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HomeMy WebLinkAboutLat_18025HorstLane'v WASHINGTON 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- 1066 Subdistrict Name Maugansv i 1. l """ Issue Date 6 / 1 1 /90 Mainline Contract No. SD 15- 1-S Void Date BuildingPermit No. 90-1107-0914 Subdistrict No. 15 Permissioereby given to: Property Owner: Connie Garrett. ' of address:' 351 Dewey Avenue Matt ansville 21767 For property located at: Horst Lane S S Street Address Lot No,=` Subdiv. Maxigansvi lle Phase Sec. Owner's Agent: Foremost Previous Owner: Agent's Address: Fees Paid in Full? yes Lateral with Mainline? v_egs Date Fees Paid 5/29/90 Residential EDLI'S 1 WCSD Dist./Coll. System Fee $ 1500 Commercial EDLI'S WCSD Ready to Serve Fee $ Gal/Day Allocation_ 200 WCSD Fee $ Building Number 1 City of Hagerstown Fee $ 420 Lateral Contract No. Total Fee $ 1920 Remarks Located southwest corner of Main St d I1orsI 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, ST TE AND LOCAL, MUgT,BE OBTAINED' IBY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THERE7;44��r OWN Signed: Date / 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 j J �j Hagerstown, Md. 21740 Phone: 791- on _y Inspection Date: 02— /— 7 J Plumbing Inspector t 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 Wiluams ort WCSD Construction WCSD O&M WCS Permits Office Plumbing Board Plumbio�( t h' �? 11�-7'-" r � C COUNTY COMMISSIONERS FOR WASHINGTON COUNTY PERMIT APPLICATION & ZONING CERTIFICATE P ��' ;��� -7 _,,�>�� DEPARTMENT OF BUILDING PERMITS & INSPECTIONS DATE ISSUED 33 W. Washington Street, Hagerstown, Maryland 21740 • 791-3070 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 aviolatio ; ff the law. A Use and Occupancy permit mut be received before permitting occupancy. t. Z 0 N N G 8( T E I JOB LOCATION LF C� •� < . 0 0 ' C A R SUBDIVISION NAlv1E/APPROVAL DATE LOT NO. SEC. NO. PLAT NO. TAX MAP BLOCK N0. PARCEL NO. ZOfJyf I M T 1� I PIST. /Y 0 N I ACCOUNT NO. IMPROVEMENT ELECTION DIST. LIBER FOLIO ACREAGE LOT SIZE 0 N 2. 2�, 0 PROPERTY WNERISI PHONE N0. NI E � _ r �C l t R F PROPERTY OWNER(S) ADDRESS CITY STATE ZIP O I ����a I I tt� `�lI 1 �) I i `,7 A CONTRACTOR'S NAME/OWNER REP�EN�T�E "� PHONE N0. T I r �` A O CRD. C T N CONTRACTOR'S ADDRESS CITY STATE ZIP HOME IMPROVEMENT LIC. NO 0 DESCRIPTION OF WORK EST. VALUE sf� �J ��;► �E� fug E r�ax� fi, c��� �����zy f�+- ,, 160 S N F ll,t1ED 9 ".�Ct�� G �-` `'GI C� t U ba PERMIT FEE C 0 J I 0 R M Y � � B P T A T • / 0 0 BEDROOMS El - IOR FIN. Br lL�{/ FOUNDATION SIZE PORCH SIZE GARAGE SIZE CARPORT SIZE DECK SIZE EXIST. TOTAL G v �� X �t� ' I `f NO. FULL BATHS NO. HALF BATHS UNITS SEWER ❑ SEPTIC GAS ELEC. TYPE HEAT AIR 3 /� J� PUBLIC IPIWATER PRIVATE ❑ WELL % I �f^ n C`1ND 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 aviolatio ; ff the law. A Use and Occupancy permit mut be received before permitting occupancy. t. Z 0 N N G 8( T E P LEFT SIDE YARD L A N *YARD SETBACK BUILDING LINE VERIFICATION AGENCY APPROVALS NAMES DATE NEW 1 ADDITION ALTERATION ONE TWO MULTI BUILDIN FAMILY FAMILY FAMILY BD OF APPEALS BUILDING REFERENCE DEPT. NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION HEALTH DEPT. LOT TRACT AREA V `OFF STREET PARKING PROPOSED PROPOSED MIN. BY ORD. PROPOSED MIN. BY OR . ZONING LOT AREA PER FAMILY LOT WIDTH PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. S R A /� FRONT YARD SETBACK REAR YARD (••(/ PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD, FIRE RIGHT SIDE YARD MARSHAL PROPOSED MIN. BY LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE - N SCRIBED BY ZONING ORDINANCE. F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS r% RI n�Qn A T I N !!�,c P -/,5 - k06 6 S 4 ka JUN 01 1' . �s 6 A dV; BUILDING ADMINISTRATOR CRD. PROPOSED MIN. BY ORD. SPECIAL CONDITIONS P LEFT SIDE YARD L A N *YARD SETBACK BUILDING LINE VERIFICATION AGENCY APPROVALS NAMES DATE NEW 1 ADDITION ALTERATION ONE TWO MULTI BUILDIN FAMILY FAMILY FAMILY BD OF APPEALS BUILDING REFERENCE DEPT. NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION HEALTH DEPT. LOT TRACT AREA V `OFF STREET PARKING PROPOSED PROPOSED MIN. BY ORD. PROPOSED MIN. BY OR . ZONING LOT AREA PER FAMILY LOT WIDTH PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD. S R A /� FRONT YARD SETBACK REAR YARD (••(/ PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD, FIRE RIGHT SIDE YARD MARSHAL PROPOSED MIN. BY LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE - N SCRIBED BY ZONING ORDINANCE. F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS r% RI n�Qn A T I N !!�,c P -/,5 - k06 6 S 4 ka JUN 01 1' . �s 6 A dV; BUILDING ADMINISTRATOR liASHINGTON COUNTY SAKI-^--4aDISTRICT UASHINGTON COUNTY, MD. SANITARY SEWER, L,A 1 Edi'•' t CONSTRUCTION RECUR[) - J Project:. maugansville/Orchard Hills SD15—I—S Street (or location) : WT L.Lyr_ Ho12ST �`U�" - IUT�z►rL� ��# Uo�>� ��+ Contractor: Calfs Contractors Inc. -: - MH IDI __-- _T 0 MH 129 - _ ✓ 1,1ye Sta. On Main Date Installed `� I� % �� - - WYE SIZE-- T YpC_ - DEPTH S -I ; E TYPE PIPE C.O. C.O. C��PVL �L x,4(0 NOTES: CL_ A" DUT F_ 1 e or TYPE EXCAU. LAYiNL- LATERAL � LENGTH LENGTI-i� *Harz.= Total S t ' d . L.F. 'j? LF Dro ape + Depth of Cleanout Line �--- -- Cleanout 3(0` From 4 OF Layed Q 7,5 - ijp Basement Service 1+91,5 MH mAL N;; 2 ) Amounts pertaining to work completed this period, reviewed and approved. ljCSu In�op2c•tor Cantractor fteP ot2. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-, -,-S j 'K oa5 Property Address: Vb1CAN LL OT - HORST AN F_ �pHN TR li"L�)� M.N. 101 -�o M.N. 10 �wq. lo01-035 Place an 'X' in the sketch below to indicate where the property owner wants the service connection (lateral) to enter the property. Place a wooden stake in the ground at that location. El x 189 W Ej - DIL — Q ` y11 _ RAW 3 MH SD15-129 trnnc.> g" SAN. RiW VACANT — L -OT \ The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property line so as to facilitate, and make less expensive, the owner's connection to the lateral and to prevent damage to the cleanout which will be installed by the District at or near the property line. Date: Attest: Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 Owner �- Owner VIJAA "S q R .s W. (! Y �"• Picea � . JUN 0 VIJAA "S q R .s W.