HomeMy WebLinkAbout2006 Feb 02 - Sign Off Transmittal, Plan - 8x23 Deck 01' WI:4 TOWN OF YARMOUTH
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::.. . HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: f c--S ��' / t'_ '1.A.,,soJ&Map No.: C 6 Lot No.:S <
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Proposed Improvement: c?. l e S ',.c cam.- 3
Applicant: -� t-'S a-�50, '"‘• Tel. No.: S - '1 Z_Fi'' SS 13,
Address: /G 44 c N �'��'w�- Qi C& . Date Filed: A P r 2 2c$f
**Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: — ---ce c s+(wl a.- L.)04-, 'c.r-
Owner Address: l f''i S J e Owner Tel. No.:S v 3 9 S'O 10
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 four(4) 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
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REVIEWED BY: DATE: 9A/0
' PLEASE NOTE
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DEECIEOWEED
SEPTIC DRAWN FROM CARD MBLU 66-55
ON ALE AT THE TOWN 18 HASTINGS AVE. APR 0 2 2009
HEALTH DEPARTMENT W. YARMOUTH, MA
HEALTH DEPT.
CERTIFIED PLOT PLAN
FOREST RESIDENCE
I CERTIFY THAT THE PROPOSED IMPROVEMENTS OF it 18 HASTINGS AVE
MEET THE SETBACK REQUIREMENTS OF THE Msec W. YARMOUTH, MA
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TOWN OF YARMOUTH, MA. g� yG DATE FEB. 6, 2009 DRAWN: RBS
3 ROBS �' JOB ,t E00828
c SYKES SCALE:1"=.30' DWG CPP
, �' No. 35418 '�'
EASTBOUND
r / % LAND SURVEYING, INC.
ROBB SYKES, 'SLS DATE � = D' P.0. BOX 442
ljy�,�. FORESTDALE, MA 02644