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HomeMy WebLinkAboutMay 18 - Sign Off Transmittal, Liquor Sign Off, Floor PlanTOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant. - Building Site Location: ILA 5 Tr�;L iz, AIw 62L 4 Ma No.: Lot No.: p—� Proposed Improvement: < (C',sR,.1 t y � SST✓ 7 c�- n e t w, Applicant: N'-f j� j ( d 1C,nd Tel. No.: 3-2t 2 Address: yi���_ �1 ,�c,�(�r��, ,.�, v c, Date Filed: **Ifyou would like e-mail notification of sign off, please provide e-mail address:'%r) Lit d0P C nay., , j , Z 12kw Owner Name: 10 , ¢ 41- ✓ ) n, c & - , t t Owner Address: �? j P ? ( ,. •- S„ Z N 4; �� �,' Owner Tel. No.: 5 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 four (4) 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. REVIEWED BY: i/ e,, DATE: / / t� /0C?' v PLEASE NOTE COMMENTSXONDITIONS: r TOWN OF YARMOUTH 1146 Route 28 South Yarmouth MASSACHUSETTS 02664-4492 Telephone (508) 398-2231, Ext. 268 - Fax (508) 398-0836 New Annual Wine & Malt License April 30, 2010 APPLICATION FOR: MJM Pizza, Inc DBA: Scottie's Famous Pizza ADDRESS: 1077 Route 28, South Yarmouth NAME OF APPLICANT: Matthew McDonnell, manager (508) 813-2625 Contact person: same Occupancy 74, same as Craigville Pizza & Mexican, prior tenant NAME OF PROPERTY OWNER: Leasehold, Inc. 245 Main St., Wareham, MA 508-275-7540 Date of Selectmen Hearing: Tuesday, May 18, 2010. ** Please provide the board of selectmen with the new occupancy based on the Proposed Expansion/Addition of the premises including deck or terrace. ** Health Dept. Comments: Signature: NEED COMPLETED FORM BY TUESDAY, MAY 119 2010 ate: I r�7�7 Cj -e `Jo: q0�0; �� of�nir ww M IR Y frful fos tip+ wulwwsnar rf �.�. ' NIL f(Ot wwr m �o rar,a�i -"Tow.- FLOOR FLAN CONSTRUCTION NOTES: nr er Ir n.c. R ryu wl ws r Iw ur ewsr a fC rUfirb fw fsuw N r tl L tlriR rdser �•—^ QuwT 4.4 olVr ai WKy ©1Ws O � wW T{JL! iAa Kati A er w amo pmbar wieftlaes �me.wwN>.-a�wan Laos.n.nmasnm.ffs rer dmwrcfaa nmaw as lanaea�mo wanwrc �taw�awrlr. claws �as�.�rl.�a�iaf�a Qlaw wfi tllfi wi w.�fal laluoii "••_ Ot IiIlI1a1 W fldOw as lid# Ieas a 6� IM IYa eOa 1Y.fiI wUORIw NUIf1Y rrloaws ai'Inaase nm lamf to ©als 4as om R.n/w�a Isla ff.rrnur�. -.(�wnafcwairaa lwlIYirsse�MursW m.r rime nwe fflifi+s+i ourallwalls rir1al91..r1Aafd w.su.a r wr®IeuIH.Airs faaowr 'i rr.s�sll ria ntc ar fLLi >r -'®:161w JId�WffrrF rye Yl1 �� ® r�en wf�e ��K •n fao F LWR PArrERN PLAN �a rau vr.er Ge RRL NOTES ..r u.rwranwu....w.m -- s.Wawr eli� ♦ La were'Iwt 1lnn Iww we tl rrr wrsi wsi ,�r� rm a.r+s ... isw arms wwo BLmaw, sov x E ti0 .m7m. T1�• ao,, ,, ri.cw, l.reta�. Occofo n ( y zfw�a►�larlo�rL dor lwleris+iaa,• sls w4 If4f tl fY nfLL Iawl M r/LnY tl ' �1ldlT 011rMiY'.�tlta11OQ 11RL 1� � a s eflfar W Iw rm rIa uMs welaf. w0 ' _ ws. macs ur wo1 atn rmet ta[ usx im Lns a i Lw M.ni arr Mwlc Ilea I�Iit a lwatMni � II II n�m flu a�+im i law.11pla C®+N R[ YtbIR M wlk'11L r r3L HILT +iLrlii �_fa u®Y6sM -i SOlwo�rYal ne 110>•IN0.`isasetlWs �It�.'. x r! Iu. rlaa lnluuoils r wa affirms W "`�F fulr s vas rr+ la r fmww TYPICfq: UOOO 6LOCf4NG OEl'Ait (�7�7{\9 a'Ili 1 Ni'-. M `Aijiy Beachwood Inc. 402 North Falmouth Highway North Falmouth, Massachusetts 02556 (508) 564-4000 (508) 564-6377 Fax �r4, j(5s r '4 al 4/ TC�VV;�i UG`'f March 25, 2010 APR 0 5 2010 Town of Yarmouth/Collector HEAD I h ur-r- I . 1146 Route 28 South Yarmouth, MA 02664 RE: Account Number #11514 Property Location 1077 Route 28 To Whom It May Concern: The above referenced property is now leases by MJM Pizza Inc., dba Scottie's Famous Pizza, P.O. Box 543, South Yarmouth, MA 02664-0543. Please send all correspondence to the above address. Sincerely, Robert F. Burke