HomeMy WebLinkAbout2019 Aug 06 - Sign Off Transmittal, Plans - Addition a .,
t � TOWN OF YARMOUTH
s', ,, ,c HEALTH DEPARTMENT
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-4.1.s.?......., PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: e6 C ',QN 1 ,z iz`r L,i../
P posed Improvement: S Ca( LO A / 7Y 4Z A D 1%r 77 c x/ OFF 714 CK OF i(4---
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Applicant: —1---'Pc)Y `. /act. Tel. No.: 5`(•) 3 y y- /z0
Address: 07 C P?AN/7 z:K'2/L r<t 5 A ZAA/t,r T &• Date Filed: V/p// 7
**lfyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: A RTw ue.... 000 w t:---,1-
Owner
=,-Owner Address: ?0 C l24i1 A ,z,2'r L.A/ Owner Tel. No.: 5-06) .?3'3 C,046)
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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: /q�( CJ 1 Vi/, DATE: '-6 7
PLEASE NOTE
CO ENTS/CONDITIO S: , ,
APPROVED
JUN 24 2019 RECEN D
YARMOUTH jut 2 5 'ZU1C
OLD KING'S HIGHWAY
TOWN C s:.L. 'm
SOUTH YARMOUTH, MA
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2,30 ¢,
c o LOT 1.3
'�4 0 24,926.5 ± S.F. "45
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(' (5' ' k of Exrsnrvc
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0£CX' 1000 (i s.T 7089.
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^1 862'
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'RORO.SED
222.52,:.,,' ADD/TION
�OF reqs"
4,4: ROBIN '5'c,..N.
.•f- WILLIAM
t*.ro WILCOX ,
No. 31341 0r Yarmouth Health Department
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Name Date
TO THE BEST OF MY INFORMATION, "PROPOSED" PLOT PLAN
KNOWLEDGE, AND BELIEF THE SOUTH YARMOUTH, MASS.
STRUCTURES SHOWN ON THIS PLAN LOT 13, P.B. 120 PG. 119
HAS BEEN LOCATED ON THE GROUND DATE 8/23/17 SCALE 1n = 40'
AS INDICATED. JOB 7909-00 CLIENT DUFFY
SWEETSER ENGINEERING
`/4/211 -
203 SETUCKET ROAD
DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02660
OFF. 508-385-6900 FAX. 508-385-6991
C: I S8 1 PROJ 17909-00 1 dwg 17909-PPP1.DWG 0 2019 SWEETSER ENGINEERING
Not to scale
Ex.
Bedroom
to be demolished
Ex.Ex.
droom Bath
remain
Ex. Ex.
Bedroom Bedroom
to remain to remain
Ex.
Living Room
Existing conditions - House: 4 Bedrooms
Not to scale
Ex.
adroom
remain
to scale
- House: 4 Bedrooms