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HomeMy WebLinkAboutLat_13621DaisyCircleWASHINGTON COUNTY SANITARY DISTRICT Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795 Telephone 301-223-9416 Permit to Connect to Public Water/Sewer System Type of Permit Res Sewer Permit No. SCP 150- 1069 augansvi C Issue Date ) Subdistrict Name S-150-251 Mainline Contract No. 108 Void Date Building Permit No. "+ Subdistrict No. Permission is hereby given to: John P. Plum= Property Owner: 367 of address: O. ox un s own A1D For property located at: Daisy i rolee S Street Address Lot No. Subdiv. ar den spot, Phase Sec. F Owner's Agent: ,john P. Plume Previous Owner: Agent's Address: Fees Paid in Full? ' ` '' Lateral with Mainline? Yes Date Fees Paid Residential EDU'S WCSD Dist./Coll. System Fee $ t 0 Commercial EDU'S WCSD Ready to Serve Fee $ Gal/Day Allocation WCSD Fee $ Building Number City of HagerstownFee $ 920 Lateral Contract No. Total Fee 1920 'Remarks Invoiced for $19201 tees, fees paid on "23/90 When connecting to a public water/sewer system, the installation of the connection 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, ATE AND LOCAL, MUS BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH EMAINS WF H THE PR ERTY OWNER. Signed: I Date: INSPECTION: At least 48 hours notice prior to requested date is required. \ ON SITE INSPECTION will be made by: Washington County Plumbing Board ff - ; 33 W. Washington Street / �® Hagerstown, Md. 21740 Phone: \791-3072����%CI�I' Inspection Date: 91 Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspection Date: WCSD Inspector (Lateral) Inspection Date: WCSD Inspector (Connection) Distribution: Permittee City of Hagerstown City of Williamsport WCSD Construction WCSD O&M WCSD File Permits Office Plumbing Board Plumbing Insp M, AN' Q -7 tn`�� WASHINGTON CO SANITARY DISTRICT COUNTY COMMISSIONERS FOR WASHINGTON COUNTY PERMIT APPLICATION & ZONING CERTIFICATE PERMIT NO. _7/0-1305 DEPARTMENT OF BUILDING PERMITS & INSPECTIONS DATE ISSUED 33 W. Washington Street, Hagerstown, Maryland 21740 • 791-3070 ` 0 CA F qSUBDI ISION NAMEiAPPROVAL DA E LOT N0. SEC. N0. PLAT Ni. TAX MAP BLOCK N0. PARCEL 40. ZONING DIST. T M ADDITION ALTERATION ONE FAMILY �� I MULTI FAMILY BD OF APPEALS I 0 A T ACCOJNT N0. MPROVEMENT ELECTION DIST. LIB R FOLIO ACREAGE LOT SIZE N 0 DEPT. I N c PHONE NO. 0 N HEALTH P OPERTY OWNERS) ,{/,,�J ' % VJ E R I F 1'�'riP.i PR RTY OWNER(S) ADDRESS CITY STATE ZIP LOT TRACT AREA / 0 0 � 3 ) - p R - �x PHONE NO. N A CONTRACTOR'S NAME/OWNERS REPRESENTATIVE I T R T �� w 1v FRONT YARD SETBACK A 0CITY STATE ZIP HOME IMPROVEMENT LIC. NO. C N CONTRACTOR'S DRESS T RIGHT SIDE YARD SPECIAL PROPOSED MIN. BV ORD. PROPOSED_ MIN. BY ORD, 16 0 I 'YARD SETBACK BUILDING LINE VERIFICATION4yy(�r. 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 EST. VALUE DESCRIPTION OF WORK PER PERMIT y D I E N S F / J C 0 ( D RR �!p I M P A B T T BEDROOMS EXTERIOR FIN. FOUNDATION SIZE PORCH SIZE GARAGE SIZE CARPORT SIZE DECK SIZE 1 I`� 0 0 EXIST. TOTAL R V N N NO. FULL BATHS NO. HALF BATHS UNITS SEWER [:]SEP TIC GAS ELEC. PUBLIC PRIVATE TYP/E� HEAT GLAIR 3 l ®WATER E] WELL Z O N N G� O[ S T E P L A N I 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 further understand that to begin construction before a building permit placard has been issued and displayed on the job is a vation of the law. A Use and Occupancy permit must be received before permitting occupancy. JATURE DATV N F ❑ YES NO ❑ NOT APPLICABLE INITIALS R F_ M dO A/ 1161clED T I 0 N FILE COPY BUILDING ADMINISTRATOR JUS! 1910110fJ W r"" 'NGTON CO. SANITARY DIST. 4GENCV NAMES DATE APPROVALS NEW ADDITION ALTERATION ONE FAMILY TWO FAMILY MULTI FAMILY BD OF APPEALS BUILDING BUILDING REFERENCE DEPT. NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION HEALTH DEPT. LOT TRACT AREA OFF STREET PARK PROPOSED MIN. BY ORD. PROPOSED MIN, BY ORD. ZONING LOT AREA PER FAMILY PROPOSED MW. BY ORD. LOT WIDTH PROPOSED MIN. BY ORD. 77 I RO DS i �� w 1v FRONT YARD SETBACK REAR YARD FIRE PROPOSED / MIN. BY ORD. PROPOSEDr MIN. BY ORD. 35 MARSHAL LEFT SIDE YARD RIGHT SIDE YARD SPECIAL PROPOSED MIN. BV ORD. PROPOSED_ MIN. BY ORD, 16 CONDITION$ I 'YARD SETBACK BUILDING LINE VERIFICATION4yy(�r. 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 N F ❑ YES NO ❑ NOT APPLICABLE INITIALS R F_ M dO A/ 1161clED T I 0 N FILE COPY BUILDING ADMINISTRATOR JUS! 1910110fJ W r"" 'NGTON CO. SANITARY DIST. 0. NI 7 DAA -6Y C," I P -,C- L- r-- - IN ,to 9� I t' )? I- J Ul N 19 19 Cl Wti-f�147NG7 SANITARY DiST. SC/J �5U /D6� WASHINGTON COUNTY SAS I'._- RY DISTRICT WASHINGTON COUNTY, M Project: G,ge, a F, us,�; S¢ 7d; "get (or location): �AISY 0,2ec.E (,-+i 2.) 1Ji✓"' Contractor: Date Installed -21,PoOeiL I9Xr Aft SANITARY SEWER LATERI CONSTRUCTION REPORT MH 932 TO MH 933 Wye Sta. On Main itOC'7)/. /YE SIZE - TYPE PIPE TYPE C. 0. DEPTH CO. TYPE LATERAL EXCAVATION LENGTH LAYING LENGTH 6p" SIC (VII Poe Horiz. = Total �,� q,�, 3. � Z ST'D. Z3 Zo IOTES D Slope t Hor - Totc epth of Cleanout 3•-1Z' leanout zmc.F From �g 14,41-1 ayed at i aC7 e4lA Basement Service MH* -1z Z� 1 ,T7ticE �L. iD�� P11— at Flow Line °`EAA' sx� itoo� MHO 9 HO9 33 is pertaining to work completed this period, reviewed and approved. WCSD INSPECTOR CONTRACTORS /REPRESENTATIVE OSHINGTON COUNTY SANITARY DISTRICT JGUST 13, 1981 Fs -2 ozv.rr 210-29