HomeMy WebLinkAbout2023 Sign off Transmittal - Bedroom and Bath on Second Floor of-Yqk TOWN OF YARMOUTH
s!:.. .44;r HEALTH DEPARTMENT
_....co, PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: O-I ��q Le �! I°f�
�(A•
Proposed Improvement: 3u,I .+Vroort (And (to/roo� Ic 191
U1\�.�;Stild $t(on -floe-
Applicant:
gf r)J0„evi 1 (5i L,i Tel. No.: 77Y -/d 40/ '
Address: 0 4 i-ICtAV[ ✓it_ Date Filed: 4/7Ryi, 3
**If you would like e-mail notification of sign off,please provide e-mail address: �Pll1.��� ')ri✓7 4�. c(le
Owner Name: Ca(0 I:rL �'1 u(()�y
q q �
Owner Address: / T 9 i`5 tR Owner Tel. No.: 5443 3 /y )1 o
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.
RECEIVED Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
APR 24 2023 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: A,
l DATE: 6 - 3- 3
PLEASE NOTE
COMMENTS/CONDITIONS:
M 0 yW'yanouueA asaM
peon slma�bb w a
--V---Npudlags3Q ne a3sin��ya �vd a3ewnn
3e a3,7 4. fiydJn t o v` v�i 0
.£L
r .b-J.
4 , Ii" 1 ►
r I r
N
b i
O 00
et LT_
lil En " I
•••• ,,------,,,,).- .-III
� 111
.T.,,-
Q
Y iv-- I
Y
0
i=
I
4
Cr, d
z o W
N Q
(� C. tz-
i 'E/ QJ
la tm_
0
u_
a ri
m � q
\1 R
F
O Y
O O
R' g
c
e
• p. Z
L., F
N
}
._sue.:...
• cr)
> cf 1221
v
QJ
al Q W• Q =
3
M)I0 b'W'44nomek.;seM
peon spiel bb c6 Q. a
moudiaos3d a e3sin3a eve aAewnu h4dJnH o - u.'i u,1
: 3 evi aoisiTaa
.YJ.
n ry
m
N
Q 11
O E,i o0
CY u_
rii--
la Q I
m nm L-t f°
w
a
in
-
L 3
$ .• 7,_.,,_ , 1 n
V
4
p0o
_
W `" a
cp
12i:m.
OP W 0
IX Q r I
[5
t.
i N
o I i rn
Z
O 7 N
I UJ
A
.'I
x
Z
0
W 2
1 m
CO a
>
r
f-
lu QJ
ge sL
4- ,j) v\.
3
1
l i0 I. 133HS ZO'OSYB-4 ON'OOPSNd•NOacaw mum*AB 03Ntl03N3d NO0V3M13a Nh113M A
CO-0L6S ON'LIMO "
OMa'8V-O0 8 MIA
4
0131i ONNO •M03H0 - - - i
1SIOVH.'d :NMYNa tt$$��
1SIOVH'd •NOIS3O/31YJ 6a`.LSnl3 - - -
1519YH'd '01314 an NIA HOIONMVA 3H1 10 31IA NO NOIIONb60-Mi
013i 01V40 rNOVI TONd trauma NO 03SY6 SI N0110301 3I1d3S
Of188dd-3aIM 8SS 7 .310N
sooI] 01 Bhp QVv�O S'/V171
on.' B_ggawa CZ SL•l 0 - g
ai%tlnv.9 osa Wl BIOZ @ _ _._ -— - 3
6L68 8LG SOS 7e _ \,- o¢•HI io.6l.Bm 1 q
£L9Z0 •
suasny3essevi 4ginottueA3saAA \ I $
a 3lun'SZ Moll 6b£ 1
anon°. DSS82
t„dVss6ze'o1�1 El •
8Z08-196-L19 3ua3s I n
I
l0£l0 WI 'NO1N0088 n I i g 3 i 5
3N80 13SNnS VOL m
AHd2lnW 3N11021V0 I
1 K
4Wi a3Nvd3ad
. •
m1s
I. — $'tt 2
tax B9l " I 1 4f
0Z ail GG ONIT3na , ¢ II k
ON1ISI%3 ?�
I Z e•LI Nl�li 1S11Ii 5
• Ill I ir'R 8W\.. SNAG=M13/010002
S an I d. a
p. \ 8I N0L1100Y n3N- ONI11S0
1%3 g 1
eLoz 's isnonv
/ t��. - _ I S
-el_ man GIN,
paeold3y aonexri acllepuaoi ZI _-0.- 1"+
(.VNnoo 318d1SN6V8) /'D' cdur 3ezt o Q ' \ •\ i
SLL3Sf1H0dSSb'W / _ 0323A3I \ M
01.
H1f1O Vl 'M `' \\ ` 1 = \
CVO SIM31 66# ur3aaaI036 N9Iild
Ttl 13.3i SSNI1Ntlld \
A - 032011636'i'S s3 \ \
1V / .,�•b x tl3tltl IYlI1tl7I1INi \
444
2 L LZ-29# 3S /4 \L
33NVfld1100 JO S3 USVA ca., —-`
31d01311830 d ,•_
ANdd01000d 01 t---- I • /\> ,-
..-- J 7 ——i< -koi-,5.
i i
31VO 210A3A21n5 OW TMOISS3 051d - at 7 /\ --;�- /� T /l'1IS/m %'e-`. "♦ /\ L am`
hill
I ,00YB /AAl,9B.L4S-�
�B9esN RECEIVED
1O321N V NVld SIN! APR '- 4 2 p 23
NO NMOHS SV ONV A3ASOSA21nS 1NBWnSIISNI
AB -03NNY53130 Pi 351U011211S.
31-L1 01 SN0V813S ONV SNOISN34IO
5213NN03 101 3H1 1V1-11 A31138 ONV
NOLLVWNOlNI'30031MONN-IVNOISS3i0Nd HEALTH rye- 3ltl�S ELL ION
AN i0 1536 3H1 Ol Ai112L10 I (X9.61)'i'S T6ZL'1 -30VNaA00 10l M3N H�" '�• t P p _ dVH-5030l
(YO'SZ)-i's i01Z'Z •03Nov14 30YN3A00 101 nn8Ol18 3NCN I 131N]SI0 AVl53A0; \
(V8
l)'is
5Z0£'1 3OVN3A03 101 N3NN0i .0Z NV3N'.. 5'
•45 F6£6'6 (A1NO aNYldn)3ZIS 101 ONIISoa Al 3aLS
,0£190-SI 1NOV8135 I SnOOI \
_ 'IS*Bent, 3ZIS 101 ONLLSIX3 SZ-N •101N1S10 ONINOZ
'AS 000'SZ 3ZIS 101 nnNIN1n ,,11yN,, ; ad 1
iL .13ONVd 1 = Ss'i/
re •elVYI SSOSS3SSV f m
a
P o sS-X as :loRLLsla 31 oz £6/Sl 3'69/16 13ON3N3i3N NVI4 V ,�a�
— 00013 VN3i £L/BSZI: 3ON3N3d3N 3'LLLL a oA
II 3NOZ V ION 3NOZ AHd5ON NNW ^5
3ALLISN3S N3002LLIN V 3NI1ONVO N3NM0 1N31Nn0 CD
R
0s30 ILVO
•SSNOISI3N NOJ1V1180JNI Sf1001 o i 8 ea
L
1
l JO t 133HS ZO'OS'48i AN NOV' SAW.N011101 N3♦111Vn.�031291:913d/0:waw a3 @(I1134
CO-OLIA AN'OM
oM0'BV-0946 mu - '—
013I3 O1V110 1)103H0 v
a
1S10 H'el1NMVNO
151OV2i 'd NO1530/'01V3 - 6n WO-CAW 11 13
1S19VH'd 101314 dl NIA 'N1ltl3H 30 O0400
H1MNNtlA 3H1 ltl 3113 110 31 30 00000
O13t1 9fVNO :•219V1'('QNd ON0330 N0 03000 SI N0710301 3I1d3S
Orland-306M XS �310H
.4 02 Ol 9 0 ad0&SIM31
m
,OL a.l •414J5 lf
' ---- 4
0O tlmM0 350 4i emsL o ——————;—————,— ——— t 0
•
•
61688LG80S • `• — —_9t—� \ \\ 3e`
i.. �j \
£L9Z0 •g�ilA / j
SuasntpesseW'g3nouueA3som \ g
a llufr8Z alnOb 6f+E
ancRi DStL EiAl , '4'9 s6ZE'01. 3 0 o
.,` 3
V. ri trV101 ..,s' '.i 171 \ 11 -....„
BZOg—L96—L19 ' R1\ \ _`_N311d3s ais 1
1
10£ZO vW 'NOD100N8 g i
3NN0 13SNI1S irk, 1
AHdN1WI 3Nno21V0 - 1
Z N
YQf 03Wd31ld S - - �1S I 1
SSS 1 .. _. , 0 l `
Amt.
?z:�1)J�`y f' 011I113M .-.e XI �
GNI1SI10 —,
_.� '�u I E'11 1mv 1SNI! 1 1
- 1 _ - 1 y., �°,,I 011IT3110®R
__) I r a \\ 0'il ANUS0110 I 1 m 1
N NO131OOtl A3N 66Y
F
ewz 's ,tsnarre _ Ii.
f ,,,a1CR1 \ `\ 00
pa/alai/Oopaavl uullOpn0n,l Zt�- O --la, i\_
\ —
x 'XIIlII11 \ \
(lLNf10a 319V1SNZIHB) / <du)3111 ��;�P 3e11 uas�
S113snHOVSSbW , U- \lam `0313A311 \\ \ 1
H1nOWN`dA 'M / l'
QbO8 SIM31 66# /Iof X\x 1 \
l'IY 133X SONI1NYld
�, 0301A0Nd J Si1Ll \ \ \
IV / .f1a �—_e___— \x tl3tlV/1711Y9IlIX \
f / ____________
31b0I311e130 `d cC 9�/731_•-,
nine—Sd 311S ► /
C •d5 TOW/SON'IlL3M
n _
31VO 210A3A005 ONVi 1tM015531o21d e. /� ——7�_ �\ 7 ,r c /_.
um 7
.00y9 M,Ol,94L00
fi
0000S'^N
RECEIVED
'1031800 311V NVld Slat 1Y'11
NO NMOHS SV ONV A3A811S 1N3N(101SNl APR A 2,023
18 03MNM3130 SV 31n100 041$ 1
3H1 01 S%OV013S aNV SNOISN3NI0
S83NN00 101 31-I1 10041 331138 ONV
NOLLVNNO4NI'30031MONN l0N01SS3308d - ng 3ltlOS Ol 1ON
Art 40 1338 3H1 01 A3L1200 I (X9.81)•AS 18ZL'l 30VN3A00 101 M3N ��LT E r q- dVN snarl
(YO•SZ)•AS 1001Z`Z A3MOTV 30VN3A00 101 V1f1N7%VN 1 'lO00310 AV1L3A0. \
AVG
(SL'4L)'dS OZO£'1 3ov2IIA0o 101 N3NM03 pZ NV38 S13137
'3'S 16£8'8 (ONO ONVidn)MIS 101 ONLLSIX3 St 306
.0£1NON3 5%3V813S I s0.101
'SS 1BZ0O1 3Z6 101 ONLLS00 SZ-21 1.1.OMIS10 ONINOZ N Ob
'3S 000'9Z 3Z6 101 NOVBNIN 4L '130NVd a
ZZ dON SN,0553SS0 m
_ f 999W LOOSZ/13NVd ' p0
— AA:NH6%V.,%. IOMLSIO 3NOZ £l/SI IV 69/16 30N3813 3M NVld II , ;S
— 000•L1 VIM £L/6SZl 30N3N343M 31111 �!
II 3NOZ V ION =3NOZ AHdMfIN NH01' i.
3ALLISN3S N3008.uN 8 3N1101N0 1113NM0 1N 0403f10
'OS30 31V0 'ON a,. 'r
SN01SV3a NOLLVV OJNI Sn3O1
N
L
11 1