Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2015 Aug 18 - Sign Off Transmittal Sheet, Floor Plans
._�. __-_-� _ _. � _ � _ ,�,�,-�-�.�_ � r_� _.�,..,�....,.,.v .�� _______ roF�'9k,� TOWN OF YARMOUTH � - ��� HEALTH DEPARTMENT o� --r � �� x PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ���cM< To be completed by Applicant: Building Site Location:Sf �'Xa,�,„, ,� Proposed Improvement: O z- Applicant:��� Tel. No.: 7�4 5'q3 9 0� Z Address:[.to .�,A,,,,,„,.,.���y. o a.a i o Date Filed: �f t d tS ss/fyou would like e-marl notifrcation ofsign off,please provide e-mail address: Owner Name: � C�a��o-� Owner Address:S'1 lyX.a,.,.... �t.+c Owner Tel.No.: Sog 77L 9,.G f ..........................................__..............._..._........_.........._......................_........................._............._.............................................................................................................................................................................................. 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 three (3) copies of plans, to include: (1.) Site Plan s6owing ezisting buildings, water line location, and septic system location; (2.) Fioor plan labeling ALL rooms within building (all existing and proposed) — Note:Floor plans aot required for decks,sheds, windows,roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. .........................__............_........__.............._..............................;...._..................................... ............ ..........................................................._.................................................................................................................................... REVIEWED BY: l � � DATE: �—� O /� PLEASE NOTE CO ENT CO IQTIONS: � � P _ � ^ � � GtP l�f�° � 8 S � __"-�. . .,. ' � . �. . $ C� . . . � , . . . '. . . . �. �9� � S . . . .. ,,. . . , , � . y m 9 _ — -_ , _ _ � . . . mE= Z. e — , _— -_ _ -_ Wa '3 � ffi . � ' . � � -m'o � � _ _ m 5 � ma m $ — i -- — --- � 0�� - - S�� a ,' . . '. _ . . '.. 0 9� 1 . Q $ �. _� . I � � . i ', � �o� m � . � • . ' � _—� �7 �a� �� F �oQ� � I � . . . �. °s m ^ W ' . . . � � $ `m S � � -'- � - � �� � � �. . � �m m y $ . : '--'-�--- __ . , s'e m� m = - � � �� - � -- � � 'm� . __ �. . _ , S�E �' `rn y m � --- . ----�— a m e s y m .� --_— _ - ` � > � mm a .. . —_ _' " __.___"_—_—___ W nm o . Q V �L� D M � ' _ � � p s , . . -_ .—.- ' U (D U R -.__._- .. �_..._ . . . a — . _ _ ___'- __"__-.-.-_ . R � ' "__' _-____- 2 — , --' x '-' . - . -__'__ __-__ �'_. ._—'__ __..-___' _'_--'_'_ '__ ____-_-'_-__'___"_ �� I A _. . _-_ .. . ___ . ... _. . .. ._ _ _'" _- r I c .' _- ___ ___ � _ _— _'_ -_ -_" � R __ — � g o3��n � _ -- - -- ; �. � .�.. : - __ a � i � _ - _ �. � � h � " : �� �� � � , --- -- -- -- -- nr � - - - - ..� � i x __ ._ - . _-� . _ _ _ —_ ._ . _. _- '�� _ . �O . ! O " ..— ---. .— ' --- 0 17 � -- - -- � � - - .: � .. _ -- -- � ;. - - _..__ - - -� ... �,,- .. . - ._ _. .- .' � " - - -- — -_ �- — , � � c � _ _ , _ -- i E ___ mL a - _�_._ _ . ..�. z 0 °' ' . ._ -- -� . • . .----------- - � --- - - - m � m : . , � --- __. o rL° o :. _ - -- -- _.. -- - --- - - ---- �-- ---- �------ •-. ;. U U U ... ----- --- -- " � - _._-- --- --. - -- -------� � �� . � . --. _.. .._.-. _ � - --- = ;.- - - - - - ' �-� - - ._ . _. _ ...- -... _ - . I . - - - - -- - ----- - --- --�- . .._ . ___..-- --- -- ----.. I- ��- -- -- --` Z � - - _ --- - - F- W _. __ _ -- -_ Q = ge -- ._ '_".'_ . : M. _ .. _ _ —_ ._".. —.__ > � Z � U ' _'__-__ .__ . _._ --_ w�� . ___ _.'_ '_ O osWc �' - - - `Q , --- = > Q � - -- - -- — -- - J U}Q . � ; �. _.-i-- � ----- ---- - o d e� ___ - - �- - .�_. : —. . --- ..--_--- - a t : . -)_... , _-_'__-_.—. '_.__ � C 7 � „ . __ � _ .__ _'_._ __._ . V- . . W --___ '___. . . —._ . . ' y --_ —'... - -- • a . _ — -�;}r- _ _ --- 3 � W � _._ ,_ ,� � �— -- — , _ _ — . _ , • _ _ ... ----� � . . � w a� . :_ — '- ,r-y�� _ _ N W q � s _ _ — 0 3 - . . _ . . � . . _ z ' ' ' - - - - - - • E 6 A R S L A F � p R : p A� E C i 8 � �— , -- m =� s — i 2�" m s ' - _ ____ _ . � . �E 5 Z. . , . — _ __ m'aom $�-.. '_ :_r.'- -m`o � A . - . . --_— . `a'm 'E � . .. . __ . ,_-__ W 5 � � -----�_ --- L� gg � -� s , — –�--- s�t s .m � o " ! --�—. -- m' -� S_". - N I . r�'C m gd � , � - . - �-_ - __ _ b$ E � ' �ao� d m y , '--;---- — � �� mo _ � - ��€� w ---- m � a N —r—r—T.. - –— -- &=x ' � m� m > — — — m=$ � '� --- . -—�— .--.- . . __ . S� S Ww m , . ..-___.__._._ c° � n U �,, a`� a�'i a y- -_ — _ . —'- -___-_._-___ W n� � . E ¢ m 4 - .,_._ � _ . . $�` O y � V VJ V m-------. _-_ . : . _" � , � ' - . _ . . _ _ A ___ w � /� -__'_ -____- R- - a a -�-_� ___.___ _-____ _'_ � � �----� __ _____ R________._" ____________"_. .______ � ..__.____"_.-__-__-__-..-'..____' 1 � a . _...._. .__. -... __ .. _____.__ ; � _._____.._. _.. .._- __._ . -___ "__-_ ...- -. �, x l �I ' - _� _ � �------ ,�--_ - - 3(L� �u E — — . - _ --- - - � 'Q� A '.� � � i..: o _I ` . . ... .�: � __ 1�� � _ ._ . �.., ,� - ` " ; ��c6 � x - --- �� .. . � �. _ ___ _ i �-- .-..._.._.- 1` r ° . ._ � _ __ ': ; � � . _._ _. _ -.--.-. . 1 x �_ - .. _ _ -...- . . � � _ -_ � , 'o � . - _ �t - — -- — - -- __- o ; ; m m R . � ..- � .. _-—�'� . � . � . I C . __ � _ Z m L _ T_.... ' � "_- _.-' __.- � o a � .__ _. �.�-. -- ' ._ G .. . � -- � :: m U m : . � � . . _. . ---- -._- • - _ a ro o � _. .. �_ � . - - _ U U U --.-� ___ - - ---------- - ";-" -- . _-- - . R I .._- _. _ . . __ _. _ . . ._... . _ _ _ -. - . . I . -_ .... � � __. - - -_-_- _ _.-- � F- ..-- __- _. '_. Z . _ . � _ ._ : �_ .___- _ . _ _ _._ U � . .... .. . . . , . . .. _.___ _ - ., __ ,— .__. __--- : Q = _ � .. _ _.. . ___'. _._. •. � � U U __-.— —.. . . . -_. ' _'_ - - �p F W Q ' : . ' �,. . .__"_ ____-__ __'_ � O ___ Z F .._ __- -_ . .Q_ ._ _-- , ._ _..__. p 61 � H .. 1J y. � ._ �_.._ _ - :.___. ' . � W � � -"' _ _. _._. ___ J tn Q �– S _–_'__ —'._ o C e� – ,�- — —_ „ _.---- = ' �. . 'r-� �-- ------- ~- e � �Q'o ` ___ lL. . y ,� � __ _- '_ __' W . . . _.__'- _.. '__ � , p � . -- --,...o;�j-�-� -- --� 3 � W o _ _.. r -' _ _T-.. , - - - � o . � :._ _ _ ._ .. W >+ �n �. . --�-- ,... -�---3�- --- -__ -- w � d p ` ---- - - -- c � 3 - . . e . . . . = z i ' ' ' - ' - ' ! & F S R F 9� R t E 6 R J PI A i, 8 I