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HomeMy WebLinkAbout2023 Sign off Transmittal - Deck TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: mil Building Site Location: 10 / `^ Proposed Improvement: t c �� - -U — 1 d Applicant: 0-6L-tb# US ""w Tel. No.:s " VoY � 3y Address: C 1 �� Date Filed: / _ 3 **If you would like e-mail notification of sign`off�please provide e-mail address: Owner Name: 0.0 �-� lJ u 5 'AAA' Owner Address: C1 Q c Owner Tel. No.:JOi - t-f(/ — Y'k 3 CI 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 JAN 19 2023 (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: r i 7/?\ 3' PLEASE NOTE COMMENTS/CONDITIONS: 4 ,for /� v /oo.00 . -; L , t 22'= 1%, o° ; ti - - -- -- - i. a \L ), a '') INti 0 o � , a /00. vo - .3 • L07 / 3 FfSS eSS "TZ S rY _ 5"- -, _• . CERTI R;EC PLOT PLAN rYVTc`: T'/fE Locvs /s nlo7' Div T.y� �'y�rJ/�efx.. pz,07'-ec77474/ .^vcr)t y 0,51-r2iGT . A it/0 N. v2 , a sz E(ze E�c,,5) SCALE . /" = 3° ' DATE •/'!l?/°.7. . . rt s swou.hti O/acomork.►-rTY ptt✓EL h/a. ZSOo/S- PLAN RE.Lti4ENCE 47T/44oN2.., f oao 5'c - r2A.PrlEwce'b vE/7,/' Q6 8y f'4:4f 4: 3398r srsE�-3-4ri7e r'/•v ygf2rh04'r sory.'/y-ss©c/..%1s.,, �rgvc-yo.*,s. . JAN 19 2023 y . , t4 ti� I CERTiFf THAT THE &-XIST1A16- .so J �S 1„ ' ' ' 'HE tTF1 DEPT. o AN GJ, SHOWN ON THIS PLAN IS LOCATED ON THE GROUND 0 tL �E N4\ AS SHOWN HEREON 1 N 9 .4:), y J� • v 'A 1 1/030 0 / �C y .,,,• . , . . . • jjj... iii �i sio N w�ST y,172020417;/, 5.. PETITIONER: Rr0ISTERED LAND SURVEYOR 6 -7 P F- / f 0A J 12' • 4' 10' Th "trarexncWendite .1 4 . 16` k u. baluster railings ' \\\\ 6' step ., — i White Azek fascia old deck line ia�� _� - _________ open patio ; 12' Azek slate gray decking 16' F��...�cJw Li w.+v I.v..v--y , � Lob us k 6,, . y th 7 TaFf .._..........._, ....______... w 2_4- yeti-114m* ...L______,._------ Tw \1 ciz- 4E stn+ Via ie. 5I1[0• HI, ok 'd- 0 / 2 . 4.e.p _____). yi % dciDwv) Q Ck, 10 ___..______ , j to y j 14o U.5C u a( t P 6I y , i 4' I 7 5ieP .......... r / 2' dowel i 2. ( o 1 2' L nee.+red a to , A ,..,,;-k,f4,q1:0;:iA44,,, ;1!-,:.:',';',42i4iftt:4'lki,, ,,A.'1., t ';',',',.,,:' . ...,_____, . _., loencli < k., # +aau �,i...1.0 � F !fit rr e r2 ci o.o I kz dbu • S ce ��e n � � p P to 121 x ( 1o ' decLarq pati o