Loading...
HomeMy WebLinkAbout2022 Sign off Tranmittal - Repair Fire Damage TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: e3 c(( I $l c Q,P) c 'ya,Q,, n ©2 6 6�( 7 / Proposed Improvement: p%i P.- F'(0 Applicant: DiA-t ? � � F11 1 Pf'(D V Tel. No.: 33a ' j 6(Q_ Address:„9,3 r i I/ Pi2- K pp/VAIs yC32- '7`1/ Date Filed: CSS- 2 I. **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: Prw Tat y Ft li cPOV Owner Address: 0,5c/ , t f)ixfix)r-NiNipS .t/cogzipptetrtic Owner Tel. No.: S(g &-c a$2 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; ::�= �IGWEP (2.) Floor plan labeling ALL rooms within building MAY 7 2022 (all existing and proposed) - Note: Floor plans not required for decks, sheds, windows, roofing; HEALTH DEPT. (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: DATE: /7/2- PLEASE NOTE COMMENTS/CONDITIONS: I�2 JvcDczt-t. r fie r* .c_vv\ c_k_ ° �, �od t�14f�v to a -� y -� -� a x aC 5 5 5 5 :c� :e m m p �n m z, cn b bO ter.y x o w .' 0 0 0 o - ,.cow. °w.+ co �o ii �n $ °o ^ ^ 2 c f. 2 �.��i' o rt a n y N C T w w S+ w w •� 7. 7. O. a. .+, .+, co co p O0. (D +. by•0"s7 ���j � Q k do g N — — _ w— a b o y �� y — N — n Q ^y151:`. �n gaO�a" 0 00 .. e000 .+ N000 .. .+ .- 000 Z w p 7 R S n °. N N W A W N U W W A W r r p.c., �.1 .Z. Z Zti a ba el ;a t""." n ri a 2. °b � Wz '� C� x d � Ca - › mr il 5 a a y a o- n 0 a a F m 4 A a 4 ,11 A r a pRa o o o E „ e �j W a 'C a Q �ro ro O ] O b ;p O F ; n a Q I. Z b ° 'b a'N 7C Ny wwrrr +1 „aa y~A' ' 'a N N t 1 O O a ONA00 A 0 00o a eN?oa \ nf) C7C7Oe(�f]m'n 0 c. o000 oo co °v < ookcd °bd YxZ a r .? � b � � � � � vovcona � gTowgo �o ec ;+ ..� �+N.+ C nG° dnOCDI -��°aaO� nm � � w 0, mo�.,T a ,.o+oOr +i 5 . p o S P-nco °• 0 ,! o y " N A r'W O a �1 G0 00 0�0 �+ O rn^ .�'. p, 1,E.'. 0o allo �n�noco b S S n � B ° 5� a 0 r .yb � y ""o"p tri Ye Cil Ce'-' ANT C a 03 -1 9 5 oz +� 0l 0 a t. a y b b a.. o o v.+.+ v o w r w r `+ Ci b �•v�iv� `r—eo\° a wo O o� �oA� a `+ h • inoa� $S 3 C c °° o aC On 01 =y o a 4 or..w rel il c~n Cor el tIO'Sa •Jg $Tz 'o a a ta do a i.Ai�a e T b It T U ,p�wf c ...1 CO N O ec, CO r k t ?k Op`' [.3 p - T 4 co O m -...... .,,o)'': ' o m o o m m n " FFA Y,y W -o 03 Q fir" d .r«: ,.....e.4,1°.:,- , o N a gasA - e rte ' �� � ��:a 4 �' ¢����rrr�" m i - *''..d. *,7".:- ' *A, b �, i , 7,.."4 a . o 0 0 O el J N C N . • , . 1 ir.,•,1 . . • ........_.. • j(,3 • . • .)\ i • . . • i .:-... .. krs., • ! --- . .f-TI 1...... Fq. • —t. .\ (.3.1- - 3-, --( Iiiiii, I 1,t3 . . —I P.: (Y) • i hull • • . LN 18 . --...\ • _ ._ -'4: i r.... 0 . _1 Po r--, .-,3 ' ,s 1.,--. RI . (f.F.3• v . ; !.:1C-.) , . -.--1 . s"...) 0 . •('-) . _ ... . . . . (..../3 , . D . . . ..... • . .--- -- —1- [--rt r-% 1===enes- . .cr . • , . 1 . . . P ., . QCF•31,ts — . • 174.., i I.''' . • i'N. . . . • . ( )1 . . ..'S',..., !'.....) • . IP ',CI . ip (.(..n .• ,....,„. r-..t. . ..•••..,) . . 0 • . ...L. . . . . • • ' ) C . . ..,..„ . .. go- .• _ V • . - . . . . . 11 . • 7. , . Li • _ 3 , ! . —....1.„. • ...-0 . . ....... '.0 \ 4- 0 0 . ' . .• . . 1 I , . e• . . ..il. . ......---- \ • . • , •0-1... . 0° 0 @E.:,_, . • . • I . • . • ' G. • A. . . - , . . .. ...------ . 1 .... ' • . • . . • • • . .. _..l•...........•,• . NC• ...•.•_Aig__, • .''1to .' a--A /N), .. t • ........ ._.... .._L_r._....,.. .. ........i 2 •701 . _ . _ . ...._.—.._.. ....-..r. II AI . . • . •-4-- ' . , . I • . .. . - . .m. , - • ........ 1...,.i . .. . • V ,. ‘,. . . . 11‘ • . • . . -.. , . . •-- • rit4 ...„ . • ,.. II . . 4.. ' ,....). . . • • -,•,.. . • , • I • ' • . t ' _ .... ........ . .. ! . • • ' ..1 1 . . • . . .. . — •C— • • 1 . . I Of . . ........_...._....... . . .- -•' ••,••-•-• . . • • . _ ,. • • . . . . . . . ,. . AAUP1145t)1M___ ' . Dil AJC/A/C- 'lq . . . , • i --- T —‹ find, . . [no . —., , 0 - . , . 20 • .-Z . ---...._ 0 4., • r . x5 CP • . -..--- , 0 P 0 _ - ! IlDr - , i C" j .., 1 p i j ii tf)JE -70 o . ; I),e,..- .. 1 ( , ,p • t z.. _..._ ___ . ... ' -9 . • ___________aj ((if; . 111111111 . crl g5. itj3:.--r . .- -- 0 0 ' I. _' •.4- V•3 . . I i . DTI' ,".i•'„: 1 . - I • . . --.: