HomeMy WebLinkAbout2009 Jun 11 - Sign Off Transmittal, Plan - Rebuild Sun Deck o, TOWN OF YARMOUTH
HEALTH DEPARTMENT
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MATTA M CS
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: <3.2. w0,17 et_Q (2,4MapNo.: Lot No.:L
/ /6
Proposed Improvement: -RQ u ,� S U DO [ I
Applicant.PP fy. �'r �✓l� S 1 �' Tel. No.: S-6,3 36)7 / g:, 2_
Address: 77 [- {
�vU�f L� G.. �',�t/1-eLA •'� Date Filed: / d
**Ifyou would like e-mail notification of sign off,please provide e-mail address:
Owner Name: 3-'}5 C?e PO n c
Owner Address: Li - I-4 Cr 1m ;4 p /- - U p i U,., m w Owner Tel. No.:S 9S-'g S`/9
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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 four(4) copies of plans, to include:
(I.) 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:
Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: 24 ')660..e I ' DATE: 6, —/1-d,
PLEASE NOTE
COMMENTS/CONDITIONS:
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4 6 8
2
THE EXISTING DWELLING WAS LOCATED BY AN
INSTRUMENT SURVEY ON 08/31106 AND EXISTS
10 EXISTING CONTOURS ON THE GROUND AS SHOWN.
SCALE l" = 29
20' 40' 60'
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DATE PROFESSIONAL LAND SURVEYOR
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LOCUS
LOCUS MAP I
NOT TO SCALE
OWNER/ APPLICANT:
JOSEPH RANDO
47 HERMAINE AVENUE
DEDHAM, MA 02026
ASSESSORS MAP 21 PARCEL 40
PLOT PLAN
# 21 WINDYMERE ROAD
WEST YARMOUTH, MA
CANAL LAND SURVEYING & PERMITTING INC.
18 ROUTE 6A, SANDWICH, MA 02563
(508)-888-5955 canalaurvey@verizon.net
ale: I"=20' Date: 03/09/09 DWG: RANDO
:awn: P.D.R. Checked:r.J.h, Job: 06 - 032