HomeMy WebLinkAbout2022 Sign off Transmittal - Demo / Replace Existing Deck .4
+i4 TOWN OF YARMOUTH l
; HEALTH DEPARTMENT
�•` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant-
Building Building Site Location: )5 7 -(1 (eevt \, C� 1(("��
Proposed Iwrovement: to �i" C�_ Z` VU...)
cks ca.
Applicant: ‘3'y- ." .S /Vail(6 V Tel. No.:StaR-292-f3Zz-
Address:31 -1 Pf A(tA S"( L/ 'De Pm(3 , c2c'C Date Filed: ' . I r . 22_
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: , v(e4 2 64_,cr 1
Owner Address: It Lli Owner Tel. No.T7 j - 7 ( 3579
C.LJ ....R l , Q k. ..2_C
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
ith fee.
REVIEWED BY: // DATE: J
P EASE NOTE
COMMENTS/CONDITIONS:
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Proposed Elevations Date:02.22.2022 La Casa Studio
F......
Stucchi Residence PO Box 1106-Harwich,MA 02645
157 Eileen St., Yarmouth,MA 02675 Phone:(508)-308-8614
o\) 1. E R M os I
#46 Main Street •
Brewster,MA 02631
508-255-0477 AI
s
gtio \�C'� 99
Q
SURVE'(' 426, 41" E
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LU
Septic System Location
From BOH Plans 50.9'
37.4' 01
II:O Cry
W
48.7'
20.0
Z c Pr peckd -21.5'
N
—,01 \ .O
J
W 17.3 #157 01
Adi�r22.4' 0
-,. i 0_,
\ \
16.4'
3 36.2'
r- r ' Lot 129 36.9'
p Plan Book 207, Page 57
r off. O, Area = 11.385± Sq.Ft.
`' s 9
or 0.26 Acres w g•
QQ'
S 14 26' 45 ' I\I
\eeStCeet
E r
o�4?P OF MASs9cS-
I DONALD �, Plot Plan of Land
o T.POOLE N #157 Eileen St., Yarmouth, MA
No. 32662 o prepared for
o�ess%,yqL l_ANo SJ-L Michael & Janet Stucchi, Trustees
I hereby certify that the structure shown Deed Book 33372, Page 166
hereon is located as it exists on the ground. Lot 129, Plan Book 207, Page 57
Scale 1 " = 30' Nov. 1 , 2021
Donald T. Poole PLS#32662 Date ols #1065001
0 0 60 90