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Home My WebLink About2016 Sep 12 - Sign Off Transmittal Sheet, Plans - Deck a� Ya� TOWN OF YARMOUTH .�-�� i �-�'� HEALTH DEPARTMENT o..� _ � ��'''�--��%�� PEI�MIT APPLICATION SIGN OFF TRANSMITTAL SHEET , � � To be completed by Applicant: � � Building Site Location: Q�� L!/t,/'�- L�� ` �_ . Proposed Improvement: � 2 ;�:� � ,�.� �j � � �, '1�l�t... �- t.t.�� 'a o cJ E�/ (n , Applicant: ��-/ G - Jt Yz SU�!./ Tel. No.: � o�c� �,�?(� Address: � `/�'dc�/�Pr,�J(i(_' i�i/t'7^�?-F Date Filed: l I Z 1� � **If you would like e-mail notifacation of sign ofj'pdease provide e-mail address: .5�1 � C,/�yQt. C'o r,� ,��`�"" Owner Name: �1'(""7�'C ( G t�-. _ � Owner Address: L< G.ti� Owner Tel. N .: �� /,��j �� T�� ...............................................................�;................................................................................................................................................................................................................................................................................................ RESIDENTIAL ANDIOR 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 showing 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. ..........................................................................................................................................................................................................................................................................:. ...............................:............................................ REVIEWED BY: DATE: �a. PLEASE NOTE COMMENTS/CONDITIONS: i ...�`�� l G�t , _� „--- - ----_.__ ____ _____ _ .__--------_-- ;: _ __ ----�,: ' � , � a____._��__:__�.�,��_ _..__. _..__._._____�__ .__.._,. ` �— h 1 � ��— � e i ` w -_ ______.._ _ _ __ _._ _. ._._. .. _____ _. � � �4 } � „� � ; � � ,; .�,_.. �.�_._.., _ w .. _ _ > - _ -- _ _ �� 4 � `� � , �� , � � �. ;r.-..�. --_ ___ _ _ . �, � � __ __ __.___.__ _ � � � � ,�°' . w . � � c.�' _ ,� , ,�--� ! �.._�.__..__ -- � J ; K. u.�! � � �''� Z ; �___ _.__ _.,. .___.____ ._ __. _ _.... _ �� _ --____-----.__._�__._�_�.-- -- � � -- _ ___ , � � y � � � �^� s — — _ ,__._ __._. ------ — — � • � ' � � .�---- -_ -� _ _ ___ _ ___ � � __ _ __._ _ _ � � � � � � � � �-.- __ __ : � c� � � __ � '� ` �� _ � � � � .. _ � _ � � � I : .� � t� � _ __ ___ _ __ __ � � : � Q -____ _ __ _ _ ____ � � _ _____ _ . , ______ � �,�.. t , �— � a _ s ._________��_ _.__.__ _�..__ _ . , , . _ . : _- �_��_�� __ _�_�_ ___ _ __ _�____� ` ______.___ � � �� . � . ,.. , , __ ___________ ,, �, ' a � a � � �-.. � � � � ; ; _ �_ _-- � --- ._._ , , � _ ' � 4 �m `� � �.� � � i �_.__ _�_� _ � � � � � � � � �.. .v.___._��_ _v_�..� __.�.� ��,w�«._�..� �` . � � ,� ,� �, � _.� __ ,�_x� �. - --________.�_ � c� � � �, 2� � � � � � �� .� ___._ .�.,�.�.__�_ �... _._.� . �.1 � :'� .f � t� � �Q ��_--___�__� � 4 3 � � " � � .��_� � . _..a�� . � �' �. � • h� l � �'a, ' � � �` � . , �: � `� � . � � � �` -� � �� o � � .� �'' '� �o � � �- � ��.^r � A � c i ► , !;. �� Engineeri:ng Tfi�orks, I�zc. -- 3 2 West Crossfield Rood, Forestdale, MA 02644 � p5'3'� fl0't � (508) 477'-5313 1 p0.6�.' ', (LOT 12) APN 122--14 �R��.3, 13,804 S.F.t �r'r- "� / � ?`T1 ��t � fr ��i�� v� � •j _ ,� �.�,� �,..�,�� i �`�r� i ; # ;,� , � � ;. �;! r��j l �,�•p � � / � � �; r t� r� �� ,;',' . � '� o � } w .i � k Ki °0 ( D—BO�X � � "� �� '��i � o � 32' #,� , ,� � � �� - � ,�.a PRO'POSEU �, � � � � � �- ��c+� � .= , Fxisrrn�G:= � Y �3 4- HOUSE�,�28�,� � '�' ,: `�.." T a F=58 t�3f \�� f f � '�� 9 } t;-'r. "`r; A��a � �ARA�E' y�,.��...-�.�`� '. ��o- � -ufw d .:x..�sieame.�: s �:� ��.,R,am„ • � , � A � "d �� , �x"�.,�,�...� G� { � � O t� O SEf TIC TANK � � i � � � � � � I � : � 4 �oa.�o' � �N OD'S1'�0" E � �� I RECE1�(ED � i , ��r4 o f ;�c�re,�n e,•1<`' i ��✓� �� ,:�,��,��y� ��"P `1 ?_. 2016 i � �� F�ll�l l�L C��/�` Y Y!'t 1 HEAITH DEPT, f � CIv�L `n � �o_ ��3 a� ��, `��JS��''a NflTE: SEPTIC S�`STEM LOCATION TAKEN FROM RE��R[3 AS-BUiLT CARD. i f PRQPOSED DECK YARMOtJTHPI�RT MA oa.�-E: s js/�s 2$ FLINTLQCK 1►VA�, , S�ALE:: 1"=20' Prepored for. Pafirick Ruffino, 28 �iin#tock Woy, Yarmauthport, MA 02G75 ;