HomeMy WebLinkAbout2016 Apr 25 - Sign Off Transmittal Sheet, Plan - Enclose Porch .
.oY�Ya� -' TOWN OF YARMOUTH
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�'�``''���%��� �-�'"" PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location:_����C�\k1�� 1 CaC�Q �L�i((Y������;��i\ �`��.�t �a�'� � �
Proposed Improvement: �i� !�' �r�>�`>��� ���i, �C:}U���C� � >CC ��� 1� C(�4��'1�t�,u�,41Gt c;r
Applicant: 1 '��;���C�q��1�� .�(�YYY�S Tel.No.:(�.;��U -3�?Q 1
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Address: ��7 l��t;t���,�� ! �.C��1P �a }.�(<i d,`�`�t�`��'� M.A C�����.�"j Date Filed: �-a�� 16
**If you woudd like e-maid notification of sign off,'please provide e-mail address:
Owner Name:
Owner Address: Owner Tel. No.:
...................:.:............................................................................................................................................................................................................................................................................................................................................
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMEl`�TT: 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 include:
(1.) Site Plan showing existing buildings, water li�e location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing 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: Ll a�-� ��'" �
PLEASE NOTE
COMMENTS/CONDITIONS: �
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54'J'
18'-2' �qcp^ pZ•Z•
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b ¢ment S 7
i Kitchen
' 14'-0"x 16'-0"
185 sq.k.
Living � �Garage _
18'-0"x 21'-10' 22'-0'x 21'-f 0"
393 sq.R. �• 480 sq.k. `�
II . ^7-7'(7''7^ _ I
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13'-f0'
� I 4'-1 iR' 2'-9 1/2" 4'-7" 2'-' �
� I :a,�.. z.�,.. r...r � ' I
Iporch I
I 14+-0�"�'-f0"
� 82'3t�k.
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4=11R" 2'-91R". 4•2" 2•9• .
/8'-2"— —/3'-70" 23,2"
59'-4' — --�'
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HEALTH DEPT.