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HomeMy WebLinkAbout2017 Jul 03 - Unit 6 - Sign Off Transmittal Sheet, Plans - Deck Extension ,,�.� � _ ;--���- .-��-.� ��� � ._ � � ._. .� ._ . . , . � _ � � � "(� ot-'Ya� `` TOWN OF YARMOUTH �..�� W �; : �� � HEALTH DEPARTMENT � o:.� ,�, - ._� Y�~•;'`�°."-��'��� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � be completed by Applicant.• N ilding Site Location: /�f��f/l�'6� /�'U� ��Lr//T�� -���r»dl.t1'� Proposed Improvement: G�XJ",�'/��D/? T L'k/S�iJK' C�E�� _ �x�i�Ti ah /s 6''x /2 � Applicant: ,Ii4 / Tel. No.: ��'/a111l�-��.� Address: 1 ����C�h J��✓ /�� �/�D Date Filed: 7 /� **Ifyou would like e-maid notification ofsign off,please provide e-mail address:_�U�� C`jr''STt"/Cr�V, CL�1 (/ Owner Name: i � � �1�2 /� ! � Owner Address: �f' �.f�,�� �U,��r�sy'�� !J'f� l/�Owner Tel.No.: �f/-,��,,2',���� U ....................................................................................................................................................................:............................................................................................................................................................................................. RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Campliance 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 existing and proposed) — Note:Floor plans not required for decks,sheds, windows, roofng; (3.) If necessary, Title 5 application signed by licensed installer with fee. ................................................................................. .....:. .......:. .......:..................:................................................................. ...............:...........:.....:...... ......:. ............................................................. REVIEWED BY: ��� DATE: �� / .� I PLEASE NOTE i COMMENTS/CONDITIONS: . � � ,- -.__.__.�. a � � t�, ^, ,l., � � � � ��,. � -.,_ � A� Q � � a w � ,.,,,,, . -.__.. _--._ � _.._,_::... , _s.__.n_ r' _ ....__. , _ �.� �s � �� ;�, � . . i 'x M+M ��r.�' ( � a � , ��' � � ,, � ° � �,c� � , ..__ . .� � ; � _ � � � � ��� � , - ___.__. __ _ _._ . � .�.� � , � `�� ' � - , � � . � = �. � �: �'� ; �--�--- . -- � � �__�,� � ; � .�� _� _ . � � r � ; _ ,f ► .� �_.�, ; �--.-�� i , � ,,, �' I � _. � � � � . �� � - � . � ; ,� J / f � � � �� r. f i '� j � I ;;�� � r �e.fi � ; � i'�_ j � � � f �``�" �f i �..: , , � , _ :. _ � � � f � �- � .� � � � -_ .. i ~�i , ....., �^� ! 4 �;� .�.* ; ; ,.__., , � �,, �,: � � ,� � ; �.T i � � . `�� � 1 �,,. �, �.-__._ .S, � ... ..._: , .._. 1.=0, s'' ,.---.—� 1 _..._ .,� ~'' '� � � 1� � .,__.-} '.J-. '""+e,, �'`�? �„� I!�`l'' ' f _._.... � �1 � '`�.,� �i l�y� � i i... Y�). � �-�( I �f� �(J �-j i � l - � � .5 -� � �I y` �� �� � 1 ��� . . ^".."' � , ; �� �; ;�,, �� �...___ , .�� :..,g ; � � ��� � ;; � � � � i �,� ;�.�. �1 � �-�--�. ._ ' �;:=-�'��, .,� ' ``�*.., � ...� ��.aa j - , _l �`"'� , , (..�_,_.._ ,., f , ;� i s � jl j ! �, ��1 i,,__-;_ ! t � { � i �- ' � - � ! j .� i � a`�drr^1 ; , ; I , � , � � � , � . ; 1 ' " ; _.: __.. �:.,. __ _ --- - - � f fi' ��_�.-��__•-.�_ ' - � I f "��. ��.� � y-5•a i �. � ' I : ..�i -..� i �y�x, i ����� � I i . ��`' � , . __� '—._-""'_..._.._..�,,.�..mr.-+-•I ,.� � _ .�,_____ �,� ' 4 "�'"�� `►7C�►���D � � 41, SAY - j-�rz,it - i76c. _f L.,I — 6.1 3 ve X,'. , �✓ ;'j' "0 id f n: 1+0 , f If i ww, LJ v1AU.. e' _ i I ,'fir t ��.- � / ���` T •. 4f. NIS _. j �� i? t"�{L+ �i'C§Jf `_�r ----- "r" — ,—",' �'. r•.,.�C s�(� -.` l: r' � C ia..l 1 � Cq� S 77 12 ,3— c Yarmouth Health Department PPV,ED ame Date nrTP Yiu. Mt 15 41 .r r i �i ' `Ft -:-,v s' n.,c c, ,.,y��'-' J •4i`,' f j '1✓ .!� ' 1 FJ- 1� 1.3•x'.. '' .71 .;r„ � � „� +- � �-'�•�-s�`�#��^���,as�,-��'-�- `fir-�i�k� � �. •��'- � �'-€� � s � n �f �,e ,`�� •�'•�-4� 3�: .z"-xS.x..':�,�` �'c�� } Sr .�''L�` ..',mac �'-ruE--,��.4 ,� �i � � -,.�`i �' ���F'`.y��ym3�0�'�,*�:�&`'i". '�� :� ti'�� Caq., '�-i- -a-: `� '4 }:'s''�--r-- .,amu.-•uyya+F�Yi'� � �"3" K'yXw, :�.�„ .£�- '�y.— �\ _ t Yarmouth Rtaftartlttt 4 z r g �yBea: g 1 I tiED ti 1 ` OV _ .. �.,.. :. .. ._... .. , .. ....: „ ,. ...... .... _ ... .. .,