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HomeMy WebLinkAbout2018 Jan 08 - Sign Off Transmittal, Floor Plan, Assessors Info -a TOWN OF YARMOUTH ° HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 37 1 LLi S P WEST 'AR thtt L i H MA 02.673 Proposed Improvement: L AfA6 E. TO FAM Ly RooM - REMD\IE. 1-1-ALF" K,I1-6AF_..0 WALL Applicant:R 1 GH ARS ALA Mo(R LE:), Tel.No.: 508'.212--c4 518 Address: �7 W iss T NASD ST. Fox`(moo RQ M A . Date Filed: ►- 8- 18 **Ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: 5'4 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. 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: DATE: - a PLEASE NOTE COMMENTS/CONDITIONS: > i T1 °A > i 0 ' � - - = w 11 t o r \ Q t 3 a / d co / .. .__1 - 1 .i ,- 3 J 8 ____J____ Q Zo Z3 /1 . o T d s Z r 7_ A F. g co C 'Y a , _ 0 to = 0 to crA , a s 3 a 0 0 a ... .6.:: i. '''''' .1...51.'4:e. 0 0 c,..) -I. e•-• S$8 S ,. n n ,i ,..., ,,,1 er, f4 '1, 0 ' Ch -.. N •-•••At 00 e..1 2; E., o T°6 o '..I t4 1. MUttptit CC CZ .0 ...- ., U ars ad CO CO C 0 04 ..• ,,,, OS I.4 14 ,.4 — `OS C' r•I ,..C,.) Fo Ts d::?:?., .::,.w.• ,,o,0 so ;:, t„,4401-"atc.o,o,c, .....,,, . - oczo .- z1 c0 0 0 g 1>„:',;,--85 CS 41 ,4.,.-.2—7 ,a•i't..., 1''0'g'4 . $4 , ,mmmoo - , CS et GIN e4 i ©2f4 g""' .., O.I .13 ..... 4 , .::, -, as., 1 F.s. e-.2 74 8 N T-, L., - .;-; 4 • 4-'34—lc' a,) " cp c:•c> sci.'i 4 ';' '-''' -2 . § •• ^....7.1 > •-a (j°:••=?., E.. ty be--. ›. 1,3 ,5, ,....,.., , ,i. ,,, P. inoCO g ..ct i '±' .. ,b,at.:'Z'6"= Iv 73:* 1"t 0 04.g." '=:011A t:"1:1II.... 111*-1 `6.0. i c20enil i:4 4...len 0) 0 CO 0 "0 •••1.1,..I I 0 0 O1O S'?„.... .ti.,.. .r. ..,12 .;2, --, ..,4 •,_, . c. 4„.; I! cd m od ... ,--, 0 il‘0 VD ts IN 1 C-.) '"'-' ,-. rrt4 0 0 0 0 4* " 'A'Q fl..1' 2..'' '- B: U '- 1r:---- , .-, , E U .4=,4 .... 44_ (-) 0H z ..z Z '43 Z•et Z <.J ..., ,.„., eqf IV e4 0 ,Wi:- •" t r.., :4 '14 E ... 1 "...t t\o) c.,•-•ez b4 tl 1 ....z ..... — - '-t'D t415:j. ...... .... 'Ir- ...., r- e. 44 q O sf.4 • ---,-. : 8 en , . t sa ,, Eil,...._ tt4 144 ° i 141 , "t1 gtm 141.44 —,.. CID ti t,i,.. = 44 e•-• co en •t', .°'‘,,,°‘c:e, ‘Z N.4 ''.' r,) Rill 2-- = 0 z 0 v c, =.4 ...,!,—.. a z. ;- rIgwx = 0;.,z0,.; 1;41 '81 o 754,ZW)4 .0-", 14.4 al OgUo2o., NC)iu.,_ 14 44 .r. ..,--Z ci .., c) p.4 CC ) , o t'l ....on o eh W g 14, I-- Q w 6 fig e., ,--- c---.) u,00 en IT. 0. a ,..,mz iikA u x . ,4 (5...C) 'U9,9,9, . - t..), ,,- g . izzz .4•=. .p R4;74 i-, o 1 , 4www av)(Aet) es 4 1 ,ta t3,-4v) gap g • e4 At X CO qt ,—, C. il:4 >1.2 z 0 a w 0 ,005 OT1 i a N'-'4• , cN co •�� N a - re w r r g meq:; ' 041' r,;41' . ' l' 1 co $a CV N M Q CO %I i ;' ':', .' i' ''' „ft 0 f con et CQCV 1 • -O O N dr .Q M 01 r- t- ers00 :�OC- -..i� N'r NY 8 '� a e+iCv NN�M h la� I -.. t- - �_ .; .. 111 - Ud a) o qW ”' g 3 d U 4 741i ai p U. o i 00 Baa • e.N•.o,0o ,o V. 0 'd h clv O tiw °00 '' ^: ? gj,_ .. MSM WI N �� r. ' ,ki13 - 6'� 00 `° 08x00 . › ,0.0. o o' UZ �: ostg 1 I - i 4 o - .ERFP11111•1111*4 .. so P -'5, 1' t7 - q . a"" vi d 8tet u d ' ' ' 01 T. _ .vi ° ° a, 0. d ad °"" o o 0a a, , .2 t-. o a : q,a addV« 0 m L CO CI O O - _ O N_ .w .. '� ® u ^. v C 1.1,,;: 'Ofo C L F. QQ g ''2 ''' q ^ p7 — — T% i0 j ,- i0 i0 ■, T. L C W W g ' r, C V 3 3 > -8 � B 8 °' v' q c .g . w w F� O •0 c0i :; «: o o •Y •ar0i ayCi ayCi ie ro 0 0 0 0 2 i y 7y G.' Ca L i3 �° 3 x x o o U 0 0 0 0 0 " 0@`85.' d C7 PO ry , . '