HomeMy WebLinkAbout2020 Jan 29 - Sign Off Transmittal Sheet, Site Plan - Foundation Repair 1
ot.�YA ► T YARMOUTH
OWN OF
t ,„ t� HEALTH DEPARTMENT
te; ,..-
, 4,.. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 7 t/ gr
�
Proposed Improvement: f!`4jm 1 h,ALc 2
Applicant: �,A p*IA rn{� iptit51" ae �0.k.)� Z .�., /Page-4' eJoo�'el. N 5�o �/4 (�.3�-3
{
t ,i ` �sy I
__I___,Z
Address: ANllli /1 , ' 7ate Filed: _r1,
**Ifyou would like e-mail notification of sign off please provide e-mail address: R03.e.4** C� G��l�
ais coms"f.�'C"r10,0i coo
Owner Name:;/?,i CI lei f )3AN.J 1,1,, ti lie
Owner Address: .-/gq ,s,..)00./ . 6...,_' / t,s G,6 "T L. O6257zwner Tel.No : ; 3`SI 113
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
iwith fee.
REVIEWED BY: DATE: /47
a•-cl <1.5
0-`
PLEASE NOTE
COMMENTS/CONDITIONS:
16 PCL 52
BIGD L1AZA
=mss "G
OF
V
X
LEGEND-
99 -
EXISTING CONTOUR
+ 99.9
EXIST. SPOT ELEV.
99
PROPOSED CONTOUR
�s8 4j
PROPOSED SPOT EL
TH1
ASSESSORS MAP 16 PARCEL 53
TEST HOLE
OCATCH
BASIN
COL)
UTILITY POLE
FIRE HYDRANT
GROUND LIGHT
pCl
POLE LIGHT
1�WATER
SHUTOFF
C-
GUY WIRE
Q--�
SIGN
W
WATER LINE
G
GAS UNE
E
U.G. ELEC.
NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING
DICE #19-446 / 16-224
AE EL 12 I 4
GUARD X
i P
i
� o 0
SEE R O- 18145-A
\`
R
pFF
10p `J
♦ � l
N
_T. WALL
I AT HSE ��----
TOP FOUNDATION
EL. 8.3
THIS LOCATION
EXISTING DWELLING 14.4'
PAI
P
SPL
♦ RS�
♦��0
P
DRIVE
1
♦
♦
R V0 /
or
PLANTINGS
7. PROVIDE ROOF ORYWELLS OR WASHED STONE GRAVEL
cONG��E 0k RgpEi / DRIP EDGE FOR ROOF RUNOFF.
.o
9 2020
HEALTH DEPT.
SITE PLAN
cljf �N / OF
#194 DERRY AVENUE
i
WEST YARMOUTH, MA
PREPARED FOR
A, CAPEWIDE CONST./WHITE
a%r•%'rte �S '7. .rp,i�i! ! f� s ` DECEMBER 30, 2019
DAN'
T'.'o DANIEL OJALQ I"' -
Civil) Q h off 508-362-4541
No. 46501! /
o. 40080 ��� o o fax 50$-362-9880
ik�G X9,-�crsT�F G t downcape.com
civil engineers
scale:l"= 20' land surveyors
3
f 939 Main Street ( Rte 6A)
0 10 20 .30 40 50 FEET DATE DANIEL A. OJALA P.E. P.L.S J
YARMOUTHPORT MA 02675
16-224.DWG
LOCUS MAP
SCALE 1"=2000'(
ASSESSORS MAP 16 PARCEL 53
LOT SIZE: 0.28 AC. (12,155 SFf)
�~
LOCUS IS WITHIN FEMA FLOOD ZONE
VE (EL 13), AE (EL ' 12). & AE (EL 11)
t
AS SHOWN ON COMMUNITY PANEL
MAP 16 P
#25001CO588J DATED 7/16/2014
ALI R. IGDELIAZARI
7. PROVIDE ROOF ORYWELLS OR WASHED STONE GRAVEL
cONG��E 0k RgpEi / DRIP EDGE FOR ROOF RUNOFF.
.o
9 2020
HEALTH DEPT.
SITE PLAN
cljf �N / OF
#194 DERRY AVENUE
i
WEST YARMOUTH, MA
PREPARED FOR
A, CAPEWIDE CONST./WHITE
a%r•%'rte �S '7. .rp,i�i! ! f� s ` DECEMBER 30, 2019
DAN'
T'.'o DANIEL OJALQ I"' -
Civil) Q h off 508-362-4541
No. 46501! /
o. 40080 ��� o o fax 50$-362-9880
ik�G X9,-�crsT�F G t downcape.com
civil engineers
scale:l"= 20' land surveyors
3
f 939 Main Street ( Rte 6A)
0 10 20 .30 40 50 FEET DATE DANIEL A. OJALA P.E. P.L.S J
YARMOUTHPORT MA 02675
16-224.DWG
LOCUS MAP
SCALE 1"=2000'(
ASSESSORS MAP 16 PARCEL 53
LOT SIZE: 0.28 AC. (12,155 SFf)
�~
LOCUS IS WITHIN FEMA FLOOD ZONE
VE (EL 13), AE (EL ' 12). & AE (EL 11)
AS SHOWN ON COMMUNITY PANEL
MAP 16 P
#25001CO588J DATED 7/16/2014
ALI R. IGDELIAZARI
-
OWNER OF RECORD:
RICHARD A. WHITE
D813712-0 (10-16-2000) C159405
LCP 18145-A LOT 8
000
NOTES
♦ 00*P SONE
1. DATUM IS NAVD88
♦
♦ FE
♦
2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
SEE DB 506 PG 2
BE USED FOR LOT LINE STAKING OR ANY OTHER
_
AND DB 523 PG- 3 --_ ._ _. .. - --
f._ PURPOSE. - - ;--_
i '
3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
DIGSAFE (1-888-344-7233) AND VERIFYING THE
LOCATION OF ALL UNDERGROUND & OVERHEAD. UTILITIES
PRIOR TO COMMENCEMENT OF WORK.
4. EXISTING SEPTIC LOCATION PER TIE -CARD ON FILE
o
WITH TOWN.
5. SEE FILE SE83-2153 FOR ROCK WALL
RECONSTRUCTION, . WORK SUBSTANTIALLY COMPLETE,
SHOWN ASBUILT OOC DOC 1348816 DOC 1365195
6. NOTE SEPTIC SYSTEM IS NOT H-20- NO HEAVY
P_�
EQUIPMENT ALLOWED, OR UTILIZE .STEEL ROAD PLATES
TO PREVENT DAMAGE TO SEPTIC SYSTEM.
7. PROVIDE ROOF ORYWELLS OR WASHED STONE GRAVEL
cONG��E 0k RgpEi / DRIP EDGE FOR ROOF RUNOFF.
.o
9 2020
HEALTH DEPT.
SITE PLAN
cljf �N / OF
#194 DERRY AVENUE
i
WEST YARMOUTH, MA
PREPARED FOR
A, CAPEWIDE CONST./WHITE
a%r•%'rte �S '7. .rp,i�i! ! f� s ` DECEMBER 30, 2019
DAN'
T'.'o DANIEL OJALQ I"' -
Civil) Q h off 508-362-4541
No. 46501! /
o. 40080 ��� o o fax 50$-362-9880
ik�G X9,-�crsT�F G t downcape.com
civil engineers
scale:l"= 20' land surveyors
3
f 939 Main Street ( Rte 6A)
0 10 20 .30 40 50 FEET DATE DANIEL A. OJALA P.E. P.L.S J
YARMOUTHPORT MA 02675
16-224.DWG