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HomeMy WebLinkAbout2022 Sign off Transmittal - Front porch •ci TiA TOWN OF YARMOUTH o 1 1. �, = c HEALTH DEPARTMENT o ==�=' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: �' Building Site Location: 3K (� \T� Eck. s Proposed Improvement: 6 U av_ °f c c` -4 vy4t e,-ii r y PQt-CC rOd Applicant: tadr GLOca-c-ObS Tel. No.: -771(3S?-6't3S Address: D. £d K 71/c( Yoti-w S4 �dr-+ I/14 fit- Op)-co Date Filed: **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: ,4/6-ec7 2 ARall effet Owner Address: 3I ("is 1" LYN. let Owner Tel. No.: 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 f for decks,sheds, windows,roofing; (3.) If necessary, Title 5 application signed by licensed installer ith fee. REV IEWED BY: DATE: 1 0)' )--/ )--2- LEASE NOTE COMMENTS/CONDITIONS: 4 r .. • LOCUS OWNER OF RECORD: rs J �, ALBERTO RAMETTA REVOCABLE TRUST g' P tare lz 3 34 WILFIN ROAD iz SOUTH YARMOUTH, MA 02664 k 4 ,� REFERENCES: WILFIN ROAD;o CERTIFICATE #229661 LAND COURT PLAN #14114-A2 @} YE % ASSESSORS MAP 34 PARCEL 77 GARDINER f�'-"''""'"" © FLOOD HAZARD ZONE: AE (ELI 1) \ MAP 34 THE SEPTIC SYSTEM SHOWN IS AN PCL. 75 APPROXIMATE LOCATION BASED ON / ,`- BOARD OF HEALTH RECORDS. ``LOCATION MAP '�� N 63.47,00 E 40,00. MAP 34 --_____ PCL. 76 S` APPROXIMATE \0.C 209 p5 LOT 22 1 LOCATION OF No. N 3zp\ (0.31± AC.) SEPTIC SYSTEM 1114 SO ,,, \\,,\\, ., O `lug \�,\,\\\ © , ..`...i.‘ 0 1 • ,„,.,-.....sf. Z M PROPOSED / , m .,,3-,p•43.'" ,.....q.,i POR11C0 2 .?:,' MAP 34 74 SITE PLAN PAVED 34 WILFIN ROAD p0 �' DRIVEWAY SOUTH YARMOUTH, MA 70 PREPARED FOR: ALBERTO & MARIA RAM ETTA SNOF SCALE: 1" = 30' OCTOBER 14, 2022 JOHN GRAPHIC SCALE IN FEET ist Z. DEMAREST N .e No.36859;. 30' 15' 0' 30' 60' °? DEMAREST LAND SURVEYING r�-', v..,� — �' 338 MAYFAIR ROAD s ••REST 0.S. DATE SOUTH DENNIS, MA 02660 508-364-9049 FILE=22131.D'AD Laserriche` My WebLink More LASERFICHE > ... > El T sle1 / 10 Q 0+ 0 plAp .. j'y LOT NO, : ADDRESS: 3(4 latfwi OWNERS NAME: k"kketiS SEWAGE PERMIT NO.: NEW: REPAIR: DATE ISSUED: 10000"., DAT .003046 3 tNSTA1LERS NAME: INSTALLATION OE: WATER TABLE: FINAL INSPECTION 8Y:0Q DRAWING OF INSTALLATION ON REVERSE SIVE: :0:1;11101lb, L 4:111111 eake ,sir LOT NO. :, 77 ADDRESS: a q (1i► ( OWNERS ME: rJ.. 1(4c.tc r SEWAGE PERMIT NO.: NEV: REPAIR: DATE ISSUED: DATE 1'IiED: tleA INSTALLERS NNE: INSTALLATION OF: G'ATER : 1 ' FIKAT, INSPECTION bY: DRAWING OF INSTALLATION ON REVERSE SIDE: .......... ..... .... https://If.yarmouth.ma.us/Webt ink/DocView.aspx?id=569898&dbid=0&repo=LASERFICHE&cr=1 12/2/22, 7:32 AM Page 1of2