HomeMy WebLinkAbout2022 Sign Off Transmittal - 3 season room to a 4 season room TOWN OF YARMOUTH
HEALTH DEPARTMENT
'�• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: / �3 of)s'/.1
Proposed, Improvement: C 72i G 3 5 tom`f�", °b ' / II 7 f t¢f o'r ' re<a'a
C 6L/�/ .c.c C c 24-0 49.0 /(' 6e- O /O d Lccs-c C Ge
Applicant: C ci' • ) v ri 4-4c- A Tel. No...545 ?,/17'5/
Address: 0,Z /v°r s fi1 ae-+ r�t 5 Al rr ,s Date Filed:
**/fyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: L✓ !!• oi Coi' 2_?
Owner Address: /g ? /*151 e ‘/ -r z'71- Owner Tel. No. /�5"y$ yL 3J
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.
REcp#vec, Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
HEALTH DEPT. (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: KDATE: / )-`
PLEASE NOTE
COMMENTS/CONDITIONS:
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Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
I
Street Address: S. A. e 57-g ET Map:IN Parcel: le'/
Owner Name: ACY-/i 1/"c..Z1 'ie.t.Q•0/v4 Permit#:PSN V-2I —359 c
Date Installed: / 2/ New: Repair: '4`
Installer Name: ' ,
�ZFAC45 L ?%'€V, ?0f✓ L` - Installer Phone:—..1-4—C° `39*'
Installation of(list all components,both newly installed and existing to remain in use):
1)r�-3 ^D `F,.._ >c, 8 -- Soo ,At e'ili'i/VVI 1$ 0/7-7/
'y' . .7 't/
I.r
7�,�} N 0 t3 . v� y,,, �5�; .
Leach Capacity(gpd):,'�X/ Ground Water Depth(inches):/V/f Health Inspection by: /� V) lb
' criA 1/.2. f
•
I certify that this system has been ins ed in rd a w" he provisions of 310 CN$R 15.00 and all local
regulations.
nstaller Signature
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge—Label Risers and Zabel Filter)
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EXIS'G 44 POST
& P09 BASE
EXISTG IG"SONO7UBE
MIN. 4-0" BEL AI GRADE
iFtion Plan
Scale: l/4 11-01,
r
SLOPE
E 'i E%IG,�
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— — — — —
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ADD AODFION. Pao AS
RED'D FOR NE wND. RG.
Firs Floor Plan
sealP: 11J`411 = I ,_ B„
Side Elevation
4 scale: 1/a" = r- o"
nt Elevation
Roof Plan
cale: 1/a" =1'- 0"
6 Side Elev anon
EXIST G
,/ 2.40 HEADER
W/ z" PLYW'D
SPACER
EXIST'G ^-2x10 m 16" O.C.
(x21 2.40
EXIST'G
4,,4 G.T.
EXIST'G 90' —
DIA. SONOTUIBE I
Section
scale: va" = r- on
Prdeat
183
PINE STREET
YARMOUTH PORT, MA
02675
S
'
GS Design Group Inc.
215 Onset Ave.
P.O. Box 1200
Onset, MA 02532
..
Tel 508 295 2952
T
113
Key Plan
1
Issued For
-REV ISSUE .0.47E
ALL
EXISTING
DRAWINGS
Drawing Title:
Drawn By.CT Checked By. GSDG
RECEI Er
MAY 17 2022
Drawing Number:.
File Name: Scale:
Date: 4/29/2022
I
f—/ .kale: 1/4" = 1' -
ANDERSON
SERIES Del-
(TYPO
BL(TYPO
Side Elevation
* Scale: 1/4" =1'- 0
GENERALNOTE.
REFER TO MI WINDOWS AND _
DOORS CUT SHEET FOR ALL
DOOR AND WINDOW RD'S
n Bix L
i
ADD WIDTH TO IXIS%STAIR o
PT 2x12 STRINGERS, REST ON.
CONC. PAD -
21153 9066
SLOPE
3753 3753 3753 m ��
First Floor Ilan r,-� Roof Plan
Scale: 1/4" =1°- 0' U Scale: 1/4" = '- 0"
—. ANDERSON 400 '
SERIES DBL HUNG
(TYPO
Front Elevation
� Scale: 1/4" =1'- 0"
Side Elevation
E, cale: 1/4" =1'- 0"
R20 CLOSED
CELL INSU-.
CHEEK WALL rTYPJ
R49 CLOSED
—
CELL INSUL.
H2.5 EA.
R20 CLOSED Ip,
CELL NSUL, KNEE
WALL (TYPJ I�I 'I 111
EXISTING 2n5
WOOD STUDS
Project
m 16°0.0. W/ Rig
CLOSED CELL
INSULATION
1
YARMOUTH PORT, MA
' 02675
f—/ .kale: 1/4" = 1' -
ANDERSON
SERIES Del-
(TYPO
BL(TYPO
Side Elevation
* Scale: 1/4" =1'- 0
GENERALNOTE.
REFER TO MI WINDOWS AND _
DOORS CUT SHEET FOR ALL
DOOR AND WINDOW RD'S
n Bix L
i
ADD WIDTH TO IXIS%STAIR o
PT 2x12 STRINGERS, REST ON.
CONC. PAD -
21153 9066
SLOPE
3753 3753 3753 m ��
First Floor Ilan r,-� Roof Plan
Scale: 1/4" =1°- 0' U Scale: 1/4" = '- 0"
—. ANDERSON 400 '
SERIES DBL HUNG
(TYPO
Front Elevation
� Scale: 1/4" =1'- 0"
Side Elevation
E, cale: 1/4" =1'- 0"
R20 CLOSED
CELL INSU-.
CHEEK WALL rTYPJ
R49 CLOSED
—
CELL INSUL.
H2.5 EA.
R20 CLOSED Ip,
CELL NSUL, KNEE
WALL (TYPJ I�I 'I 111
EXISTS 10'
A. PIA.
SONOTUSE TO
REMAIN 4' BELOW
GRADE VERIFIED
LJ L..i
EXISTING 2n5
WOOD STUDS
Project
m 16°0.0. W/ Rig
CLOSED CELL
INSULATION
EXISTS 10'
A. PIA.
SONOTUSE TO
REMAIN 4' BELOW
GRADE VERIFIED
LJ L..i
Project
183
PINE STREET
YARMOUTH PORT, MA
' 02675
r
�
zr �'
w
GS Design Group Inc.
215 Onset Ave.'
P.O. Be. 1200
Onset, MA 02532
Tel 508 295.2952
'DOV KIRSZTAJN P.E. -.
Structural Consultant
103 Beoumanl Am
Newto%MA 02460
td. 617.969.3539
_
e-mail &VsriapxBgmnil.cam
EF x
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Issued Far
REV. ME DATE
>
EXIS7P4G 1e6 THG
V -BOARD TO BE
REMOVED AND
J
1 Iii
REINSTALLED
' AFTER THE
INSUL., IS
SPRAYED
�q
II
Ill
ALL
DRAWINGS
CE" FOAM M
CELL FM
44 ADDITIONAL
SPRAY
Drawing Title:
r*!� `,
RETARDANT OR
FIRE RATD
-
Drawn By. CT Checked By. GSDG
PLYWD
Drawing Number..
File Nome Scale:
• 0"
Date: 4/29/2022
IIS