Loading...
HomeMy WebLinkAbout2014 Nov 10 - Sign Off Transmittal Sheet, Plan - Addition ___ of�'�R,� TOWN OF YARMOUTH 2 �° HEALTH DEPARTMENT ���� �^��%I� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: --� Building Site Location: � �/� Vv r i'^� `�L"����' —�J �2 ���� _ � ���t k�v� � �'-� ��� L � �� ~ 1 i. Proposed Improvement: t ��j�','"1 Y,,/ �5�'� L r _ �c>� �.� l��c+ �rr�� /� !ni t�.–�c�t `� �c,G.�-.. �,J2c.c/li1/�ov .Ltc� — � � - Applicant:�� ./1/'6� � . � G �- N� TeL No.:� C>3 —�����Q tS Address: �-�,� ------'v��'. 5�M � Date Filed: /t /o /4/ "'Ijyou would lrke e-mail notification ofsrgn o�;please provide e-mail address: Owner Name: Owner Address: 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 t6ree (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 egisting and proposed) — Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. _......................._......................................... ........................................................ ...................................................................................................................................................................................._.................................... REVIEWEDBY: J � � DATE: ((��Y PLEASE NOTE COMI��NTS/CONDITIONS: Q JOB N0. Y14-31 m N� Ycente.dwg �n FB 30-39 N 7. LOCUS IS A.M. 30, PARCEL 313. Z 3. LOCUS IS IN FLOOD ZONE X(OLD B) AND FLOOD ZONE X(OLD C) ON FlRM PANEL 588J DATED JULY 16, 2014. Z 4. OFFSETS SHOWN ARE TO hIE CORNERBOARDS. < � J a �U J �\ � O \ N/F O� SA�. MARSHALL O � A6. \�I '`�ryo� 29 �y0k �0�� R�•. F V �ry � , o � � 1O � ` �0 �� "'- LOT 35 �\ : ro . 2s �` 10,OOOfS.F. �. ��G ,�� ,��o. 0 . �s. �� �'� .: ' e , ��5o�n ��%� �, o-� , 1, .° ��a>:.. y��i 0 �� `,.,,� � ,�:: ��i , ,.�h' "-. ` �� � R � � � 3� ti R,Q DOOO �� R, O) � �oo �O sAo °8• �;,� N/F � N/F `� � WHITE CONC. BOUND THONIAS � FN�.&HELD �.._ �.°q, S s � . __ '� 1.9' e� ` 38.qb30 , O : S 3gy 'yPqSF ' ' i � CU14 s� �36. � N/F b3�O+�qN � CONC. BOUND i___� HENZLER e _ FNo. ___ _ ----� LA��� flcsc�.-„�. I CERi1FY iHAT lHE LOCA710NS SHOVRJ ON iHIS PLAN WERE MEA URED IN hIE FlELD ON 9/26/14. AS—BUILT PLAN � �� ��.LZH�F'NASsqc ANA G� VICENTE o� RONALD y� LOT 35, 54 WIMBLEDON DRIVE, W. YARMOUTH, MA U� JAMES N� p�TOBER G� ZO�4 SCALE: �w�.3O� CADILLAC N .o #35779 � �ROFess���� RONALD J. CADILLAC. PLS. RS. P.C. ANaSURV y� � PROFES50NAL LAND SURVEYOR de REqSTEREO SANITARIAN P.O. BOX 258 NEST YARMOUTH, MA 02673 �OC 2014 BY R.J. CADILLAC ��� 775-9700