HomeMy WebLinkAbout2017 Aug 18 - Sign Off Transmittal Sheet, Plans.� �,,,, �.� _ � . . -, , -
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o�Ya� TOWN OF YARMOUTH
��` ��t�° HEALTH DEPARTMENT
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•�.»�-� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: �„ + �, >> ��0�, y a- ��1.0 L�.t�l.���t
Pro osed Improv ment: �� t 0 u 1�0
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Applicant: � , V(1 G�Vt,�j"-r� II+C-� Tel.No.:s�p"� � 7' �Os,�
Address: �3 N o rt�. �1 a�� ft. �1 � ��.Y 1��0(t��.. � 02 �ro � Date Filed: V �� l
**If you would like e-maid notification of sign off,pdease provide e-mail address:
OwnerName: h�p VLQ.�.(�..� �(�.(�✓_ l� `� � e YG�(�. �f �, .L,.�,n
Owner Address:��,,,G Owner Te1.No.:�0�'�Q y- Q:�q('p
..........................................................................................................:......................._.................................................................................................:............................................................................................................................
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, roofang;
(3.) If necessary, Title � application signed by licensed installer
with fee.
........................................................................................................:....................................:..........................................................................................................................................................................................................................
REVIEWED BY: �` DATE: : g����7
PLEASE NOTE ? U �
COMMENTS/CONDITIONS: , a J
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��� �.�° �,� LOT 26 "
. P�,`Z' 15,930t s.f. � i ,
� 0�" (.37t ac.) ��O�o �OT 43 �
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EDGE OF .�h0
� POND PER ;
, RECORD PLAN
DATE� ,�g�'
FOLUNS DEC. 1953 v�
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POND DWEII.
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LOT 27 EXIST. 1 �
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JOB �97-294
CER TIF.�ED PL D?' PLAN C �OW1NG PROPOSED ADDIT7 N )
LOCATION : #2� �BB ROAD
(YARMOtITBPORT) YARMOIJT'H, x�tss. PREPARE FOR:
SG4LE : t" = so� ua� : s����te�R z4. �ss7 pETER & AN E HICKEY
REFERENCE : �'� BS. f f3 PG. 8S
YAR�OUTB ASSESS. 11�lP f29 PCL N26
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� oH TM�s purr �s wca►Tm oN ni� �► �a o� �
GROUND AS SHOWN HEREON. NO DELINE4T10N
OF COASTAL RE50URCE AREAS IS Ii1ADE OR ARNE ��
IPITENDED ON 7HlS PL4N. �
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��,,��,,,,oe� pATE REG. LAND SURVEY�Z
EXISTING
PROPOSED
AUG '18 2011
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DATE:
8/17/2017
SCALE:
Not to Scale
SHEET:
Pg -4
2nd Floor
3/16" = 1/-(
La
Master Bedroom
6
Existing - Remain
I
Mood
cation TB01
Hoo t
-- - - Optional -One large outdoor
shower with door coming in
from outside and one into Master B
bathroom (eliminate door to
master bedroom c
I 7W. r -70 0,
� � 10
Tfs
Expand opening
4066
Opti nal Sar ea
3'-6" Pantry
Adjustable -Closet
5h�268
bpi m 00d i
4'-111/2" - m
Tile
�
Closet
road ( Guest/ Fur itu W ' Wood wall rernat<
T,�. i in as need d where wa
36" High V Ity
Bat ( are altere .
o a Mood - -
g [[ [
Existing - Remain Existing -
1 st Floor
1/4" = 1'-0"
Remain
PROPOSED
Existing - Remain
0
airs to
om,
[all side
R
Optional - Remove
door and wall this
section, patch flooring
and wall
Wood walls remain, patch -
in as needed where walls
are altered.
Existing - Remain
U3C✓`Dl���'[s'
AUG 18 2011
a
6034TO
Optional - Replace with salvaged slider
=rte
Double
.azy
''>usan
Trash
�
Wood Ovalis remain, patch -
Full -out
3 ` 1
In as needed where walls
�— — — —
are altered.
(
pice
—
f ull- out
fel
Micr wave
—,
dr r
I
I I .
Nood
—
J
belo
l
I
Drawer for
1
I
I Plates' 1
7H 7116'
4411116-
411116'W—d
'nI
W-4
I 7W. r -70 0,
� � 10
Tfs
Expand opening
4066
Opti nal Sar ea
3'-6" Pantry
Adjustable -Closet
5h�268
bpi m 00d i
4'-111/2" - m
Tile
�
Closet
road ( Guest/ Fur itu W ' Wood wall rernat<
T,�. i in as need d where wa
36" High V Ity
Bat ( are altere .
o a Mood - -
g [[ [
Existing - Remain Existing -
1 st Floor
1/4" = 1'-0"
Remain
PROPOSED
Existing - Remain
0
airs to
om,
[all side
R
Optional - Remove
door and wall this
section, patch flooring
and wall
Wood walls remain, patch -
in as needed where walls
are altered.
Existing - Remain
U3C✓`Dl���'[s'
AUG 18 2011
a
1/8" = 1'-0"
2nd Floor
EXISTING
DATE:
8/17/2017
SCALE:
1/4" = 1'
SHEET:
Pg -1