Loading...
HomeMy WebLinkAboutLat_14629CiticorpDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W.. WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571 P.O. BOX 571 (301) 791.3083/3084 PERMIT NO. 9 i 2 DATE _ 11/12/85 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUB DISTRICTiu_ 0. I iviauyutisvi i ielUrchrd iii i I� Permission is hereby given to: C i For Property Located at: N/S Airport AccesS Road Owned by: (.1 LicQrq Credit Address: 105 Under ass Wa'v. oii( %p.Wl) IIiJ L1%4G 'vices, Inc. Type of Connection: To Service Connection X - To Main Line:_ Type of Service: Residential Commercial ) Units Other Industrial _ Meter Size — Connection Fee 1 - Date Paid --I / 2 'g 6 -- To connect to a public sewerage/Water system (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL. MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Building Permit No. 85- 1324-1363 Ap I aw Secretary -Treasurer INSPECTION: At least 48 hours notice prior to requested date of inspection is required ON SITE INSPECTION will be made by Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee i Final Inspection Made BY: Plumbing Ins p or Date OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: Date DISTRIBUTION: Permittee Plumbing Board Field _ Office City. of Hag. 1 WASHINGTON COUNTY SANITARY I)ISTRICT WASHINGTON COUNTY, M0. SANITARY SEWER LATERAI CONSTRUCTION REPORT Project: C-111 C0'Rf - CHILD CARE Street (or location): 1y6Z1 Ci icor(, E)k Contractor: MOR&AH-kELLE>R Su A. D.K. HSL-1-rnA Date Installed 3-(0-97 ht 3 -10:37 MH 9 1 0 TO MH 9 20 Wye Sta. On Main INTO M.14A WYE SIZE - TYPE PIPE TYPE DEPTH TYPE EXCAVATION seri SpR zL C. 0. C. 0. LATERAL LENGTH CASTQ 6 X CSX (o� (�," 1 RaH v— f s STPD. NOTES: rDROP) I 43 1 � r I - LAYING LENGTH Horiz. 2 Total Slope + Horiz. = Total Zola v Depth of Cleanout at Flow Line Cleanout From Layed at Z"10 NO Basement Service MH # J I M H ## , Amoun s pertaining to work completed this period, reviewed and approved. 8Y , Ql WCSD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984 S Z WASHINGTON COUNTY SANITARY DISTRICT WASHINGTON COUNTY. MC I-ftk SANITARY SEWER LATERAL CONSTRUCTION REPORT Project: Street (or location): _%TICO,Z� ic'7 Tr�E 72ic'F-/ pF Contractor: ,�UA66_7�cmAS Date Installed �� -�� MH .� ,E /44"TO MH /1114 Wye Sta. On Main WYE SIZE - TYPE PIPE TYPE DEPTH TYPE EXCAVATION / .. C. 0. �l.I,la[cE LATERAL LENGTH LAYING LENGTH {NX- ?AF'PEb 714 f-xJ4 � P Horiz. = Total STD. 1s � /Z • _-5- 4.19:r NOTES: DROP Slope + Horiz. = Total Depth of Cleanout at Flow Line Cleanout From Layed at Basement Service M H # .mac. 4,R -1i eattM ,9iA. /7�66 Poe- Foes 414,.j (S- iso -/80) �Z,, aaw vac✓a. �zs'' Amo rtaining to work completed this period, reviewed and approved. B Y �9,n 'f � 4".- WCSD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984 21 r ------------- WASHINGTON COUNTY SANITARY DISTRICT Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795 Permit to Connect to Public Sewerage System (� Type of Permit Comm C+�S Mainline Contract No. S_- _150-80 Permit No. W _ Issue Date Go-Dcoo-� Lateral Contract No. SL- 150_-1009 Building Permit Na. 90-0057_0049 Subdistrict No. Subdistrict Name 1�-- Maugansyii 114H Permission is hereby given to:-Davis,_Renn_&_Associates of address: _9_•_�ox 24�_ Hagerst_own�_ MD _� 1740__ For property located at: _Air-port_Access _Road __ Lot No. ------ Subdiv: Citicor---------- Street Address _______p Child Care Center____ Phase Sec Owned by: Cit' _corp Credit Ser Address: City: Ha erstown - --__1_Citicorg-Drive_ S_____ 21740 Previous Owner:------------ ------------ ----------- Fe?s Paid in Full? yes Date Fees Paid 3/8/90 Lateral ComplAted ? no __ WCSD Collection System Fee � 2_7000 Equivalent Dwelling Units WCSD Ready to Serve Fee $ - Gal/Day Allocation 3840_ WCSD------ Building Number --------Connection 1 nConnection Number 1 of _ City of _Hagerstow__ Fee _ _ Total Fee 341560_ RPmarksl ____Connects to SD's _6_inch_ Force _ main_ with _2_inch_fm_from _GP Remarks2 �anitaLy_1 istrict need_s_10 da�s_notice-e rior_to construction ---- When connecting to a public sewerage system, the installation of the c on- nection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and WCSD policy. This permit does not supersede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIFAILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Date:--3j Si ned: G2� Signed: _ ti �n,�--��Gfi2� _ ------------------- ___ _______ _____ INSPECTION: At least 48 hours notice prior to requested date is required. ------------------ ON SITE INSPECTION will be made by : Washington County Plumbing Board 33 W. Washington Street Hagerstown, Md. 21740 Phone: 791-3072 Inspn. Date: --------- Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspn, Date: WCSD Inspector (Lateral)________ '', ---- Inspn. Date: WCSD Ins ector (Connection) #' ---------- P 4 i ----------- ------- s. Distribution: Permittee C of Hag _ C of Wil ___ SAN 2 u WCSD Constrn WCSD O&M____ WCSD File ___ Permits Office Plumbing Board Plmbn ;NGTON COUNTY PLUMBING BOARD C ANT Y ONFICE BUILDING 33 W. WASHINGTON ST. HAGERSTOWN, MO. 21740 PHONE 791-3070 APPLICATION FOR PLUMBING PERMIT Date Y I,/1, 'O-119 ` V Permit No. ( Building ) Permit (Plumbing) Do% Recd. 3—:a� —9 V Cath Check —Z 00"` 1 hereby apply for permission to do the work, as listed, on the property described as follows, for which I tender herewith the required fee. Permit expires 1 year after dote of issue. Owners Name Location of Property a/ (House No eet: also Phone No. intersecting rood or street) Town or Vicinity Sub -division lot Block Section Is property located within city limits of municipality? (Yes) (No) If yes, name I have been authorized by the owner to do the work herein described, and in the execution thereof, I agree to abide by the regulations of the Washington COL.nty Plumb- ing Board. 0006DWNER (addres of different from above) Master Plumber V6 e— Address MD License No. Wash. Co. Lic. No. SPECIAL FOOTNOTE' If plumbing work involves tapping a public water or sewer system or both, a receipt for payment of applicable fees and/or charges from the proper municipality or the Washington County Sanitary Commission MUST aL PRE- SENTE with plumbing application. INSPECTOR'S APPROVAL Connection to Public Sewer Connection to Public Water 000-,derground (�'xDate _S ?1�3-96) ZX Date ) Date Rough -in ( ) Date Final Approval All Plumbing ( ) Date CHECK HERE PROPOSED PLUMBING WORK the municipality Building Water Service �) A. TYPE OF IMPROVEMENT B TYPE OF HEATING FUEL C. TYPE SEWERAGE DISPOSAL D. TYPE OF WATER SUPPLY I ❑ NEW — FRAME l ❑ GAS (HOT AIR OR HOT WATER) l [t]..PUBLIC SEWER 1. Cj 145UC SYSTEM 2 ❑ NEW— MODULAR 2 ❑ OIL (HOT AIR OR HOT WATER) T ❑ PRIVATE SYSTEM 2. ❑ PRIVATE SYSTEM 3. ❑ ADDITION 3. ❑ COAL (HOT AIR OR HOT WATERT [�EKISTS ❑ PROPOSED [�,*ISTS ❑ PROPOSED 4. ❑ ALT./REPAIR 4 ❑ ELECTRICITY ( SEE SPECIAL FOOTNOTE) I have been authorized by the owner to do the work herein described, and in the execution thereof, I agree to abide by the regulations of the Washington COL.nty Plumb- ing Board. 0006DWNER (addres of different from above) Master Plumber V6 e— Address MD License No. Wash. Co. Lic. No. SPECIAL FOOTNOTE' If plumbing work involves tapping a public water or sewer system or both, a receipt for payment of applicable fees and/or charges from the proper municipality or the Washington County Sanitary Commission MUST aL PRE- SENTE with plumbing application. INSPECTOR'S APPROVAL Connection to Public Sewer Connection to Public Water 000-,derground (�'xDate _S ?1�3-96) ZX Date ) Date Rough -in ( ) Date Final Approval All Plumbing ( ) Date CHECK HERE PROPOSED PLUMBING WORK CHARGES Building Water Service �) Building Sewer Service Well Pump Heating Equipment Water Cooled Air Conditioning PROPOSED PLUMBING FIXTURES DUAN TYPE BSMT IST 2ND Water Closets Urinals Bath Tubs Shower Baths Showers Lavatories Sinks Laundry Tubs Sump Pump Floor Drain Other PROPOSED PLUMBING APPLIANCES Water Heater Dish Washer Washing Machine Water Conditioner Garbage Disposal Ice Maker TOTAL Make Checks Payable To: BOARD OF COUNTY COMMISSIONERS Health Dept. No. A Permission is hereby given to: _Davis�_Renn_&_Associates of address: P.Os_B92L 246_ Ha gerstown,_MD For property located at: _Airport Access Road Lot No. ----------------- Street Address ------ Subdiv: Citicorp Child Care Center ___ Phase Sec Owned by: Citicorp Credit Ser_ Address: ___1_Citicor2_Drive__ City: Haserstown 21740 Previous Owner: ------------- Fees Paid in Full? yes Date Fees Paid 3_/_8_/_9_0___ WCSD Collection System Fee $ _2____ 7000_ WCSD Ready to Serve Fee WCSD-__--- -------- Fee $ City of _Hagerstown__ Fee $ _7_5_6_0 __ __ Total Fee $ 341560_ Lateral Completed ? no __ Equivalent Dwelling Units _1_8__ Gal/Day Allocation 3840_ Building Number Connection Number 1 of _1 _ Remarksl ... Connec_t_s to_SD's_6_inch_Force_main_with_2=inch_ fm_ from GP Remarks2 ... Sanitar _District _needs _10 dates notice _prior to construction When connecting to a public sewerage system, the installation of the con- nection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and WCSD policy. This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CO NECTEED% THEREWITH REMAINS WITH THE PROPERTY OWNER. Signed: - -- �v�!'t` Ln'Z _ Date:-3yAj; INSPECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by : Washington County Plumbing Board 33 W. Washington Street Hagerstown,, Md. 21740 Phone: 791-3072 Inspn. Date:_S a �_/ Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspn. Date: .......... WCSD Inspector (Lateral) --- nspn. Date: WCSD Inspector (Connection) -------------------- -------------------- Distribution: Permittee C of Hag -__ C of Wil _ WCSD Constrn WCSD O&M WCSD File r Permits Office Plumbing Hoad Plmbng Inspctr ___ WASHINGTON • Elliott COUNTY Parkway 70/81 SANITARY DISTRICT (, G -90 Industrial Park Williamsport, Md. 21795 Permit to Connect to Public Sewerage System Type of Permit Comm Permit No. Mainline Contract No. S-150-180 Issue Date 1057 _ Lateral Contract No. SL_ 150_ 1009 Subdistrict No. 31194__ Building Permit No. 90-0057-0049 - - - Subdistrict Name 15__ Maugansvi 1114Ij Permission is hereby given to: _Davis�_Renn_&_Associates of address: P.Os_B92L 246_ Ha gerstown,_MD For property located at: _Airport Access Road Lot No. ----------------- Street Address ------ Subdiv: Citicorp Child Care Center ___ Phase Sec Owned by: Citicorp Credit Ser_ Address: ___1_Citicor2_Drive__ City: Haserstown 21740 Previous Owner: ------------- Fees Paid in Full? yes Date Fees Paid 3_/_8_/_9_0___ WCSD Collection System Fee $ _2____ 7000_ WCSD Ready to Serve Fee WCSD-__--- -------- Fee $ City of _Hagerstown__ Fee $ _7_5_6_0 __ __ Total Fee $ 341560_ Lateral Completed ? no __ Equivalent Dwelling Units _1_8__ Gal/Day Allocation 3840_ Building Number Connection Number 1 of _1 _ Remarksl ... Connec_t_s to_SD's_6_inch_Force_main_with_2=inch_ fm_ from GP Remarks2 ... Sanitar _District _needs _10 dates notice _prior to construction When connecting to a public sewerage system, the installation of the con- nection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and WCSD policy. This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CO NECTEED% THEREWITH REMAINS WITH THE PROPERTY OWNER. Signed: - -- �v�!'t` Ln'Z _ Date:-3yAj; INSPECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by : Washington County Plumbing Board 33 W. Washington Street Hagerstown,, Md. 21740 Phone: 791-3072 Inspn. Date:_S a �_/ Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspn. Date: .......... WCSD Inspector (Lateral) --- nspn. Date: WCSD Inspector (Connection) -------------------- -------------------- Distribution: Permittee C of Hag -__ C of Wil _ WCSD Constrn WCSD O&M WCSD File r Permits Office Plumbing Hoad Plmbng Inspctr ___ COUNTY COMMISSIONERS FOR WASHINGTON COUNTY PERMIT APPLICATION & ZONING CERTIFICATE DEPARTMENT OF BUILDING PERMITS & INSPECTIONS 33 W. Washington Street, Hagerstown, Maryland 21740 • 791.3070 PERMIT NO. �ayoo `7-C��9 DATE I SUED --r-- Z N I N G 8t S T E P L A N L CAUTION I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not. klu u tand that to begin construction before a building permit placard has been issued and displayed on the job is i of tt law. A U and Occupancy permit must be received before permitting occupancy. I DATE AGENCY APPROVALS JOB LOCATION OA TT NEN' LU ALTERATION L 0 F F 0 C A M SUBDIVISION NAME/APPROVAL DATE FAMILY LOT NO. SEC. NO. PLAT NO. TAY MAP aIOCK ryp, p�,rCr; Nn ZONING DIST. T I A T REFERENCE DEPT. NON BEDESCRIPTION RESIDENTIAL DESCRIPTION 0 N I O ACCOUNT N0. IMPROVEME14T ELECTION DIST. LIBER FOLIO OLIO ACREAGE LOT SIZE C'L _ N DEPT. LOT TRACT AREA OFF STREET PARKING 0PROPERTY W ON'NERISI _ PROPOSED MIN BY ORD, PROPOSED MIN BY ORD, PHONE NO. N I I ' LOT AREA PER FAMILY PROPOSED MIN. BY ORD. E_ ST TE ROA S R / F PROPERTY OWNER(S) ADD SS FRONT YARD SETBACK CITY STATE C 0 R PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORO, FIRE ZIP O MARSHAL LEFT SIDE YARD RIGHT SIDE YARD N A CONTRACTOR'S NAME/OW AS EPRESE ATIVE CONDITIONS T �NGT00y C. *YARD SETBACK BUILDING LINE VERIFICATION LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED PLANNING V PHONE NO. R SCRIBED BY ZONING ORDINANCE. j�y7 A 01 - - � A'0n 7 -;1?- S C N -�^^^^ CONTRACTOR S ADDRESS CITY STATE b Tay ZIP HOME IMPROVEMENT LIC. NO. 0 (0 1 .> � a -� DESCRIPTION OF WORK IST,VALUE C i J� Q d S F � W I IJ PERMIT FEE C 0 ~ R J 1 0 F M P B T T T BEDROOMS `] c I 0 I 0 EXTERIOR FIN. FOUNDATION SIZEHPOiRICHSIZE GARAGE SIZE CARPORT SIZE / �7 DECK SIZE N N EXIST. TOTAL N0. FULL BATHS NO HALF BATHS UNITS WER SEPTIC GAS ELEC. TYPE HEAT AIR PRIVATE ❑WELL "TER t 7 L n �. Z N I N G 8t S T E P L A N L CAUTION I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not. klu u tand that to begin construction before a building permit placard has been issued and displayed on the job is i of tt law. A U and Occupancy permit must be received before permitting occupancy. I DATE F ❑ YES ❑ NO ❑ NOT APPLICABLE O R M �� T 1 O N INITIALS a FILE COPY MAR S lyyv AGENCY APPROVALS NAMES OA TT NEN' ADDITION ALTERATION ONE TWO MULTI BUILDING FAMILY FAMILY FAMILY BD OF APPEALS BUILDING X REFERENCE DEPT. NON BEDESCRIPTION RESIDENTIAL DESCRIPTION HEALTH C'L _ DEPT. LOT TRACT AREA OFF STREET PARKING PROPOSED MIN BY ORD, PROPOSED MIN BY ORD, I I ZONING LOT AREA PER FAMILY PROPOSED MIN. BY ORD. LOT WIDTH PROPOSED MIN. BY ORD. ST TE ROA S b FRONT YARD SETBACK REAR YARD PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORO, FIRE MARSHAL LEFT SIDE YARD RIGHT SIDE YARD PROPOSED MIN BY ORD. PROPOSED MIN. BY ORD, SPECIAL CONDITIONS �NGT00y C. *YARD SETBACK BUILDING LINE VERIFICATION LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED PLANNING V COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE- `�� SCRIBED BY ZONING ORDINANCE. j�y7 F ❑ YES ❑ NO ❑ NOT APPLICABLE O R M �� T 1 O N INITIALS a FILE COPY MAR S lyyv Permission is hereby given to: _Dayisl_Renn_&_Associates_____ of address: P_ O._ Box 246_ Hagerstown,,_ MD _ 21740___ For property located at: Airport Access Road ------------ Street Address Lot No. Subdiv: Citicorp Child Care Center ___ Phase Sec Owned by: Citicorp Credit Ser_ Address: 1_Citicor2_Drive City: Ha erstown 21740 Previous Owner: ---- Fees Paid in Full? yes Date Fees Paid 3_/_8_/_9_0___ WCSD Collection System Fee $ _2_7_0_0_0_ WCSD Ready to Serve Fee $ WCSD-- -------- Fee $ City of _Hagerstown Fee $ _7_5_6_0__ Total Fee $341 560_ Lateral Completed ? no__ Equivalent Dwelling Units _1_8__ Gal/Day Allocation 3840_ Building Number Connection Number 1 of 1 Remarksl ... Connects_to_SD's_6_inch_Force_main_with _2_inchfmfromGP Remarks2 ___Sanitarv_District needs _10 dates notice prior --------------- construction When connecting to a public sewerage system, the installation of the con- nection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and WCSD policy. This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CO NECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Signed: _ -- --Z -- Date:3��a���� --------------------------------------- ----------------------------------- PECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by : Washington County Plumbing Board 33 W. Washington Street Hagerstown, Md. 21740 Phone: 791-3072 Inspn. Date: _ Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspn. Date: ---------- WCSD Inspector (Lateral)___________ Inspn. Date: WCSD Ins ------------ __________ Inspector (Connection) -------------------- Distribution: Permittee C of Hag __ C of Wil t WCSD Consrn ____WCSD 0&M ____ WCSD File Permits Office Plumbing Hoard Plmbng Inspctr WASHINGTON COUNTY SANITARY DISTRICT (, 6-96 Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795 Permit to Connect to Public Sewerage System Type of Permit Comm Permit No. Mainline Contract No. S-_150-180 Issue Date _105_7 _ 318290__ Lateral Contract No. SL -150-1009 Subdistrict No. Building Permit No. _90=0057_0049 Subdistrict Name _1_5__ Mau9ansyill24P Permission is hereby given to: _Dayisl_Renn_&_Associates_____ of address: P_ O._ Box 246_ Hagerstown,,_ MD _ 21740___ For property located at: Airport Access Road ------------ Street Address Lot No. Subdiv: Citicorp Child Care Center ___ Phase Sec Owned by: Citicorp Credit Ser_ Address: 1_Citicor2_Drive City: Ha erstown 21740 Previous Owner: ---- Fees Paid in Full? yes Date Fees Paid 3_/_8_/_9_0___ WCSD Collection System Fee $ _2_7_0_0_0_ WCSD Ready to Serve Fee $ WCSD-- -------- Fee $ City of _Hagerstown Fee $ _7_5_6_0__ Total Fee $341 560_ Lateral Completed ? no__ Equivalent Dwelling Units _1_8__ Gal/Day Allocation 3840_ Building Number Connection Number 1 of 1 Remarksl ... Connects_to_SD's_6_inch_Force_main_with _2_inchfmfromGP Remarks2 ___Sanitarv_District needs _10 dates notice prior --------------- construction When connecting to a public sewerage system, the installation of the con- nection and the abandonment of the previous private system shall conform with the provisions of Maryland State laws and WCSD policy. This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CO NECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Signed: _ -- --Z -- Date:3��a���� --------------------------------------- ----------------------------------- PECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by : Washington County Plumbing Board 33 W. Washington Street Hagerstown, Md. 21740 Phone: 791-3072 Inspn. Date: _ Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspn. Date: ---------- WCSD Inspector (Lateral)___________ Inspn. Date: WCSD Ins ------------ __________ Inspector (Connection) -------------------- Distribution: Permittee C of Hag __ C of Wil t WCSD Consrn ____WCSD 0&M ____ WCSD File Permits Office Plumbing Hoard Plmbng Inspctr COUNTY COMMISSIONERS FOR WASHINGTON COUNTY PERMIT APPLICATION & ZONING CERTIFICATE PERMIT NO. DEPARTMENT OF BUILDING PERMITS & INSPECTIONS y DATE I SUED LTJ 33 W. Washington Street, Hagerstown, Maryland 21740 • 791.3070 //7 C 7 L O N I N G S T E P L N I,J .5 fi kyj_ry CAUTION I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not. I fKutand that to begin construction before a building permit placard has been issued and displayed on the job is aw. A U and Occupancy permit must be received before permitting occupancy. APP LICA A E DATE J AGENCY JOB LOCATION ^ — 0 F O NEW ADDITION ONE C RO_K SUBDIVISION NA E/APPROVAL DATE LOT N0. SEC. NO. PLAT N0. TAX MAP BL r NO. PTrim. NO P� ZONING DIST. A T M A BUILDING X JALTERATION 19 REFERENCE DEPT. T NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION 1?0 rW .J' 0 N I ACCOUNT NO. DEPT. IMPROVEME14T ELECTION DIST. LIBER FOLIO ACREAGE LOT SIZE Q N PROPOSED MIN. BY ORD. EIA 9A CoA y 7 -7 9 0 PROPERTY OWNER(S) PROPOSED MIN. BY ORD. PROPOSED MIN, BY ORD. PHONE NO. W _ _ N E I REAR YARD �-7 1 R F PROPERTY OWNER(S) ADD SS CITY STATE ZIP l C 0 MARSHAL LEFT SIDE YARD 0 R 1 PROPOSED MIN. BY ORD. SPECIAL I N A CONTRACTOR'S NAME/OW ERS EPRESE ATIVE �NGTOfy CV PHONE NO. T. T COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE- SCRIBED BY ZONING ORDINANCE. �? ♦- I R A _ 317 C N CONTRACTOR'S ADDRESS CITY STATE ZIP HOME IMPROVEMENT LIC, NO. T 0 DESCRIPTION OF WORK EST, VALUE I PERMIT FEE S F �^'�/W C 0 J R 1 R M 0 B PA T T �S I I BEDROOMS EXTERIOR FIN. FOUNDATION SIZE PORCH SIZE GARAGE SIZE CARPORT SIZE DECK SIZE 0 N 0 N EXIST. TOTAL 1` NO. FULL BATHS NO. HALF BATHS UNITS (�GAS ❑ ELEC. TYPE HEAT AIR PUBLIC SEWER SEPTIC PRIVATE ❑WELL GOND. WATER L O N I N G S T E P L N I,J .5 fi kyj_ry CAUTION I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not. I fKutand that to begin construction before a building permit placard has been issued and displayed on the job is aw. A U and Occupancy permit must be received before permitting occupancy. APP LICA A E DATE J AGENCY APPROVALS NAMES DATE NEW ADDITION ONE TWO MULTI BUILDING FAMILY FAMILY FAMILY BD OF APPEALS BUILDING X JALTERATION REFERENCE DEPT. NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION HEALTH DEPT. LOT TRACT ARA OFF STREET PARKING PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. ZONING LOT AREA PER FAMILY LOT WIDTH PROPOSED MIN. BY ORD. PROPOSED MIN, BY ORD. FRONT YARD SETBACK REAR YARD PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. FIRE MARSHAL LEFT SIDE YARD RIGHT SIDE YARD PROPOSED MIN BY ORD. PROPOSED MIN. BY ORD. SPECIAL I CONDITIONS �NGTOfy CV `YARD SETBACK BUILDING LINE VERIFICATION LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE- SCRIBED BY ZONING ORDINANCE. �? ♦- I F ❑ YES ❑ NO ❑ NOT APPLICABLE n R M A T INITIALS FILE COPY MAR g tyzPu APES 3"gEtoW V ASOVE SEWER PIPE LWO q i© -VERS- p►loe