HomeMy WebLinkAbout2022 Sign off Transmittal - Mudroom Addition TOWN OF YARMOUTH
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S • HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: g trok,Ze el A-4 //Vele-M:7/4
Proposed Improvement: Neiv ,FA47 /1-7144.60",-1
.1--&-,6e5 're' a_ von—, f
Applicant: av/ •-e 14900 Tel. No.:_57eR-0,294/- N
Address: t4/214cA19-hit, C7 Date Filed: / / •
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: ic9-(// //l:4,CCe.7
Owner Address: /4/11.47 11-154- 61/ 11/A2‘71-- Owner Tel. No.: C0?-62i'l/-6.2S•V
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: (-1_11 7/ 2,
PLEASE NOTE
COMMENTS/CONDITIONS
tici (-) cc( ‘ccvict_q_ci)e 1-6)
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JOB NO. Y-05-40
NOES DEMARCO.DWG
1. LOCUS IS A.M. 22, PARCEL 244.
2. ELVEVAIIONS ARE NGVD29 BASED UPON TOWN MONUMENT 28.
3. LOCUS IS IN FLOOD ZONES A9(EL10) & B ON FIRM DATED JULY 2, 1992. N/F f CD
4. OFFSETS SHOWN ARE TO THE CORNERBOARDS ON EXISTING j.
BUILDINGS, OR TO FOUNDATION ON NEW CONSTRUCTION. MCCALLUM ' a.-
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RECOMMEND FOOTINGS BE CANTILEVERED
ON DECK TO KEEP AWAY FROM SEPTIC ti a
TANK-CHECK WITH HEALTH AGENT. ` 4 R9.
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/ , APPROX. LOCATION BASED
UPON SEPTIC ASBUILT FOR
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"` F. PERMIT NO. 94-101
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' POLIDOR OF C 19 202-
I CERTIFY THAT THE LOCATIONS SHOWN ON THIS ASBUILT PLAN
PLAN WERE MEASURED IN THE FIELD ON 12/15/05.
FOR
T :'�.cN� ' ,� PAUL DeMARCO
f�;3 'r�+`�' ri.A: ' 8 WINCHESTER COURT, WEST YARMOUTH MA.
# 1. If 36779 0 ► JANUARY 5, 2006 SCALE: 1"=30'
s RONALD J.'• �••% • F CADILLAC, PLS,. RS
‘,0� .-- '� PROFE.'.SIONAL LAND SURVEYOR & REGISTERED SANITARIAN
;,4`�- '` P.O. BOX 258
1 S Q 6 WEST YARMOUTH, MA 02673
®2006 BY R.J. cAoiuAc (508) 775-9700
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