HomeMy WebLinkAbout2013 Dec 31 - Sign Off Transmittal Sheet - New Owner, Name - Use & Occupancy; ... . _ . _._. ..;. ... . , . . .. .. . ... .. .. . . . .._.. _...,.. . . ..... . . . . .
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` oF.�'_�,-'�,a:�,� TOWN OF YARMOUTH �
� - w���° HEALTH DEPARTMENT �
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��'r�'�%�f�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET i
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� To be completed by Appdicant: � �U�'��"
Building Site Location:�����--�-��� (��1� �f+t�� � �S/'K�` �""� ��` � �Qo1 F'4Y1'Ii�c �y i
5/2 l�ou'� 2s� W 1/ �.eS� '
Proposed Improvement: �
�"� ti1 � lyl6�C �0111 t o n sr�t �� A ��2�?�' i
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s i -4 /3�, I d; z - SMA�e � �tv Ou.n�c.r s ca � -t* � i
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Applicant: ,,,.����n� yY1�,�,2��.�•�,� Tel. No.: 9 7�:.3�5—Sy� z... f
Address: 5 �- YYl a � n, I
i �{ (.{i E S� ��t�vvt,e�i, j�',�1� G 2.�� Date Filed: I��Z 3� J3
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**If you would like e-mail notiftcation of sign of�j;please provide e-mail address: ��e . m p�e A h�w C c� �{m A� � •CON� �
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OwnerName: .�oSE ,�I-i I�"1 p�lE'✓-1�n,4 �
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Owner Address: �1 ,_ %Yi4-,r, (,(i�� V��� � Owner Tel. No.: �'/7�-37.5-��Z ;
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RESIDENTIAL AND/OR COMMERCIAL BUILDING �
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HEALTH DEPARTMENT: Determines Compl�ance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities. �
Please�submit three (3) copies of plans, to include: �
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(1.) Site Plan showing existing buildings, water line location,
and septic system location; ' .
(2.) Floor plan tabeling ALL rooms within building ;
(all,existing and proposed)— j
1Vote:Floor plans not required for decks,sheds, windows, roofing; �
(3.) If necessary, Title 5 application signed by licensed installer i
with fee. _ �
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REVIEWED BY: DATE: 1 a- � � '
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PLEASE NOTE ;
COMMENTS/CONDITIONS: - '
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�t'�� + v�_�tJ u h �tn 4/�-( Cr„�,�' � c' E`�i iN f -• E' �q jc �--� (�oc�.n..S t R r �__...uCM��' ----------- �
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57 motel rooms: 28 on 1�`floor; 29 on 2"d floor �-:;,�: 3 .� ����
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20 Employee housing rooms:
HEAITH DEPT.
Shark Tank(2"d building): 8 rooms 2"d floor;4 rooms 1St floor
Cottages: 70,71, 72
Over lobby: 73, 74,75,76,77zo
Owner cottage: 79
On site property manager 78
_ tw�'vi��yVl�[J�
r.��.�,� 31 ''L013
Shark Tank Rooms HEALTHDEPT.
Emplovee Housin�
Second Floor Rear
69 68 67 66 2 peoplE
65 64 63 62
Second Floor Front
First Floor Rear
Pa rty 4 Pa rty 3 Pa rty 2 Pa rty 1
61 60 59 58
First Floor Front
Cottages
��-� �d 70-2 bd 71-2 bd 72-2 bd
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