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2022 Sign off Tranmittal - Remodel
ct 21'4k TOWN OF YARMOUTH ;41� r HEALTH DEPARTMENT ''�• '� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: 51 M R ?Ma k(iCk Propos;d mprovement: �mOae L-V' 9xc+\vv SAY (�/,te a viz, • • Applicant: ' ` OVV. ,_1.1WeVil OV\OAI Tel. No.: 0-1- l p-sl,RS Address: 3o S(AUAYOSNIO Q,Lun rii CD-1 (DGpate Filed: O4' 'Qb **If you would like e-mail notification of sign off,please provide e-mail address: l k,,0(Y)(:) ,(y (� c , J Owner Name: fft\ -0-11/106(k_ Soorvi Owner Address: 30S tAa,Y1k e �u KILL.\ Owner Tel. No.t l � �o Ma o... -uoct 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: RECEIVED (1.) Site Plan showing existing buildings, water line location, and septic system location; ANS? U u 2022 (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (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: � DATE: Jr-- / 3 PLEASE NOTE COMMENTS/CONDITIONS: m-1 0 O _ — m — — A Cl) 22=22E2 AgggEW k § 2 p r !„1„ , 1NAR°2-50 I gq ,coAD W C m O -a ego co m 41 ir F.3? i W � O r E m O O 0 z y � r 0 c Z z -I Z x m rn D w cncnv › rn ,,, = z Y � r imma ow iv, M kmm2aIIIIIIIIN Mk. 1 W*- : ..1 i; � ; � Cl) '.MP li Sr , /, , incl; '/ p 1 11 '_- -1 1.--.3 ®' 1, l,( to; El a y g Mill Pond Residence A w 51 6W Pend Road,west Yarmouth,MA 02673 Imelda&Edon SollomiN 3 Q 30$quarto Road.Guiney,MA 02169 a 617-216-5165 0 J ) P p P P P !p e L'i, 11 1!„ `3 . P P 3 4. 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'� 1111101411%:1101 1 M - 1111iti1ililii ..,M,111$, 1'n -- 1y '111:11 I.1 {' 1111 1111ililil�li111 1 x -1 1� --. - /c -- 131 yy yyyyyl yyll 1 I h.'v O 11 11{{11 111 1 1 Y 1'1' 1'1'1'1'1'1�1'1'fl 1 ' ,-,.<„,,:„.,,,44, - - 1 1 1 1 1 1 1 E 1 1 1 1 -1/� 44 M14441�yy" t 1 41 .1 fJ 11 11{111 1111 1 : 1'1'1'1'1'1'1'1�1'1'I I 1 '4.' r �` _ i 1'1'111111 14' 1 1• - j i- 1 11111�11� '2: { . � - 14 444441�yy{1 t -OM1 111 '1'11',I�I,I,1 1 .i'1'1'1'1'1'111' -'2- ',--'-'"7.' - r l Li- 0411111111011n - 1111 4 111....P1i11 I -f, r J.,- ll O \_ ---- \ 111101111111111111 '1' 1''1'h11�11' I ", 1'1'1'1'1'1'I'111'1''I 1 j" Jr { ww 1 x ii x Mill Pond Residence p' ro 51 Miu Pond Rosa,West Vanno th,MA 02673 A O OT In,.Id d Edon 6o11ominl 30 Squanto Road.2nincy,MA 02169 D Z 617.216-51&5 0 J f s.. 1 " a f I ,,-,...„„,...4,•,,,,„..1„..;..,,, V, 1 f:I j m � � � Ilk I � ; i�I Ire I 1 :;+ 71 —01 ;� _ 1� sr ! if • 11 .•�� 1 � �—�-• • X1 �` i ' XR- " 'T a i '''.4',..,.74.!.4.,.--J, ... : ,, ' ' OP'i el tai j�,� • um f mum '' i' um Io lis Now , 11111111111I NMI s . 11111141 l.. • i • I • • c4,.' --A•A 4'1• i'. 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S' 9 e 8$ y� ' •s e I Mill Pond Residence P _ 51 MIK PoM Road,West VannoNh,MA 02673 - tim 1 = • ImNde R Edon SNlominl 30 Spunlo Road.Quincy,MA 02169 0 617216-5165 J 1 .�,} m: o _ 1 1' I �Il ol_ ¢e ±IB I 40 - 4 rx ,:r4.,) ::::,, t a �, 9111 ;L 1 z ''II ,m �I AiY 1p: a a mA i6 y ii L°——(1)I, a 1 I I 141' 't 1 I111 I — I— MN 'If I Ed, — I 1 . 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