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HomeMy WebLinkAbout2017 Mar 31 - Sign Off Transmittal, Plan - Porch r � , .^,., .�,.�- ..,. .��P--_ �. �- � ���-�1 i ti� a � o: -�Y- ,��,� TOWN OF YARMOUTH ' �; � ��r� HEALTH DEPARTMENT j o:._� -�� � ��4''���-`~� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � � To be completed by Applicant: Building Site Location: � O S�t'�n a er L-ft/ • Gf •,�_z���� � Proposed Improvement: , 1 � 2 �_ g'' � '_ h ��,�- � �' �yl� f j I I Applicant:�%,�� � (�1��� Tel. No.:�G�zS�{,Z. z--1��o�-- � Address: Date Filed: �-� a-/�-�' � **Ifyou would like e-mail notification ofsign off,please provide e-mail address: Owner Name: �U ��v-�"T' �v � ►1�' � C.. �� � ,:µ.M " _ I Owner Address: Owner Tel. No.: .................................................................................................................................................................................................................................................................................................................................................................. _.,. 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. �a� 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; I (3.) If necessary, Title 5 application signed by licensed installer i with fee. 'i ...........................................................................:............................:...................:.............................................................................................:....................................................:........................................................................................ REVIEWED BY: � DATE: � 'j � 7 f PLEASE NOTE COMM TS/CON I IO S: ' o �� � ��-� �� � s� G� ' � � � ; � ; � � , � t :� ; � � � �1 J08 N0. Y71-36 L NOTES Quintilirnt�P.dw . �:- � t. LOCUS IS A.M. 23, PARCEL 12t. � � 68, 27 8 � 2. LOCUS IS IId Fl.00Q ZONE C OPI FlRAA DATEd .WLY 2, 1992. 3. OFFSE7S SHOWN ARE TO THE CORNE'RBOARDS. � S9S � N F � 9322�0'� ANZi�VlNO � ��t,/ LOT 36 `� � � � 15,835�S.F. �g Z Q - Z � 33 � ` 5 ' � n- 4 6° N/F �' ���,��_:.�' � ' �► �� CHANG � � � ��,x� _ _ .�n1�` ��` � ���� �, � � , . � cp 32.i' " . �. :r � '� _ N �, W � ^ ! ' N � m � `^ ~ - �oc�na+ �ar � �+ .. 32.�s "� tx_1'f 1` _ fiI24/Q9 AS-81ALT � � � � ''� _.� � � . N�� --- - � .. 0 ln ^ �- 5 �j � t'+- Z _ 5,+ fj. � '�' .� ��C � *�' � ' '� ' 7 —_ � 00 M :_,- m :: m;`. 5 '3 .. ,, ____ _4____.___. ('� Q � ` L1.,,.. 38 �' � � :.:::...N V � a� � N�F . � MARA—CHRISTIAN � 5�� E 1'�a �0 20, 65� N NEW FOUNDATtON N jF Yarmouth Health llepartment GUSTAFSON �'P OVED � CERTtFY 1HAT THE L�Al10NS �IONAJ ON TH1S PLAN YI�RE AdEASUREO. �� r' !N THE FlELD ON 11/fl7j 1, �/20/�2, 2/�s/ta a� 3/1z/�� ame _ Date t ! ��� �� AS-8l1fLT PIAN �d�� �o�` ��� RO Fat � �A�, s � BERT R. & SUSAN T. QUINTILIANI a �A°s��'�� �' tOT 36, 90 SPRINt�R LANE, YI�ST YARMOUTH, MA � -o #35779 „ '� � NOVE#ABER 15. 2011 SCALE: 1'=3p' ��1°��s�����. U su;z �. � �- R�IALD J. CADILLAC, f�.S. RSr P.G. PR�ON/1L lANO S{1RYEYOR dc f�4STFRED SAFNTARIAN P.0. BOX 258 REd. 3/14/44--NEW f8t1NDAitON WEST YARkiOtJiH. WIA 0�73 REV. 2j18/14--EXIST. HOtlSE UPDAi'ED dc PROP. AODI110N �C 2pt4 8Y R.J. CA1kLL,AC t�} n5-97�