HomeMy WebLinkAbout2019 May 28 - Sign Off Transmittal, Plans - Portion of Deck Converted to Screen Porch i
fitk TOWN OF YARMOUTH
t- c, HEALTH DEPARTMENT
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''�-/,,.`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: g l�r�ea-, -a"-' ie '.'` 4 a(Y"` , "4 I' \`. .
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Proposed Improvement: A S s2 , o-,, .3 R.- i S3,,, ..17 A. w%i-�_ n ' v Sc'v-.c e n &`
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Applicant: ° 13..JC VNa C Tel. No.: 5 °C_.(S, '9- Ste`/2_ L
Address: 3(44, c 1 co,,,,. x.c . Date Filed: ' '
**If you would like e-mail notification of sign off please provide e-mail address: 013) `{OCA nCilG. .0 O r\ r
Owner Name: -C')-‘)\''''''' `f'\ • 0'/Ch‘"( L
Owner Address: ` 4 g'C'` - - gam+ ( ,` ' 5- �..f"'i -1� (`� � Owner Tel. No.: S-0 K-(9 i-3y2(i.
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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: I)) DATE: s.--AE.,/ ,
LF: li PLEASE NOTE
COMMENTS/CONDITIONS: '
SOJAG ii I rzcz:::7=0.
produits saisonniers • seasonal products QUESTIONS?1866-901-1649
Assembly Manual / Guide d'assemblage /
Manual de ensamblaje / �1 ziAl /
Montageanleitung
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INIIIIIIIIii kii4\- -utTie. 111 Ocoli'
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16' . N 1111 59..011190
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e�GF}EIVED
1Y, Lp�BYO�r •
ixuLTx ceN.
is LOCUS DATA I£ 28
16 ' `E 263'±
I I N g1.16,50„ WI��OW
STRFer
CURRENT OWNER RICHARD GENTILE II ' — z
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PLAN REFERENCE 72-57 ti + -= N o � N
t DEED REFERENCE 29441-235I i£ I I "� ` ° a
� \ PROPOSED
I N 1,500 GALLON LOCUS
ZONING DISTRICT R-25 I o \ MONO SEPTIC
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I OD - .\ TANK.
FLOOD ZONE AE-11 I I I ED#2 BED# \ WATERPROOF LOCUS MAP
I£ o \AT FACTORY NOT TO SCALE:
ASSESSORS MAP 34 I I m \+- z
PARCEL 224 I II I . ED#3 BATH \ 16-0107
1 \
OVERLAY DISTRICT NONE I£ I #88 LIVING R C V D
UPLAND LOT AREA 10,294± S.F.I II I KIT. HEN ROOM, 8 2019
HEA TH DEPT.— Lu
11 0 I \ 6.2x; s:
SITE & SEWAGE I o O I �,
REPAIR PLAN I Z �I i _ o
I� ml 4.5x \
I I I � LOT JJ `34 & J5
BREEZ Y POIN T ROAD I v o I PROPOSED 650 GALLON _-
\
< I I y PUMP CHAMBER WITH10,294± S.F. UPLAND
IN �£ � � I j I v ` � OUTSIDE CONTROL BOX
S. YARMOUTH, MASS a 111 m 1 �-
DATE: MAY 18, 2016 £ I ` I < r= Permit valid for REPAIR OF SFIxT[C SYQTFNj
REV: SEPT. 23 2016 I 1 0 1 I 1 ar�LV t'd.6: to State and > w-A %eptic iar«ttees.
o _` Soard of Fleaith review and Approvai is ret¢trett for
/ CGUINan.� ft�[irre additiot�s/rE t tttctn� hfteratinns to,
OWNER/APPLICANT: LEACHINGAREsewage facilities and/or struc;uresdmeit rra",
UTILITY I PROPOSED o
RICHARD J. GENTILE £ POLE WITH I 21.5' LEACHING \ W J.,4,.F,y TO BE F y �.
LOCATED AND-
REMOVED
a mouth F3eatttlr Department
GUY WIRE P_1 #1 CHAMBERS (32)\ '� REMOVED FROM r
88 BREEZY POINT ROAD I / APPS.:.-
S. YARMOUTH, 02664 CENTER OF BENCHMARK DRAIN 2� o o SILTT F8NCE OPOSED PROPERTY. o <�
(603) 930-6857 MANHOLE. EL 4.79
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SHEET 1 OF 3 `` aQ ate
o � \i 2631
PREPARED BY: 4.9x \ N s�•16 5o E
I OFtq501EAS SURVEY, INC. ED�,RDP.O. BOX 1729 A
ss�°y
SANDWICH, MA 02563 I �� #92 NoTONE N o 20 30 40
RECEIVED
I I afi
PH. (508) 888-3619
CELL (508) 527-3600 OCT 12 2016 II �F. ° 1�GRAPHIC SCALE:
EAS:SURVEY@YAHOO.COM >r I I 1 INCH = 20 FEET
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