Loading...
HomeMy WebLinkAbout2019 Jun 04 - Sign Off Transmittal, Floor Plan - Expand Master BR, Add Bathroom C v �^ `t r �-t)lrl 1" /,-_( TOWN OF YARMOUTH ;•,,„ c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: i ( 5 ( MC. l...c" 04 ,. Building Site Location: Proposed Improvement: A 00Fi-c---H .. //--- n t\..1{"r �z A. it'd k AA f\-< T-' , (- C)-1(C D 1Li 1.11 t t Applicant: h i l A P.1 16A 5L re„, Tel. No.: -~ 5 L7- 175-9 Address:14) M r "JAI¢T`v X;CT' )Pc ' `// Date Filed: 6 **!fyou would like e-mail notification ofsign off please provide e-mail address: ?DID 1:9\ j © Act_ Owner Name: U ` c $rA/kJt�--4 Owner Address:t (AMC cr R.9, 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. �^ �J REVIEWED BY: -,• DATE: �°' 7//7- PLEASE NOTE COMMENTS/CO ITIONS: New S f2 c �k `> (4. cif ADJUST TOP OF FOUNDATION TO ALIGN NEW/EXIST FLOOR SYSTEMS 1T 4" a'TOrSTS @ 1600,c FOUNDATION FLAN IRWIN N 7' 7 1/8" 'AL BOLTED UNDATZON HOR DOTS C? 4'PLATE WASHERS