HomeMy WebLinkAbout2022 Sign off Transmittal - 4 Season Room TOWN OF YARMOUTH 07;1)
HEALTH DEPARTMENT Feb ag 202?
PERMIT APPLICATION SIGN OFF TRANSMITTAL. •i DEPT.
To be completed by Applicant:
Building Site Location: i c r4 1,+)201- y/9/,-1 th'7/,
Proposed Improvement: C 41-1-Ac,./7 / J./;,'i jv y , cyc>;�, q-.411 O i "y c, ,vi e c
/4,J l to.'.' c. f � _S e 1j c5 4) / 00/1-1 !01).-1c J en sC> S u,.,)
A n>cf s /#7 /
Applicant: j11/ l Tel. No.: 7s>/-J
Address: !S' A4)/4 4/9,?/l l,J« fes;/fy,,,ilA / 141 Date Filed:
**If you would like e-mail notification of sign off,please provide e-mail address: /1-kre/ n0 C,-1_57.1;• }-
Owner Name: /Vic ti G'Atj- Avi
Owner Address: L5 A.141 A/C ki/G. 7/7/7 Owner Tel.No.: 7c).--/-j; -f?y/
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
with fee.
REVIEWED BY: ` DATE: 3"'9. -
PLEASE NOTE
COMMENTS/CONDITIONS: '�
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LOT 24
LOT 25
AREA -10,M± S.F.
� Fmtadafica Agyrev¢L1
WEST YARMOUTH
LOCUS MAP
PLAN REF; 187/;3
MLF REF: 25189/126
PARCEL 0: MAP 23 LOT 168
20NING: R^25' SEIOASRS: 30'F-15'5-2PR
8UILGING COWRA9E: MAX -239 PRtWpNEp-f BR
PLOOO ZONE: ^a9 ANNUAL CHANCE'
COMMUNffY PMLE- 25001CON84 DA7 OT116/14
AS -BUILT PLOT PLAN
--- / (FOR PORCH ADDITION)
LOCATED AT:
SH
C� // 15 PAULA LANE
~T,. WEST YARMOUTH, MA,
GRAPMC SCALE
( IN FEED )
# inch = 20 R
LOT 26 PREPARED FOR
NICHOLAS A.
SOLIMINi
SCALE: 1'-20'
OF .lia `S:+r.. SEPTEM6ER 22, 2016
V11w
MacDougall Surveying
Associates
'' P.0. Box 2+28
Mashpee, Mo. 02649
PH. (508)419-1086
fax (508
?419-1087
email:
m acdougalisurvev0comoost.r, et
r
" _ ry M/
�7•syP
WEST YARMOUTH
LOCUS MAP
PLAN REF; 187/;3
MLF REF: 25189/126
PARCEL 0: MAP 23 LOT 168
20NING: R^25' SEIOASRS: 30'F-15'5-2PR
8UILGING COWRA9E: MAX -239 PRtWpNEp-f BR
PLOOO ZONE: ^a9 ANNUAL CHANCE'
COMMUNffY PMLE- 25001CON84 DA7 OT116/14
AS -BUILT PLOT PLAN
--- / (FOR PORCH ADDITION)
LOCATED AT:
SH
C� // 15 PAULA LANE
~T,. WEST YARMOUTH, MA,
GRAPMC SCALE
( IN FEED )
# inch = 20 R
LOT 26 PREPARED FOR
NICHOLAS A.
SOLIMINi
SCALE: 1'-20'
OF .lia `S:+r.. SEPTEM6ER 22, 2016
V11w
MacDougall Surveying
Associates
'' P.0. Box 2+28
Mashpee, Mo. 02649
PH. (508)419-1086
fax (508
?419-1087
email:
m acdougalisurvev0comoost.r, et
0
LOT 24
LOT 25
AREA -10,M± S.F.
� Fmtadafica Agyrev¢L1
WEST YARMOUTH
LOCUS MAP
PLAN REF; 187/;3
MLF REF: 25189/126
PARCEL 0: MAP 23 LOT 168
20NING: R^25' SEIOASRS: 30'F-15'5-2PR
8UILGING COWRA9E: MAX -239 PRtWpNEp-f BR
PLOOO ZONE: ^a9 ANNUAL CHANCE'
COMMUNffY PMLE- 25001CON84 DA7 OT116/14
AS -BUILT PLOT PLAN
--- / (FOR PORCH ADDITION)
LOCATED AT:
SH
C� // 15 PAULA LANE
~T,. WEST YARMOUTH, MA,
GRAPMC SCALE
( IN FEED )
# inch = 20 R
LOT 26 PREPARED FOR
NICHOLAS A.
SOLIMINi
SCALE: 1'-20'
OF .lia `S:+r.. SEPTEM6ER 22, 2016
V11w
MacDougall Surveying
Associates
'' P.0. Box 2+28
Mashpee, Mo. 02649
PH. (508)419-1086
fax (508
?419-1087
email:
m acdougalisurvev0comoost.r, et
r
" _ ry M/
�7•syP
WEST YARMOUTH
LOCUS MAP
PLAN REF; 187/;3
MLF REF: 25189/126
PARCEL 0: MAP 23 LOT 168
20NING: R^25' SEIOASRS: 30'F-15'5-2PR
8UILGING COWRA9E: MAX -239 PRtWpNEp-f BR
PLOOO ZONE: ^a9 ANNUAL CHANCE'
COMMUNffY PMLE- 25001CON84 DA7 OT116/14
AS -BUILT PLOT PLAN
--- / (FOR PORCH ADDITION)
LOCATED AT:
SH
C� // 15 PAULA LANE
~T,. WEST YARMOUTH, MA,
GRAPMC SCALE
( IN FEED )
# inch = 20 R
LOT 26 PREPARED FOR
NICHOLAS A.
SOLIMINi
SCALE: 1'-20'
OF .lia `S:+r.. SEPTEM6ER 22, 2016
V11w
MacDougall Surveying
Associates
'' P.0. Box 2+28
Mashpee, Mo. 02649
PH. (508)419-1086
fax (508
?419-1087
email:
m acdougalisurvev0comoost.r, et