HomeMy WebLinkAbout2022 Sign off Transmittal - Ingroud pool TOWN OF YARMOUTHRECEIVED
;:tklA ° HEALTH DEPARTMENT n 7'171
PERMIT APPLICATION SIGN OFF TRANSMI
To he completed by Applicant:
Building Site Location: 2 l -v 1S Lei 1�� S_ � ,2 �. c.�r ,
Lei ,/
Proposed Improvement: J,A6,-/a ei t 11 oc d,?-, 1 L. 04.- , g , one.
Applicant: ,u ;tZ t ail Tel. No.: " 'LJ- L(08
Address: „;l ! 4 /& Lb' u I S. '76're a-e--o �� 1
y �i� •��/ Date Filed: .. 1/9'( ,?,
**/fyou would like e-mail notification of sign off,please provide e-mail address:
Owner Name: 75-ve--/oA4%re_- 74112. 5-104.,
Owner Address: 3( KGw teS U,'L,7 . S Y4'exc.',/,' Owner Tel. No.: �' oa)-G0/S-
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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: )=Z-t
PLEASE NOTE
COMMENTS/CONDITIONS:
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DRIVEWAY EASEMENT NOTE: SEPTIC LOCATION PER AS-BUILT
SEE BK.24652 PC 95 CARD ON FILE AT THE YARMOUTH
BOARD OF HEALTH. FIELD VERIFICATION
LOT 5 WOULD BE NEEDED.
17,011 SQ.FT.± ,CEIIVE
0.39 ACRES±
J UL 2' 32
pO (2
CERTIFIED PLOT PLAN HEALTH DEP:
OF LAND IN YARMOUTH, MASSACHUSETTS
AS PREPARED FOR TSVETOMIR B. & V. G. NAUMOVA HRISTOV
THIS PROPERTY FALLS IN FLOOD ZONE "X" AS SHOWN
ON MAP NO. 25001 C0591 J DATED JULY 16, 2014
TO: TSVETOMIR B. & V. G. NAUMOVA HRISTOV PLAN REFERENCE:
PL.BK. 601 PG. 84 -iv,
ON THE BASIS OF MY KNOWLEDGE AND �' OF "�, >�
INFORMATION, I FIND, THAT AS A RESULT OF (LOT 5)
A SURVEY MADE ON THE GROUND TO THE ° P L
LOCUS ADDRESS:
NORMAL STANDARD OF CARE OF <• "� SER
rn
PROFESSIONAL LAND SURVEYORS PRACTICING 31 HARKDS WING o
IN THE COMMONWEALTH OF MASSACHUSETTS, '`,.'
YARMOUTH o +
THE
LOCATION
N ATIONEREO OF THE DWELLING IS AS e°�osus% •
SCALE: 1"=30' '
PAUL E. " ETSER
DATE DRAWN: PROFESSIONAL LAND SURVEYOR
��— MAY 20, 2022 P.O. BOX 1146
DATE PROFESSIONAL LAND SURVEYORDENNISPORT, MA 02639
FILE: 2252-00 (508)737-7560
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MAP NO. /07 (7
LOT NO . : c. c ADDRES'S : 'l tivi‘ Y t(ipfr. Zrizi
OWNERS NAME : 1)4i/C4 ipigpv5
bol e -75--23.15-
SEWAGE PERMIT NO . : /y - '"/ NEW : ,/ REPAIR :
DATE IS SUED :7 w ,f- , DATE INSTALLED : "%X-/c"-
INSTALLERS
cINSTALLERS NAME : Oa -
I NSTALLAT ION OF : _ ZiSi& I ;•?c71pil, 47-__4-60,401->I6
352 Yi polci it . 5')c: /,Bc: ' afatAlic
WATER TABS FINAL INSPECTION BY :
DRAWING OF INSTALLATION ON REVERSE SIDE :
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