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HomeMy WebLinkAbout2017 Jul 27 - Sign Off Transmittal Sheet, Plans - Change from Studio/Garage to Studio Apt. � ����,.�--�.,.�--.���� _ �-�..>... .�!�-Y�� TOWN OF YARMOUTH .,�--�� �r ;�- G HEALTH DEPARTMENT , o:..,� : _�r-i �,��.4�{!'_ t��'�� . . . . ��E� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant.• Building Site Location: 6 � ��f��+�� � �'` � � Proposed Improvement: C � �t 7r' 2� Vv� �u� �o I1 �', 1D U ro I �o �v1 ,� � Applicant: � � /� S aJ\ � b r��� Tel. No.: ���"�3� ' I.S��� � l n Address: � C/ �.s � � Date Filed: � -7� ' j / **If you would like e-maid notification of sign off,please provide e-mail address: ��`� f0 r���% C9 1/6 ) i��(1/�, Cb !ti1 Owner Name: �r !..�� Fl -�- G.� � 4i 56 t t � �j t;ft 1 � Owner Address: l E, t�+ � � �` �• � � � S"�� � / 1�,� Owner Tel. No.:��5�5 -�z�' 7�S ...............................................................................................................:.................................................................................................................................................................................................................................................. 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 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. .................................................................................... ......................................................................................................................................................................................................................:....................................................... REVIEWED BY: DATE: �~� (�1 �' :-' PLEASE NOTE COMMENTS/CONDITIONS: ., .. _ ... �, . . ': .... �' .' .:.. �.. �... . .. .. ., a. .:. .. ... ..�. � ... :.. :.... r + 1 .., ... ., . . ,. :. �.., :. -.. ,.. r ..,.: .: �. .. ., ... .. .. ... ... .. .. .... ..: .� .' .. .. � .. � t .�.,.. .. .. .; ., , . . ,. �. , :." ', i. '.. .. :• . . .. r ... .. .... ...: .. .. ... :�. ....�. .. .. ^:: . ,. .. : ' ..� '��.: .. '.k L s as ALWAYS DIG SAFE PRIOR TO CONSTRUCTION --UTILITY LOCATIONS SHOWN INCOMPLETE. 0 14.14 LEGEND i N /F CATALONI i �4 \ G' Goo x 12, A 0 8,21 0 po - � �\ o-, x 9.5 13,,2 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) -6—� EXISTING CONTOUR g PROPOSED CONTOUR TREE (IF SHOWN, NOT ALL SHOWN) REV. 1/15/16-- PROPOSED WORKSHOP WITH BATHROOM I FA NOTES FB31/57 7 1. LOCUS IS A.M. 29, PARCEL 237. 2. ELEVATIONS SHOWN ARE NAVD88 BASED UPON RM 20 AND VERTCOM. 3. LOCUS IS IN FLOOD ZONES AE(EL.11), X(0.2% RISK), X(<0.2% RISK) ON FIRM PANEL 586J DATED JULY 16, 2014. 4. ALL PIPES TO BE 4" .SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) 5. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. *NOTE: THESE DIMENSIONS TAKEN. FROM PLAN BOOK 47, PGA 13 AND NOT PLAN BOOK 390, PG. 43. EXISTING INVERT 7.10 PER PERMIT 06-205 H-20 COMPONENTS SEPTIC TANK & PUMP CHAMBER FIELD LOCATED s N F \x 3 �\� �� ��� KROL 12.0�-,:.. �7 0�,, x / ? 1.7 2 �\� PROPOSED INVERT=9.04 x 9 STONE PARKING x 12. 91 ;?'a , 1 1.3 ,1,2 .6 O SED PR RKSNOP woabO,11.31 sp 12x5 12 10.12 ,s 10.2 :�Plb, — 67 -L -S F LOT COVERAGE EXISTING HOUSE, PORCHES, STEPS=1824±S.F. EXISTING ADDITION & DECK=875±S.F. EXISTING SHEDS=270±S.F. PROPOSED WORKSHOP= 784± S.F. TOTAL 3753±S.F. LOT COVERAGE=3753 S.F./18,367 S.F.=20.4% NOTE: A BATH ROOM IS PROPOSED IN THE WORKSHOP, WITH SCH 40 PIPE, PITCHED AT 1/4" PER FOOT RUNNING TO THE EXISTING SEPTIC TANK, AS SHOWN. N LF_ MCGOVERN N/F :- PARIANO ;Iron Pipe c� 0 M ro m CL. ` Set .� 00 N� N F cp 0 0° PARIANOS Mag. Nail Set in Pavement I CERTIFY THAT THE LOCATIONS SHOWN ON THIS PLAN WERE ME D IN THE FI ON 9/2t&/12 & 1/15/16. OF PvlgSs9 � OF ASSgC Z� RONALD cy� ��RONALD a JAMES o JAMES Nib CADILLAC " CADILLAC # 1060 # 35779 0 0 �S.d A,,+..\ N i � , S U v HEALTH AGENT APPROVAL ; DATE G3GC�G0�'ICD JUL .2 7 2017 HEALTH DEF'` LINDA J. 8c WYNSOR C. LIBERTY, TRS -1 96 STAN DI SH WAY, WEST YARMOUTH, MA SEPTEMBER 28, 2012 SCALE: 1 "=20' RONALD J. CADILLAC, PLS, RS, P.C. PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN P.O. BOX 258 WEST YARMOUTH, MA 02673 ©2016 BY R.J. CADILLAC (508) 775-9700 PAGE 1 OF 1