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HomeMy WebLinkAbout2015 May 15 - Sign Off Transmittal Sheet, Plans - Raze and Replace - Proposed 2 Bedroom House .x � �'� , of�qR,y �;, TOWNk OF YARMOUTH y'� e =� HFiALTH DEPAR'FIVIENI'' � �-,.. $ �, , , � 1 '^�_••`� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed byApplicant: Building Site Location: �d� �///?-' ,G�i2Pti"✓//hi� / � ���' Proposed Improvement: K/�Z� �'� O�,p� Applicant: `�` Tel. No.: ��'���� Address: % � 6�' Date Filed: —��� "Ifyou would like e-mar!notrf:catron ojsrgn off,please prwrde e-mail address: Owner Name: d'�//b'i�X ��j-l/A� . Owner Address: ��� �C�i�' � ��119/�rl./ �� Owner Tel.No.:,��' �/���7 _............._................._.._..............._..........._............_.................................................................................................................._............................................._................................................................................................... RESIDENTIAL AND/OR COMNIERCIAL BUILDING HEALTH DEPARTMEN'T: Determines Compliance to State and Town Regulations; i.e.,Requirements For Septage Disposal and other Public Health Activides. _, � I Please submit three (3) copies of plans, to include: ', (1.) Site Plan showing ezisting buildings, water line location, �b ' and septic system location; I (2.) Floor plan labeling ALL rooms within building , (all existing and proposed)— ' Note:Floor plans not required for decks,sheds, windows, roofing; ', (3.) If necessary, Title 5 application signed by licensed installer with fee. ..__.................................._................................................................._...................................................................................................................... . ...................................................................................................................... _ / REVIEWED BY: C����X.�C/ DATE: S�y %� ' PLEASE NOTE COMMENTS/�ITIONS: ` ✓/ � �� � �j��� ,� ` i I _. 8 TART F 7 (.FNFRAI NAII IN(', :gr"Fni 11 F THERMATRU INSULAFIBERGLASS DOOR..�INTEGRATED SIDE LIGHT PROPOSEDBEET ELEVATION AL W L H EIGHT (FT.). UPLIFT, 14 16 18 . 20 l =. f - SCALE . 1 4 1.. ALL ROOF PITCHES, SHALL_ MATCH EXISTING - / 4 _ TU SPACING D L8. x t PLATE _ _ TO STUD _ N0. OF:16Q COMMON. NAILS, ENQNAILED ( ) _ _ ALL DETAILS SHALL, MATCH EXISTING TRIM i HA 1 O.0 2 127. 2 . 2 _ 2:.. 2 2 2 2 .. 1 6 O.0 i6 9 2. 2 2 2 2 ;2 2 . _24 O.0 : 253 2 2 2. 3_ ' AK N. _:.. TABLE. T E FROM-� AMERICAN E FO ST. RE & APER P ASS QCIATION - .. - -