HomeMy WebLinkAbout2022 Sign off Transmittal - Rear addition 0,, Y,154 TOWN OF YARMOUTH
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4 HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: -E L--(..:c 'k,,,. ,oc r,, of.._ (n WN y
QuT Li...,.‘ci -e I
Proposed Improvement: cirk 'x' X -2 2- - cift L j t,A 1g ,I'P 61 f OT k t,CA P
V's e . . i `._.. A. 0 - . A ' n A. • 1 C • ..J
4 Q, M 1/`i7 U W\ o N S C.HCL h�S
Applicant: \rQ,,.v ; .•\ ,r Tel. No.: 1,(A 75i C71ZO
Address: 1 C C tnA .ti,i'S )cc \-- ‘12-4 Date Filed: /-L /1 170?--)
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: 6 A -} )...,6,ci ci i'-t"k b\�t'
Owner Address: CI —.6AL cc\ 0 DEAN, 14./61 7. Owner Tel. No.:563 q Zq e 0 2&Li
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: li / DATE: I ,- ( a(-
PLEASE NOTE
COMMENTS/CQNDITIONS:
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THIS SKETCH IS FOR PLOT PLAN
PURPOSES ONLY AND SHOULD Z c'--c....c.... a ..o_ , /9 ¢ / " Y o '
NOT BE USED FOR ANY _
OTHER PU OSE.
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REGISTERED LANDI SURVEYOR 38. CONSULTANTS `
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PROJECT NO.-13 - ,Z G s-oz } °=%:_�" ;c BARNSTABLVILLAGE, MA 02630
. /o_ . .2 • (6171312-R1nR
• Commonwealth of Massachusetts
N- = Title 5 Official Inspection Form
_ a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
—r4' 9 Loch Rannoch Way, Yarmouth Port M- 149 P-63
Property Address
Dianne Gilligan do Patrick Gilligan
Owner Owner's Name
information fo a 12 Wampanoag Drive,Acton MA 01720 June 18, 2019
Pagerequirfor every City/Town g State Zip Code Date of Inspection
Pape•
D. System Information (cont.)
14. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system, including ties to at least two permanent reference
landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters
the building. Check one of the boxes below:
® hand-sketch in the area below
0 drawing attached separately
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.5 Of8c.i In . n Form:s .uf o.Somme Disposalsya.m•Pao.,e of 18
PLANS IN SET:
Al BEFORE & AFTER PLANS;
NEW ELEVATION
S1 SECTION; (3) FRAMING PLANS
ABI AS BUILT PLAN
27'-6"
KITCHEN
LIVING ROOM
5'-10"
00
Lo
I
EXIST EXIST
BATH BATH
EXISTING BEDROOM
27'-0"
WORK AREA PLAN
Scale: 1/4" =1'- 0"
a
EXISTING BEDROOM
N
17'-0"
03
6'-4" NEW DOORS
8' x 22'-2" ADDITION
DEC 01 2021
HEALTH DEPT,
17':-0j"
N
012'-84"
t9'-04"
O
F
Co
Y7'-0"
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3' i.
—10"
m
EXTEND
CX235
REUSED z
w BRICK
I D. WINDOW z_
STOOP
m
I J
1
KITCHEN
Ozrm
----PVC STEP
WOOD------
(EE
KITCHEN PLAN)
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0
r------ -PVC _STEP— -
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WALL
BATH &
i� 15" COUNTER
15"
d
- -
-
_ _ _ _ CABINETS OVER _ _ _
-----6x6
LA_UND_RY_ _
5'-0"x6'-8" R.O.
FIR OR ----
-----
REMOVE WINDOW
PSL POST TO
�
I
LVL BELOW. DO
O
NOT. BEAR ON
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N
PLYWOOD FLOOR
N
411
1 2"
o
1-4
13'-2" HOLD CURRENT INSIDE DIMENSION
8'-2"
5-10"
0
14-
30 30
I
r1
PANTRY PANTRY
i
0
0
M
EXISTING DORMER
27'-0"
REVISED WORK AREA
Scale: 1/4" =1'- 0"
ADDITION ELEVAION
Scale: 1/4" = V- 0"
17'-0"
NOTES:
1) NEW 5' x 6'-8 ANDERSEN FRENCHWOOD DOORS SHOWN. G.C. TO
VERIFY PLACEMENT OF UNIT SO
REAR FAMILY ROOM GUTTER CLEARS R.O. R.O. WILL
BE OFF CENTER
OR
ANDERSEN 2868 DOOR
+ 1368 SIDELIGHT HELD TO
KITCHEN SIDE
2) CASEMENT CX235 5'-3 k"x 3'-5 }" R.O. NOTE
HEADER (2) 2x6 SET UP (1). PLATE. PAD HEADER DOWN tj" FOR
1x4 PVC FREEZE. INSULATE CENTER OF HEADER. FRAMED THIS WAY
THE CABINET BACK SPLASH t4"
3) ANDERSEN 20310 2'-2 }"x 4'-1" R.O. SILL f2'-8" AFF
Nyy�.'. ROOF/DORMER
NA LLL SHINGLES AS REO Q
THIS ROOF TO REF <
3SIB;L.E AND STILL CLEAR O
ER 1MNDOWS
L2
NEI= EXISTING ROOF
BE .HIGHER VIF) a
IING TO RUN TO _
ZEFFRENCE _
IE4BENE ROOF � <\
ff
E OLD BOX WINDOW & J
TACK TO HOUSE WALL O 0-'n
F --WALL FOR FRENCHWOOD } LL. I I.
NOTE GUTTER AND CHECK Q
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DEC 012021
HEALTH DEPT.
SHEET
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JOB#: KEVIN FAIR
DATE: 09-21-2021
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m
Ozrm
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+ 1368 SIDELIGHT HELD TO
KITCHEN SIDE
2) CASEMENT CX235 5'-3 k"x 3'-5 }" R.O. NOTE
HEADER (2) 2x6 SET UP (1). PLATE. PAD HEADER DOWN tj" FOR
1x4 PVC FREEZE. INSULATE CENTER OF HEADER. FRAMED THIS WAY
THE CABINET BACK SPLASH t4"
3) ANDERSEN 20310 2'-2 }"x 4'-1" R.O. SILL f2'-8" AFF
Nyy�.'. ROOF/DORMER
NA LLL SHINGLES AS REO Q
THIS ROOF TO REF <
3SIB;L.E AND STILL CLEAR O
ER 1MNDOWS
L2
NEI= EXISTING ROOF
BE .HIGHER VIF) a
IING TO RUN TO _
ZEFFRENCE _
IE4BENE ROOF � <\
ff
E OLD BOX WINDOW & J
TACK TO HOUSE WALL O 0-'n
F --WALL FOR FRENCHWOOD } LL. I I.
NOTE GUTTER AND CHECK Q
MAYBE ALTERNATE U
O z }QI I 1 I L -L -I
CO 3 Lry
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DEC 012021
HEALTH DEPT.
SHEET
Al
JOB#: KEVIN FAIR
DATE: 09-21-2021