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HomeMy WebLinkAbout2019 May 21 - Sign Off Transmittal, Floor Plans - Master Closet Addition N o ! ,o. TOWN OF YARMOUTH 7 - - HEALTH DEPARTMENT o.� r- i`.,.�--: ,,it PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: `� P �f `' ( ! i .)1- T} ,J Proposed Improvement: i^ / el r e. Y- .1 �c� Ak -t ,,, Applicant: /1/f474LA--t-7 Tel. No.: I/:_::fi e- N`{.'_i- f ' c / - /7 Address: - ' � :/�. c � Date Filed: **Ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: /,'<zi PDV/A--,----0. I Owner Address: Owner Tel. No.: 72/L-) j/5-- C,"7 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. '/IiiREVIEWED BY: DATE: ( 9 PLEASE NOTE COMMENTS/CONDITIONS: 1 • ... ',. .,- e.. { ; . ) .............. -4".... f PO _" ' ••• .1/4re, - ' • „.....,- . -...1 _____,............ . 4.,„ ,.. 4. ..,....4.4 . .........._ t,,,,, ..4_,... 4,„4 ! k--- .'..ig . L.- .1,,ft. . i' • _ • va7. > C•I -4.--' LI "Ili . \s.:...\) , ......... .W --*-.• ilk) • (X m . • i i:' 4 6, Ch '44 ' .._..., ' It'2' • 14' 7Z_ . to•"\J • ! \,?%-., ..• 0. .°.°-- • . IU IA a M ..c7--- • • 0 41 > c!..• 0 fa cr) X 0 e-- I- ill •5V g .,,,.. . L -. : A-- . . ...... . N )01i ) k 1 ) 1, _ 6, .‘4".. • ( Ll • .% . • ("5.0r • , ..... o'l spuBiq uoNsei. Tseq SPI/OM equo Aipul e \.._., S p eJ q pe --1 i . . ,. . . ." 3 ., ____ ... '2 33 • ...e 1 . .•— ,..J qw, I, s.a a t. ...., „J.,— . ,c.. 4.., ) c>a c=..1 ''. %1'. 7 = -- ...).0_ '-:=-05.- . (.... - ,,a a 13--"••n v . ..,..r i V e ''' C n. - r -i --1 —1 -.1 .4 vl 6e 3.- \ \t \ ) 1 • . \..‘,.1 • , _. — t4 , . 0.. ta ' --..., - ----- r• . v.i. J J IN ,, II )) II kj4 (....- 1, ''' ' 1-- %, z Q) .. .t..-- --:. , : 1 ------1 r'. , ' . --. . 4. .. 1 P- Z-• k?c) ...J )_.... ci, i 0 • NN.,:. ..Z.--__\., '' 1`). --, c,W • C .. .<- c..t. -,..27 .......d_ • " (\L. , o • .....:-.7.s..... __., _ 1 I ; 4). th, Pe3 rn, ' t : il) • ir-1" m., ,... . ..--- ..... --- --- 1 ! L..) *I 'c 1 ." \, . 2 •, • ! ..... :.--). ci_ a ... ,,i .......:4 •-•.......„ . . . :• • c.... \,.., • z- . • 1 ' 1 c--- e:::\<: . ••••• 1 -• ...----'-'\ - i M ° 1 ‘... • - -- i '-- \-7— . 1 A * I • --,-, -1.\ . %si s I ‘ 0 '. . .•,. r?... ........._i 0 cze t . . , . • v) . LLI c=, ui i ...-, ucli x try > CV 0 cr .....: "I CV _IP 0 • '<.--- 5 i ...5-- rs,i..., 1 ...--- --)...--. 1 x ---1- '_ „‘e• . .- ,r ,....z.,,,...... -44....„, _.: I spueiq uoNsej. lseq s,ppom eq lo Aflwej e . f \ . ...- •