2022 Sign Off Transmittal - Moving home to new Slab ot,Y TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: -3 ie J ' LA--) • yrke_McGts4
Proposed Improvement:(`)Cu) Co 'Y 5) r r &. `JO ;j c v✓� i i S �'�1 C'l�/► �1
,Do 1.3 ( Se 4,C iAn�, H-Oo o �, x
- 5uvg.af t11)GCunCfe�2 Le Glyn Q—kcgm\c2r% y UC� P 'P aw— Rnclicc.on , ra-I,
V c- W.-*k 5 � o v r �\ if' S e.
Applicant:c1c:: cln ,A\rN Tel. No.: `S6S'd7�
`�\ '(�c� , \" \\ , 0 � C-&-)xl3 / I Address: � � �v � � 1� � c � MA Ua�a�'Date Filed:� � 2
**/f you would like e-mail notification of sign off,please provide e-mail addressa C 8,s,Co 33,„C4-e f4, ,/, C Owl
Owner Name:t11 ( l{ � a`� �.L�r Q r:� �� . &10 iTh LA
_ o0,;(a-40,;(a-43 6/31—.3A)- '6 99
Owner Address: `-f 6 I,e u �+ y e fine t k Owner Tel. No.o/
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.
OWI
503- g40-) o'S3 Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
N1r e and septic system location;
(2.) Floor plan labeling ALL rooms within building
(C3 -0/ a� (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: 5-7 , , --r, f�,�` S DATE: 3I ZZ (20ze___
PLEASE NOTE
COMMENTS/CONDITIONS:
- -----------
t.
U
B DRCY,�M #2
j
. . ............
- - -
- - - - - - ---------..
- xz-; iNG
SECOND FLOOR
i V
5ULN ROOM
- ---------------
iii FAMILY ROM
TI
F -0y=
ER
KITCHEN
WOOD
DECK
CL
---- ------- - ------ PC i . Rcii
= ),IS 'I I'll v�
FIRST F LOOR PLAN,
Yarmouth Health Department
APPROVE
Name Date
INSTALLATION
7'-10" X 8
2X4 KEYWAY
COMPACTED
1YHICA1
SCALE: N.T.S
m I+ I L. -J -- L_ --J I I ay
� I I
4 I ' (3 v PROP05ED 31 + I
FULL FOUNDATIONI 1
Q 1
l2 uM W 4" THICK POURED CONCRETE
12
Z BASEMENT FLOOR ON CLEAN/ rol 1 } Q
COMPACTED BASE I I
+
t+i) MATCH I � I i 0 ti
EXISTING I I - - -- - - - - -
�x�l��� I 1 1
m
F.Y. BASEL - I + I 0y0-
) (MATCH EXIST.) I ( v
EXII3T. GIRD ( I z s
ILOUM, LCiCATi(bNS) 9
L_—J I ---J L----- -- --� oI + I
yF d 31 I
11 i (3) 211 EXIST. �IRDER I I I I I+ I
e--- -- - ----e---- _ -- ---
D I I PCKr. i I (vEpJrYICoLZ. L&CATION5) I I I I IELECTRIC
== !
±_ I I L J L �:J L L_.._J E I (VERIFY)
O N I ( V p 30!X 30'Y I0" THICK CONC.
1
N COLUMN FTG. %ITH 3 & COLUMNS - - - _ _I + i
nYPICAI)
Q i �
CQ
� Hw I UP I I
I +I
2XG P.T. 5I WITH
I PROP051,13
5/8" A.NCH . BOLTS Q 48" O.C.,SEPT{C PORCH �
W/ MIN. EM EDMENT OF 7" (VERIFY} (ABOVE) F
5" MAX. FR(M CORNER W/ 3"Y.3^X 114" 4)14 -J ON
WA5 ER5, I� z
(TYPICAL) / , 1 I O" DLA. CONC. SONUTUBES
` 1 - - - - - e L 014 "BIGI FOOT" FTG'S.
I
f+!-) MATCH EXi5T. I
MATCH EXISTING HOU5E I
FOUNDATION NOTES:
I CONCRETE SLAB TO BE 4" POURED CONCRETE ON COMPACTED FILL,
PROVIDE CONTRACTION JOINTS I if DEEP AT COLUMN LINES.
CUT W1 "EARLY ENTRY " SAW.
2. CONTRACTOR SHALL ENSURE THAT ALL FOUNDATION WALL5 MAINTAIN
4'-0" MINIMUM COVER.
3 SEE STRUCTURAL DRAWINGS FOR LOCATIONS OF ALL STRUCTURAL COLUMNS.
3. CONTRACTOR SHALL NOT SCALE DRAWINGS FOR DIMEN51ON5. ANY MISSING,
INCORRECT, OR QUESTIONABLE DIMEN51ON5 NOT BROUGHT TO THE ATTENTION
OF THE DESIGNER BECOME THE RE51`0Ni IBILITY OF THE CONTRACTOR,
4. PLACE 5/8" SQUARE WASHER ANCHOR BOLTS @ 36" O.C.
5. ALIGN TO EXISTING FIN15H FLOORS TO DETERMINE TOP OF FOUNDATION / SHELF,
PROPOSED
F'OUNDA'TION PLAN
SCALE: 1/4" = 1'-0"
22'-0"
0_4
J
�
MIX
�
a
z
MATCH EX15TING HOUSE
0
®
z
�
811 THICK POURED CONIC.
.Z
0
W
DROPPED SHELF A-1
O
r
LL
F
FNDTNWALL ON 10" X 18"
Z�
RECEIVED
®
OUTER EDGE FOR 2Y.6 SILL
MAR 0 y 2022
-
-+
- --
- -
-
CONT, CONC. FTG.
-- _
- - - - - - - - -+
- —
D_
@�
+
+ + + +
+
z
1 + F---------------_
___---- --
UL:IAd !
m
j
1 I!
I
C +
Q
o
z
cry
Q
�?
jIn m
N
ku
30° X 39 X 121 THICK CONC. I
-
�uls
COLUMN FTG. WITH 3 Ya" COLUMNS j
n3
U
+
+ o
z
I + 'r'T
f
- PRO ED GI DER
2
a
L�i
0
i{1 z
I 1
0�0�
I
I (VERIFY OL'M. LOLATIONS) I I I+
1
O
m I+ I L. -J -- L_ --J I I ay
� I I
4 I ' (3 v PROP05ED 31 + I
FULL FOUNDATIONI 1
Q 1
l2 uM W 4" THICK POURED CONCRETE
12
Z BASEMENT FLOOR ON CLEAN/ rol 1 } Q
COMPACTED BASE I I
+
t+i) MATCH I � I i 0 ti
EXISTING I I - - -- - - - - -
�x�l��� I 1 1
m
F.Y. BASEL - I + I 0y0-
) (MATCH EXIST.) I ( v
EXII3T. GIRD ( I z s
ILOUM, LCiCATi(bNS) 9
L_—J I ---J L----- -- --� oI + I
yF d 31 I
11 i (3) 211 EXIST. �IRDER I I I I I+ I
e--- -- - ----e---- _ -- ---
D I I PCKr. i I (vEpJrYICoLZ. L&CATION5) I I I I IELECTRIC
== !
±_ I I L J L �:J L L_.._J E I (VERIFY)
O N I ( V p 30!X 30'Y I0" THICK CONC.
1
N COLUMN FTG. %ITH 3 & COLUMNS - - - _ _I + i
nYPICAI)
Q i �
CQ
� Hw I UP I I
I +I
2XG P.T. 5I WITH
I PROP051,13
5/8" A.NCH . BOLTS Q 48" O.C.,SEPT{C PORCH �
W/ MIN. EM EDMENT OF 7" (VERIFY} (ABOVE) F
5" MAX. FR(M CORNER W/ 3"Y.3^X 114" 4)14 -J ON
WA5 ER5, I� z
(TYPICAL) / , 1 I O" DLA. CONC. SONUTUBES
` 1 - - - - - e L 014 "BIGI FOOT" FTG'S.
I
f+!-) MATCH EXi5T. I
MATCH EXISTING HOU5E I
FOUNDATION NOTES:
I CONCRETE SLAB TO BE 4" POURED CONCRETE ON COMPACTED FILL,
PROVIDE CONTRACTION JOINTS I if DEEP AT COLUMN LINES.
CUT W1 "EARLY ENTRY " SAW.
2. CONTRACTOR SHALL ENSURE THAT ALL FOUNDATION WALL5 MAINTAIN
4'-0" MINIMUM COVER.
3 SEE STRUCTURAL DRAWINGS FOR LOCATIONS OF ALL STRUCTURAL COLUMNS.
3. CONTRACTOR SHALL NOT SCALE DRAWINGS FOR DIMEN51ON5. ANY MISSING,
INCORRECT, OR QUESTIONABLE DIMEN51ON5 NOT BROUGHT TO THE ATTENTION
OF THE DESIGNER BECOME THE RE51`0Ni IBILITY OF THE CONTRACTOR,
4. PLACE 5/8" SQUARE WASHER ANCHOR BOLTS @ 36" O.C.
5. ALIGN TO EXISTING FIN15H FLOORS TO DETERMINE TOP OF FOUNDATION / SHELF,
PROPOSED
F'OUNDA'TION PLAN
SCALE: 1/4" = 1'-0"
z
0
c
a
�e
J
�
MIX
�
a
z
0
®
z
�
Q
.Z
0
W
O
r
LL
F
J
Z�
RECEIVED
®
E
MAR 0 y 2022
CL
_0
HEALTH DEPT
v,
Q'
z
D_
@�
0
z
U
m
o
cry
Q
�?
uJ
n3
U
z
o
0
0�0�
z
0
c
a
�e
J
�
MIX
�
a
z
0
®
E-
Q
h.
lu
.Z
0
W
O
r
LL
F
W
Z�
RECEIVED
®
0
MAR 0 y 2022
CL
_0
HEALTH DEPT
J
Q'
D_
NOTE:
CONTRACTOR TO SITE VERIFY ALL EXISTING V5
PROPOSED CONDITIONS PRIOR TO AND DURING
CONSTRUCTION AND MAKE MODIFICATIONS AS
NECESSARY TO PROVIDE COMPLIANCE WITH
DE51GN PARAMETER5 A5 ILLUSTRATED.
NOTE: THESE PLANS ARE IN COMPLIANCE WITH THE MASSACHUSETTS STATE BUILDING CODE TENTH EDITION / 110 MPH WIND ZONE
U t Fm a CA
J
a �
a
DATE: 02/13/2022
SCALE: AS NOTED
DRAWING #: