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HomeMy WebLinkAbout2006 Jul 10 - Sign Off Transmittal Sheet, Floor Plans .: , > r: ,,,r: � _. e, -•-:..>�p4 � .. , .�} , . , , �°• , .. , , ,..� �� �,:' ��� �_ ,a. _ -:� ,. . ..- q i � ,�°�'Y`9`��, TOW�T�OF �ARMQU�"H o y HEALT�I D`EPARTMENT " M„nA �S � � � � � �� � � ��� � � ��"°'��'� PERMIT APPLICATION��AT OFF TRANSMITTAL SHEET To be completed by Applicant: �. Buildin� Site_Locaxion: �G� 1 �,• �l!') Map No.: Lot No.: .--� � Proposed�jtn,�provement• n f"`l� "" c�' ��'2•n.s- ��2� /�° Y d.�'"�" _ ,w"1 .�,�/� v e....- ; �� TT !�1 � APplicant: � l./ r '� �'el. No.: Address: � 0 2�� � f�n Date Filed: , **If j�u would like e-mail notification of sign o,�;please proviabe e-mai!address: o��N��: I�'?� t� �►� ��..s t a r�fa��.� Uwner Address: � ��C�t� � �i''� . Owner Tel. No.:So� 't?(r D�� RESIDENTI[AI.ANDfOR COMMERCIAL BUB.DING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. ' Please sabmit f�iur(4) copies of plans, to include: {l.) Site Plan shu�ving e�isting buiidings,water liae tocatian, and septic system location; (2,) Floor plan labeling ALL rooms within building , � (�ll ezistiBg and proposed)— Not�Ftaar plans not required for decks, sheds, wi�edaws, �fixg; (3.) If necess�ry, Title 5 application signed by licensed instsiler with fee. REVIEWED BY: DATE: 4� � I PLEASE NOTE I � COl�Il�tENTS/CONDITIONS: � �c�v'o d�� �..��c -- � 1�. c�-��.{�.�� C' , ; � � � r � � � Jun•01-?004 09:43 From- T-418 P.001/OOY F-628 � � � . �r _ �o —U. . , • .L ? ' 1 .. . � ,�„Ca l�r✓ j � ' �a i . , � `} • � � t�3•�� "" � �� �� � � �PL� fi�o� P� �' � ; � '=�+ � ,~ J � q �;rs�' r�Dar J �'" ' � � I � ` � . . � ' � 4 � i�� pt,� o L��-'(L� N ' +`R � �` L n � i � 1- �1�y ��r � F6��• ' /ZS� ./' r� r A `� � �s� � 3"y�S'� y � �y � � �.c V � fl f ti � � � � ' ,. - ` � �` � � � � ' �( -. _ � ,�ys r ... ..� . �',�.�� �. � C�2��j� �''¢"'"�� . . , � � . , , "�-'ml�, m,� �v,�,��-a�-�a-.� is � � :t�'�✓� , /�'rG�f r��►,••��++r--' r-,-� ,t?r��f-C� � � . . ; TO THE BEST OF M`f INFORMAI�QN,_ ��A�--B:LTII,Tk�- I��I,Q''� PLL�,�T KN o WLEDGE, AN D BELIEF 7�IE Y.��..R�IIQ UTI�,. Iti�IASIS�� �'�,�.,. rJ�r...n�.✓ SH�� TH I S �o T`-t r7r L C � ��,5'�e7� �9 PLAN HAS B�EN L{3CA � ' GRQUND AS� INDICATE � ^' DATE_7'"�-�'�'.s Z�'-' sca�E /`1=3�' - - �-� � ' �flB' i�$3v-4 o CLIFJ�I1' C���.g^� �` S,�'�'TS'�'`1�?� �',N��I�'.�'�1'N�' �f��2� r 2�5 GREAT WESTERN RClA4 r . P.o., eox 7�3 � DAT� � PROFESSfoNA� �AN .EYOR souTM o2sso.. MAs��Y, za�_-�„��T �s$�-3s2z , ;ur,-D1-2004 09:43 From- T-4i0 p D0i/OD2 F-628 . �—�-� � G, � rr - G►—U. " ���.Z� �o .L 7 . � � � . , � � ' � ' tl 3•`f� �-- � A� ` � � • . ' I i ' +,�} ���Ccdn ! � � J � o ' f J '�r" � � I { � �. ,' � � � � . ,� BI o ���� � � Q � ; � E , � . . ��� �`� � � � � ,z�s' � �' � �'�'.r `.� � -�� � -s� .� �Y � I � � � � , � . � , ` � � "� � _. _ , �, ' � �f C .y� � a� � � , . ��` ? I ; C./�C k I�.� ��1''r"'�a� � � ' , �c�l� eai �r..rc.7"-l7v../ rS �v 17 �ytct�tib'' . /�rGs N l�I r�T t� �Af�G> I • 4 Tfl TNE� BES�i` C}F M�' lNFQRMATiQN,. rAS�-'�B��TILT�� PLC��T LAN K N 4�NLED G�. AN Q �EL15H4��� � �1-I I S Y���MU LT�I,, �A�jS� �������� G o r�7f � �' c? g?.� � � PLAN HAS B�EI� �4CA � GR{JI�ND AS� INDiCA � ~ DATE. �'"✓��"�"�'�? SGA1..E /`'1=.?v �.� JQ� �Ta+--aa Ck.IE�fT C���s� . �a.at�t "�` .a^,�',��'.E'R �,N�1�'.ITE"��IN�' �f��''/�� 23 GRE`AT WESTERN RQAR t �, P.�., �QX 713 ! SOUTH DENNIS,. MASS. DA� PROFESSt4NA� LAN �R 398•--3g22 a2g�fl r�aY� �e�_�n�r