HomeMy WebLinkAbout2017 Mar 08 - Sign Off Transmittal Sheet, Plan - Renovation off Front Office . . -t_ _ . �,��-.�,-.--- —_.
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o� Yak TOWN OF YARMOUTH
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��"'���%�l� PERMIT APPI�ICATION SIGN OFF TRANSMITTAL SHEET . „
To be completed by Applicant: �(��� �=- � � , '
Building Site Location: � `rj � �G )rl '�� � P 5 7 �'S R, yh Q�/ �' h � �^A� ���
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Proposed Improvement: �Pl� a V a�lc"ti ,' C��� ��G h� �} ��1 C�
A�g�licant: �r� I � C.:a�� Tel. No.:_ �4� � � � . 1 ��.S
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Address:����,,�%,'�y�"[t� iR �� ��5 P '� Q ������ �� � r /�/� Date Filed:-=��
**Ifyou would like e-mail notification ofsign o,fJ;please�irovide e-mail address:
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Owner Name: S�i 4���G YZ �G� �in �. ( Q e �^`'a V�la v� al
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Owner Address: �1 � �c.� ► En ST� Owner Tel. No.:�e( 7�l' �S�S' ��/°�
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, - �:"`�.i ; �.. RESIDF:�I�T�'Y�L AND/QR COMMERCIAL BUILDING
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HEALTH DEPt��'I'MENT: Determines Compliance to State and To�Regulations, i.e., Req�irements - }
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, roofing;
_ (3.) If necessary, Title 5 application signed by licensed installer
with fee.
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REVIEWED BY: DfkTE: ���� ��
PLEASE NOTE
C OMMENTS/CONDITIONS:
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07-/ 01,4
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BUILDER WILL VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION. ------
SOME DIMENSIONS MAY VARY. FIELD CONDITIONS WILL PREVAIL Of
AS LONG AS THE STRUCTURAL INTEGRITY IS NOT AFFECTED.
STRUCTURAL CHANGES MJST BE APPROVED BY SEA & B
ENGINEERING. VERIFIED BY BUILDER PRIOR TO OWNER 7-0 W,,, e Co C/" rr?- y I-e(f �5 /Z r
WINDOW & DOOR SIZES TO BE VER ADDRESS 4-52 Wo9l" —5'7— r/-.-,
CONSTRUCTION.
MAR 0 8 1017
ON F.D. CIAMBRIELLO
HEALTH DEPT DATE REV
RESIDENTIAL & COMMERCIAL
2�2i%!� DESIGN
SlrrlV,3r DWG
NO.
C IZ04