HomeMy WebLinkAbout2020 Sign off Transmittal - New Construction - 2 Bdrm•) _� �./ sem..
-01
C j'
j.. _.___ _.._._._..._. .-.. _._..__.__. .__. _....... — \ I
t S Qs/
_ u
. % �% vI/� '� �/4 S� e
_..,-..
M bi
' s
�X tG I
1
q
1
"OF
+ AlioVe
OWNER
ADDRESS L p - HZ D
E J
SCALEb DESIGNS By DRAWN
FRANK D. CIAIGIBRIBLLO FD, c:
D �
DATEREV
BSA
508,3851266 o xlce/FAx BOSTON sOCIET
- 774.353.6329 ceu. of ARCHITECTS
FACIAM@CUMCASi.NE]PROFESSIONAL REV.`,
I AFFILIATE AMERICAN
-- -- -- ---------- I ` 302 RVfUC"F ROAD INSTITUTE OF ;
DENNIS. MA oi,50 ARCHITECTS
+.,
REV,:v'
a
d -1!
nA,°, _ _ 2 0 .°__... _.. __- /2-6
JII
n rt
0
l
ryry��
C1 -d
i
7 M Tho " - N
--- / -
__ AL1/_i TI 3I�El�
1- N1
� I ,
i
_ I
8
A
'---�;PT .Pxr4 �®
t
i 21 1
.54
Y,
p\
- J7/ C' _ O
, o� !r
r
w. OWNER L F l4 C /J/i u L/ T /-3 C3 /Zf U J
i
ADDRESS
SCALE q DESIGNS BY �}
tH� �g—� lj FRANK 1J, CIAMBRIELLO
DATE
BSA
REV a
SOR,3R52266 OFFICE,/FAX
774.35M329 CEU BOSTON SOCIETY
-- I - • OF ARCHITECTS,
I FACIAM@COMCAST.NET AFRUAEAME 'R
INSTITUTE
Ti' AMERICAN
-.-- 1 362 SECUCXf.'f ROAD INSTITUTE OG 4
/ II 2G 410 1 / - DENNIS. MA 0261R ARCHITEC'S
2 2
t Co II01 REV.; {
I
, I
4."DhW "hie
i + v rr'S
TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
7o he completed by Applicant
Building Site Location: ` 6/1 /9 11\1 L Y)/4 ► l fc Pr
Proposed Im rovement: Lct i� /5'd �V 5-`m- 'r+4 `rA
r6K pfra C r )0 jvCiov,tc o‘t, I yT
Applicant: ( N-P S L fi ' ' I d - T I Tel. No. l � �
Address: a TA-1 L 12- t % 7-tp'(1 Date Filed: y /
**If you would like e-marl notification of sign off,please provide e-mail address: S // l /
Owner Name: r?(II IP y l `tit A
Owner Address: t"q f ` . f Owner Tel. No.:"F/ C57 0 S
k1 ;Y.-hp H P
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: r 4 txy--
/ DATE:
PLEASE NOTE
p1-c-
COMMENTS/CONDITIONS• oZPc-
(-)ye JvUc>w\ v5
(170 ('
St[Inc. r a4 w-< ('c,c •c Rc tit s-ecJ /a,/ /C.f/ C(
cc.,4`-ccj. 7/e bcf .
cl( YsT � �(:"lC �� �L�cct vr cc/7-ft L Ared S,r/$'Cn(Ml�-
n
i- - I )_, \ _, cr — 0/c 1 J,— ((2— 1 Cl —C k_