HomeMy WebLinkAbout2019 Jul 08 - Sign Off Transmittal, Floor Plans - New 3 Bedroom Dwelling p1.7
0141.YA ki TOWN OF YARMOUTH
*ter HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: (0 a cicrAt,
Proposed Improvement: 14(.../) 11) f 'd' -or -2 .1).(,0-171(7/L2'
Applicant: ‘4c....0 ./N, —be(kc...6) Tel. No.: -5--osr -3„V, - 3j (0
Address: -,1--)1 Ook S A . i -1-0 (tz.eir f\A_A"-• (3 ao 3 Date Filed: -71 8" 1 I °I
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: Y----f...%-k-f\ -k \--6 t'‘ (-Sc.).-(')C1-1,, ,
Owner Address: . ‘ C\c,),..k 1/2- . , -c.- „,..1„,(1-,, (v\P\- o-acils— Owner Tel. No.: sog
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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.
REVIEWED BY: c/p.,/ (1)<1.i )COI ke74/
PLEASE NOTE
NTS/CONDATE:
CO EDITIONS:
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BATH #2
BEDROOM #1
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DINING ROOM
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HOMES
BUILDER.
BARBATO CONSTRUCTION
BARBATO
ENGINEERS I ARCHrfECTS SEAL
David R. Tornpos
CIVIL
NO. 30423
Jun 13, 2019
PROVERS SUIL
MODIFICATIONS
PROJECT:
41833
CUSTOM CAPE
TrrLE:
FIRST FLOOR
FLOOR PLAN
7
Yarmouth Health Department SHEET:
-7 P
P ED
74 1ST
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PROPMEWY 0
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BEDROOM_ #2
BRAND:
HOMES
BUILDER:
3ARBATO CONSTRUCTION i!
CJSTOMER/PROJECT:
BARB_ATO
ENGINEER'S / ARCMrTIEL7S SEAL
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r((David
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0. 30423
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Jun 13, 2019
''.... APPROVERS SEAL -_----
MODIFICATIONS
PROJECT:
41833
CUSTOM CAPE
SECOND FLOOR
FLOOR PLAN
SHEET:
PROPRIETARY AND CONFIDENTIAL
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