HomeMy WebLinkAbout2022 Sign off Transmittal - Demo and Rebuild 3 brm home Jt-Yah TOWN OF YARMOUTH
;*, c. HEALTH DEPARTMENT
'�• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: .5(;1 w I I Yi 12_ G, � \` �OA- C
Proposed Improvement: jJ4? t.) Oct (di 1/1/ft
jj�
Applicant: V(1 ' i T1(7 W cti a Tel. No.: L//3` L/7( '0003
�
Address: 11 2) \IVe S �✓
-f' ,�,<,.,(.� LQ n e j T �,e ;in ;11S iiL‘Date Filed: / "/3`0o�-
**Ifyou would like e-mail notification of sign off please provide e-mail address: � 1<(1 .1 C C� 6, 4/zoo cat
Owner Name: /:"7 /6711-6'1) C. Q
Owner Address: a ivu.e. Owner Tel. No.: -' R-
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: -)1!71--c-'c /4v4)71-11 DATE: zi/
PLEASE NOTE
COMMENTS/CONDITIONS:
PC-7t /7 e- p L. ) A-TC-D 1 1 'z ' r 1 Ev t 5 E-� -j G I l Z (�' ZZ
;-7L21.-7c,
_ TOWN OF YARMOUTH
. HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant: C
Building Site Location: �j �, VV 1• I I i(1 I` d 1 J• Yea yn c i t 026 6 y
Proposed Improvement: Nc37210/1 .0M f /e(04-701/r4
Applicant: M rdGra. IG P( Icy Tel. No.: (--/)3 - 3t/ _ `Gl 7CJ
Address: /13 't/P f vi.•Eur n Tee c/r:n OF /7 i ilk it14 Date Filed: /c9--a 3-d /
**/fyou would like e-mail notification of sign off,please provide e-mail address: j/ Ka ! c Lt a `-7 11.00, C41"r7
Owner Name: rC het ka f r(7q
Owner Address: S rY)e Owner Tel. No.: Y/ 3 i -
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: I �� DATE: 1 t
PLEASE NOTE
COMMENTS/CONDITIONS: / _ / _
I_OII
3'-6"
------
KITCHEN- DINING
�p r 9 G IIIc ng
0
o
>
----------
--
-------- - : f
o
BE OOM) LIVING- ROOM
12' GSnIng
9' Gilingl
4 13'115/<"
9 A to
gry
5D
m
OPENING SCHEDULE
altllllftd+l ll1A81v, ,w4hl5
1VtH ItR81511h i rtrird:^
HINGE
PRODUCT CODE
SIZE
HINGE REVERSED
COUNT
36X80 COLONIAL D 1
3'-O"
L
NO
1
36X80 FRENCH A 1
3'-0"
R
NO
1
108X84-4 PANEL -2 GRILLEDWINDOW
77
U
NO
i
18X80 COLONIAL A 1NO
NO
1
Celllrg
1
30X80 COLONIAL A 1
2'-6"
L
NO
5
3OX80 COLONIAL A 1
2'-6"
R
NO
1
32X80 COLONIAL A 1
2'-8"
R
YES
1
2846
2'-9%" x 4'-91A"
U
NA
10
1
48x16 AWNING
4'-0" x 1'-4"
U
NA
1
I_OII
3'-6"
------
KITCHEN- DINING
�p r 9 G IIIc ng
0
o
>
----------
--
-------- - : f
o
BE OOM) LIVING- ROOM
12' GSnIng
9' Gilingl
4 13'115/<"
9 A to
gry
5D
m
14'-10ia°
1130
MAIN FLOOR
5CA)_3 3/1611 = I'-0°
I
a
m
Note:All smoke detectors to
meet requirements of
NF -PA 12, Electrician
to install each dector
in accordance to Mass
State Suiklding Code
CMR ISO, with Photo-
electric sensors with and
without ionization sensors
and where nessary voice
Feature to distinguish between
smoke and carbon monoxide.
0
SCHEDULE
altllllftd+l ll1A81v, ,w4hl5
1VtH ItR81511h i rtrird:^
HINGE
REVERSED
COUNT
60X80 BIFOLD COLONIAL 2
13' 1"
sv
NO
2
18X80 COLONIAL A 1 -MODIFIED
1'-6"
L
o
1
Cz
RAGE
R
Ire Gade
1
5/8" FIr
gode� Sheet Rock
L
NO
1
Celllrg
I H...d Wait,
-'
NO
2
O
J�VIi,
ff 'Jv, 4nllh 7V�
NA
6
Oi
<11
21346 99 6 11
cw
nI
' SD
it 11
113{_In
�
-
Wm
14'-10ia°
1130
MAIN FLOOR
5CA)_3 3/1611 = I'-0°
I
a
m
Note:All smoke detectors to
meet requirements of
NF -PA 12, Electrician
to install each dector
in accordance to Mass
State Suiklding Code
CMR ISO, with Photo-
electric sensors with and
without ionization sensors
and where nessary voice
Feature to distinguish between
smoke and carbon monoxide.
0
SCHEDULE
>
sR
HINGE
REVERSED
COUNT
60X80 BIFOLD COLONIAL 2
13' 1"
sv
NO
2
18X80 COLONIAL A 1 -MODIFIED
1'-6"
L
o
1
Cz
RAGE
R
NO
1
5/8" FIr
gode� Sheet Rock
L
NO
1
Celllrg
I H...d Wait,
-'
NO
2
O
J�VIi,
ff 'Jv, 4nllh 7V�
NA
6
Oi
<11
21346 99 6 11
cw
nI
' SD
it 11
113{_In
�
-
Wm
E
NW
wuuotinr� llnlnn,',
az
2-411,
T
_
E
Q
rr-3�
Ir
gLS1y N
14'-10ia°
1130
MAIN FLOOR
5CA)_3 3/1611 = I'-0°
I
a
m
Note:All smoke detectors to
meet requirements of
NF -PA 12, Electrician
to install each dector
in accordance to Mass
State Suiklding Code
CMR ISO, with Photo-
electric sensors with and
without ionization sensors
and where nessary voice
Feature to distinguish between
smoke and carbon monoxide.
0
SCHEDULE
PRODUCT CODE
SIZE
HINGE
REVERSED
COUNT
60X80 BIFOLD COLONIAL 2
5,4'
0
NO
2
OPENINQ
SCHEDULE
PRODUCT CODE
SIZE
HINGE
REVERSED
COUNT
60X80 BIFOLD COLONIAL 2
5,4'
LR
NO
2
18X80 COLONIAL A 1 -MODIFIED
1'-6"
L
NO
1
18X80 COLONIAL A1 -MODIFIED
1'-6"
R
NO
1
30X80 COLONIAL A 1
2'-q"
L
NO
1
30X80 COLONIAL A 1
2'-6"
R
NO
2
2846
2'-05/6" X 4'-91/4"
U
NA
6
i
i
i
i
_
1
1 1
0
W
0
t
Z
a
W
w
1
O
0
S`
CL
0-
LU
_
1 At
Q
U
UO N
}�
O
cw
fn
N
' SD
Ow
1
�
Wm
E
NW
az
2-411,
T
_
E
Q
rr-3�
Ir
gLS1y N
o_
N
T
1} ih r "c i1`� -
a ,
' S
,
3-
1
a
1
'
1
i
,
1
AME ROOM
N , �
� SP
i
m
131-23/4R
2 _ 31- u
5 Ocv K
1
.�+ NQ 1 6C
1
13'-111
;
1
o
,
BEDROOM *3
1
r
v �t',r rs t �r�rsrti si tit, uszsnrsn�hzszs
2846 2546
1
A
5'-111 2'-10" 5-
4 -4
592 5,F,
SECOND FLOOD'
SCALE; 1/4" = 1' -Olt
Note:,411 smoke detectors to
NFPA -12. Electrician
to install each dector
in accordance to Mass
State euiklding Code
CMR loci with Photo-
electric sensors with and
without ionization sensors
and where nessary voice
feature to distinguish between
smoke and carbon monoxide.
Yarmouth Health Department
Name Date
JAN 13 2022
HEALTH DEPT.
U)
c
ZI
W
W
SU. O � JCD
Y a
CIO
U
L_ _
O N
o E
� m r
c > �
s m
'� 5
N
N
C
m
0
W
0
Z
a
W
w
O
0
S`
CL
0-
LU
_
Q
U
UO N
}�
O7 f7
fn
N
W
0 LL
Ow
a
�
Wm
E
NW
az
W
T
_
E
Q
rr-3�
Ir
Q
o_
N
T
ZI
W
W
SU. O � JCD
Y a
CIO
U
L_ _
O N
o E
� m r
c > �
s m
'� 5
N
N
C
0
Z
a
C
m
0
S`
Z
o
0
UO N
}�
O7 f7
fn
N
W
0 LL
IAI
m
a
�
E
W
_
E
rr-3�
Ir
Q
o_
N
>�>ca
LO
M
ZI
W
W
SU. O � JCD
Y a
CIO
U
L_ _
O N
o E
� m r
c > �
s m
'� 5