HomeMy WebLinkAbout2019 Oct 29 - Sign Off Transmittal, Plans - Replace/Enlarge Deck ov=ii.,1_ TOWN OF YARMOUTH
�; ! > HEALTH DEPARTMENT
' ..e* PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 3 3 l '/ JZ C-Q S i)--e
Proposed Improvement: R e_ kc....t2 r r J -,, c Le c�tti 4-al,,,, 21
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Applicant: ,..1 €- c c d' \( g en k Q. 1,4( v elf Tel.No.: S--LS 7-70 S 3,S3
Address: Z 2 17 12,,v ("I / ( j SS.'' ''' Q-•r- Date Filed: I 0'0?
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**Ifyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: ill P k +-4 Pc- •"- l c9 i k-A. e S.
Owner Address: ?. -U;7'j a_:./L,2 S Owner Tel.No.: c27,)-112.Z%'
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:
(l.) Site Plan showing existing buildings, water line cation,
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: I `DATE: /6101-?// •
PLEASE NOTE
COMMENTS/CONDITIONS:
MORTGAGE INSPECTION PLAN 17-08526
LOCATION: 33 AUNT JANES ROAD BOSTONCITY, STATE: SOUTH YARMOUTH, MA
APPLICANT' HOLMES SURVEY, INC.
CERTIFIED T0: HOMEBRIDGE FINANCIAL SERVICES, INC; MARK 8 AMY
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DATE:TMiT12 4313; Fre+nzat-+6,e
09-161017 N ..AWTO MuR EY1 cmm
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No. 33
1 STORY
LOTS
OCT 2 g 2019 AUNT JAMES ROAD
HEALTH DEPT
SCALE: 1:40
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OCT 2 9 2019
HEALTH DEPT.
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SEWAGE PERMIT NO.:y..zG3 NEW: REPAIR: V1
DATE ISSUED: /Q _ �-1:1 DATE INSTALLED: /p..5--/:_
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