Loading...
HomeMy WebLinkAbout2018 Mar 27 - Sign Off Transmittal, Plans, Notes - Attached Garage TOWN OF YARMOUTH 3c` HEALTH DEPARTMENT 4-4 PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: S I 6 f 0 0`' • 14-r1.- Q f� Proposed Improvement: / OP 6 Y4 f Me-4 '(s v¢,2 46-e— Applicant: �- 3 i�l�Tou Tel. No.: 43 V— o &~‘ Address: 3 r l> � 1.ei,.t e eo �'P vlA{ht- oc9 Date Filed: S�' **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: a440�/ l 411 rS Owner Address: Y' J a L/`' Owner Tel. No.: g ,,0 "-• 7,SI 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: Pr\ 74Y DATE: 3 ---d12- 18 PLEASE NOTE COMMENTS/CONDITIONS e-c p NL15 v w s ,� S-t �,L T A.1k _ h T . I Y ../., O Q G' © i .s . •�•oc _ .f r ''''''s" .....yiex........•‘-. - • 1 3 A ;� t k. IY 5 fil (1 . ' , r 0 rq ,, 1 Ili a . itt4s 1 I. : .fl - • #-s h Q infIX, 35•• ......„ , .•.4 kM • a . . . Il . 23� t 4 . • .t o 7-- 3 .S' I . .: 1 ! FIED PLOT PLAN fil - . % T I 0 N - 4- AT 7-y••9•Evr/.:2u?',.`s� • C E I .•3..1.2-..#••••l!7 a:•'"- . v. ..c: •T . C•:'L~...i11-• • . •. - o c.• . .r• .4;4.-4;--- • Z." .•',3 4:3 6 V7z_. DATE a•cz.,.._.4c.... . 1 . •s v - _P E Gi i A N 0 S v » . 1 _ H • C £ RTIi' THAT ►+ f yu , z OIr� G ~- •• !. ON THIS PLAN I.S LOCATED ON 40UNC AS SHOWN HEREON Ar.; ,-; , ! 4cs.coES C,ONF0RAM TC THE `1 G BY - LAWS OF THE 'TOWN OF ' • .,•,,2/tipcsv ..WH E N C O N $ T P U C T f. D • • • 1 •+ NISrAELE SURVEY C ONSUi ''ANTS. INC. ;. W: $ Ri►1C �1 T/.. ka A s i tl" 0 CB/DH/FAD 48.56 TWO WAY CLEANOUT TO GRADE 5A110..� 4 38.4' 4!2 t1l 40 V I VV 7 V4? V'm 6c 49.10 -6c-64� EXISTIAJOG SEPTIC 4( �- JOG c 0�w 51.0 1.0 _� E REQUE 00 GAS C) lzo METER -PTH TO GR( Flom TOA 11W-2qZ0'VT'X-"'1u -R LOCAL Appmoyinju, AUTNURITr Ly 0 .NT Tom USED. A VARIANCE CB/DH/FAD 49.S 4p ASSUMED DA TUM - T. 0. THRESHOLD . C)4q ilii a ZU15 13 c- 60.00 MAG NAI SET AIPSET 25 —PROPOSED LEACHING FIELD CUL TEC CONTACTOR 100HO SET ROWS AT /.O' APART 49.44 10.9.± z z z z /49.44 9. DIS 56 NwMki 2018 4 `ct7 WEALTH DEPT id for RFPAIR 0. F SEPTIC SYSTEM Lyl_ld�l.e to State and local scPtic variances. Board of Health review And aN)rOvOl is re0ir"' for any fut'u.re to sewage fat ilifies. and/or stru 0 it s' esid N% t! lli0g, Yarmouth Health Department APVROVEIY� p _. SCOW:: p _. ...:..:....:. i Q 4