HomeMy WebLinkAbout2020 Sign off Transmittal - New Porch covered porch k.017;--YAkt, TOWN OF YARMOUTH
* HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed 1w Applicant:
Building Site Location: '3 - Pierce St _11)44 le, . to t•O, •
Proposed Improvement: ge.tio
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Applicant: ( A: d. Iti A Tel. Nt.15. I. 605 -33
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Address: ,54-1 2-iarn br)Ard. La fl Date Date Filed: 1 I - ((o•20
**1 f you would like e-mail notification of sign off,please provide e-mail address: ETC 1 afTe1.-0& frat.on.
Owner Name: DizeLbeth ciain17A....,
1- 059-633
Owner Address: 09 I il 1 #.0.I. a ' 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
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: PA/Mt-- DATE: i 1 11f2
PLEASE NOTE
COMMENTS/CONDITIONS: /
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BUILDING LOCATION PLAN
FOR
8 PIERCE ST., WEST YARMOUTH, MA
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PREPARED FOR
ANTONIO $ ELIZABETH C AM PA
STEVEN W. � t
RUMBA a V = 30' I 0-21 -2020 TMW
No,3579i ;
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CPP- I
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\\!..,',,,, r..ANos • WELLER * ASSOCIATES
P.O. BOX4I 7 CENTERVILLE, MA
TEL: (505) 325-4692
k c A2Z"-Li EMAIL: trlaweller@gmail.com
REGISTERED LAND SURVEYORS * ENVIRONMENTAL CONSULTANT
Traver6e PC