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HomeMy WebLinkAbout2015 Nov 19 - Sign Off Transmittal Sheet, Floor Plan - Finish Basement (Work not done) ILU 13 OF A. TOWN OF YARMOUTH g.., * ( ,; ,' _�)c z HEALTH DEPARTMENT 0 ~�'', PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET U) To be completed by Applicant: Building Site Location: 1 D- eCt & LLTL&Q- L ' t - r7i.' w 0 , Proposed Prov ment: ) (,4 0 bc flA f\ 4 L) 1 / c� T SS aA 4 SW) 11 tea .r,; 1 r c 9in r '� 11 }V Applicant: p I I((C(. (1,6-I Tel.No.Ti� p p 0-- S / Address: )),A, J la �`'6� l ( a (. .) . ar 0 Otik, Date Filed: I IA A g )- o i **If you would like e-mail notification of sign off please provid<e-mail address: Owner Name: r l( G. ,SC tC 1 - --e / Owner Address: i 4 rPa-I'her' 0 // LC<,,✓\-S._ Owner Tel. No.: 1 lq" ) c)- I I ENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMEN . Determines Compliance to State and Town Regulations; i.e.,Requirements ZQFor Septage Disposal 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; ' 7) (2.) Floor plan labeling ALL rooms within building c, (all existing and proposed) — 61\14\ - Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: r DATE: /1/17/1,S7 PLEASE NOTE COMMENTS/CONDITIONS: g i riCA/S.C.- nn ` In 3 1- _.e.ivor.A..._ r 1 . . .� , „�.. � �., � � .'���4 ry�i� .: . . � - .• �klk � . _"" .. _ " ..,km�' • w . £� : � : �. .... _ � . .- 4 i � r � k � ... .�� � : . � � i 'a� MS .�"m .#. '�= k k , � ..� �.�G �„.aF � ��t. i � a fi .� t 5�1� ��t f . (\ " �. � yt�' Y "���+. . J Sr � 3 c 4J � ,,� E �� ' � � ,,_ �, �. [ � `� �a� � '`«. x '� � � .�d. '�F ,; .: wkK F d p� �bL V . '.. d, �.t��' ..:� .... ,. - .n� -s�.? 4 � �.*,p�a� .*§ � " .t� � �''�' � � r�M L'.� . r _. .� �Y .''� ��R k�r�'rF � � �a�4 y� `i�}a �? ��y� �+ � � : . . ': '�iP � ' � ��. . ^�{"�E+�a , F � . �'�,�j h . .�. r '" . � '� �"`� :. , : .. .x x, T� � .� . '� t t- , ��� k .�� te�3� . : � P . : �5' Z _ � . , �: e � � � � ' . . r� � i -e � � :- � ''� ;� I ; ti: .� �: �` , � �„ � �� �� A ' � �.� .�""'�' �r.t;t-"i 's r -� � , .r'*, .3i� �. ��.� 7 �, � n£� � � � � � �- �s.9 . , � � . .� � � k� � � ��� � �� � � y �k �,};� . , m.v '�' ,.,.. :.t- #'�#}�i��Y'' T:N- . } . ..,i y� . '. +. ��. : V c S d�.. � �j � +�=�' . � .,. r,y`��(„�'� � . . .. ; , �-, �. , -i���`��af "��` v,�.. S � -�� �. ; � � .. � :: � .; " �� , .�� r � .�: . . �. . .. �� � .. ,-�' i:. �t : ? .. 'L+- . � � +-, , � �j�'���� ` -:_ r�Y � .# ' �. 4 ; ra ��� ��,�a,r� � �z r � � t�.� ��.s � ��: �-� : ,. : _ ' i � �t-�- , f � .. '� � � ..v� �.a.� �� ,� e 3{� � G �:.�,�,�,. +r-�a a4� r :��� ��� 5: � ��� y t�� �Y `u ��q � �}�p �1�.k Pvt ' 3 �fi i' l. '','7"d_Slt if �t.. �— . , � , �� Y ,t� ' ..�i��� .. ad ;� .. H-ssi . . � � :' ��� �� � 4 � . �� � :'; ,�.y .f�} . v .. �a �� .��) { � : � . R + '3e 3"��'�� '�' �'� . § . � .. 3:.�t1 f 3 ' v}��' 'w}t�„� . �' ��&'��� � Y i k.,��y�l � � � . --� ,��. 1� _�, z� �"�;���r� ,�` � �;� ' '°:�,���. '�;. �y , 'F �.-�,•r �' �. _ . �' �. . .� � a: � . � � , � � �.'�' � i�i k r '£� �.'�"� �°�+� �_ / �. � ^,�'��'`. _ ._4:��� �' .� F . � `\ � fY ' �... '�.���_ � :, ra, „ � y �,T� 3� f��a� �.'` t � .�7 w'� :' � k � t -�.f a ..; ' �S+f�� f�� s �3� v��, '� �3':f- ,.u,'` �, *'s� ._ -� '� ���$< pa. ..��� "�; ...'� � . .: � ': �'i'��' . xv �.�].1 -��--�''�x,,w-' t . ' "f ���"r � � a .�,.,,. a. " �+� �„ ,�,s=:�,..���`,L � u�� �=a p, ' is �,m.�„ r� i:�-� ��G, �' . 1 2 �rv... .�Rrv`L x�# ' � aG ..uv.^t 9-r'. ,e�! ��} . �}. � � � v�'�ib+' ���� ir' ,• (� {�� �' ,. � 4 . � �.. � .� `+� 3 • -. :. L�S {' . $. . � �.�'^. �'�,�& �1 - e �''�� '.� :. -+x -y, � L_5� °.+a�^y {\��� � . �� � �� � � t . fi�.h.� �: . $v ��'t'usTi�C'�i � �� � T 3*� (( Y t- Mw�.��'=a ..vn�� ( ���. � � ��c � � " � ' � � _ f �� � �— ' £� }�.ti � '. � r � � X�'��„ .d: t _ L-z`� x ,�` . � i �4_ i„� ���.;M1 �c�*�u i � . � . "r �. . px� a � � tt ,; _ �t�� , � _ ___�.�_..___..�m,.,_.�. -s�. _.. . . .,t,.�;s �� -