HomeMy WebLinkAbout2019 Dec 30 - Sign Off Transmittal, Plan - New Entryway Steps d • 4 ,;4. TOWN OF YARMOUTH
gt„° HEALTH DEPARTMENT
tee` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: r
Building Site Location: `7 ' ,pine , t 01. IV ii6 1-1____ -
,
Proposed Improvement: ,i --44arla ifr r 1
I 141 SIL: 1 i
Applicant: A l i h../ ! .I.A_ Tel. No.: in , -- 67
Address: / 1 ► !i/ . - 101,, Date Filed: Allil.
**If you would like e-mail notification of sign off,ple se provide e-mail address:
Owner Name: ....:,(/
Owner Address: '2i C-SM
�---- 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.
40,
REVIEWED BY: DATE: /d" 4 44=2" I R°:.
PLEASE NOTE
COMMENTS/CONDITIONS:
= J
IkI
08 8 04 6 go/ -.1 i z 0
.4e 44°Aga44
r 6 N oqitE L 4 a 1 U W ra W .t M ..dr 0
7 Z 01 vi a .n 6 w ad of o ti v zi4.. z r
'' F
1 'i .
i o
M
J
5 8c IM;1.1
tea.',' "
C `moi — • .4.�ns . .\-. ,,--
g
O � e dzzp- : '•s
Cn 2 ® a`, x g4Q • nom'
Z g f .) 3 3z
» 0 .m + :`
Er r
LL
.__.ice _ C3 criI-: '
E ' g ' ° Inli , •-,, uj 4=, .. Q. •
1 i 6 ;
A;
o8.
a MV, .I
LL(�
I
g
U
804°5750"E
• Fence 98.53' /~
S / I \ -
I
\ Sti ,,,, -, ( 0 /
R'-"--\
\ „. 1,11 1 4. /
cn \LI •
tilt 2,F... _
us
W la:, -
Z. Irk
„ Ir $ 11 1 t J
1
Ha N ` Q N \1 11 )-
(11-‘ '''- --.ni L- ‘ 1 \ , \1 ta
Z
1 1 ) ln.\
itek:v: II 1 1 1 Y
i a G-) \ 1 1
..JL, Y •
ai ;$'i W 1 I I
I
/ - \"
/
"8 • , /
, / / I
• \/ $ / Myb / I
// /// �/ // `)-A \%
0
5G
1yjS w