HomeMy WebLinkAbout2016 May 26 - Sign Off Transmittal Sheet, Plot Plan - Replace Deck _ -,�� ..s,,..��,_ � _ _ _
o'���Y'�� TOWN OF YARMOUTH
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�'r �` :�'-',c HEALTH DEPARTMENT
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�-=�=E� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant.•
Building Site Location: ��i ����-�'I.Y�''N� �'il�.
Proposed Improvement: '�.Y�+�� ��c 7�N� D�.G� - �At�k �`p��
Applicant: t�"�x'Ar�`���' (�,�1��y Tel.No.: S �3 3 -��$-
Address: �� ��� � �� ��N� �-�G�S Date Filed: IG '
**Ifyou would like e-mail notification ofsign off,please provide e-mail address: '
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Owner Name: �'��YN i��'��P"�,S
Owner Address: �(o I'}'������ �� • Owner Tel. No.: S6g °j�f '�3 4�(,
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� RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans,to include:
(l.} Site Plan sh�ing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
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REVIEWED BY: DATE: '� �-� � �
PLEASE NOTE
C OMIV�ENTS/CONDITIONS:
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`�' GARAGE
� PROP. DECK
REPLACEMENT = ���� �9 03' Q
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YARMOUTH, MA v
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�������� �t����ST' CONFORM T� /���,
� MAr ;� 62o�s �� BY WS & REGULA�'I���
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��T" °�PT ARMOUTH WATER �DEPT ���f�
CER TIFIED PL 0 T PLAN
PARSON RESIDENCE
1 CERTIFY THAT THE IA�tPROVEMENTS SHOWN � �N oF ,��� � 16 HIGHl.ANfl a 1!E
HAVE BEEN LOCATED BY A FrELD SURVEY. �,P`� ss YAl�l�lfxlTH, AtA
o� yJ, DATE hiAY t0, 2016 �AYt9V: RBS
� ROBB JOB 5231
o SYKES � SCALE: l"=30' DWG.CPP
�, NO' ��$ � EASTBOUND
f ��• �o�� �LAND SURV�YING, INC.
< �'� '/ `�S�G S P.0. BOk 442
ROBB SYKES, P.LS pATE FORESTDALE, MA 02644
508-477-4511
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