Loading...
HomeMy WebLinkAbout2005 Dec 01 - Sign Off Transmittal Sheet, Plans - Add Family Room, Garage .. . ,,: ,- -, .- ,. �.• �-,�-x:>- _ , _. . : � , .. ._.. _ .. . .., � � � �' , Q- _ , _ r , , �, o�.Yq� TUWN OF YARMOUTH . ,�,,.,,.,s. �� - m:�� HEALTH DEPARTMENT o,,;"`' , �,y �W;'r � '''��M``' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To b8 completed by Applicant: Building Site Loca.Non: 3�" % � ,�o� Map No.: Lot No.: '�—�� Proposeci Improvemem: 4�- '1�"�v r �ZT� �pplicant: ! Ja vr� ��f'i��� TeI.No.:S�G��'- Y�J-���t %' � Address: �'' Date Filed:��_ **Ifyou would like ea»u�l r�tification ofsign o,�;plea�e providfe e mail address: Ovvner Name: � u i ,� �,� �,��c� Owner Addres�s: ` � v+ �V 4wner Tel.No.:S��"�g3''_ 6>p� -,�'�'" � �� 1�r''^ � --�-- RESIDENT��AND/4R�Q�RCiAX,BUtI.DING HEALTH DEPARTM]ENT: Determines Compliance to State and Town Regulations; i.e.,R�uireme�rts For Septage Disposal and other Public Heahh Activities. .�.. Please snbmit four(4) copies of plans, to include: � (1.) Site Plan showing ezisting buildings,water line location, and s�ptic system location; (2.) Floor plan Isbeling A�L rooms within building (all exist#�ag and proposed� _�--� .�. (3.) If nec��ry, Title S�PPlication signed by licen�ed installer with�ee. .____.�......Y_....W._..:...._.._:__..__....._.........��_.__.. _._ .._.........._....__..___. .....�.__...._._�........___.......:._......_.__............._.._..w..._.._....._._........__..__...__.._.....___._.m.._._..._��.._..___..........._..._.._._ REVI;EWED BY: DATE: � i - 1 -0 (' �.�. � � P.�..��OTE _ COIVIlVIENTS/CONDITIONS: . , 1�G�t � �.� �••�� h, � r�r ��Uo� E ` . . �` -,� t ';` ` i N � - ---- _ . ._. . _. ... . .. . . ... . ._. . � . O � O � ' s -I l! � _�l I _ _ _ - _x- _ _ � -- _-�_- -_ -- _�_.:�._ _ _ , -_ r - - _. ';l `!� . — _ -�— � . . � � _ _-- , o o -- � I � � . _ ----_ , � � i m , I , - - ' , � -_ �• o '� •• -p � � ;_ 6� _ , i � i _ � „ ' _ � 1i y O � j � � i __ � - �, -- -______ -. � i � - � � N u ! - � � i � � _ �' ___ i � 0 � r = ' g��C�' ' ; 1 j ' ' � _�� �O NI � I I I � I � � 1 I O , I ��cr � I .- �� . _— � >..Vd.C•.� . _ . � ��O � _ � i ' °� ►� � � � � � � -,_�r,= � 1 � � , , ,- � � � i � , - - � I N � �� � O j � 3 J {J' �- ' v�am.s I � � � � ' N __. _._�_ __ =t--�-�- __ _. _:- _ _ - _-___. .__ -- --- � � � �► � CO ¢ � �� N � � o -- ^�-- - o Q � � __ .��.. ; - �— i � � .� � � .. � . .. .� .. . __._ ' (p _ _.. �'. _ � G 00 � � O Z � 11 (/i C) �.+ � � h� _p_ � o o ;� o► � � o � .n c.n � : w c � _ _.. __ � ( .. � � Z � � � • �� ' � f • + � � i.'. � ► � � 1 _...._ - ---- ._.._ _ _. ._--i ■ •.__. _. _. _]� -.._ ._.. . -_ - -._ -__ _- - -- �--- -- ----�a���— ------- -__ --- U W ,� �- g O : -- - � — ----- -__ __� � T ' -- � �F � � �' �,. �� _ m � �' J t � � o-� i $ � N _ � --___ 3 p� , 9 Y �` � � S - � ( - � N � � � � �� //////}}}(((�����' —— � - - � h� � // f —5 cub unic � I C� r O ---- __.__...__ __ _ � ------ _ ___ _ �, � � ; 3 1 f � 1 I l l l� I I o°� �=o - � � � ��� � :t � ,�- - � _ � Q a 4 �� � " � s I � F g --- _ � _ � � � v� a � �----_ _I ..� 7 a � ; :_——_--___——_�—�-===:r-�_____.------ . h�l i � ^� � �pry� � � ' � R �, ( --- � � , _ _ i � _ .. � ._. _ . . i � � � \ - � -- o O o � � c� _-��--- N I � d Z u � � � � _ � � v � � � � � � ' � � � � z �, � �