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HomeMy WebLinkAbout2011 Mar 22 - Sign Off Transmittal, Description of Work, Plans1 � ,o��q�t,� TOWN OF YARMOUTH � . o� � ��}� HEALTH DEPARTMENT � �=� � � � � 2�11 ��'"-�=.�``'i�' pERMIT APPLICATION SIGN OFF TRANSMITT ��E"�'� :.: „ �` . To be completed by Applicant: Building Site Location: y��v /LT- �� �����-��� Proposed Improvement: ,�/� 1N2�G�vN — /�1��7r� j���CC �2.�°�'!r''�J�Z ��[5t'��{-7 1_��f77fr . ��� �%il���, s vr�1�s ��4-r�'J��"'� ✓�z�u��v� �'l�C���_ ��/'� C ��'�.� C� �v�/ ��ov�'t S G� �i�7�.t�tsms -- �V�v"���.��. ._-- � Applicant: l���7'l.l��60.� ���/��L � Tel.No.: �� -L�C 3 ',���-L t'�,l k � 2z.. Address: l��i �G��D�-- �i¢y' G�� L��.U`r l(� /�'� Date Filed: � 1,z, i( GZ�3�. **Ifyou would like e-mail notification ofsign o,f);pleaseprovide e-mail address: �'��� �Yrl>c%�'J @' C�i�CC�'7F,v(s�t Owner Name:�rT �i�� %��tSS.-1 L'�����' Owner Address: y�� ✓�T �i� �!�/'��-���{ Owner Tel. No.: �� ( �� ���a � ,�3; .................................................................................................................................................................................................................................................................................................................................................................. 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 Pl'an showing existing buildings, water line location, � and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing 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: DATE: 1+�-- �i PLEASE NOTE COMMENTS/CONDITIONS: � i E I , � C�p r� y�� ,�: �.�- c-�.�.c�. ����� ���� �� ' � Ge�.... � ��� ,��� � �� � a�¢�-' � ,� G'�.c �n .�.c.C�.�oc� .� �� � � ' �j� �csc.,�vr�. . /. yL/�� �,.�-�✓,�.. � /t� �a�v�� '�P � - .�- �i�-1 ���a-f �,/ooZ ��u, . � � ?. �jt,��- G�--r.�c.�'�-- � � ��Yno7r� ?`� ,�il� . � �� � � ���� �� �d� ,6G:�,� - �p�u.l�� � �`� �c.-�r�.-�'-�. 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