Loading...
HomeMy WebLinkAbout2017 Oct 06 - Sign Off Transmittal, Plans - Sunroom .���;��,� TOWN OF YARMOUTH �; � �-��:° HEALTH DEPARTMENT �:..«w - ."�yw�� . ���ly.{' k`4lK . . . ���� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant.• � Building Site Location: �'`'�- ��/ ��$t"'' �.v� Proposed Improvement: f �/�� /��i f'SIS� t' 'e A licant: � pp �'� 1``4�f�''/��/� Tel. No.:��1�'-rS'��;,�/� Address: /c�� � �-�'•c,-t- � ��t .�y ,����l�.�, Date Filed: !p �-� **Ifyou would like e-mail notification ofsign off,please provide e-mail address: Owner Name: �s-�-�j�, .S/,�-•f� Owner Address: � � C�i�p/' C''��y5�" �'� Owner Tel. No.: / ��'/- �'7S' '���d ..........................................................................................................................................................................................................................................................................................�.......�........................................................... �, � � � � i RESIDENTIAL AND/OR COMMERCIAL BUILDING HEAL'�H 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 ' i (all existing and proposed) — , Note:Floor plans not required for decks,sheds, windows, roofing; � (3.) If necessary, Title 5 application signed by licensed installer I with fee. � .................................................................................. ................................................................................................................................................................................................................................................................................. REVIEWED BY: DATE: / � � �� - PLEASE NOTE COMMENTS/CONDITIONS: . t � � � � � ` f ___ �, -- -- _ ___ � � �'1 ._. _ , _...___ _. . 4. f_'�-_ ,.�: _---� �/ � � . ✓J, `��� � . � ( �`. �`t � � � i � h , � � �FF. \ \1, —\ � � � � �� �\ -- . � � � 4 � � ��,_-.�`'�--�--j— 'I � !� , � � -- � — r — � � r, � � � �. . I + �./ ' �----.__ — —_�► � .•- �- � � � "\„/ �ti� . � � � � �_ __ ' ' � � � �--�Y, �� � � �� `S�` ��, �'�; �� �' . . : ��� ,,� .� r c�. -------- _�_ �� �\ � �� -�- � � � .� � �. ,� _. , ,,� � � ��� � __ , ���_ ' � � _ _� � �---- , , _ �. � � � _ w� � _ _ � � -� � . � � � _ ---_ � � _. �� �� � � � � � �_� �- ,� f � f. �e�r •� �,1 � '��� �; � � � � i `' � o ../ -i � �i d p; � t � k ` � � . v � __ ,,, __.�.__ _ �, � � � � �� � � � c�y' ,-_ `., ,..aT--- = ��. � :� �� � \ � � � � �c--'-- i- ` ' ; _._.. __ _._- - _ _ . �- � �.s -_ \ __Q,�"- _ - �_,, ' _____ � _ � ``� � �