HomeMy WebLinkAbout2017 Feb 21 - Sign Off Transmittal Sheet, Floor Plan - Interior RenovationTo be completed by Applicant:
Building Site Location:
Proposed Improvement:
Applicant:
Address: ,
**Ifyou would like
Owner Name:
TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
nail notification o``f
off, please provide e-mail address:
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Tel. No.: %74- 4_:�50"3�MQ
Date Filed: ;Z ',�I-ZPU
Owner Address: 1 �� �A PJei� �f �j�%i � Owner Tel. No.: (9«-7,5+- 567(p
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-- — -- D/OR COMMERCIAL BUILDING
/UPLAND
ARCHITECTS )liance to State and Town Regulations; i.e., Requirements
sal and other Public Health Activities.
UPLAN DARCHITECTS.COM
ROBERT M E D E I R O 5 three (3) copies of plans, to include:
SENIOR PROJECT MANAGER showing existing buildings, water line location,
CELL: 1-61 7-997-6075 is system location;
SOSM955UPLAND.COM I 1.774.430.3390 n labeling ALL rooms within building
250 E. MAIN STREET I SUITE 13 I NORTON, MA 02766
ing 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:
S/CONDITIONS:
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PLEASE NOTE
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DATE:
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/ U P LA N D LETTER OF TRANSMITTAL
ARCHITECTS DATE: 02-05-2017 JOB NO.: 16-234
U PLAN DARCH ITECT8.COM
ATTENTION: Bruce G. Murphy—Health Director
RE: Wendy's
TO: Health Department 32 Old Town House Road
Yarmouth Town Hall South Yarmouth, MA
1146 Route 28
South Yarmouth, MA 02664
WE ARE SENDING YOU: �Attached ❑ Under Separate Cover via the following items:
❑ Mail ❑ Fax � Overnight ❑ HAND DELIVERY
❑ Shop drawings � Prints ❑Plans ❑ Samples ❑ Specifications
❑Copy of letter ❑ Change Order ❑ Other:
COPIES DATE NO. DESCRIPTION
3 01/16/2017 EQ-1 24X36 Signed and Sealed seating plan drawing with scope of work narrative
1 02/05/2017 $35.00 review fee
THESE ARE TRANSMITTED, AS CHECKED BELOW:
❑ For approval ❑Approved and submitted ❑ Resubmit copies for approval
�For your use ❑Approved as noted ❑ Submit copies for distribution
❑As requested ❑ Returned for corrections ❑ Return corrected �rints�,��,�,� �;�v i_��i� �
s
�For review and comment ❑ Retum one signed copy ! _
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❑FOR BIDS DUE ❑ PRINTS RETLJRNED AFTER LOAN TO US
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REMARKS: Bruce .,�. --
Three copies of 24"X36 over-all plan with construction narrative for your use. Please let us know
If you require anything else.
Thank You
Bob Medeiros(Upland Architects)
COPY TO: Usama EI Sehrawey(Wendy's), Terry
Smily (Wendy's), Ernest Smily(Wendy's)
,
SIGNED.� _
250 E. MAIN STREET SUITE A NORTON, MA 02766 1 -774-430-3390