HomeMy WebLinkAbout2006 Nov 29 - Sign Off Transmittal, Plans - Renovation: Garage tp Family Room WflirrriVr3rWtrrWITWIPP7WIP . . -..,,,,A,:,. :;,taaP^`1 " ; 7F:` ...
=zF: x:r.. --' '''Irr r-' u"''';7.
O .' -,fi _
.:' TOWN OF YARMOUTH
*fir✓ �` HEALTH DEPARTMENT
off - '�.� .g
,.. MATTAtH S
'°"""°� C� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 73 W 44.s-4" f/A eL 0,1 ow-14k e ° Map No.: Lot No.:
Proposed Improvement: R 4.No 41 A-k 4 of ..q 7-e -4-0 -(A Pt Al (Z-Ea--0 44------
Applicant:
------Applicant: i\.$ t-t ...4 c•-•"-\ tAc I �/ Tel. No.: �S `77C,176"6
f
Address: 72 a i tai 41 KJ --(' 2. ° yl (of., 4- Date Filed:;7 wd.psiezg
1 **Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: ...- --; Lg�ilt c'4 Cl
Pl., 0
Owner Address: ,3 (.t/ - 4(Z y4.t4.,,4 Aiz..6 Owner Tel. No.:c.6.?? -77/ 91-1/S,
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.
1'.'
Please submit four(4) copies of plans, to include: ,‘
cr, (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. / a
Ii
REVIEWED BY: ►_ % DATE: t l �- `�' C1
61/4 "'")"-
PLEASE NOTE
COMMENTS/CONDITIONS:
e A a ( .Zvo (. f
,
*v
U9 4 s T t
q
n 1
DS
-� F
I
s
a t00cCtne
Cd
• v J
Ic
1 k -.
4 \1--- J e,
3 ---z-. i '
i
CZ
A
MWt\
i- PA
-
r-
DEC 442006
EXISTING GARAGE
?O BE RENOVATED
CONC. PAD K17t'HEN LIVINGROOM
BATHROOM
(� I Hill
M BATHROOM , Oa I CL BEDROOM
I
To
cr I
L7
0
N M BEDROOM BEDROOM
m
a \�
N �
O
O
0
a
73 WEST YARMOUTH ROAD FLOOR PLAN
SCALE: 1"= 10' SHEET 1 OF 1
�T,, ., �.., , , . ,.
,.. _ ,: