Loading...
HomeMy WebLinkAbout2007 May 29 - Sign Off Transmittal, Plans - Roof Deck ��� ��_�'_I �°�'Y��o TOWN OF YARMOUTH L� � y HEALTH DEPARTMENT �� �^�"""°`p�'� PERMTT APPLICATION SIGN OFF TRANSMITTAL SHEET C;, � � �j o be completed by Applicant. Building Site Location: � � "J�Y � "'f �� /a��t o ��� Map No.: I.ot No.: Proposed Improvement: /t �' �'� �✓�'G`�. � � i Applicant:��t�f1�r? C,fi�,� �~� Tel. No.: /�%`�`�� � � � 7 Address: �'�/ -s7��� r•�. ; (,�t, �. ��, ,�_� f� � f d`��'� Date Filed:� Z y ,�4 7 **Ifyou would like e-mail notrficadon ofsign off,please provide e-mail address: Owner Name: �;� � r' � �y�C /'1 � vy Owner Address: �.%' �', +��. � P'� Owner Tel. No.: �/��Z�� " �.J�� � _..._ __ .......... .... ........_. __. _........... __ _ ..__. ... __.... -- � 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 four (4) copies of plans, to include: I (1.) Site Plan showing exisfing buildings, water line location, j and septic system location; (2.) Floor plan labeling ALL rooms within building � (all e�risting 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 DATE: ���� 7 PLEASE NOTE � CONIlVIENTS/CONDTI'IONS: � � � � I� -- J J � � _ � `� -'_..___... ,� . __....... 6 . ` � � . I �. � � a ; � ; � _ ___._ _._�__.__ __..__ , � � ,' �—` � � i �' ' v ' n Qo � u V � � � 0 � �� �,S ! � N W � � o .O'� � `�� �� C � ', �I GV � . ♦ � � r �# � �" J � i j 3 it� �I � W � " ! Ll Q`� (� = f ! � °q � � ` � � 1Pjj � l / �( . 1 � f ,^� � , � e —� -- 1 ___""_�___.._..,_ � � � .. ii j _ Q „ I �I v lf !f T �,i � ' � 1 ��---s'_� � , ' . __.__. � � --___�_ _ �. i IT�r � � .____,..__ __Y.�.--_------�_T_� i �; � � �___� ' . ,, ., �I C�;� � �� � 1� C 11 — ^�J � �� � �i �a' � �_..._..�'.�--� � ?'� � I,^.,-•. � 'I �,=.._�\ I �,� �� q �-_j� ( ;� ; �--�.., � ��.-~-' o � + Iii -� i i �---._� 'jl �4�^�'--i � i � �S II �� .( �-.� . ,, —a� s -- �� � w � __.._ ,_"Y ,,_ __� � __� , ;_ — , � � � � ..� _.__ _� � � � , � � ' �--�j: ; �1.��, � � �)--. ; _, �---=� � 05/B9/2007 08:57 2789513 .]CDLEhKW PAGE 02 I � �i ._...__. � i A,�, � • . Lr.�� B� I � : �,, `: � I ` i, ���•E�; . . Il • �s o e �I f . �t � � ., ; vsck s��+ y . �' �, i, i I ;' a � c� r� od !� D ��i�,�:r+�� , ' � i ��;/aI%�'9 , `, � MAY 2 9 2007 f `xo.a >� o� �R - HEALTH DEPT. ry ; , ; �.z` r I�i � ,t//C , a ' •i ��.� Er.�s�� � �,i; �� �� , . y�ill� . � �I � 'i m � i � � . �� .� `� � ; y I . ; y� P�"?:v��:: �� ��,e/ U,i: -U . I q P �` O � i i a 1 .I ; � „ a ,;i; r � ��T�1������ I � ���� 7FIAT THE pU1LOINq$S11QVy►1►{�EpN �� �TMO[i'r N,MA ��n�R w ca�.wrcE wrr►��ocru.z i : ,�.�o n�t�: �f�o%� sv.uwvs w�+ cc��uc�nvrrr+ sr vw a�w,r.�, �Nc. TO 3ETBACK R�QUIREMli1�f1'E ONU�, pR,ARE' 1�iG K 6TiSEET,P.O. BOX 9Y0713 E7�JVAPf FRIJM VK�I.ATIbN LY�i74�R il.Q.L. d ' !'. at1MiCY. W4Q22l0 m'4�vN,ce�rt�t�o�, �EcnoN��e+Q n�a � ��t�ns-zat� t THE 9UN-[H[df3 SF10YlM F1FFtE0N DUES NOT F lL � �' � a r W17i�1PlA 9F�qAl FLGOD NAZMtD AREA A:4 'I' i � DEWNEA FIRM �502.',� cno�G . � :I � an DATEU �.ZQME....L'1 � i a G�R/' fifiCC� �o BrOP�E'Iirs�l u ,,j,, �a � CO-o�vOr'��i✓� 6on.�. II � � j' `` r � I I,, 'Y1� pkn ii 10t moAOpp D�M9�a o►�IY,ilot t0�Mr�s 711�� re CMnt tumirhMl ilf�arrnalion r+tl r�y b�s u b j�a t blutlrr aMMMw,bkinpe, and rglb r—� ,_� d � ' �^ , N , �.. ..r ;'� � � �� �t' �� ��i z� m'��� �`'' ,;f . r \ �� ���' �� '�'* ����i+�i�k��. �, . � � 4E�,�� `€� :2 ,. .. � ��1 ' r �"�.w, `I'"fi�'. p { ' � �.. � /t x ♦ '� ,: � .S 1 '?s�� , �r. rf .4��� � n""'�_,.._T s t� �� ' ` �' �, . �� � � �. � • � . [ � �. _� � .. i �� •n}� .� . Y L Yi� ,1� t� . ., ! � 3`^. � y� �. �n, �I��� �' ��^� , � / 34' �� �"y �'� \a`�� �v' � '� T *4 , ' � ` � �.. « . i ,,. � �� � �� � /���`" , c ` ;I � ' ° °a ,_�\ ��'' � �� ' . � . , �� �: i "y' ; � � � �;a � � � � E f4}f ..i��. e+ `•�� 4 Q,_ • j t � AI ' ' ' �Y� �� 1I ( Ai� . . ��.��r � � C � � V A � � ���}� � d � r� .q � �.��� � � �/a. � � +. ��� `�'�t������� ! s U p�:t'" y, ! y���_. ��� �' � � �1 �a�f "���h.�;.�� �.�� : �'. �{ 6 f � � 'u.,.�. � . � �` . .i � ,. .�. . � . ��;1� +�t�.. A` � �� � �� '+� � �" :��r„ ,+ � P�� �i"� f.n 4 i E . . . _ i' �� .�r �;. ?.. �C}. \ /�°' � 1�.-� +.'I�� . ,v. J' �L/rl '. +� . �, , �. ��� ��.� ll .� � � '• % "4 � �������. . � a,l '! ' �,. :� P �s',:. ��kw-•_�'. aY <. I . '�z= � �� �a:- l � � �� ,�,;T� 'y� ,`�� �' '�� � � � � ,.- �, � „�����...��, �� `,, i W r�r � ' Yp, t i,�.: � F�� 4F��k i �'. f 4 j M «' ���� .'i�.!'.�: s ¢" ��4'0 ��}5t�rj�,�� � � �^�•�r •� � t � � t 1 i � X'�A 'a� � �� , + � t ' � e� �l'� , � ���� � i ; ,�. . . . ,��, �:,� :"��� � ���`* .. �,rr"y� 7► ` "�, . { i � �. '. 3 . � � � : .. i ��,:, ." �� c .�.r � . ' � . -�+ , . - � ti I ;� ,e � '• �� � � . . r Af �i� .. ..` .�r 3 � �!' � {� il�;k ��t�t ♦L�_.. � 4���' !}��� 4A�' . ' { ♦ .: a '`.a' �Y1�V. :., �� r�.+ ',jV,. # �. � � � �+ � ti�.% � �y_���4�%;^ 't?'�. , �, � / � •, ,� �, -` V�V �3' \� S r �0Y �; � f `� � r �� :� ,��n � I; �. • ,� � �° �...� �' , �, ., � W � . ,' � k>4�;� � � :: ' � ♦ �1 ,����;�,. � �Y � ` �a:j�;'�. �', . ♦�, ^Y • ' a� j�+T.;. . �j� 'a � � ��� t r Rj •• � _�� �°`•� ��� t 7 + � � .f,�. w«r�� ��w f .y � A� � � Y�� i( : �j ' � , �; �. Y " • �Y C r i l� w� � �" :k � . .,:1 � � �.: � s �