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'
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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
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F
1'�'riP.i
PR RTY OWNER(S) ADDRESS CITY
STATE ZIP
LOT TRACT AREA
/
0
0
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3
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p
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PHONE NO.
N
A
CONTRACTOR'S NAME/OWNERS REPRESENTATIVE
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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-- -
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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