HomeMy WebLinkAbout2022 Sign off Transmittal - Above ground pool 2/17/22,3:41 PM IMG_7433.jpg
• =YaR 0. TOWN OF YARMOUTH
HEALTH DEPARTMENT •
0r.a� .
AZ
•° ''�` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 2.) pY_A U,21, Vac-cv& cn(> 08.10`13
Proposed Improvement: L c_ c \ .e5`.c tvc-t es\ Duo 1. _ 4
- ' ,- 0,_44.• eD Qk- U..•� <-• ,-V t...
s� -(-3(, 93a1
Applicant: -e r, cO t ) ( - \< e Tel.No.: 71-1 -a ' - ret o
Address: k S.rvrAc , Date Filed: a) i 7)
**If you would like e-mail notification of sign off,please provide e-mail address: 14 L Q ( <S i Cc-AN\
Owner Name: \4c c- r is -c -She o_ S
Owner Address: .t1 --)u,-fi n %T-.00 Owner Tel.No.: 60S'-o t- 3 3)
42 • 7..._z.. -9 4-I G 10
•• RESIDENTL4L 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:
R.
m°•-~ (1.) Site Plan showing existing buildings,water line location,
` 0b3L-3 and septic system location;
FEB �, (2.) Floor plan labeling ALL rooms within building
LU
r ( 2 2022 (all existing and proposed)—
HEALTH TH DEPT. Note:Floor plans not required for decks,sheds,windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: J DATE: 3
PLEASE NOTE
COMMENTS/CONDITIONS: i c rtit
https://mail.google.com/mail/u/0/?tab=rm&ogbl#inbox/FMfcgzGmvBjsbWxMfzLmJgtXtnKdLcQW?projector=1&messagePartld=0.1 1/1
SURLY PLAN PEE N -
LAND COURT PLAN 32595 C
1
3�:r�s�raLt Cr,_
\ FOAD SOUND 1
FOUND
il
28._
`3Q i \ N
J1 V
i t i`'
X i i`
\ \ ;g8 0
i LES _ l . , - '; J ,\
.OP OF CONC. EON' 1 9 •' \ `.:
29 • 30 g0�aO5�G a' j • ,l \ i tC_ d, IIn
•
C'b D H-‘ If Y 1� ` � ~ 'mom i% i\_
%,/ -- -- -7/° - - / Ii 1112\ . , .
�a: j% i, , r t f r , `E.-� / A. \ 1 ',•2s ''' '')
? ;- •-// i/ 117 /
i ' / ii / ..o• —0-- --- ‘....,i t ...
l Jy�Qr ���4 L'. l 'P' f� f
{ aI i1 ' i
- c _
• E H ' i i
_ 32" �_
'
—\ 15.0S.F. ,..0.a. P Y, --
....,:
� — — -_
CO
MAR 2022
11
C.B.D _ - lal
OIND
•
) #. ° HEALTH DEPT. a
PLOT PLAN
i
J_C_ �LLiS 13ESICM susageit -
4 THORNTON BROOK ROAD v
4.i j YARMOUTH. MA
_,.........
PREPARED FOR:
f 1KAREN & MIKE SHEA
4 THORNTON BROOK ROAD
WEST YARMOUTH, MA 0267A?"‘
.3
I-;A�L LA.Bi.iE, P_L_S_ .i.n ii`CAssesseQ 7 �cn —moo
i�/iEC r_o_ nox a,
LAD r'i t E LAN D NORTH E AM. MA 020'61
r_t+SeLt Fi�UetL # r &no:l: ja5vnOjccirsdesign.com DATE: MARCH 8, 2022 SHEET I OF i
SURVEYING ire V i