HomeMy WebLinkAbout2014 Jul 02 - Sign Off Transmittal Sheet, Plans - Addition ���- _ Y _. �.,�._ _
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,of��,y TOWN OF YARMOUTH i
�2 - ���� HEALTH DEPARTMENT j
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� `�•<�•`� ? PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be co_mpleted by Appdicant.• I
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Building Site Locafion: ( � � ���(" U �
Proposed Improvement: Z.� O'C�J / �-`� `�
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Applicant: ` � � �6 c� a.f_ Tel. No.: Z.�'C��Z��
Address: '/ �j 6 /' l�(!J V o 2 V\ Date Filed: O� / �
*"Ifyou would like e-mail t�otrfication ofsi ojj;p[ease prrnide e-mail address: �
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Owner Name: �_ �r✓1 c�M i
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Owner Address: / �/ �(q� v�.1Q iL Owner Tel. No.: ``
RESIDENTIAL AND/OR COMMERCIAL BUILDING �
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HEALTI-I 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 bu�ding
(all ezisting and proposed) — � �
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Note:F[oor plans not required for decks,sheds, win�ows, roof:ng;
(3.) If necessary, Title 5 application signed by lieensed installer
with fee.
__................._............_..............�,...,.................. ................ ..........;.................................. .......................................................................................................................... .:.............. ............................................................
REVIEWED BY: DATE: � /�
PLEASE NOTE
COMMENTS/CONDITIONS: (
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JOB NO. Y10-78
NOTES Gamham.dwg
a 1. LOCUS iS A.M. 116, PARCEL 21.
3. LOCUS IS IN FLOOD ZONE C ON FlRM DATED JULY 2, 1992.
� 4. OFFSETS SHOWN ARE TO THE CORNERBOARDS ON THE EXISTING
a BUILDING AS MEASURED ON 07/Ot/10.
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� HARWICH ECUMENICAL COUNCIL
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MUIR �shF�+. -:: °oo S'� PROPOSED
� 56 S.F. PORCH
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H�ALTN LEpT SEPiIC LOCAl10N FROM �^
ASBUILT PERMIT N0. 98-66 "J
I CERTIFY THAT THE LOCATIONS SHOWN ON iHIS
PLAN WERE MEASURED IN THE FIELD ON 7/01/10. � ASBUILT PLAN
FOR
��ySHOF�9c DANIEL P. GARNHAM
o� RONALD y�
�g JAMES �, LOT 14, 111 STARBUqC LANE, YARMW7HPORT, MA
" CADILLAC y ,xJ�Y B, ZO1O SCALE: 1'=3O�
.o #35779 �
/-'� �qNO S SR\'E�� r I 2�II� RONIIL.D d CADILLAC. PL.S. RS. P.C.
/ a / � PROFES50NAL LMID SURVEYOR @ l�q57ERm SANITARIAN
\�1 / P.O. BOX 258
�t` �T. WESi YARMWIH. MA 02873
REV. 4/23/14--PROP D ADDITION C 2mo Br R.a. Cnolu�C «� �g��
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2'-S%" x 4'-074"
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Blocking as per MA code
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proposed sunroom addition
2xl0elro" O.G.
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_ Remove existing door and
O window to create new opening
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Floor framing
plan
a14'-3 3 -V/21 21-33/41
Dan Garn um
a�c��od�o
111 Starbuck %d.
Proposed Addition
J !1 ` 2 2014
R�
So. Yarmouth MA
HEALTH DEPT.
DRAWN BY: Rick PAGE #: 3
SCALE: 1/4" = 1'-0"
DATE: July 02, 2014