HomeMy WebLinkAbout2019 Apr 24 - Sign Off Transmittal, Plan - Deck and Screened Porch �tk TOWN OF YARMOUTH
o; � >= r HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 10 S ‘Al;AA,f' yc.,
Proposed Improvement: Dec k wk d Sof? c k,
IIApplicant: w/-�A 4. 7""�' Tel. No.: Ii i rZ
Address: --79 141 I tcyA} Pi i-L, cc-fin-- 10 A 6-u, C Date Filed:
**if you would like e-mail notification of sign off please provide e-mail address:
Owner Name: Tk tv,t,5 M"(
Owner Address: 10c- W titA�.J J Cer 410 f 1 ?"+ M A Owner Tel. No.: /7-1c 3 I)I 1
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: /4(2°(� C l!PA9,-8/ DATE: -�
PLEASE NOTE
COMMENTS/CONDITIONS: / f 4.0
/1-1./4 4 rGr� .7 7, 2`Ta/ii /U / 77/fes' � '4
GREENLAND CIRCLE
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L=53.55
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® 0 LOT 117 rn
15,246 ± SF. zil
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`1, 3`9)' FOUND n0N
off' 28.2'
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.o0 6 �` Yarmouth Health Department
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ROSINtN,
Sig WILLIAM 1;- l�
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SEPTICS FROM INSPECTION REPORT
FROM HEALTH DEPARTMENT i(GIGO)
TO THE BEST OF MY INFORMATION, "AS-BUILT" PLOT PLAN
KNOWLEDGE, AND BELIEF THE YARMOUTH, MASS.
FOUNDATION SHOWN ON THIS PLAN LOT 117, L.C. PL. 86848_C
HAS BEEN LOCATED ON THE GROUND DATE 1/2/2019 SCALE 1" = .30'
AS INDICATED.
2/20/2019 � �=,/ B 1559-00 I CLIENT FORE & AFT
/ /
1 2 2019 � SWEETSER ENGINEERING
203 SETUCKET ROAD
DATE OFESSIONAL LAND URVEYOR PO BOX 713 SOUTH DENNIS, MA 02660
off. 508-385-6900 fax. 508-385-6991
C: I S8 I PROJ 11559-00 I dwg 11559-PPP.DWG 0 2019 SWEETSER ENGINEERING