HomeMy WebLinkAbout2014 Feb 05 - Sign Off Transmittal Sheet, Floor Plans, Vision Assessor's Info �� ���
� .-.�_� �„ w.�._�-� __�. �-�� .� _ _ -< . .�
__ ..� � _
n�-�., , �-�.._
� �=:_�
,�, a
o�.--'__Y.--q: - TOWN OF YARMOUTH
,� �-` ��;�
�� `���� HEALTH DEPARTMENT
� «'�����``� � PERMTT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: �Z- V�.� �'�2 ��t�V �--
I '°'.-- . .
Proposed Im rovement: � ' '� �-� /'� ` � �� /..� �"" � ��`' C:-X�'.S � � ''�/G'
�A�� �o�.. f�-S �'-- �s ,� u�'�w t,-. �,- C.- /L r/�("7" oQ r�'t.. -
Applicant: ���l rL .s �1/ �r�1.� �-t�,.... Tel.No.: .5�7$ �-f Z 3 ef 3/r
�
Address: ���� � � � 09�i Gt-t�3 f� ��'L-� Date Filed: 2- — �'� 2--�/��
**Ifyou would like e-mail notification ofsign o,fJ;pleaseprovide e-mail address:
Owner Name: t� �S(�t�fL �.F1 w°L. � �- � �"/2 US�
Owner Address: ��2. (��.s,�E�- �-/'�?rN�...-- Owner Tel.No.: S/�� �Z 3 �f-��t
� !�r'/`'+D v f(�' �o��i , .
..............................................................................................................�...........................................................................................................:............................:........................................
....................................................
RESIDENTIAL AND/OR COMMERCIAL BUILDING ►`-
HEALTH DEPARTMENT: Determines Compliance to Sta.te and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing egisting buildings,water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) — �4
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
...................................................................................................................................................................................................................................................................:...........................................................................................
REVIEWED BY: �(��/ ������ Z �- �/
DATE: �
PLEASE NOTE
COMMENTS/CON ITIONS:
' � �G�r�'?',' S
��i, �' ' d6l(��
d' l/1/`�t _�_ Gv !�/' �,�c...� � 2_ '
t� x'i5- !�C�'' � ' C�� t�'G' �" � ,
� , , —�
1
{
i
i
i
i
�
I
�yF�p3
\
�
�
� ''
� , '
: 1
'
�
.
�
s
R�
�
�
�
� ,
��
�i��i����■
��
f
♦�
O
..
:
.
�
�
c�
. —'
:i■■■■■■■■■■■ L
�
�
�
>
�
�
cQ
�
. �
, n�
�. � o
� °
> �
N `�
U
� �
1
i
�
' O
�
�
N �
�
�
�
X �
� -a
� � �
i
� � � �
� � � � � A
O
O GL
O p� � a� W
u� = L�
� � �
� T � c� ' ;
g � � 3 e�i
� � �
x „ �+- o
� �
o � o � �
� � � 3 a
o s a+
L i �
� � �
X Z
N
i
�''''
� � , o
, o
- �
x �
�
�
0
� �
� �
m
� o
, o �
S
� � ,'4 ��i�,'d} I
. l� X o i r'�
3 — O� f
N � �
z
y �
J �
L �
�W � � L �
m� � 9 � � � �
a
N �
>a N � �
N �
�5 ¢ u }�
E m �
m m ` X
} m � L11
c �
� 'a '
O Z
O °� "
S
L N N I
� � �
� � a
•� m
N � IN
i .
I
I �
i
� N
� 'y
H
� '
rl
C ' S
N
O �
„y O
O N
.-i O _....:
Oi Oi
� � "
Q z;
ti ti
� � Q�j "a,
r � y �'
a �
m
a> Y
ti � � M O Q' M �N .
1 � � ,
, o �
, , �#.,.
,
N x
� ��N
t�g
'� � � �1
V d �N
�
rl O � �Q m '� :
LLm� ��
O O �� �
. i v� x:��� t t
�� �y �
� � O € f � �
0> � \ \
C � M 3 �?� c � :�� i '�\
� pJ �9 F s � :��/ \\ � __ ,<.
�a � 'l� I
� � o� � � � � �� a
� � � ��
�
a �� ��� � ' � � �`���' � ��:-
O � �
� � � : `�`.`��� �:�ti ��'��3F.,".
�
� �
/ �
O ?.3 c.; �,Q a°� .�i.
� ,. ..,,
. ��...�.1.��:: z.... '-: - '- ' :
MNNOO+
� � :: N�7e�000�
� y ::,y�"r�D l^�"i l�
�CA � ` � .: C - �b.M.i NRM
� � ,'� N N
r
� � �.q, �... �'� q- �i.�,':Q'�7��p - � .
� ��. � �,��-4 �. O � �' �OD .. ;::�
y .. ." "
N O �`'O��C7 O ��'S O��DO�O�O�
� '� � �O R OOM � �'V 00000 �OM�07� -
W' +„1 00 � � �"Yt �OOOOO �NRN�I�
� � � o �;��e�i� a � �nM � �.,..,...,,.. Ur�n�e,,..
�L � q', .a #�, � v 'r~
�s =�r �
� '�U ��OC. ��: C � " .rO�7O�N �
� t*,"C �y ��roone�a
�Z' �- cyi Q ,�_ � � "'rt-Q � i V� N N
��.C..) h G4 p o .� �.Q� ..i .
c� �' �a ('3 � .
,q W o �. c V 'ts �
� E,r .., � � " b.. G� a� R o � � � OO � Ua��ninr ''�'w �,.rre�r,..
� v � °� Q o `y�°o ��°b °'V R �. �00 � � '°'� �`a0000 � dV�1�MNMN
v+ � � �i U � � �e O ❑ a??o > >U ry ry o � �:; ., �
m 'o a v o a O �. U U ;� �C^' ^'^'
� �w ' �,o ,�'� -C � o .D � o o ia s,• p� � , >a a� o o �. U y . .
+., � oo . �=° oa V � o ' ." � F^oo �° �°=� � � � i c � o
oa,-U., �v a� �'i'Y� 0� a� a�i' � K o o V > a�'i a°'i•�.� �' � � �o 0 0 0 0 �C�
� � o 0 0
'`�^ti� ��0000 "o�oo
„ o
� � � ��'�N �+ir�'ti -i .
: � � s�NN a� �':.
,_a� �� .�: � �
° a _ ,,�r � '�,�l
Z .� c � � U °� �' � y �
. l � + C y f.i �� �� � U A�4{��:
��' W Q U . C�� Vl "d y �' �y�?y. h
G�i �t L d d d � x � ' °o ;� °o � a+ q q r.q,�
W a, C .a a ia 3 i eo y �`i *,�
W � � d x � � � y L � � 3 a � ; $ � � �� ��� '
Vi y
� C}„s Q;-0 •y °'a'e
� V �;� : � 'w'w'�
N �,� ��a �pww� , O ,, � ��o
'L' N �U l� �r o0 'r .�r M M V� � M � M M N N �+Y� O U' C�V]V]V p O� C O
•O h �` ;� 'ti w H H�„ w s ,, �3
O w" � ,., N � ,_. N c� N � X � -� �0�C7 C�� L o Q� �
V � � R i0 '� � � ^.� ^. ry . O v� . � O ���ra F
�' A ; v �3 3 z o 3 3 w w a� � $ � � t,�' °o °' c� ���'
01 m � O O s, L L t, 7 J�` C �
O .� _:W v a� a� a.�, .� �n U o 0 0 o w �OG OG x >G R; � � ' � ,�
� � b � � U .�, � O O N N � N m � i0 iO i0 � . �V�N N N M . O
a ; y'' ° � o � x ie o o � .. a� a� U o 0 0 o e�a • U Ca7�x x oa. U d O.�'�. 0�0� � �
�
o ' o 0 0 0 0 0 0 0
e� Q �,Nen � p o � � v�i_ � V o 00
o �" � ,r M o�t�
, �,~y O ;;�N� n Oyl � � N V� 0�1 p�p �p y '� �� O
� �
7 hF� iv `' � � . y , °� �
rr � � u .: �, Q .: oi . '� .r
O ��: 5 i `.,�:";-' z
N °� O �'�1 , y O ::\ � y�� rn v� '�)
� p Q'i � ..:C' .p .. OFLCL'n�� NO�O
O �'`
� v � � ra.r.. �
� "� � r'�.�i � '� ►�M- - � C C i�i i a p �
., � � O.�r.�r� �V � �=�^ RR e a � �
000 �"
� A o 0 0 0 . w.U�.,..'. �° � �i; R"y; '�'3 u a� a� � N ,e
°'"' .+ - c� �v�i^n � r...�i� e�C ,�`_ �_ • m
� L '� O 00 1� � O� �,.�.O O O '�I '�4 CL O.r� � r.�
p„ .. a v�*i?:a � � o00 0 � �' +�UWW000 .�.., oo � .
'"v �+ vaN� „�,�o'' � � � �� °
° r,�;a vMi°:`r ^� �-, �Q Q C�x'C7 C7 �,�'�c, �"
Q � � �' a �i
0
,� . : o� o00 � v � �: ^ � � z ��
� �,�n o �" y ZtaO � �° ^ �O o � � ('�',,, ~ '�
:: p '�:. o, � e� m ca CU f� 'v y ww,
� p 'C� v�i.�.� ��_ . p �y:_ v � .� � > � �-. �Y
� � �o 0 0 :; � �"'' � �a � °� a� 0. �' v •°
� ° �o000 '�� �. �a > > � y s�- 'C F� m
e� C U.r.r..� � 01 � L1a �-�.1 '7 � or 'O � �
�4 � �. i.N.��.N- i .r ' bD ..� �-p � -p ,� �� ..
� � ��.o 0 o w �O w W c�a � v°�, a� 4
• i e ee W >CO � �° � .. a
,' "a o � � � ^o v � � Q c,0000a
� U U 000 � �- C>�OOO..O 7'y0 h ry � � ra CL p � � �: �N NNN� '
,, ,,,,q ''�+'���N d' oro y ,cC. � `° c0 R3 Q � O ��.Q°::°�N o0
� �� ^E� GL S�. �1r � N � � "�� � "�OOR N 1�D - - .
,��:d ,���: Q Q Q Q C/� Er � Q � ; Q O �
0 0 ' y ,� A°"z �
� •� . .o,�Q� � � � C�7a�� �
Z v zQz ���� � . V WV��°
� � O paA U°000 �; y��aOvk
W � WWW a��.`�, " fi b �0.W�G�zlp Q�,
�o0o s
W W zN
�'o� , c� oCCrxOQ,� � Zs��
O.r
Q'N N
„�� �oo� �'� � � o 0000 ��"� °�001p°
�c��, o0
� �� ��,, :U N NNNN ��
� R �-b� - Y � .-�i:-i.�.i:y ��� O O�
� � � -ti � 0000 �:
_wy , . . ' ... .
�k ` L ��� ' �� �-� '�- �- O rr �.�i.�. � �`U O ^"�
� . ; 3 �: �. � :O O O O O O �- �L �
�!t Z � O O
� � ' ���. � ���� �`� Y,5 O O N
i�''_�, Q O O .w
p� '�-�' ��.� �. � O O O O O O �- .�i.-i
� . �- .r �_ � � y �OOOOOOp y
\ U :;U ....r.,�..�..,., ,'yf, L
e_I �r, a W A \'a� ',� p � ` � ��� �
� oo =
Q � AF a ?y�'aa � J +o, �O'RNNOO �` o 0o w
�,,,� W W Q C�.g,,y a a � � o 0 0 0 0 0 *y4 ti u p o a
CL .�-y y
I� � > ��O O� � ��q O � �.� �Q N N N N N N 3i*� C
� `° � >>A4i. Q �'�a Q � �+� y ����NN No F
� "" t�1 ,,;};co 'p�` � '� 00000e� r-ic �
� ... d � u
� � � �; � � o000000 !�0.�, N p,
O �"d+�'� �' . . ����.U �' �� j�- �- fi M N N 7 h O O , .
� � �n v, U
v��i ' �o rt � � e � h � NN �V M
,n `� � :,,:Q d
� � � � N �� � . y O.�+ �.Ny'
rl . �� � �
� 30 � �� o � � q'""'; �oo
_ .."� N ^+#'� ..�:Q a�'�' +��.,� '1 �
d � � z�' N '�`' � �
L W� M � S =
�� b0 GTa�►'7 W.�. . 7 O pi ►�
o � �'Q ���.. A : � m aLi L' �p .
_ W Q o = �.S°. h N Q c,'
` v o =�Q F� �� , � � ° u d o o . o a
.�L"i W ra r.'� '. � ' cYi 6i 9�'C 9�"1 V Y 9
a��, � � ` y :: a,"a'�:,•y 3 3 � �
Z ,�, ; Z s�o a� a+ d u
�l �,; �' o 'Q � � .
pG F„ � L�,;� ^;� � o -
� � � �' � � � � ".7q rn�zz pj E+
� � 5 a��aa
> �' � ° �° ��
� ' aa �Qr ��, �` � �cr�cr
�� :F iG �,.�y W y pi l�V1 M.r O 00 00 p /-.iG
Q OOOOOO�p� �
o N ' zGr� F. E" „� ' �00000ao� �,'�
�+ M v�Gi fY. y Z � 'ONNNNN.\r.�r � y.4���
v:io�oa000 � c, �d
ai � � :WW � p ��� . ��. Y- $^NN.r.rMO 5 WW
p "'� � C" 3 W ,x , v W 5 i�onv�i n °i
►a d� Ex.,O �� U �,�d O a , .�...,.,..0000 q aa
,�,' A :_.w!cL'� Oa Y'a 'z � , �o i ' NW a zz
o ° `,.`ri�k �a�=' � a ,� Y �� h. Q � -qv�Maoo�o `
'` � � tw`�J da :vs �+ � � 2 �'� � � '��e�qO°Pw� .�' °5''� .�.�.�,
C. � ; �:,d >. �.:w F ;R �00000�`� ' �U ��
= o a
x:�� ��
�