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HomeMy WebLinkAbout2010 Jun 04 - Sign Off Transmittal Sheet, Floor Plans - Basement Bathroom Addition., .,... ,. .,...., ...: .. .. . t - -e zo F-'n. �, , _._._..-.T _ . -: . .�.�..o...- ,��, ..6 a-:.'�x-�'f-.��->..����X+�.. =��-.y.��..�.�. u s... . •a.�*:�P ,�. ... . ... . . . . _ � � oF�R,� TOWN OF YARMOUTH �� - �--��� HEALTH DEPARTMENT � °,-�- �� _ � i �'�''���%�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � 1 To be completed by Applicant: ; �.,. t i Building Site Location''��� )) a� ��v ` t-� �a�r� � k.., � � ' i _ � � ... �: Proposed Improvement: �Q�oc��._.� R� �T.�o�► -'t"ri �� r.�i S 1� � c� t3A SE1��� Applicant: (Ila���� ,�c w�, UU Irt,A l,�n� Tel.No.: �0 Fs' 7�a 1 9 l � Address: l a�o. ��N� �T $R rw>t'� K�A Date Filed: -cS' "ZT 7'�. **If you would like e-mail notification of sign off,please provide e-mail address: �" � �..�,� Owner Name: Ro t3 Gl'�'t- �.( w e�.tv n,� TNw S"i — Owner Address: y 7 � T'�►`I Lo� (2�,4 t Sl'bw , y�� Owner Tel.No.: �►� 3 dd S"�'31 g ..........................................:............................................................:..............................................................................................................................................................................................................................................:........... RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requiremen�s For Septa.ge Disposal and other Public Health Activities. Please submit,,��ree (3) copies of plans,to include: (1.) Site Pl��n showing existing buildings, water line locatian, and se�Stic system location; . _ (2.) Floor plan labeling ALL rooms within building (all egisting and proposed) — ,, Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installerr with fee. ................................................................................... ........ .................... ................................................................................................................................................................................................................................................ REVIEWED BY: DATE:_��L/`l� � � PLEASE NOTE COMMENTS/CONDITIONS• / � �. � �''�-(jv5� � �-C ✓�t�� v� � �z'�Vc.t/L.�s—` � C I �C( GV i � i # � N > ..... —` ,�� N ;� bA � L1. ,� .k.�Z �. .�..,�.�,.u,�,A,.,,,...,� N . ��. �g O € ^'� '^' 7� � r � � LS3 � � � �-� � � � � � � � � � � � �� � e i .a � � .�;ez ,�r>� � �.s �;. �": � Ffi 1 F _� � � � � � � aL�`i�'.. ��. � f— t},0 .EI;L� .S�.kA�.�� � � �€ C.t � 7 . � %n � g 4 � i E � � � � �ct � Li„;. � � .,.6<�l. �� ����� � �. .�<'�Ei �� ta +r �� �.�. P«. 7«, � � �� � �t � � { S �7.� � :i:'. I .� }� � v izr� `so � � � 1 � � .£.LL��� � �,..,,,�$` ,tk.... �.�5.9 ��IdCtl :i � d � � � � � �, .b'� Rr` +� . .� .. .. `�. ; � .�...}_.._.._.�...�._..�..m____.E.473�.__M__.___.�__�.._____��._. �. s 7n .9�—�'� ..«. �.Z,��.�� .�n. _ ,.,� � � i�E'��� � .A4.i e � .Z.� .. ;s,. i„, � � �?�� �. ^ '`� � �.� � . �.. � � += . .B:l � � � � � M--a31."s""`="4—.&� . � �a.��s � '� 1 �,zi�-_______ � E � � .s.�i ----------+ ai � � z N O � , � x � � � � � �4,� � - � � � � � a � T � s�;� . H.,.�...� . � �y _ N C�.I � ,� h, � �.S � _ � � � �, � � � t � w. r. • � 5 ? � � rr � � 9.F.a s—.�.& .�;se _ � � .a.t-�—� , .�:at � l:m��m_¢. � �� � � � � � � � �' � �..'.-"""".'_._,� � ;� � � � � .. � � � � � .��� _ ��.�. .�,a� o � � � � � � � � �, � �--�� � � �' � � � � � 4 � � � � � � � � � � � I � i " � M �� � .G.� � � ( � � � � � .�.� __�,z� � _ � �° � �,��� .__._. � � � � � � � � � � � � � '� � � � � � � � ..:�d � `� a r� .�E�,� i , z x o � � � � � � � ���'.- .� ;; � � a. ,v._._�._...._.a..,_,. � � � .:� � � �a � ; 0 y � N � � �=� §, O � _ o $o N � � �° � � � � � � � .q' � � �_ � � f--.�� .�.�, �...a.�._�� .�.�-� .�.�� I F s � � � 3 � � .z,�,•----, � � ,�;�t � I � � �' � ��� �----,a,� � � ¢ � F--.a.� � »s:a � � .�..____�____�� � � � � � � ;'���� ...i.E�. «Gt.;Ei . . .. ......_._.:_... .........: «6�,2----------1 ,��:Ed � � � � � � � W a Q z � .►.�� c� ..,..,.,Y�. � :��.� __��_ o � > ' o a � c . w � ° � lop" a XJF �STO RESiRE0 2,3 50UYH ROAD ,�Cf)107