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HomeMy WebLinkAboutBuilding sign off - Addition *�� �.� TOWN OF YARMOUTH HEALTH DEPARTMENT ;'T' "`".., PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: ' Building Site Location: /2(> /4.(--e- ,��( ��.7 t/Q'rit'�{-&�t?"�I /S/-71 G7'JZ Proposed Improvement: - 74024 QS -e' i2 0-24 of a-pi w4-24 O /fir o� , �ct�-o�r�.r 4D a�ov�' ��'�-�i e�.c p / f 0 4c� ea w f� A j s /C i 1 ch''' vi/2s ov Applicant: ,L .� cpy� e �p�rs'�avu � � � �.t"o'1/ Tel.No.: ..5 Uj r/,1/D..3-73 Address: /57 ��/ L t 5 � f, -C- -u/4 Date Filed:, /O 2e97 3 **If you would like e-mail notification of sign off please provide e-mail address: IC tI 1 5 714 e� 9,(-(a.2; i Owner Name: $4s-�-e,y F-e. rro Owner Address: /2 A / 2(e S/. Xri 7,t7"4 %r7' Owner Tel. No.: f4,j 6y2880 RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements ',1( For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: RLENfr (1.) Site Plan showing existing buildings, water line location, and septic system location; MAY 10 2023 (2.) Floor plan labeling ALL rooms within building (all existing and proposed)— HEALTH ®EPT Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY C,L DATE: 6 - 4) —OZ 3 COMMENTS/CO DITIONS: PLEASE NOTE t. jilapowas og9,uipl!nfl luRisa 1 )ul SUIPS @A I IlPaJN 1 VVY i?]Od Hi-nomm/k iS 3Nld OZ� :103rMJd CZ/OC/C :31VC] NOUICICIV ZZ C 3!DVd SU0142A@I] - - - ZOOd pasodoad - - - T OOd 6ui4sixD - - - T OOD CIQ u1la�waH v 2uippil ItA, rsa0 'Jul SUIPS OAIJPW dW `DJOd Hinoffl1` A 1S 3Nid 0Z 1, 3 = „V/L :31VOs ON USIX3 31VG N i I I I I i SO(;# '6#A0 `I) oZ your t ( 133A NI } W0021 JNINIa MdGNn`dl i N3HOlD1 ID i i i or or O or 31VOS 0IHdd8O ZZOZ It Jagoloo :ajop woo, powbaol j dosadoo 110 £L9ZO dW 'gjn0uaj0A JsaM 8Z al nod q L9 AananS puo oildaS adoo 11V :Aq pa,ladaad Oa.ja j Aa Iuojs :aoj paaodai i V VN `Iaod ul no wjo)\ l2aaS 2U!d OZ L 10 pal000l UDId 101d 3WOS 01 ION S nO03 311S VM 00d t4jnowaoA Qa �o snool V r � .. A O - V} s r c .. V9 } 1 7 _ H m m MR t,OZ/9t/L palaQ ('8L900t00SZ doW uJa+3 uo uMoys X auoZ ul p810301 sr 101 sryl ('C Iol��s�Q u0133aloM la)tnby a4I ul pal000l so 101 6+41 Ct b t 101 M 060d 6OZ 31000 uold� ' 9Lt a60d 09ESZ MOOS ('Z 9 t 1a»od b t t doW sijossassV (- t sa�oN W001d JNUAI-1 N3a Al IM W00"dHl r Mi •• R WOMdCE19 } C= =. 110 N '1N3W1dVd30 831VM 1t/001 3HI ONV S31Nbdr400 Ainiin 31VA1?Jd JINN 134VSDIO OS S1S3n038 '01 031IN111 ION In8 'S30n10N1 SIHI '>WOM ANd 30 1NYGON3YMOD Ol 8018d 01313 3H1 NI (13NIV483130 38 ism S311I1I1n ©V3H83AO GNv ONno80a30Nn t l Iaoaad 11d GNV 31VrilXOHddV S1 S3111111n 30 N011b001 # t t doll •31ON PaLlS/ 016 0 / s` QoiS / V v # L L doW / / if '�•! SbS 4 •r-, / �° 1S uaoo,rpag Z •S- //OZL# asnOH ,LS'ZZ = 1 Qua , Q) �Ov sob / O panod C-1> a yob 61 1 he =ZZZ`Z l DBDJ*Aoo dOJd !v 1 101, %(;z 960lano0 •10W ko� ,6 'Z# ,0 ,#9'LZ2 _ 8 40Z 'joaH 0 Z ,oz aPIS � ���� 9 � _ SZ — � .01C Juoa.4 f sMaoglaS 060 uOi {(/4;� io3 f 'i. bS 000'ot Ob —8 :aUoZ 7R, ;0 guilapowaS T gugins ldmaa 'Jul SUIPS aAljP@I%JI A VIAI 'I �:]Od HinomjvA iS 3NId OZIe :103rMJd 1 :31G I 3 =.,-V4:31VOS I 03SOdMicl • 3!DVd LLJ U LLJ vj Cj 0 7�i b J) C- 0 3uppom-aS T Suippq Idisaq c 'Jul SUIPO 9AIJUaIN VW 1�j0 i d Hlnow�jdA 1S 3NId OZI, :103 f'02Jd CZ/OC/C A �Ilvos SNOlJLVA3U 31da K r r. 3!DVd I� F ■ �I I._ „8/T T-.6 ,.8/T T-.6 „Z/T 0-,6 Oct) ZD o „8/T Z-,L „8/T T-.6 I `Jul SUIPS 9AIJUaI bW 'I ?]Od HinomjvA £Z/0£/£ 1S 3NId OZ � :103f O :1d YG M k6 1-4 = wo was Allso It W�Z lug „8/T T-,6 „ 8/T Z-,L „8/T T-,6i - R1! w1 3 _ ,.V/L : ,dos SNOTlVA3 3 3 !DVd �C3 c., I m —P Of w7- {] ® J „Z/T 0-,6 - man MEIN NUM a 21 R MR ■INU tNS, „8/T Z-,L „8/T T-,6 11.