HomeMy WebLinkAbout2023 Sign off Transmittal - Replace Deck .°* Y TOWN OF YARMOUTH
ii,
c HEALTH DEPARTMENT
o. ,$
F PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: J 0 m';r p�h Jr., 'in r mUi t i'c,r n Ab Z6 7
Proposed Improvement: (ern O F P k r co i S C �
Applicant: hl-I D N41 -��/
�1�I��rn��1'��r�y�'�� Tel. No.: ��8'�7T Vog-
Address: , �- - n �'; Date Filed: (o —2"-2-3
**If you would like e-mail notification of sign off please provide e-mail address: K d rn/ C ill E t y,y rove .E,0-1-s (� -
cooi
Owner Name: L 1`- f rat- /�bee),
Owner Address: 52 I,, y�
Mir l (. IA`�1MOu14/ 1pt'�OwnerTel. No.: ,3P1� �--t7W-
_._....__._......._.._........._...._..... .... _ 02&-S ` l
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,
RECEIVE and septic system location;
(2.) Floor plan labeling ALL rooms within building
JUN 2 0 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: t,✓�. J DATE: 6 --a y - ,2 3
PLEASE NOTE
COMMENTS/CONDITIONS:
riihn........- 1
All11'4 1
IIclik - -
1111100.....1-eif.vw
9S1
•
.(
i<
\ . .
m c "
r c m
- n
= m
v o
om
v
d Z I--+ 1-4 d cn zzo t- -
tt 1 H H tHT1 > En H
H 71 H � 0 ',Z! Z • ••
0 `� 4 tri to O .
cn
9 9 tri cn b Z
N-
M O C 3 tzf o
,--4 •• Z Z •• f.4 ••••. y
cn0 R c.4 H
''3 '�7 ~ Z K
v1
O99
W CO 70 'Is
H P W - cn tri o
z _ CC03
cn v
0 Z Cj]
IV
Pi z rz� 'J�
tTi H r-+
C 0---
9
0
rsi
I\
tTI
co 0 C
d > h FS
tz. SG ).r`C N.- Z'L Ar 0;2.A
. 11:.
O,, l '
•
•
•
12$ �\ RECEIVED .
JUN 2 0 2023 '
.------- •HEALTH DEPT
•
.
. p •
Zar 23
O •
4
•
• '•
•
• IgI . i
• 25 6
Ler Z •
r ,
•
1�E'61001140
L
•
23 Z+' ..
t
•\ So I • ' •
D .
4 � . �� •
�
•f zs 79
r - /2ive I
• • •
/�/ //9/ ctn
, IEARA,,,,�
p ,� . . •; 1977 i. ,ai of ,.,....... ri.,.v ,s 2 8 c i-r•
,, ,, No ii I " % sia'• ‘.. /43
`� F ASTER�Qp- y�sr.''�...•..e '
"NNN$ "AS ' BUILT" -PLOT PLAN
TO THE BEST OF MY INFORMATION YAe/??ex/Y"/ I�MAS$.
KNOWLEDGE, AND BELIEF THE /(9T .22_, ,7j/?/Ai./., , 7<,,:,,,÷--
fe7b.,,,,i7.4.77aA.1 SHOWN ON THIS
PLAN HAS BEEN LOCATED ON. THE � � . ��g��'��� R�'S, RSA
GROUND AS 1NDIC ED E•AST DENNIS, MASS.
DATE: /0 7 97 /'l= 7
/� ,�� ��� r� SCALE: •
REGISTERED LAND SU ERV YOR JOB NO. 6z-/78 CLIENT: ins /1/aa
- e 6 Ga DR. BY :—/". 1.4-)i---) SHEEIT_.L OF /
A