Loading...
HomeMy WebLinkAbout2016 Aug 26 - Sign Off Transmittal, Floor Plans - Rotate House '. - __- � ,�.�. _.�. -._.��.�,� .T��. ,�: , . . , 4 .: .. . . ..� . . ... �k..,. 'i '��.'�. ._...� . � ; . . . o� Yq� TOWN OF YARMOUTH • .��,� �� " � `rv,°� HEALTH DEPARTMENT o(�:...�;�. <M _ ,y . C.'t��j+`�Iet*��!� � . .. . . . . � � � . . PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant; `; . ` Building Site Location: �.-/ �j f`� ���'�c,.�G,..�� � '�"• �a �! ,(,tY1"��v�'1,�, � ° � � _ Proposed mprovem�nt: C� U � O �l �rt f n " ►vv��. �v � � ��� S �� r�. / �--. Applicant: �1'1 t" � �" .-� +�Tel.No.: 7 t�� i�`�t�-/�7 ( `: ( Address: c� � �(�, C�� �� Date Filed: CS o�.� �Ul�j • **If you woudd like e-maid notification of sign o�;please provide e-mail address: Owner Name: ���-C. ��ci�.s � ��-� Owner Address: � � S� r Ovvner Tel. No.: ��7 `��' � �f c�q G/.�:......�..�:.�G.n..:.�c-......�..�t e_�_�:._e:...�....: .�,.�.. c�...........�.�..�1.'.1..�.:.............c�.�1....1..�..�--.......:.........................: . .�............. f` RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town R�gulations; 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 iine location, ��� �and septic system location; (2.) Floor pian labeting ALL rooms within building (all e�isting and proposed) — � Note:Floor plans not required for decks,sheds, windows, ronfing; (3.) If necessary, Title 5 application signed by li�c�nsed installer with fee. ..:............................................................................................................................................................................................:......................................................................................................................................:................................. REVIEWED BY: DATE: �� ,.�'� '/,Ej PLEASE NOTE - " COMMENTS/CONDITIO : . {� -- �i /!/",'.11� � ��&%�r�?� � � r-'.,.:a �/ / / / .�- . — - /, _ � �l'��l�7 �Z'`� �. C F C C I n n n W l5J lv l7) V V v v �SMM( IESG 7 6 a MA 11 I KHH: IESG I --- --- F I k L A 59— m 5 9 NS --- — — — — � — — — — ------ ------------------ -----------------30i YFRRI '2]( UUI^"xZl 1 N 1 N IRII"'�Z1 1 N UUI^"r2] 1 N H T02 YO A- 6.ZNOE 51E -27181E-25( 5,F127(%<251 Si£47171:-251 5.--171 E1i<-251 5,4<27(716<251 50161E -1e1 LFZK1121!2<9 OTN NKFI -o"E( :IEI :IH LOGKXA9(GFZ2 on RFzoI ail f11TY EIL :24f I <RF K}821(MG -RF x?82N MG <RF KT F2PIMG it I I I -RFK}l2NMG F]< I I I I I I I; �I II TK '171 5191 11 I II I I I I I_ SFT LFHZ XKX KFHI YOI _' Woo— e1LF,Zk WIF1 2 YPOSHUF tlRFSLT sFX OI F£fA:, tPTIJ I ; I I Z WTIF 5 7 VFXZOZO Q5 5 7 M,LO) = VFXZOZO < 6> I ' ,YNFL- VFXZOZO O 5 9 VFXZOZC H ITA 5m, MFTMN CS 5 9 TUlliO} XFA VF'YZOZO HIN ITA1157 GHMI, I HIR65- -----�-� :2P1 YOS RFZK ------�-- 73.13150- 16611 --------- 202 :21I YOS RFZK :2P( YOS RFZK :2A YOS RFZK 05EE MPIS 8C5AK5FL 5 TZOT 1. OIRI xOMt (DsGM9KC YH}RI G 925(L 113( 10 Om xow IO OIKI xOMt IO OIKI Yow Lo—xo. N F� I I II I I I I I XKNZFTM RF %KkIZFTM RF XKHZFTM RF I 73.13150-. (6611 204 OT RFZO' MRF, On RFZO" MRF, OT' RFZoMRF, OTY RI— A9LF, ill I Tx FfIfHC„'FTK E K OY NRTO' O RU Ik (FXMV RU Ik (FXMU" II II RU Ik (FXMV 24.6 YKF K OYZO GXOI OTIU KNRTO". RU Ik C FX'MIl' Y=: my VKXLUX m 201 HNOSTK ZL XKSFC XICVF(K OYZO' OIK IRFTI LRUU:--_-- I i I E II I n i3C TKKR � � eerr2 IXFORO i I 3.E 3.b o I OTZKXO LOTO ,'FOTZA VFOTZF .'C'm mm woo ,T(3TZk mm ' ' II NFXI FXK YK I K,iTYK XFLZKT FGU K I UVK M YFY ROL It STY ROL I I W )lY ROI LMOT NFDRK. LOTOI N IES GLSN— GU KL --------------- — }TY RUIll. LOTO. YFY RM. LOTOI I YFY RM. LOTOI YF," RWLOTOI � 1 i Il .}WTRm L7B98NE9I RLMPYk i , NOZF 'I I NOZF - — l— KOYZOI' O MIMRK OTNY KWOV,' - IfLER'AD YLIT,L' CYFR. Z V 1 SB104171 K0,'ZOT NOZI — ---- - --- - l5J lv l7) V V v v �SMM( IESG 7 6 a MA 11 I KHH: IESG I 101 IKHD97M GL fl. T-1 z �a U v" U ¢ = �x s� U <y W 0.1 z Q 33333 33 o FlI GFFXI.I•iOt IFlYU Oi IKYOMTFZC F ( F I k L A 59— m 5 9 NS 1/111^iZ1 UUI^ZI YFRRI '2]( UUI^"xZl 1 N 1 N IRII"'�Z1 1 N UUI^"r2] 1 N H T02 YO A- 6.ZNOE 51E -27181E-25( 5,F127(%<251 Si£47171:-251 5.--171 E1i<-251 5,4<27(716<251 50161E -1e1 LFZK1121!2<9 OTN NKFI -o"E( :IEI :IH LOGKXA9(GFZ2 on RFzoI :13-251 f11TY EIL :24f XK OYOVI <RF K}821(MG -RF x?82N MG <RF KT F2PIMG <RF KT L2flMG -RFK}l2NMG f KITH '01'' 2 YPOSHUF tlRFYZk KFHI,'01 _ YPOSWf tlRFYTl KFM YOI 2 1POSF[Uf CRFYZF SFT LFHZ XKX KFHI YOI _' Woo— e1LF,Zk WIF1 2 YPOSHUF tlRFSLT sFX OI SFX OI SEXOI SFX OI Z WTIF 5 7 VFXZOZO Q5 5 7 M,LO) = VFXZOZO < 6> I ' ,YNFL- VFXZOZO O 5 9 VFXZOZC H ITA 5m, MFTMN CS 5 9 TUlliO} XFA VF'YZOZO HIN ITA1157 GHMI, H ITA5355 HIR65- :2P1 YOS RFZK 5EE 05EEL 0, H 89LCAG5MCH 5K9 MPIS 5 :11, YOS RFZK :21I YOS RFZK :2P( YOS RFZK :2A YOS RFZK 05EE MPIS 8C5AK5FL 5 TZOT 1. OIRI xOMt (DsGM9KC YH}RI G 925(L 113( 10 Om xow IO OIKI xOMt IO OIKI Yow 101 IKHD97M GL fl. T-1 z �a U v" U ¢ = �x s� U <y W 0.1 z Q 33333 33 o FlI GFFXI.I•iOt IFlYU Oi IKYOMTFZC F ( F I k L A YFRRI '2]( OTN ZVK 1 N 1 N 1 N 1 N 1 N 1 N H T02 YO A- 51F127(W<251 51E -27181E-25( 5,F127(%<251 Si£47171:-251 5.--171 E1i<-251 5,4<27(716<251 50161E -1e1 LFZK1121!2<9 OTN NKFI -o"E( :IEI :IH :13-25( :13-251 :1:1 EIL :24f XK OYOVI fGD'K Y GL— SFT LFHZ XKX SFX CO SFX OI SFX OI sFX OI SFX OI SEXOI SFX OI I= H ITNSM, H ITA 5m, MFTMN HP'TNW! HIN ITA1157 HN TA5353 H ITA5355 HIR65- :2P1 YOS RFZK :21( YOS RFZK :11, YOS RFZK :21I YOS RFZK :2P( YOS RFZK :2A YOS RFZK :2H YOS R- 5 TZOT 1. OIRI xOMt IOO Ho. 10 Om xow IO OIKI xOMt IO OIKI Yow Lo—xo. 10 OLKI xom S nOT VFVK% XICHZFTM RF XKHZFTM RF XKHZFTM RF XKNZFTM RF %KkIZFTM RF XKHZFTM RF XTCHZFTM RF On RFZO' MRF, OT RFZO' MRF, On RFZO" MRF, OT' RFZoMRF, OTY RI— A9LF, on RFZO' MRF, OTT' RFZO' MRF, MRF oT RU Ik (FXMV RU Ik (FXMU" AU Ik (FXMU RU Ik (FXMV RU Ik (FXMU RU Ik ( FXMU RU Ik C FX'MIl' Y=: my VKXLUX m IFRK 36 3.E 3.6 3E 3.E 3.b 3.E 5MMl( OTZKXO LOTO ,'FOTZA VFOTZF .'C'm mm woo ,T(3TZk mm KHH: K ZKXOL FIURIL NFXI FXK YK TU YF,' ROL TL YFY ROL M YFY ROL It STY ROL Tl: YFY ROL W )lY ROI LMOT NFDRK. LOTOI N IES GLSN— }TY RUIll. LOTO. YFY RM. LOTOI 1TY RUH. LOTOI YFY RM. LOTOI YF," RWLOTOI }TY RUHI. LOTOI .}WTRm L7B98NE9I RLMPYk N05 NOZF NOa NOZF NOZIt NOn NOZI W— 12F 121 111 12F T'' -F 12F 12F NFR11,'HXKI 2 NFRiIy}IXN 2 NFAAYIDOG 2 NFR11,'fIXKF 2 NFRhYf3XKF 2 LOGKXMR NFlUI}TLXKI 2YI[XTU HNE.ULUF LOGKIQ4IC 2 FB4FXFNF ,,OW HNFXIRIF LOGF]IAOt sx}i FINFXFIUF LOGKXMR sK}T ELNFXHUF LOGKXMR sK,T HNFXLNF LOGK'Q.4R sxn HNFXHUF SKYI sKYI LOGKXA9L SKYI PERMIT SET YNFB Y YZKS TUZK 6 7 A EMM F9:1 a A K -t9' NW VI.H VLH RU VM T K'94'VKZI+1 KU VLH 4 FP:( KU UHWWL MR RV IRM ZAtTWKH R F8.1 n �76M:G:HN AFIIL KF6H TCH'ITi fivf r t:.5( C7 61G6E:CE 5CCE 1`4965HA6 LM ROVT1 R' HI Lww XM R M N C P VR Rh, PI YHVR IJHVNIM ZMi IL MZRt -,WR' MVR -VI M MZRVKW[N PHZLHZM M d T1'KS M PRVON -W 14 PHLN MU 141 -M NZW V MTM H R1 . M! NTWV) 11 NW I- RVOI F9.< u F8:1 6 7 8 9 E B KLIE 8N HILNC I I T I I I i I I I I i°i ! is°il II I I I I I 1 I I I I ' I I I ,. I I OE6CBB: ( IYM Nw'YLH Rw t9.1 I G NRZ H I I j�------ (873) 43A41-G:C£71 ! `i - - IrI_ I FH1W NTWV VHUI V� c" OZW HZM ¢ I' -----I 1-_ O I 55 W UMV NRVV lLy � � 1 :D9:BC IF !IDA X I' ° .09MOU °001` 0 58 HRK NTNM __ _ _ _ ______ _ jcoo J--- --- x av Tx R\V c- I - NW -HA Fi[( Z ZHT KC M 0KWV NWW'IN. '69--^P XNZRUM l i lilt - I j( I I I DEBC054I ,,�OA7209 00' i I t9:t Q ¢E Ih -I--1I C W . ( ZK ZHT Kw[IIV GKWVKZM NiVW'KJ-, 'MI LZH RVC I :. I I I I I I i Q.IS -2 647 PRV'Ob HRZ H I i o. t I vM NRzhlxTf I : £PRWh XXWK I I I I ! ' I I ( I I I D r �----------- I 111 ____ Ki0'1 j RV NW T.HI YM1I ! KU UH WVZ MR R RRVV I R'AT Nt i RT- ! ZNITIxH R _., Z1ITWKHR I i I KH M WXNIVP III��� v/ 69t9 8 9f 1 j I O O ii 7O-] 649f M R RVC j �76M:G:HN AFIIL KF6H TCH'ITi fivf r t:.5( C7 61G6E:CE 5CCE 1`4965HA6 LM ROVT1 R' HI Lww XM R M N C P VR Rh, PI YHVR IJHVNIM ZMi IL MZRt -,WR' MVR -VI M MZRVKW[N PHZLHZM M d T1'KS M PRVON -W 14 PHLN MU 141 -M NZW V MTM H R1 . M! NTWV) 11 NW I- RVOI F9.< u F8:1 6 7 8 9 E B KLIE 8N HILNC .0 O !... -_- PWhR I I -_-_-_-_-___-_-_-- I I OE6CBB: ( ! ! 8ECF£ 7ACCE 3E63 ��j-I (873) 43A41-G:C£71 ul I FH1W NTWV VHUI V� c" OZW HZM ¢ I' 1-_ O I 55 W UMV NRVV lLy � � 1 :D9:BC .09MOU Iv�}I 58 HRK NTNM Q^ 6099H 1. jcoo CIO W F9.I H098 17A 29BD4E _-_-110 - U-1 lilt - I j( KN M 9 t9:t Q ¢E Ih -I--1I C W I ! �' x Q.IS -2 647 PRV'Ob HRZ H I f`FV-II z KH M WXNIVP III��� v/ j I O O ii Y�I-I I TI `\ O I.:.. V IRa � rn X.PHK NTwV ! !0 6CBB: (- 'll O ' XXT zMOR N 143CBB: 1. I 104 ] II O I I08 , 7 ax ZRO M 6P RHI MID N:H WN: RV'. E9:1 IXD 4 ,10 ❑ Z M :�� zM wzt Xwz Ruw RL. XTHV M N1ZRu F[IT e G Wrr --- _ 01.I - t] 143CBB: I- -7 O ] 647 FI ..: 74 ^98T)4E 7 1 vM hlx . G4 7I F94 ASCI 29Bp4g_ 01 O_ ' 10 ( 6099 1113 9 _ O d i Q i I 1 I I I - r- � 0 z a it F z_ VAI SR KPhi RHIRVM2 I 1 ( O O O Z 97G7A5 ,37A7A5.87E264A n ' it 02 H.^ 7 1'ti a y � Y M XW MZHN MZ HINM1 ' I I ! I T luwn - I F � XH KF NRVV ZMXH4ZM -MR. ZMIJW N I R1'LW RV HT VM ZMXH MPR RV KZH T HKKM it RLN XTHV NTWP III F9.t 'S4`LU XHVA. X. it ''�5t1YM'z za . _ ZMXH42M ---------- -.11 R , I I KPHR ZHR, HTi XHVMTR , PWAHU I N V. NIR RV RVOT.OTI[M Nft7R RV RVLW MY R3Lxt 4 RVLWR MWXM1IVP K'�'VGFE'iJ VTI k'GCW kV 81'LR' .4 2nSAB'RLR1 -- 1 IPS tRf 'C'. •.7ni N9 ,N a al"CX I I 9 I fi k9:8n9f 7:E6 DECG64G.C1 A696BI XM UHVr KHTI1 1491 r 1 .51 I r I.51 KHZRN uwlw RI K© vMMLew 6 ] 8 9 E P B LH M SE4]H4(P ZN RRw^I T1�� �,V TT-- A[_PLI AFIIL T� KF6H !31 UWSD LM MICW EO KHTh f491 a :BO6E:CE 5CCE F4965HA6 LWw'1 UBV[ MTMHRI ZWW VIM ZWW1 LWw Xhl TMH RA. P 1 PHI ftH$VM XHw XM NRVR -H-M VWM ZMTH .N LMRVO TR R44LRVR149R KPM 651 RVOT I- ].91-1 5.:1 ® TRRI4LRVR14IRKPM 657 0.VOT LW'N 657 ] [ u® I- 661 -M WXMVR 7 -QE.] 8401 5-.:1 111, URV A 658 tI�\ I \ PH1l 661 RVOTLWW 1,0P.(1 5.:1 9-CHVh.XHVATINTH XHAVA 76M:G:HN( SJ�p�\\IIICCC.... 659 \ AlPZWw' L 11 659 RVOT LWW ill P.(1 I.:1 I H 9.XHVN XHVTTNT XHRV A ADLAFIIIL K 6H1 65: ] L Ih1CZWw 11 658 L-1-1- 9.51 1.01 5.:1 1-- -1 NTH -VI 651 01 -11 658 LW-- 9.51 '.(( 5.:1 9.XHVN XFRT[I NTH -VI PERMIT SET /� � ISE /Y\\ r T ® I-- LW -LWW :.51 P.C( 5.:1 9..1.V1 ..1-1 NTH XHRV A 65C I \ IICC1 ® IMI2Nw )] 651 RVOT LW W 5.:1 9 Y 1 XHVT1'] NTH MRV A 65E ] 11M. 65C -IW-- -I P.(I 5.:1 144 XHRV A /� / /� �1 \\ // .. . O 665 l C HTS.R.KTW 1 -5 RVOT 1- 711 1.0 5.:1 1--1XHVTI'1 NTH XHRV A