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HomeMy WebLinkAboutHEALTH SIGN OFF TOWN OF YARMOUTH 'jam : HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: 51 t\`1111 1 olvA Proposed mprovement: Y 11 0A e �/ k �fi �'1C \ l l ( _�, e' tA ov\ (Y\t Oec 1A bvvt b.- '1 ) Applicant: ' t ..A.SNAP Dt\k"Ole+AC ' A Tel. No.: 0.1- Address rL>, -vr� .0 1 00( V.) ate Filed: ny 10(0 ki �10t )0A. i��C(, (0 �'�- would like e-mail notification of sign off please provide e-mail address: , �-- J Owner Name: i + 1 YN1 Q 1 C' t Owner Address: 1A Cr Owner Tel. No._p (&S� Met o- ticul 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: 6-* ').__ PLEASE NOTE COMMENTS/CONDITIONS: 'r sue , -� 'R? M- ti 4- - - - 4 4 . 4..•.,.a._ .. -- - ve4w�� yr. v ids -, -Y` '. ,. _ y c Z• f • 3N L .. ''� i^ 1•ct t. m .jam _ _,- :,_ �, i Z --'e y Y- , _Y �T'� • f "f�rr'9t�''' •2. q' .L�d- .a a - d ,: .�':;i to rt.Y r,. A _ ... +` t .: r's. fi`7 f • SOLLOMONI RESIDENCE ` ds p WEST YARMOUTH, MASSACHUSETTS o .1 0- S • _ m 2 TEM WO OWNER IMELDA&ERION SLLOMONI 30 SQUANTO ROAD, QUINCY,MA 02169 STRUCTURAL BENJAMIN BOLGER ' ti ENGINEER BOSTON,MASSACHUSETTS 6 4; 774 217 2935 r 3d*fi� . l N J INDEX OF DRAWINGS qe N0. !SHEET MU p III I I �, SO'.• _ I_..I' ��ye(? _ 7i:���� w k }'a Q,', I I I I is,, IwE.anriaxww — � III, - I „ - ,.;• RENNINM,o„ ter, 1 ARCNITEIII I I I. PRE. I �, 1 t I I I I I I,o<, IFIGIGROA,' �u .• ~ `I II I �'�, �.1111110 E --r v 11- b, E„E wµ • -w,e 11,0.1• WO LEVEL2,N wAN N,EPENSKE,KS MS a.Erw1suuowcsscnaxs 501 GENERAL • mt MICA DETAILS S.22 DUALS II • • • • • • RECEIVED WI f , osl:enou D a . . UE) 1UI/ MU,. ' TITLE SHEET R : HEALTH !JFPT _ NM • ' A00 iiiiimimm F SOIL TEST PIT DATA LOCUS INFORMATION NOT 7o sr1T EST PR �` E%ISTNO BLD.COVERAGE BOSS.,(I IJS) CURRENT OMER IM(M!ERg SIx N LwO4I OM°' _''°— ONSITE SOIL EVALUATION TIRE REFERENCE: DEED BOOK 33079,PAGE 2B1 sum _ �� ��i CCCEIWm t0.2020 PLAN REFERENCE: PUN BOON 45,PAGE 17 „�� IGSE9 45 i 414 D i MU dou1,Ixc PMCEU BO EL 74.4 t rt ADONA 1 00NIN0 DISTRICT: R-25 _ 5• SETBACKS: raw SIY DE 15. • tom 4/2 LT4R 0.74 CPo/S.F. R 2 SOIL CUSS CLAW 1 I EAR 20' EL 73.0 j . tT i MINIMUM LOT SIZE: 25,000 S.P.LOAMY DM LL 7aR •▪•""'414 / LEGEND EXISTING TOTAL LOT AREA: 7.4873 S.F. ant ••• w ":.,'E"w.�Bis'T `\ MTNOCEF s n.00E I \ ZONE: NOT A ZdE II V"�i -sTy rtp \ C I \"N. \\ 20N g51MCT: X7'�M1ED 116 20tJ man YG j ioff t�N"�N1 "" 1, 'LOT 17 m'• \ .N»SF. 1 .4.\ OVEHUr DISTRICT: NONE EL INA �4.t>e. 1 7ENx4rw( �\ NO a \ \ \ 1 \\ \`\ 24, \\ I \ 1 �nre. BRIM G.MCADM 091E I / \\ ° \ I '\1 \ 9 \ PROFESSIONAL MOWER I A 1WT/r 1 • \\ \ / / %`\y \ SEPTIC SYSTEM \ • DESIGN PLAN 3"\ \\ `L•;.,� \\\\ \\ `\\ \\\ 51 KILL POND ROAD ` \ 131 r. 7 I `\ \ WEST YARMOUTH I `\ 0 \ o \\\ MASSACHUSETTS ` .‘ \ ` (RARNSfABLE COUNTY) -- `\ .-•A\\ A \\ \ \\ ,k` ` \ ` SITE PLAN \ 46...61 `. \ \ \ DECEMBER 30.2020 rpm \ ,^` \ QOQC� • Dxcuxc \\ \\ \ V \ 1 t / REM DINS: BO Siff `\ I I PO NO,51 DAZE—OE.. 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