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HomeMy WebLinkAbout2015 Sep 23 - Sign Off Transmittal Sheet, Sketches - Enclosing Breezeway � . � ��� - -�,m-�__ . oF��e TOWN OF YARMOUTH 3� �- -�� HEALTH DEPARTMENT �;�` , �.�x ' ��-� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: �j a O CeG� A�9-- Proposed Improvement: � - ( �OS,^o. �'�2c,12.V.k�, U�1(S — �,/o (�-�7� Applicant: � l-.'f:St°F�^�f WE�KS Te1.No.:vx-7G?-�1�� Address: ���. /UC�e_. (`�'F^ �t� S�k�n%S l�k C>�o��' Date Filed:� 2 15 "Ifyou would like e-marl norification ofsign o,Q;please prmide e-mai!address: Owner Name:�vi M'�S � , �� Owner Address: w��� �'� ��` Owner Tel.No.: �;::�-�� �'�_'j Z.�i 6 __......_....._.........._..........__......._......_......................................................._........._............._................................................................................................._.................................................................................:................. RESIDENTIAL AND/OR COMNIERCIAL BUII.DING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposai and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all eaisting and proposed)— Note:F[oor p[ans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: � DATE: � �S^ PLEASE NOTE COMA�NTS/CONDITIONS: Ln� � � $ �� '���—, � 3 r- _� .L. .� � n ^ a `�' —`--� � N 0 ��„ �'� �"' o h r� � � � �-. � � � � � � � a C3 ,� _ � c� � � N � 0 � � b�"� 'C? o �-c� \, � J� � '� � � � ,� � \ , � . �� � �� �� ��,�e �_ � 5 ---� _ __,-__.. _ � __ ---- - � J Q �- � J � � _ I- f_C � r` � ��l���l - � �--- v��/G,�� l' p � _ -_'__...._ ,�� _-...__.__.__.. -----� i �_. ��� �-/ fi B� ,...�\ 4�� X,� �,, � _ � `"oo � U , �x�; � � w � xj � y � �'7 � � �Q� �3 � �i� �r � � � � � � ^ ►� � � � w � �3 � � � O •" �-} , ~ + �vJ ",� � `]Co � �� t3 "�e � (� N . � ,..� �� U O L�J O. � —� c-�� c� o � °�' t�! S s \` � x �- -a'\ � �7�� � � � � .. _.. ' � _--- � v� : � � � �°�, �'Y�� / � i, y ,✓, • �/ y� `' I' 51��� :� 'f U -� ��M �rhn,' /��� n/ �1 � I � I�/ � t I � I � � �_� ' ' ' i � v �O V � ; � ' ---r—T__. 9 � i � _'_"I r�' 7C /� �l—s � � .f � ° � . . I I- }��.xJ � � ~t � , \ � � � � � � v � ' I S I o , ' C� .� � ___ ! I ___ _ _- - � ---.. _—�— � � i - � -� � __,� a '�. ._ _ . _ � r'f•' O/ j ' l�i I -- � � "4 X r,x,J 0 "' a 9 ��" o � � � � N �� 0- °� N = � L� � ,� �'� f •�� �JJ� �'�� / _ a � / � / ¢� � ; � v , -'� J v (�C, ��y—' v � '� < ��J�`i �4 —� � '' � � X o✓ � � a � Q _ � � T c ` ,p c-J� d a, � � � � v � � �-�-- � .b . � � �M � (.i7�/ ��oin� r`;�/ fi� � �1�( r /�°� i