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Home My WebLink About2019 Jun 21 - Sign Off Transmittal Sheet, Plans - Deck, Roof Line Over Deck .ot;Y,„ TOWN OF YARMOUTH 5;`, ' fit 0 ro HEALTH DEPARTMENT •` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: c�� Building Site Location: c;1-'3 1://-1/1 j?ci. ,,V Z c tot• '--c '/ k Proposed Improvement: f'c It kit-, .., / rro-‘,. de c f A.,,,v,-1;1(1 f•-.0::".1 1i 1^...0 �.r r ckc - ?,,,,c3, i Applicant: „/tie ,i a b, k l i Le i rO > vii 4 $ , CC me/Tel. No.: 5'c %- ' '-/ (f. • t.. r 1 ct� / k Date Filed: I -I 9 Address:,-j3 �f��H _ **lf you would like e-mail notification of sign off please provide e-mail address: C I'1-_f•; .c?r-ly Iv:,4.P( J /O/,cc:�,. Owner Name: VII‹ r./a. 3 . k/ t e)f`t9 Owner Address: a' 1)/-, 'Rd l�f r . ,,,9 L. ; I` Owner Tel. No.: , yeY t.' C.r,' 71 -P r, rcr 1.'(6,,' °-37°..? 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: c i i.. ,., PLEASE NOTE COMMENTS/CONDITIONS: I o th O vi 1= 1 h W o - a N W s I WZ-'D 1110 4 ,-_ \ • S ,/ it 1 \J . o S 4 �Y� J ) ..1) • •• • 1 p • •., '-:<'"(7\ .--\\. � \ A , III \ f OA ` ‹X 5 -0 • ' QEFro= gv, - =NW =wW +.. e- u • B • O K. . F • AQ r' Q /-• Z! © \ tal A pmilei YZ �O �'a' *ug§.dZ C 1 to .1/1 ' il szW7 �,-r' at • 1 � ,,,,..••*". �/ k \% n Z Li fiC CC -3 .rid' to \ y x 1 ..-2*.721.2.--. o :o • /. z \` tz W s to ea. -0 • i t: 1 i tcA � % 1iiA kt Igi A d '4 fill. tiot ,NI§ %%IN t kl tkri( 0 .4. -Ale !1 V c•ill ! 1. s%� �y ti* goo '�� ' ,yj `'cam d 66- -� �` if •34 6-44. 4 c i•-1S1.1101"-As - i 1 9j. .. �\ i.lo0 /c `fL `iii ti• 2Z lorse:, II A \ e ..,..-",4ft. ii.ol,.., ,--- . ai I- ‘i#411VProletil,7f 3 . trl .41 ill -I .1/40. tt. "et; I\..4t -scs vs §d 8-El 4 E-1 0 • It: 4 1 4) v 140-a Cri . s..--,0 oat, 4e- I k% 1 woo z Rk • 4 . .. . tt 1 .. N . . ..,.. . , In Q ! g . . • • . . 1' O' •j� U) • CO • 1'►. w t cv N "4WH O., , • C1'