HomeMy WebLinkAbout2014 Nov 10 - Sign Off Transmittal Sheet, Plan - Addition ___
of�'�R,� TOWN OF YARMOUTH
2 �° HEALTH DEPARTMENT
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�^��%I� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: --�
Building Site Location: � �/� Vv r i'^� `�L"����' —�J �2 ���� _ � ���t k�v� � �'-� ���
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Proposed Improvement: t ��j�','"1 Y,,/ �5�'� L r _ �c>� �.� l��c+ �rr�� /� !ni t�.–�c�t `� �c,G.�-..
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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.
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REVIEWEDBY: J � � DATE: ((��Y
PLEASE NOTE
COMI��NTS/CONDITIONS:
Q JOB N0. Y14-31
m N� Ycente.dwg
�n FB 30-39
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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.
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HENZLER e _ FNo.
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I CERi1FY iHAT lHE LOCA710NS SHOVRJ ON iHIS
PLAN WERE MEA URED IN hIE FlELD ON 9/26/14. AS—BUILT PLAN
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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