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HomeMy WebLinkAbout2015 Jul 30 - Sign Off Transmittal Sheet, Plans, Notes - Deck �_.,����� _. ..�-m �� ,,��_ r _�� z� . . oF�aR,� TOWN OF YARMOUTH � �� - ==�� HEALTH DEPARTMENT I' o .� -� �� r . �;a ''�<�• PERMIT APPLICATION SIGN OFF TRANSMITTAL- SHEET To be completed by Applicant: Building Site Locarion: �� Pvi�./SCTri O�C S y�«a�$ � Proposed Improvement: �'Tc-.� /�.w �c-�✓ T�J /Z'�C 2 L � � Ap�licant: �i� ��`�"� � r ' � Tel.No.: SU�3 g -� ��6 � Address: SOG ��" -�' S �'"��s �r.�.- �ZL<� Date Filed: 7 Z y �s � **If yau wauld like e-mail notrficatron of srgn o,[j,please prwide e-mail address: Owner Name: /y,FR� j�.f�O�Fic Owner Address: ���',�C�L/ _S3'� 6�t�T`G�, !fs/� Owner Tel. No.:d/���/96� � ............................................................................. 6z �f�Z.- ................................................................................................................................................................_................................................................................................... � RESIDENTIAL AND/OR COMA�RCIAL BUILDING � HEALTH DEPARTMEN'I': Determines Compliance to State and Town Regulations; i.e, Requireme�s � For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing bnildings,water line location, and septic system location; � (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — _ Note:Floor plans not requdred for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. \ � REVIEWED BY: Dt�1TE: 7 3 C / PLEASE NOTE COMMENTS/CONDITIONS: !'c. ��r� �10 ( ^ s.X� V�yr�'p� � �/a9 —� � c��r� r��� r� �< - -- .. _._. . . �� _ __ _-_____-'___'. - __-________-__ . . . . . _ .. II i . .._. . . _ . . _ . ._._. I � - � �� /S ' r l �1 � hi/r�sl�� � r�'SG-�lfr� y�.e -t ��GG� s G'-S` �� �� 6� �%�se � 5P� /'�c� � ,` � �-f-a ���-r�� a-�' c,rrtc�-c��� 5'6nc��b� - e �� �'IGGSe ¢O G�t� �d e � '� ` Q'l�'�o.`� �2'Y��� = Q� �� Cr o� SC �`'D GG��n'?�S�' c� Q� c�'�c� - � 2 � � r�e � �c� � � � '�` � G� c c� � 6-�'�c,�( = ' T� ts � 5 � c-�r� na� ��'�re�a�f- - � �G� /` /� c�` �i��c-�/7 ���ez� � � �G � �� �-�� ZG•a-�' _ p.s��e C� � `�P a"� --f�.1� - �-v 2 � � C��' 27�'- ��s �-, � �l� ��c �/c�- MORTGAG.E' INSPE'C'TI01V' PLA.LV APPLICANT: TARDIFF TOWN: SOUTH YARMOU7M POINSETTIA � DR1VE 130.00' � � � i � �,r N � 1� ---_t._ . L07 55 � ___-"=__--=-=-- � -- ' r==--=- r � � '==='==:#��===--_ � N -===-= -----==-= � , _=__����-=====�__ . , �O � J LOT 53 'A,'` . �l t tw�� LOT 54 ! � aec6c• ` � 7,zs3 O �^ s SHED - �� _ ,__ T_� LQT 56 � JUL 3 0 ZU15 H�ALT'r. u�PT. ,..;,,:•,;. .. - . ... '���'�'��==`� wtORK MUS CO ORM TO ALL TOWN B L S REGULATI NS _ '� �' $IS YARMOUTH WATER DEPT DAT FLOOD PANEL• 250015 0004 C FLOOD ZONE: "C" DATE MAP REVISED: 8/17��986 DA7E: 5�22�13 SCAI.F: 1' = 30� ��r ca�r nuT T+s waeruac omeena+rux nns emr rw�na�we DEEP Rff: 20561-250 PLAN Rff: 280-52 gpVptOGN BANK; N.A. �cna� vux a��.cratm av tFte aw tee�7�a+aF 71�z mewa stw�0�5 mF��o Rc�iaca4 ZaHNs�anawc�sF¢cr'm�s7P�c�mats�+aa nes eromenr� xN I.oe��awm+�we�va�u� pT�A�11��������10 f�Al.W����� ,��j Yp15�'����P�����Btl6DQl6 tAGliO�Yi OR Ig Ei�PT FAOM Nq.A'OON Q7f�11k71T�CG�M�Y�6@EPK U�C� ��y�g,E NI'/W97 67HkR 7MY�PROPtRI'�1d184 YMMBi IANo stertai�.���r ro�wn�����az,/�irm�r'ai �.����m�tt��aPee�•�,aro rxau urr u� �44p11fi,�Atq�em R� AS 11E 5F�/Nf�100N.�E Af10 FF�CT TELEPHONE: 508-428-0055 �'�N�E �D SUR fTE'Y COMPAN3; j 119 ROUTE 749. Marstons Milis,�MA 02648Y JM FAX: 508-420-5553 yankeesurvey�comcost.net www. keesurve .net 82666 L6/S0 3�Jtld i 55000Zb90S E6�LL ETOb/9Z/59 � i � ,�. d � � � -� s " � � ° p • 1 I 7 M 0�