HomeMy WebLinkAbout2019 Aug 13 - Sign Off Transmittal, Plan Section - Replace Side Deck and Add Egress TOWN OF YARMOUTH
HEALTH DEPARTMENT
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-z.tts...e..--• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
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Building Site Location: 2 ') Oro kc c- r. I c4 e v.-1 t.) (.4 ;7 if s' r r
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Proposed Improvement: --) .0 % cc P k h ct--, d /9-cici Ec'r QS- 2' Dec tc-
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Applicant: ....1 (2 v.?si /-11,--, de I Xel.(No.:1 ) "'.7 ' 7. tzt 0
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Address: -"Z 5- 0 e4 k (., C T. Y 10 r I. ccU-ei..-- ci /> I cou,
IDate Filed: (I i 3
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name:,1-7;4, -1. ') 7ii
, 14 i HQ de I
Owner Address: .2 T I) r 4 k e <2; i Owner Tel. No.: O ?.773 7 1 Z I 0
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
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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 I
(ail 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.
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REVIEWED BY: d ,
DATE; 9/,
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PLEASE NOTE
COMMENTS/CONDITISNS:
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PLAN IS A VALID
AUGL 13 2019 WORK MUST 0 FORM TO AL ANI ORIGINAL RED STAMPGFY AN[
'oelc-, TOWN BYL S REGULAT 0
HEALTH DEPT. /3
LEGEND YARMOUT WATER DEPT D T
NA_AM
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--UE UNDERGROUND ELECTRIC WIRES (ESTIMATED LOCATION) DIL � � � p1�
9.5 x g•7 EXISTING & PROPOSED ELEVATIONS ('X' MAF*KS POI,NT) 9
r 6 EXISTING CONTOUR,
$^ PROPOSED CONTOUR RECE:.D
UTILITY POLE (IF SHOWN)
Cr: EXISTING DRAINAGE CATCH BASIN AU 13 Z 19 J
x -- FENCE (IF SHOWN, NOT ALL SHOWN)
HEALTH DE T.
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