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HomeMy WebLinkAbout2017 Aug 07 - Sign Off Transmittal, Plans - Sunroom T..�en,,g.�r -.-��.� . _.. �.�.�., ; -� �----��.�- �, . ; o� Y�� TOWN OF YARMOUTH � �"°`'�'`,o �; -;� HEALTH DEPARTMENT Q:..�,_ � - '-j"g ��`~''� ``�l� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ,,���NE To be completed by Applicant.• $uilding Site Location: � � �� � ��°� � s-�-e�n �� rc.�-4. �o i..J� y�.,c��,,�, Proposed Improvement: 1�i � x t to� 5�� �o e w, ��..��cQ.+� u•,� Q�,�. h�,v�..Q ��a)- �a.r c�S-e C3� S"o,�,u � � APPlicant: � �..`�� � � v�e,��a Tel. No.: �a�'S' 3� t� �'}�CG Address: �Y'1 t��.,.• � , l�.aQ;+�+r��S M�► , Date Filed: �-�5�� � o t ] **Ifyou would like e-mail notifacation ofsign off,'pdease provide e-mail address: Owner Name: �G� �+�� �'\0.0 e.r� �u d't��`�I .> -. Owner Address: � C� P„N.�,� (�����, �,:sc,�s So�� ��r�nr-e�Owner Tel.No.: So�- 3� � - � 3 Sl ................................................�................................................................................................:.....................................................................................................................:..............................................:.......................................... RESIDENTIAL AND<OR 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: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all egisting and proposed) — Note:Floor plans not required for decks,sheds,windows, rnofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. .................................:.........................................:........................................................................................................................:..................................................................................:.......................................:........................................ ,, REVIEWED BY: DATE:��� � PLEASE NOTE COMMENTS/CONDITIONS: * j�C� tn�� �c�c-e� �c. M cc '�-�►�c. Cr v e'/ S~�.,�.v�r✓ �t c.► ,.,,c. 110.00' 110.00' v � `V 38.4' 0.04' O p I�ER � ySHED p.l' y - � i � � PROPOSED � +� ADD�TION � w � rn � o � � /. � EXISTIN� STR�CTURE � 27.3' � -/� c.� � I � W �or �3 G3�C�G�M�[D � 13,457.2 f S.F. A�� (�� 2Q�� ;���t�+�-'►�.s� 5'u+✓ �y"` ;� ROBiN ��'� HEALTH DEPT. WiLLIAM `� �i' � �� W���oX � � CIRCL ! 32 EN ,� rJo. 31 s41 � �.�, s2� � '� R� .� o �o �, ��E`��G/S T E��¢J� '" TTING ; �,� �A�o p U � � TO THE BEST OF MY INFORMATION, ��PROPOSED�� PLOT PLAN I�� KNOWLEDGE, AND BELIEF THE SOUTH YARMOUTH, MASS. ', STRUCTURES SHOWN ON THIS PLAN �OT 13, �.C. PL. 31979_A HAS BEEN LOCATED ON THE GROUND DATE 7/15/17 SCALE 1" = 20' AS INDICATED. JOB 7885-00 CLIENT AGNELLO 7/15/17 �/�,/ SWEETSER ENGINEERING 203 SETUCKET ROAD DATE PROF�ESSIONAL LAN SURVEYOR OFF. 508-35°6 013 SOUTH DENNIS, Ma o2sso FAX. 508-385-6991 C: I S8 I PROJ I 7885-00 1 dwg I 7885-PPP.DWG O 201 7 SWEETSER ENGINEERING � � ��.. _ ` � � r � � ..v �. S ,°�i � - � �' d '� s � J : � � � . � r 3 `� =- � J L � r � � - � � � � � "t � � - � j � - - ^ r I Q _ - � : � i - � a � fb � - ' �} 1. �. � i 'i� C?'_ ; ! �+ _ � �`�0 � � �- � � � � � 3 '� � f � � . � j. -� !12 � � "_ 'C . 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