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HomeMy WebLinkAbout2019 Apr 25 - Sign Off Transmittal, Plan - Sun Deck of yak TOWN OF YARMOUTH ,rt c.1,:trittei HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant:• Building Site Location: (Z..-C ---1 --R.,‘4r Proposed Improvement: SO is E Ck._. Applicant: /4-VI t- TA(- -L) 4vI1\l L Tel. No.:Ljt3S 3/ `-/6/ Address: 1 Lici -7�.c)Sp e c..A- 51 (:).„(F FIE Li) cT o& 7& Date Filed: -?. 5---2'-'Q **lfyou would like e-mail notification of sign off please provide e-mail address: Owner Name: >i.V 1 N ( ►\5 LI F}-V t ( Owner Address: (L\ t� I S?Cf, SI c us,tf"•1 t,1 c C.- 0(,078 Owner Tel. No.: y/3,c;/(14(3/3 I 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. PIease 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 decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: ( U j 4 DATE: '4`-i 5-7 J� PLEASE NOTE COMMENTS/CONDITIONS: 1. DATUM IS NAM 2. THIS PLAN IS BE USED FOR I PURPOSE. 3. CONTRACTOR `. DIGSAFE (1-88 LOCATION OF / PRIOR TO COMi 4. EXISTING 2 BE DWELLING. 5. ROOF DRAINAC 6. WETLAND FLAC CONSULTING eZy Point i4OWide - " oa - Pub/ic� Ed 0 Pa vem en t 75.00' 0 4 O O O MAP 34 PARCEL 237.1 TOWN OF YARMOUTH X1 3 DB 13263 PG 164 t W h PROPOSED 5.3' 12' X 24' GARAGE PROPOSED DECK EX/STING ❑ DWELLING Existing 1ST FL EL. 10.8' Dweiiing N ' h ^ DECK i "15.3' X x X PROPOSED ADDITION IN AREA OF EXISTING DECKS WORK ONSISTS OF FIRS SION ALLOW PATH T LIMIT N 4 SEC D FLOOR SUNNOOM) RE—VEGETATE — — \LINE TO 4' WIDTH it EDGE OF BASS — B -- I / BVW 3 / N 1 �'"'Air, / o TLBVW — • � 2 B �pERIN� ,— alr, / A!, MI, "d al! — — / All,A, Q LOT B '01' i ' 11, 753E SF A!, L \A ilIL AL 0f, .\IIS A�I� ` Yarmouth Health Department � `�¢3 � ,gip E�jb OVED l Name Fi000f � Al. Date