HomeMy WebLinkAbout2023 Sign off Transmittal - Permit after the fact - Deck 4f-- ' k, TOWN OF YARMOUTH
W HEALTH DEPARTMENT
=�-`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: �� ) t_
Building Site Location: IQ7 4 V VAT \A,I atxxxkif, 'i2� ��,A(I„. ( k1 �V(p
Proposed Improvement:_ 't 5 k-', De--r - c,Jc,s ,(ln\ ?et„ \.mac
b Y (e S'k re-si l e11-k, 4.-8 it, 6,2 lrc•..t.c�� i7e I re\t� c)(? e s
7c : 6v 41
, ,t. i."—sPe cJ6� J `.J
Applicant: \J(A.(4..`ke--- A bC -VNa.wt Tel. No.: 5-ot(- 27-� -- CO39
Address: q(c) I-( e ��fyy,,,K `tt„, t 6C Date Filed: 5 1 l t (Z3
**Ifyou would like e-mail notification of sign off lease provide e-mail address:14 eo. Lr'eA.V\c3..YI\ 12e, o�akc,,1,( r
Owner Name: C J c�c 4.. --- 1 VVN- �I
Owner Address: q G LI Wes-V- �,eiv ov: c Owner Tel. No.: 5� ' Z i 3-- Ca 3 9
\kW\dsk4. ()f.-, M A'
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
G' v2OWED (all existing and proposed)—
NAY 1 1 2023 Note: Floor plans not required for decks,sheds, windows,roofing;
(3.) If necessary, Title 5 application signed by licensed installer
HEALTH DEPT with fee.
REVIEWED BY: /a/m.6o DATE: /s '' 23
PLEASE NOTE
COMMENTS/CONDITIONS:
1 OJ 0
� a 4''"-or,.....„ 1„ N N N
s -
' w 2 Z iii o -Mt K''. °'a $ -3
`'� o w Z Z ' ,�a`y??r v n M
Jai og p (n J a Q Q m N ��o:ir��' V)-o .,
Merl/ o ix midi w -1 n K1 Q 01 CTJ Et leti LY °3
ag ,I UQUD )- Dwz g Sic z< cc - ¢ "
_ • W cn n �n o�
r m /fV( N O� Arz �- cc 4`�� `Ni d
O [=i �� Z napis w 1� i 4 Ci
w 40,8�A'I i
�=• 1
RFaN CO
4
a t' 9 N o
Ei rn
. U Q
` a.N U, Z w , , Q Q _
'- 22 .a w w .pC .,�
23 a w � a p {�• � d�a
_ __�/ 24 2� (1)CO > . a % d
— �26
cc
25 21 \ \' 8
28 5
- �� "� 29 --
£'S0! —
�0+. 'S1 :2E3 g
— ter
— — ------- .----`,----_ ------- - t -ei za
o
4,........„ i
__,\_..,,,.... ,...,OhEr6.11 111111 71 --r
11"2111
� .aLt° IAY m .Ir
o L£ .0Z£ ��� �R'
in 3 (02
/ J
W Ow . �7 /
ro
W 1 • _ °' i Q
.N a v M / & r x g a o�4 . / f
a" e P Oco s I w J�- Al U 3 .''
r 53 dw°
01
I i 1'i
x b+�
0 44
1 a� I t°5\ \3g f o
\I r 0 ce,-" � Ot, ( e
!�� I zy = g N. �-1
�,b£, oz——
r oo, /
Issas ~.oss� ___ tio" cp —i
349.£t.60N �, i/ z3
J
Oboe Hinowe,e,,
IS 344
z eri866
1
' • 1