2022 Sign off Transmittal - Add Farmers Porch on Front of Home TOWN OF YARMOUTH
�•�� HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: s 4- 6P4. 7' c(
Proposed Improvement: A— 4 t Y 3 Q
Applicant: `r". �' ►-* 1 lre Tel. No.: .7-??:‘)C
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Address: e— Date Filed: 7 - l 3 2 1
**/f you would like e-mail notification of sign off please provide e-mail address: _S'h c_ 14 7x)
Owner Name: iS 1- M e l f e—
Owner Address: Owner Tel. No.: ,SvH e_
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;
JUL '1 4 2Q22 (2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
H EA LTH DEPT. Note: Floor plans not required for decks, sheds, windows, roofing;
.f' g;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: /
PLEASE NOTE
COMMENTS/CONDITIONS:
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li GREAS �6' ... �s_
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20.°9 LOT 1
44,050 _± S.F.
1.011 .I ACRES
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co' 'r1.>1 PROP. 8' d� \ ,
(71 ` � `�' PORCH 1► ''T' ;x
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20-6 5�IN1G
�gARN E DECK
AD•1'
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APPROX.
7-, PUMP POOL
\ -- 161' \
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HOUSE
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GREENHOUSE
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S.A.S LOCATED *.+4& 4
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JUL 1 4(2022� _ ;�
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7Hv tic..EALTH DEPT. • ,r a,�
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TO THE BEST OF N Y INFORMATION, "PROPOSED" PLOT PLAN
KNOWLEDGE, AND BELIEF THE YARMOUTH, MASS.
STRUCTURES SHOWN ON THIS PLAN LOT LPL. BK. 576/18
HAS BEEN LOCATED ON THE GROUND DATE 3/4/2022 SCALE 1" = 40'
AS INDICATED. JOB 6996-00 CLIENT KELLER
3/4/2022
SWEETSER ENGINEERING
203 SETUCKET ROAD
DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02880
OFF. 508-385-6900 FAX. 508-385-6991
C: 1 .58 l PROJ 1 6996-00 1 dwg 1 6996-PPP-POOL1.dwg 0 2022 SWEETSER ENG.