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Home My WebLink About2017 Feb 06 - Sign Off Transmittal Sheet, Floor Plan and Job DetailsYak TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET T e completed b A To b Y Applicant: P PP TO W �. Building Site Location: Ll q,� R ('n o Proposed Improvement: Applicant: ��.-' �c DwV,_ S_ -J Tel. No.: 5� 0 88 ��dS Address: Q. 0_ _Z� d- S % 0;>5:�>31 Date Filed: -";L- 17 **Ifyou would like e-mail notification ofsign off, please provide e-mail address: h,-,S-se_l0-1 Owner Name: e- sr -re -.4 C- S S� -z Owner Address: 11 77 0 ,\-, Sk I e -e Owner Tel. No.: �_08 -2 7% ..............................°"%.... -...................+M �- .................................................................................................................................................................................................................................................... RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Complianceto�-State'aiidTown Regulations; i.e., Requirements For Septage Disposal and othe /]l I brie Health Activities. REVIEWED BY: Please submit three (3) copies of plans, to include: (L) Site Plan 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. ............................................................................................................................................................................................................................................................... DATE: A 2 PLEASE NOTE COMMENTS/CONDITIONS: - r ; � � �d� - �� lo�--� ia'�- ( ` �, �� _ 1'1�, �(� ,J ` lb 3I7 318 P°\ �300 UPPER ROOMS � . 3I5 316 313 314 O ' � .C.3 B 3I1 312 p 0 BUILDIN r0� G 309 310 . 07 308 � 305 306 36 34 32 30 28 26 24 22 20 18 16 14 12 10 OS 06 04 d2 303 304 35 33 - 31 29 27 25- 23 21__19 17 1� 13 11 09 07 45 03 . O 1 � � 301 302 _ _ T ICE D � SODA �. �� BUIIJDING 500 LOWER ROOMS BUILDING 11s t2o 600 UPPER ROOMS 117 t18 ' 115 • 116 200 UPPER ROOMS 11S l l4 111 112 � OUTDOOR t o9 1 i o POOL A ' BLTILDING 107 1os ' _ _ _ � 105 106 � ' 103 104 i I'I�[S � � ��7 101 102 ' ; � ' _.______ _ __ __ _ _ _; GAME ROOM SAIJNAS ICE&SODA ROUTE 28 � � � � OFi�IC�'`~�� INDOOR ' '- POOL _ "j�w� t C v•� �,`�� . � `„� V�,e � • � . . � �� i . � .,, I > � � . r� � � 0. i •� � ��NH 1 �.y � 1 ^ � o � � � ; � � 1 ° � 3 � .a � m�,�s �L � c a -a'_++ 1 a � �� g � � 6 V - o.a � �3 �.a 'o� � � � � � ,;� � � �' �� 3 0'� �� Q- � � �� ii w a°� � �,'$ � �O � w °' �' ,� ' � c� � � � o �003 � � �3`= a� � o ��'� " J � � ZE m o � °�.° � A � � �.: xm � v'1 �-' `C � w � �s `.� � �R ='�� =� � �� , ci o�� °. � � � n.� a �s • g•�, ��n � �N� � — c C p�� o!f� � aJ ea � ��.._.,_.�,� , C�� p � _.� �.+'� �R� � Q.�� d 3cr� �4 ��°, �� w ••, � t�—a� � O C9 R m m� �� 5 �.�� ug��Z I� -. ._�. .. ._ .,.. _ .- _ m.� _ ,, �� . ._: _ � ,. , - - .. _. - - - - . . .- � . ,.. � � i 00 � . � � y t � di O � a i��7 I � . , .. . �� '� � O , .. '