � � � .� �-.`r C.� � � � � -� �.1 � c \ _ .� .� 9� , � 3 J a � � �, � �, . � � a� � r �� � � � � � � � 0 .n �`� d Q L - � -� O j � �,',.� _-'6 � n --� ;n � _. � �J � d � S � a" � t � .� � C � � ,� o � � � � i �. �, 3 � 3 n!' � �-- � � s � � 3 `� � 1 � ; � ' � � G � � � -� � � � M � � � � . i 20 Putting G�een Circte, South Yarmouth P►oPeRY addreas � Paula Christensen �i Qwner Owrtar's Name ir�tonnation is 205 HBsrthBide Rosd, Stettdish ME Q4084 August 20, 2814 required fCr every pe�e. C8!►lTawn . S'tate Zip Code Dat�e of Inspec�ion D. System Information (cont.) �I, Sketch Of Sewage Disposal System:Provide a view of the sewage disposal system, inciuding ties to ' at least two permaneM reference landmarks or benchmarks. Locate all wells within 100 fee� i.ocate ' where public water suppty enters the building. Check one of the b�xes#�elow: ' � hand-sketch in the area below ❑ drawing attached separately I 1.1 r+-�'"'1�`^"' � I� �f.�c.rC . Q � ' � I � � _ " � � � � � � )I �I �_._ __.__ � � '��' � � f i � _.._...._...- f _ '' t � L� r _; ', i � � � � � ' � � l _ � � � ,r` � , �_ _ _ _ _ __ � _ . . . , � -. ' � l� t :. � � ' Qr � a�.' Z- Z �� ' 2. Z 3s" '�, �' ka' � = ��� '� , t61m•3l'13 Tilb 5 Of�eial Brupedion Form:Subsurface Servepa Diapowt Syatem•Pags 15 af 17