Loading...
HomeMy WebLinkAbout2022 Sign off Transmittal - Ramp and Stairs *.��� TOWN OF YARMOUTH � c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: Proposed Improvement: &y) N)ROVM? / to,J1 kikP) ACL C3 Applicant: \C V\ I \rf 1) C R \A N> Tel. No.: Lo > l Z V 13 1 Q Cicd-k4 1 L CrrMc<( Address: I L, l��V E ROC`'C �i� Date Filed: LI �`'�� Z Z **/fyou would like e-mail notification of sign off please provide e-mail address: Owner Name: S 1 � 1c1)ITS Owner Address: j Vj)U ... RoC R Owner Tel. No.: to I I l 3 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 APR 2 9 2022 (all existing and proposed) — HEALTH 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: I DATE: S ' ),c}_ PLEASE NOTE COMMENTS/CONDITIONS: PARCEL ID: 111/27 40 / LOT 89 AREA -24.450± S.F. -20— Y UPOLE _= IND00 POOL 30 EPTIC AREA � \\ AS �C9 �5 v .' �0 .BASTC NH EL=36.9 1 #148 C, \ \ A� \ 32 34 / LOT 90 �y6 N o o.` 60.5' q \ Y� 9y UPOLE\ ,k PROPOSED PLATFORM, AND RAMP I EE0WZP /,ri� 2 9'2022 GRAPHIC SCALE HEALTH DEPT. j 30 0 15 30 50 120 ( IN FEET ) 1 inch = 30 ft. SOUTH YARMOUTH GRf ATS --Z- LOCUS ` LOCUS LOCUS MAP LOCUS INFORMATION PLAN REF: LCP# 326798 SH -2 ' TITLE REF:.CTF#50280 PARCEL ID:. MAP 111 PAR. 28 ZONING: R-40 AQUIFER PROTECTION DISTRICT FLOOD ZONE: "X" (BUILDING) PROP. BUILD. COV.=15.3% COMMUNITY PANEL: 25001CO583J DATED:07/16/14 CERTIFIED PLOT PLAN (FOR PROPOSED PLATFORM & RAMP) LOCATED AT: 148 BLUE ROCK ROAD SOUTH YARMOUTH, MA. PREPARED FOR BLUE ROCK HEIGHTS ASSOCIATION NOVEMBER 7, 2021 EDWARI A. S10NE E.A.S. SURVEY, INC. P.O. BOX 1729 SANDWICH, MA. 02563 CELL: (508)527-3600 EMAIL: eas.survey®yahoo.com .I#99R7