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Home My WebLink About2019 Mar 14 - Sign Off Transmittal, Floor Plans - Basement Family Room and 1/2 Bath ,ov:Y ,�„ TOWN OF YARMOUTH t ' 5; HEALTH DEPARTMENT f� o. k. iz--- — \t,,~ `t.: • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 7 ,L/ E e. f 1\J L Proposed Improvement: b"/S CM C.-)"•-1 ( t,y /7C6)11 r AI r `/L e 1 Applicant: E j f/ i'.1 A , ( i C,NI N Tel. No.: X/ ZC. lc) Cs-77 � f/1 ii?Address: f L-I ', - L N aS . �fA �2,,iCu irlDateFiled: ! 1 **Ifyou would like e-mail notification of sign off please provide e-mail address: '4,1 c U,p...)A(.170nr, ) /c, c 6-t / =t• C c Owner Name: 7 4 2 tom/r,i 4-- 6 It. C(2c N' N Owner Address: -7 t- i cps L ft `.. .0 Mehl,h c4 011, ) Owner Tel. No.:7 r C 14 S`S 7 y RESIDENTIAL AND/OR COMMERCIAL BUILDING {I 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 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: ''}/7......---- DATE: -3//47///14 PLEASE NOTE COMMENTS/CONDITIONS: r , -- ..-. ..« — 43 `-., . "4...•-•."'''!".---.:,".--:.'"-•-•7-.• ,.-..x .y, rM„ .�y,:„.4�: z.:.,,y... • • .. ...,.. vn-. 4:4;• t „•. *4..) ..".'21-'4,-:-, =--- }k..t-.4,.1-"*„ « ^---- ` ,.,. � `W .. � tom,• . ...,.,. f � � " -•-1•:-•.-71°.=••-:,":':"-----:-.,-.. . . ,.......,,..,•:,i., .. _ , , .,„!74. ...1.. . . , .. . . .. . ---.,,..,,..,,".,.-.:,,...,: •:,.:•,•!...;i:•.,:.,_•...'...;...,..-,.:,,s;,.:......='.,!:._-......-.•:-;...:-..:T,:,"..."":•..1..:, •- -7,..''-.:••:"i .y,. g ilia „rVwaw e.. * e- u 7-'; -•- �k K M a k^m•--,,--.: -.:•.o,-."' E My , N "T44.-i, $ * 'FF 64rvr.a..vli 1 �T^+""..kN�•..'+ .. , .. — . ..... , _..:.,: >v.�r,.y:a.-»,�..�«..i-.k.,..,�;�. -�--, ¢_....w..«,=.. N Li - ,%-_-,- ,-*4. A 1 tet, ,` , ``, k,:. CiZt ' ." vi' . ( ilf--- ' ,ft.--.(, } '"1 1 i ,,,i,,. , 6 s„. . 7•k.f.) ...„,„ 'i lir 1„ cr, 1 i L,._(../_,, i- z.i-, ,:z.tt 1 1 1 i 1. 1 I , .., . , .::,,-. _,,- . ,. , . . ,, ,, ,, 1 / ...„..., , ., , 1 1 ,, t , ----...,t t,, ---,,,.....„„, _ ,i...., , , ,.,, cr,,, ,..,.., 4 1 .,4 4 i iii 4,, pt ,sT r, \ t J `'Itold;/ E V )1 ii. ,m- ria �' tat. Nc- r t Z ! et: ,......0101 4 , ,,,,. ' -1, 0 (A-1 ,ft —4;11 r 1 t ...,,,,, - Qs f i -. ...... . tom. f�}r.-. ��•...}x{ �� .. -.. - Amy CV 4 W ci '� rY _ ; 44ft No) •%, I a a ` �J . .. ►-+ W &.A w , N t1 .. �„ , y �. Imicia aCA Csn � .r a 1Emminni Illiiiiiiimra (1\ , __0 a m iI c6 'V , - H c i, I": W CI A--c i3 2 *4' -4 2 ' MI i 1\' 1 ' w " \ *.4z o III d N n r, fl Zy Q VS A --- , t, ONI Z E'l C3 % 1 " id .rx.14 :s w -eca Q vi, 0 cr. .. .. ulk....1:HOa a ...., ,... 1P E •• . •• z�o g1/4.,z ••.. ii., �` O © CI° p )v, 4, , r. .3- w = . ..t-i Ira 0 • Z w Q w 3 M ..— "es. v� cn F, a t'b 3'T EH 3 p o 0 O can p 3 q E"'' 'f' `'�- #a. +— 10. .fa.. -�4 ,-f. A.