HomeMy WebLinkAbout2016 Jan 15 - Sign Off Transmittal Sheet, Plans �.�„ ��-�T..�.�.�-__ r �.,�.__._
�� � ;_ �.T_� �
}o"��'��,� TOWN OF YARMOUTH ;
��� s `��� HEALTH DEPARTMENT
s
� '''��N```� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: ,,,2� ��J'� �L� • , S OV/"� �i4�.'�O Ui�! �-'17�i
Proposed Improvement: �a�` �"oy�rz�-� sc-��-�' c� �y.,a� ,�
�"an Y�rr�r e� �a �-4-i � 3�/� c-r �
oy `r /cii� � o c�-�
Applicant: /�'1/�' ��,� 7`�C� •E� Tel.No.: ��'�/ -t 6'�' •f a q`�
Address: -�I T.E�,C k,/ ,�c'� . S o tlT'� yR�'•�o cJf�' Date Filed: 4/- /5" -�C�/6'"
**If you would like e-mail notiftcation of sign ofJ,'please provide e-mail address:
OwnerName: }'t/�' ��� Tvl�'.E��'
Owner Address: �✓ �!e'eE'rY �tS, Owner Tel. Na: ��'�--2�''-���
..................................................................................................................................................................................................:..............:................................................................................................................................................ ,
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 three (3) copies of plans, to ihclude: ,
(1.) Site Plan showing egisting buildings,water tine location,
and septic system location; �
(2.) Floor plan labeling ALL rooms within building �
(all egisting and proposed)— �
a
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: I �S� I�•
PLEASE NOTE
COMMENTS/CONDITIONS:
DECK
(2068
existing kitchen to be removed.
new 6068 slider
DINING
confirm opening size /
location, header 9,
above by other
existing covered screened
porch and breezeway
converted into new kitchen,
existing kitchen to be
converted into dining room
Andersen TW2036, R/
O 3'2 1 /Yx3' b -11Y,
confirm location with
a
final kitchen layout
036 insulate and add
type x fire code
Y41b%R M036 W1836R �� Y41836R 1^14436 t
L=J� sheetrock to this
o F B24R
[1
8188,; 824R 5B3q DW B24R..;'
_._ --- --IL wall
in
KITCHEN Wim,,
M61g24
20 DH r/, 036
5' 2'-4°
(2)Andersen T1N2036,
R/O 2'2 10'05 -11F,
confirm location with
final kitchen layout
proposed kitchen
10
E 2'
3 68
I� 4'-5"
self closing fire
E
code door —
Note: attic access as
needed will be through
the garage roof where
the existing roof
overlays, min. 30" x 24"
g010
CGARA6 E
9MROWIM
JAN'1.,° 2D I6
HEALTH DEPT.
1/4" = 1'
W
f
Y
co
O
a
0
a
Z
c
a�
a)
U)
0
Q
m 2 t_
P Q
t
W
W
N
0
5
Z
a
DATE:
1/15/2016
SCALE:
as noted
SHEET:
A-1
41